Root Cause Analysis

1. 1

   Select the top 2–3 prioritized problems from Phase 2 for root cause analysis.

2. 2

   Use the "5 Whys" technique: ask "Why does this problem occur?" repeatedly until the root cause is identified.

3. 3

   Alternatively, use a fishbone (Ishikawa) diagram to categorize causes (people, process, policy, environment).

4. 4

   Encourage participants to distinguish between symptoms and root causes.

5. 5

   Map the relationships between causes to identify systemic issues.

6. 6

   Validate the root cause map with the group before finalizing.

7. 7

   Identify which root causes are within the scope of regulatory policy to address.

• Q1.

  Why does this regulatory problem exist? What are its immediate causes?

• Q2.

  If we address the immediate cause, will the problem be permanently resolved? Why or why not?

• Q3.

  Are there systemic or structural factors that contribute to this problem?

• Q4.

  What policy, process, or capacity gaps are at the root of this problem?

• Q5.

  Which root causes are most amenable to policy intervention?

Record key responses, insights, and discussion points from participants.

AI will synthesize the participant responses into a structured summary. You can also write your own.

Document the final output of this phase: Root Cause Map.