| Health Workforce | - Hiring of qualified local people along with incentives for retention | - Unpredictable security conditions | - Hire more female staff and reduce gender imbalance |
| - Security threats | - Send female staff on rotation basis to conflict areas |
| - Lack of female health workers | - Provide adequate training |
| - Absenteeism and lack of capacity of healthcare staff | - Provide housing and basic necessities |
| - - Low salaries | - Merit based hiring |
| - Absence of accommodation and basic facilities for doctors | - Doctors or staff to provide replacements when going on leave |
| - Quacks (traditional or religious healers) are preferred by people over doctors |
| Service Delivery | - BPHS and EPHS has improved service delivery (through contracting out) | - Non-functional healthcare facilities | - SOPs should be implemented |
| - Changing demographic pattern | - Work on infrastructure for the uptake of health care intervention |
| - Establishment of various new primary healthcare facilities | - No services in remote areas |
| - Lack of HIV prevention program, orthopedic care, dental care, laboratory and screening tests and emergency care | - Stringent monitoring mechanisms using technology |
| - Improve community awareness and mobilization activities |
| - Poor infrastructure | - Improving CMWs functionality |
| Supplies and Commodities | - Different donors provide different supplies and services | - Short budget allocation on supplies | -Procurement decisions at the province level |
| - Enough supplies were provided | - Conflict blocked supplies to the facilities | - Procurement systems to simplified and made efficient |
| - Supply of fake medicines and documentation | - Strict monitoring |
| - Allocation of budget for medicines not revised according to present needs | - Stringent quality checks |
| - Absence of diagnostic facilities |
| Monitoring and Reporting | - Developed SOPs | - Poor quality of data | - Promote E-Health |
| - Encourage third party monitoring | - Preference of manual work over computer use | - Improve quality of data |
| - EHIS system for reporting | - Capacity gap | - Do situational analysis before implementation |
| -Data to be used for decision |
| Finances | - Donor dependent funding | - Insufficient funds | - To ensure sustainability of funding for existing programs |
| - Delay in release of funds from the donors |
| - Poor practice of budget allocation and improper utilization of funds |
