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  • MEDICAL PROFESSION LESS AWARE OF DOTS AND LESS INVOLVOING AND CALLOUS IN ATTITUDE
  • INFRA STRUCTURE NOT ENOUGH FOR TREATING 3.5 MILLIOONS OF CASES
  • CASE FINDING IS LESS THAN OPTIMUM
  • CASE HOLDING IS POOR AND MUCH OF DEFAULTERING
  • DIRECT OBSERVATION NOT EFFECTIVE AND NOT EVALUATED
  • HIV/AIDS ADDING FUEL TO THE FIRE
  • INCRAESED MDRTB POINTS TO LACK OF PROPER SUPERVISION DURING TREATMENT. IF TREATMENT IS REALLY OBSERVED, MDRTB IS LESS LIKELY TO OCCUR.