Abstract: | The implementation of health programmes by external health professionals (‘givers?s) in disadvantaged communities (‘receivers?s) 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. |