Focusing on capacity / capability challenges:

  • Lack of skilled workers
  • Lack of communications infrastructure to handle information flow
  • Lack of logistical infrastructure to handle medicine & equipment
  • Lack of civil infrastructure makes all other activities more difficult in general
  • Lack of effective governance structures for most healthcare functions, including approvals for new projects
  • Lack of ‘discretionary’ funding sources – most funding comes with stipulations resulting in lack of strategic spending


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