Despite its importance, SPHM faces several challenges:
1. Lack of Training: Insufficient training on handling techniques and equipment can lead to improper use and increased risk of injury. 2. Time Constraints: Busy schedules may tempt staff to skip proper procedures, leading to unsafe practices. 3. Equipment Availability: Limited access to necessary equipment can hinder the implementation of SPHM. 4. Cultural Barriers: Resistance to change and adherence to traditional methods can pose significant obstacles.