In my 25+ years of working in global health, I have seen countless programs take root and grow only to wither and fade - programs filled with great ideas that failed to adapt to local contexts, or programs with great promise that failed to innovate in the face of the uncertainties of low resource, weak infrastructure settings.
Besides this generic scientific rationale for undertaking such investigations, increased understanding of the Brucella epidemiology is critical for refining control of brucellosis in resource weak countries where the same measures as in high income countries cannot be applied.
Therefore, Li and Xia (2008) suggested that compared to SOEs, privately-owned firms trend to emphasis on short-term risk-free investment due to insufficient human and capital resources, weak marketing channels, and poor distribution networks.
The important aspect seems to be a balanced relationship between weak and strong ties (Krackhardt 1992) as even though strong ties guarantee faster access to important information and resources, weak ties prevent the network from becoming isolated from the outside world (Lechner et al. 2006).
With around 160 residential communities without water supply networks and approximately 90% of these residents without sewage networks, the PWA has had to overcome many challenges to meet the increasing demand for water supply, infrastructure development and sector reform with limited control over resources, weak water institutions and conditional funding.
With few natural resources, weak infrastructure and year-round tropical heat, there was little reason to believe in the prospects for the small Asian city-state.
The influx of Palestinians from Syria has strained the already limited resources, weak infrastructure and overstretched services available in these existing Palestinian camps.
However, many of these limitations were structural and difficult to surpass, i.e. the deficit of human resources, weak distribution systems to ensure continuous supplies of drugs or a lack of financial resources for developing promotional activities.
But one in five children is not being reached with vital vaccines due to social or geographical exclusion, lack of resources, weak health systems or conflicts such as those raging today in Syria and parts of West Africa.
Health professionals working within a pay for performance scheme in a low income setting are concerned about challenges related to systemic constraints, shortages of resources, weak infrastructure and unfavourable community preferences and attitudes.
Nutrition programs in West Africa are characterized by a critical shortage of skilled human resources, limited funding, high dependency on donor resources, weak logistic and infrastructure systems, and lack of supervision as well as coordination of nutrition activities at lower levels.
