The difficulties arise because of long distances that are more than five kilometres from the nearest health facility and other physical barriers such as impassable rivers and mountains, he says
Mavutowa amadza kamaba ka mitunda itali-itali yemwe ndiyoposa ma kilometre asanu kuchoka pa chipatala cha pafupi komanso zifukwa zina monga mitsinje ndi mapiri omwe amapangitsa kuyenda kokhala kovuta,” iwo anatero.