The main obstacles encountered on this project were: funding,foreign health worker nationals not recognised by Health Professions Councils of the Republic South Africa unless the foreign nationals health workers can pass the examinations before the could be allowed to register to practice.The absence of IEC materials in foreign languages at health facilities. The partnership with Population Council which was funded by the Ford Foundation(USA) then made it possible for funds to be available to kick-start the project for a period of one year. It became much easy to get the second donor for the project to be extended to other clinics in the Region because of the successes of the project at the two original sites, namely Yeoville and Rosettenville clinics. The challenge of non-availability of foreign health workers at health facilities was overcome through the partnership with NGOs, the Refugee Nurses Association and the African Migrants Solidarity who recruited volunteer foreign health professionals, who despite not been registered to practice in South Africa were affair with the health terminology and served as good translators. The obstacle around the non-availability of IEC materials at health facilities was overcome by prioritising key health policy documents and pamphlets
for example TB,STI, The Batho Pele Principles, The Patient Rights & Responsibilities Charter and translating them into different foreign languages spoken in respective catchment areas of the two clinics.