The Surgeon General's principal function is to serve as spokesperson on matters of public health and to advise the Secretary of Health and Human Services. However the position is challenging in the following respects:

The Surgeon general functions maximally over matters relating to public health care and human services. Though the following are some of the challenges faced by the surgeon general and well listed in the explanation.

Explanation:

The Surgeon General's principal function is to serve as spokesperson on matters of public health and to advise the Secretary of Health and Human Services. However the position is challenging in the following respects:

1. There is lack of agreement on the plans of the Public health missions.

2. There is shortage of capacity to carry out the essential Public health functions of assessment, policy development and assurance of services.

3.The position faces lack of order and organisation in terms of decision-making without necessary data and knowledge.

4. It also faces unfairness in the distribution of services and the benefits of public health.

5. They face barriers on effective leaderships, including poor interaction among the technical and political aspects of decisions, rapid turnover of leaders, and inadequate relationships with the medical profession.

6. They faces organizational detachments or divisions.

7. They faces problems in relationships among the several levels of government.

8. There is inadequacies in acquiring the necessary knowledge across the full array of public health needs.

9. The poor public image of public health affects their reputation, inhibiting necessary support and special problems that limit unduly the financial resources available to public health.