Answer:
Lack of education, old beliefs and lack of manpower.
Step-by-step explanation:
Lack of education, old beliefs and lack of manpower are the factors that influences which impede the implementation of health initiatives at the local and national level. Poor Implementation of health initiatives occur due to lack of manpower that clearly understand the program or project. These hindering factors can be managed by improving the management capacity by modernizing the systems and by providing education and knowledge to people about forums and seminars to understand the objectives and goal of health initiatives.