Introduction: Red-tapism is overregulation or rigorous adherence to formal regulations that are deemed superfluous and bureaucratic and obstructs action or decision-making. In other words, these are onerous rules that offer little value. It entails excessive paperwork, the acquisition of permits, the approval of a decision by several persons or committees, and a variety of low-level laws that make doing one's affairs slower and more complex. The problem may have partly to do