Healthcare and education both suffer seriously from a lack of adequate funds, resources, and trained personnel. As late as 2008 there were estimated to be only 0.02 doctors for every 100,000 people, as compared with 2.42 in the U.S. Hospitals. The system continues to be wholly inadequate when it comes to supplies, equipment, and personnel. Patients are often turned away because of critical shortages, and every effort to upgrade the system is held back by rapid increases in population, health problems, and the failure to have adequate resources.

It is not unusual to go into a ward area of a hospital and find far more patients than beds available for them. Patients and family caregivers are often found sleeping on the hard, cold floor, or on bamboo mats on the floor.