Back at Tiriri health centre, Oluka remains saddled with the problems of his predecessors: inadequate funding, inadequate staffing, insufficient supplies of essential medicines.
Shortages in staffing, insufficient availability of critical care beds, and shortcomings in documentation and identification of patients were summarized in 'administration'administration
For example, "Insufficient local resources create huge barriers to complying with the guidelines, whether it's staffing, insufficient treatment spaces etc … if the consultant doctors are not on-board with the guidelines, it can be difficult to advocate for the person's length of admission that allows them access to the duration and intensity of multidisciplinary input due to bed-pressure".
The three most frequently cited barriers to provision of tobacco dependence treatment interventions, such as coverage for behavioral therapies and medication, were "insufficient staff," "insufficient funding," and "competing priorities".
The perceived most severe barriers to increasing the number of graduates included poor salaries for teaching staff, insufficient number of basic scientists in the country from which to recruit faculty and insufficient teaching resources.
Key Findings and Conclusions The new purpose of the reformatory institutions has not been fully achieved because the education of the juveniles has been jeopardised by sporadic funding, inadequately trained staff, insufficient teaching and training materials.
The root cause of most of the repeat observations on the performance of health workers mostly related to the transfer of trained staff, insufficient supply of drugs and related logistics or equipment, and insufficient supply of patient cards and related stationary items from the DHO office.
(27 years old – BPP) Some women who did not participate in a systematic program of preparation said they were not satisfied with their birthing experience because pain had been excessive, their husband was not present, lack of attention from the staff, insufficient physical space and the use of forceps for delivery.
Studies which have examined laboratory capacity building in such settings, point to a number of barriers to improvement, including but not limited to, poor infrastructure, lack of qualified laboratory staff, insufficient maintenance of equipment, poor internal QA and limited written SOPs.
The most important barriers identified during the project were the high turnover of patients the heavy workload in the acute setting, with a shortage of staff, insufficient knowledge of the instrument and the software and a lack of insight in the situation of the client before hospitalization when no previous BelRAI-assessment was available.
Staffing shortages, insufficient diagnostic equipment (such as x-rays) and drug stock-outs were reported.
