. There is no separate staff for maternity and emergencies/casualties as informed by statistics. The CHC experienced large numbers of these types of clients. . There is no support staff like cleaners and clerks after hours. Nurses retrieve files and wipe the floors when these categories are not available. This has a direct impact on waiting time and infection control. . Insufficient speciality staff such as midwives, trauma trained etc. . There is no doctor on call after hours. . There is inadequate budget to fill the posts and convert some existing posts to address staff shortages.