The answer is that it can't, because the officials who decide on such issues are answerable to the upper level officials, not to the people in the region; and it is the local people themselves, not the upper level government, who know best what they want.
During his 30-month tenure, in keeping with Obama's willingness to overlook the unpleasant history of CIA renditions and "extreme interrogations," Holder has made no move to prosecute any upper-level official of any of the big banks and money firms responsible for the financial collapse of 2008.
The party leaders also oversaw preparation in December of a four-and-a-half-hour videotape, "Test of History," which upper-level officials around the country have been required to watch.
"KII upper level health official" Numbers on waiting lists were also often difficult to ascertain.
"KII Upper level health official" These difficulties with implementing the training and supervision program were reported as due to a lack of staff to deliver the program, but also to difficulties with accessing funds and general travel to areas in PNG.
This was a concern of both upper level health officials and frontline HWs.
These difficulties were noted to be a significant problem by all upper level health officials.
Upper level health officials acknowledged the importance of frontline HW's initiative and dedication to their post-training program.
It was unanimous among all upper level health officials and those involved in training that among all HWs, CHWs were the most likely to remain dedicated to providing and sustaining NSV services.
The onus on frontline HW to promote services within the community and to maintain strong communication with trainers and upper level health officials, was considered an important factor in staff retention difficulties and an inability of the service to prevent staff migration to other programs.
All frontline HWs reported that access to essential medicines and equipment for the NSV service was not a real problem despite upper level health officials suggesting that access difficulties were a common problem in PNG and likely had a significant impact on NSV service provision.
