The implementation of health programmes by external health professionals (‘givers’) in disadvantaged communities (‘receivers’) faces a variety of interactional barriers, some of which can be appreciated within the framework of the doctor-patient relationship. This article identifies the problems of cultural dissonance, unrealistic expectations, hostility, and non-cooperation that sometimes arise within the giver-receiver relationship, and outlines strategies to deal with them. The recognition and resolution of these issues are important to ensure the success of health programmes.
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