In this chart, Mars is going in 4th navansh and dasa of Mars is running since 2019, the native is complaining there is no focus in career, health issues and troubles at home.
Jatak Tattva says that planets having connection with 4th and 10th house or exchange or transfer of energy gives trouble from house as it is OPPOSITE ENERGY.
Anyhow, planet in 4th navansh means that the person is keeping so much in their own comfort zone and insecurities that they are not able to overcome them.
10th house in Mrityubhag and Rahu and Mars placed in it indicates that the troubles in that dasa have got intensified and therefore the native wishes to get a government or well status-based job but ends up getting nothing and only STRUGGLE.
Remedy of Mars and Jupiter is suggested to pacify this combination.