For example, influential people such as politicians can dictate the choice of construction site without considering accessibility factors (16). However, community participation and critical government guidance can mitigate this limitation. By engaging local communities and their leaders in India, the Jamkhed project has mitigated political interference and demonstrated that community participation is critical to addressing these challenges (13). Furthermore, the staffing challenge can be addressed by recruiting and training CHA/P to manage rural health facilities, as in the case of clinical officers providing health services in remote facilities in Malawi with good health outcomes.