ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

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BANGLADESH-Rise of Bureaucracy

even a move to close down TB hospitals in cities on the ground that the incidence of the disease was coming down. A case in point being Mumbai, where the municipal hospital workers* union had to take the issue to court to keep the hospital open. It is easy to forget that the reluctance of people to complete courses of treatment is a result of multiple causes systemic, socio-economic and cultural. In the absence of an environment which is conducive to health, no amount of health education about TB will take root. If today the WHO finds that third world countries are experiencing a rise of resistant strains of bacilli, a large part of the blame must lie with the inclination of international agencies such as the WHO to prescribe uniform programmes and to interfere with and influence through aid and assistance country health programmes.

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