The human resource and infrastructural constraints described in this study echo problems widely recognised as hindering ART programme expansion in resource-limited settings.
Given the markedly different demographic and community structure, as well as resource and infrastructural constraints in comparison with developed countries, these models have limited capability to predict the impact of an influenza pandemic on low-income countries.
User fees (out-of-pocket) at point of care may not significantly reduce access to facility services, however, countries considering removal of user fees should provide alternative sustainable sources of funding for human resource and infrastructural needs that depend on user fees [ 41].
Finally, the US and Brazil were chosen for several similar reasons, such as the heightened increase in obesity cases in rural areas; the high degree of healthcare decentralization present, posing challenges to effective inter-governmental policy coordination and implementation; and finally, historically similar limitations in human resource and infrastructural capacity in poor rural areas [ 40].
They are also aware of the inadequacy of existing resources, both human and infrastructural: The ridiculous workload and lack of staffing mean you can't progress and develop the service.
Such efforts in Iran, as in other Asian countries, [ 23] are hampered by deficiencies in expertise and resources, infrastructural weaknesses, and a lack of epidemiology-based studies of case registry performance.
The average index of 'creating and sustaining resources' sub-functions was 48.6%, meaning that R4H human and infrastructural resources can be considered to be in a moribund state.
Resource mobilisation (F6) or resource supply situation has improved in that some resource categories are supported by the State (financial and industrial resources); however, for others there are still obstacles on the path to professional industrialization (human and infrastructural resources).
Our results indicated that financial and infrastructural resources must be maintained to adequately conduct clinical trials.
However, this potential requires a certain level of institutional readiness in human and infrastructural resources.
