The actual methods used to manage human resources in health care may in themselves be a major constraint or facilitator in achieving the objectives of health sector reform [ 5, 6].
In Africa, major constraints in the management of Buruli ulcer relate to diagnosis and treatment, and accessibility, feasibility, and delivery of services.
The immunization programme commenced in 1986, when security was a major constraint in the delivery of the programme in many parts of the country, necessitating more central and provincial campaign service delivery strategies.
In particular, the LIDT is a major constraint in the design of ICF optical components due to the high-fluence output and high-peak intensity of ICF laser systems [1].
The success of a collection gap analysis is partially dependent on the quality and integrity of the available data (Ramirez-Villegas et al. 2010) and currently, paucity in the necessary data remains a major constraint in undertaking a comprehensive collection gap analysis.
Depredation of livestock is common in Bhutan (Sangay and Karl Vernes 2008) and a major constraint in yak farming among the pastoralists (Wangchuk and Wangdi 2015).
The manner in which the NOC system operates is a major constraint in the delivery of humanitarian assistance.
In Zambia, a lack of human resources in the Ministry of Health was reported to be a major constraint in cross-sector coordination.
Low soil temperature in spring is a major constraint for cultivation of tropical crops in temperate climates, associated with impaired seedling development, inhibition of root growth and root activity.
This issue remains a major constraint in the large poultry farms in the country.
