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When an upper-level trough or upper-level low is roughly the same scale as the tropical disturbance, the system can be steered by the upper level system into an area with better diffluence aloft, which can cause further development.
This cyclone initially formed in response to a mid to upper level cyclone southeast of Ponape on April 12. Thunderstorms developed near the upper level system, and an outflow pattern was present on satellite imagery, but a surface circulation did not materialize until April 15.
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After becoming subtropical, the storm turned northward due to an upper-level system.
Initially an upper-level system, it gradually propagated to the surface, becoming a depression on August 9.
Moving westwards, this upper-level system triggered the development of a surface low two days later over the Bay of Bengal.
The storm became completely separated from the upper-level system, and the cyclone re-organized, developing an eye feature late on April 21.
The interaction between the upper-level system and the wave led to the formation of a tropical depression on August 26 around 460 mile south of New Orleans.
However, after the passage of the upper-level system early on August 31, steering currents became extremely weak, and Elena became nearly stationary in the extreme northeastern Gulf of Mexico.
However, the momentum to sustain a NSV program has been very difficult in PNG according to the results of 14 KIIs (frontline HWs, n = 7; upper level health system officials, n = 7) representing four NSV services in PNG (Table 1).
An iterative, purposive sampling technique was used to identify potential participants for the KII with upper level health system officials involved in the coordination of the national NSV program.
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