Existence of public medical facilities does not ensure their acceptance contrary to what was assumed by the NTP. Besides their limited research in the whole community, their case-holding is marred by defaulters. Defaulters are not necessarily the poor and the underprivileged, but are as likely to be those who indulge in medical consumerism out of consideration of status. To secure better case finding and case holding, involvement of private medical practitioners is suggested along with possible means of enlarging the "catchment area" of the DTC, like identifying special target referrals can be encouraged selectively, and emphasizing the superiority of routine diagnostic and curative activities of the DTC vis-a-vis private practitioners, so as to give a sociological "face lift" to the DTP, which will attract more of those patients who pay more, and get less, from private practitioners.