The Ngäbe-Buglé experience much adversity as a result of contemporary conditions. As localized problems of land and crop shortage grow into a more generalized issue, and it becomes more difficult to generate capital in a shrinking labor market, malnutrition is prevalent, especially in children and expecting mothers. Attempts to generate capital by becoming a migrant worker also have negative social effects including added strains on family structure and increased pressure on women to provide for their children alone. The dispersed nature of the population also makes existing medical care hard to access, and a general lack of potable water and sanitation services cause a myriad of health problems. Lack of sufficient infrastructure and under provision of social services by the government is often the root of many problems that plague the most rural areas.