From the outset, the Association faced numerous hurdles. Dr. Jones's attempts to establish branches across the country were unsuccessful, primarily due to the reluctance of government officials, who constituted the majority of members, to take on leadership roles. The government's hostility towards the association, labeled an "unofficial society," further compounded these challenges. The first nationwide Annual General Meeting, held in 1952, highlighted the Association's core issues: disagreements with members over subscriptions and with the government regarding the role and remuneration of medical officials. This meeting marked a turning point, with the government explicitly declaring its intolerance for criticisms from staff. A subsequent incident involving Dr. Mcletchie led to a ban on government officials holding positions within the Association.