The sorts of special considerations in Afghanistan and the Sudan should not be viewed as insurmountable obstacles.  In an ideal world (more Nepal than some of the other cases) conflict would not affect citizens' access to healthcare and qualified health workers.  However, as seen, there are real consequences that can be expected when internal conflict erupts (geographic and financial barriers and the brain drain).  The international community has certainly worked hard at establishing frameworks for working in these sorts of situations, but there is still work to be done in developing plans to mitigate the long-term effects of some of these issues. 