Health services are undergoing a transition from humanitarian and NGO arrangements to national management. This shift is creating operational pressure, with several key challenges emerging. Fuel costs are a significant issue, affecting various aspects of healthcare, including generator operation, ambulance services, and medical logistics.

Staffing, medicine supply, and equipment maintenance are also major concerns. The transition is particularly complex in the northeast, where risks include staffing shortages and disruptions to referral pathways. Essential medicines and equipment are also under strain, with dialysis consumables, diagnostics, and oxygen in short supply.

Further details on the situation are available from the source, including information on the impact of fuel costs and the challenges of transitioning health services to national management.