Providing and Paying for Long Term Care, Paris, 2011; Starting Strong II. Early Childhood Education and Care, 2006: International Labour Organization (ILO), Un buen comienzo: la educadbnyioseducadores delaprimera infancla, Geneva, 2012: Ran American Health Organization (PAHO), "Ensenanza de la enfermeriaen saiud del adulto mayor", Human Resource for Health Series No. Few countries integrate this kind of nursing as a specific course in the undergraduate nursing curriculum. A diagnostic performed by the Pan American Health Organization (PAHO) for the region (PAHO, 2012) found that the main difficulties in strengthening nurse training in this area had to do with the lack of suitable clinical fields, the shortage of teachers trained to teach nursing of older persons, and the shortage of candidates interested in the area.