The challenge of distance was even greater for HSAs reporting to health centers managed by CHAM, who were expected to travel to the nearest government health center to collect drugs which often was further away than the CHAM facility serving their catchment area.
As I explained in a recent interview, what we are finding is that even allowing for some of the challenges of physical distance, people who work remotely can contribute just as much if not more because they are getting so much back from not wasting time commuting, for example.
Information and communication technologies, such as mobile phones or internet, can mitigate challenges of physical distance and logistics in low-resource settings [ 25].
Even if this kind of survivor were willing to receive psychological support, the challenges of the distance from home to center, money for travel and privacy from neighbors highlight the delicate interconnectedness of economic and social issues in this region.
The specialised ability of cardiorespiratory endurance system permits humans to store and release energy effectively during a race and helps to keep the body's centre of mass stable and overcome the thermoregulatory challenges of long distance running through sweating, evaporation and cooling [ 9].
There are plans afoot for future missions with astronauts, though the challenges of long-distance human travel and radiation exposure remain obstacles.
"One of the biggest challenges for distance learning students is engagement with other peers," says Steve Mills, student president for education welfare at Robert Gordon University, Aberdeen.
Going Further | Students read "Discovery Rekindles Wish for a Journey to the Stars" and then write plans for interstellar space travel, addressing the challenges of traveling vast distances in space and space travel plans already under development.
