Ngakhale kuti kufunika kwa chithandizo chamankhwala chobwezeretsa odwala m'dziko langa kukuchulukirachulukira ndipo njira zachipatala zobwezeretsa odwala m'masukulu apamwamba zikupitilizabe kukula, zida zamankhwala zobwezeretsa odwala m'masukulu apamwamba kwambiri, zomwe zikupereka chithandizo chamankhwala chobwezeretsa odwala omwe ali mu gawo loopsa la matendawa. Njira yabwino kwambiri yobwezeretsa odwala m'maiko otukuka sikuti imangotsimikizira kuti odwala amalandira chithandizo choyenera chobwezeretsa odwala, komanso kutumiza odwala nthawi yake kuti achepetse ndalama zothandizira kuchipatala.
Mwachitsanzo, ku United States, kukonzanso kwa odwala azaka zapakati nthawi zambiri kumachitika m'mabungwe obwezeretsa odwala omwe ali ndi vuto la mtima, makamaka kuti odwala omwe ali ndi vuto la mtima azitha kuchira mwachangu akalandira chithandizo m'zipatala zadzidzidzi kapena zipatala zazikulu kuti akalandire chithandizo; kukonzanso kwachiwiri kumachitika m'mabungwe obwezeretsa odwala omwe ali ndi vuto la mtima pambuyo pa vuto la mtima, makamaka m'mabungwe obwezeretsa odwala omwe ali ndi vuto la mtima. Pambuyo poti wodwalayo ali bwino, amasamutsidwira kuchipatala chobwezeretsa odwala kuti akalandire chithandizo; kukonzanso kwa odwala omwe ali ndi vuto la mtima nthawi zambiri kumachitika m'mabungwe osamalira odwala nthawi yayitali (zipatala zobwezeretsa odwala ndi zipatala zakunja, ndi zina zotero), makamaka pamene odwala sakufunika kugonekedwa kuchipatala ndipo amatha kusamutsidwira kuchipatala chobwezeretsa odwala m'mabungwe ndi m'mabanja.
Popeza kumanga zomangamanga za dongosolo lachipatala lokonzanso zinthu kumafunika kugula zida zambiri zachipatala zokonzanso zinthu, Unduna wa Zaumoyo unapereka "Malangizo Omanga ndi Kuyang'anira Madipatimenti Okonzanso Mankhwala mu Zipatala Zazikulu" mu 2011 ndi "Miyezo Yoyambira ya Madipatimenti Okonzanso Mankhwala mu Zipatala Zazikulu (Mayeso)" yomwe inaperekedwa mu 2012 monga Mwachitsanzo, zipatala zazikulu pamlingo wachiwiri ndi kupitirira apo zimafuna kukhazikitsidwa kwa madipatimenti okonzanso mankhwala, ndipo zimafuna kukhazikitsidwa kwa zida zamankhwala zokonzanso zokhazikika. Chifukwa chake, kumanga zida zamankhwala zokonzanso zinthu pambuyo pake kudzabweretsa zofunikira zambiri zogulira zida zachipatala zokonzanso zinthu, motero kuyendetsa bwino makampani onse okonzanso zida zamankhwala.