Moreover, the Government orders that accompany the release of the funds to the city corporations/ pourashavas need to specify that the funds are to be dedicated to public and primary health in urban areas. To make the expenditure allocation and disbursement transparent and efficient, computerization of the accounting system is also imperative. Information, education and communication services should also be intensified to educate the poor about the consequences of being exposed to an unhygienic environment and eating stale food. The capacity of local government institutions to deal with public health issues needs to be improved by making them truly autonomous and financially independent.