Consider the difficulties many of us face when we need medical procedures, tests or referrals. Now imagine you lived in a developing country where these challenges can be significantly greater.
For instance, getting a critical blood test might mean being given an informal slip of paper you have to take to a lab somewhere on the other side of town. After traveling for two hours, you wait another three hours to have your blood drawn, then are told to come back two days later for the results. When you return, you collect the handwritten results which you have to deliver back to your referring practitioner two hours away. Clearly, there are many points where the lines of communication could break down.