Shortage of staff in ELCT hospitals is one of the very big challenges faced at the moment. This is caused by several factors;
Most of ELCT hospitals are located in remote areas. Located in very remote areas where the income of the people is very low to an extend where paying their medical bills become a challenge, so sometime the hospital fails to pay salaries on time.
Double standard for government granted and seconded staff.
Overworked and underpaid.
It takes 5000$ to support a Doctor for one year and 25,000$ for five years