However, the RF aspects of mesh management, including how to resolve intermittent interference problems, remain more complex and often require consultation of skilled practitioners.
Retention of skilled practitioners is a problem.
The difficulties of making that transformation, including the sustained commitment of leadership and the staffing of skilled practitioners at the field level, should not be underestimated.
However, over-reliance on entrepreneurial individuals rather than building a critical mass of skilled practitioners was identified as a problematic characteristic of the HIA field to date.
5, 6 In sub-Saharan Africa, cultural hurdles, financial constraints, and a shortage of skilled practitioners pose tremendous challenges for the implementation of mass circumcision services.
"Availability of skilled staff is a huge factor to consider in terms of location," says Ian Smyth, lecturer at Ulster Business School.
The index evaluates 50 countries according to three main categories: financial attractiveness, availability of skilled workers and the business environment.
By limiting the availability of skilled workers such as crane operators, the union has quietly created a bottleneck.
The number of dishes available, and the elaborateness of their preparation, has been increasingly curtailed as labour costs have risen and the availability of skilled labour decreased.
Nevertheless, the availability of skilled workers is thought to be a future challenge for the region.
