<prompt> Translate the following text to EnglishHata hivyo, haijalishi ni programu ya mafunzo ya nguvu kiasi gani, ikiwa hakuna kichocheo kwa watendaji kutumia mafunzo au vizuizi vya kisheria ni vigumu kuvunja au mfumo wa huduma ya afya uko katika machafuko kamili na huwezi kupata nani anayesimamia idara kwa sababu mtu fulani amenunua hospitali, utakuwa na ugumu wa kutekeleza uingiliaji.  <response>: However, no matter how strong a training program is, if there are no incentives for practitioners to use the training or the legal restrictions are insurmountable or the health care system is in total chaos and you cannot find who is in charge of the department because somebody has bought out the hospital, you will have difficulty implementing an intervention. 