This may suggest that FLW knowledge is already at acceptable levels and that the effort and ability of FLWs are the more binding constraints on service delivery.
Alternatively, the findings might suggest that given other constraints on service delivery, information and knowledge gaps of FLWs are not as important.
Support for targeted screening was linked to perceived constraints on service provision and the need to examine the performance, costs and benefits of screening.
Targeted screening was considered more cost effective and feasible than universal screening, with support for targeted screening linked to constraints on service provision, including the need for provider training and increased demand for diagnostic and intervention services.
[RESP26, Private residential care provider] However multiple levels of management and corporate policies within larger residential care companies were recognised by one expert as a possible constraint on local service development: But some of those bigger ones struggle because of that.
Yet, while this may seem like an optimal system, it actually places severe constraints on services that could be offered.
The barriers to accessing the best quality care were complex and apparent in the cultural perceptions of patients and families as well as constraints on services.
Furthermore, we have used the proposed approach to study key aspects of the system design problem, such as the effect of various constraints on the service level, and the tuning of the system's parameters to address different transport environments.
Volunteers are also used effectively to supplement the health workforce in many other countries [ 3- 6] and, given the current constraints on health service delivery in many developed countries, offer a potential solution to health staff shortages.
3 Constraints on health service expenditure have led to the streamlining of healthcare systems in many countries, reducing the numbers of available public hospital beds and lengths of stay in hospital.
