Because so many women did not return to the clinics for the second insertion of the drug Bashir took up a single insertion approach, even though much of the available research so far argues against a single insertion being sufficient to cause complete sterility. Patients receiving treatment at regular clinic facilities receive a bit more information, but are not informed that this method has not been formally sanctioned for use in Pakistan. Essentially no follow up of these patients is conducted. Those that don't return are assumed to have no problems, no pregnancies, etc. There is no mechanism established for follow up of these patients.
Concerns increase as well when it becomes clear who directs and funds quinacrine's distribution.
As part of its investigation into the use of human subjects in contraceptive research, the British Broadcasting Company's Horizon series found links between the Leland Fikes Foundation, a private American group, Stephen Mumford's quinacrine effort,16 and the Federation for American Immigration Reform, an organization known to be strongly anti-immigrant. It is also known that Family Health International, an organization founded by Mumford's friend, Dr. Elton Kessel, is directly involved in supplying quinacrine to India,17 where an estimated 10,000 women have been sterilized. The weight of the evidence leads observers to strongly doubt if improving women's health is the primary motivating factor behind the worldwide quinacrine effort and to question whether racial fears and prejudice might play more of a role. But no matter what the motivations, in the absence of some concerted international effort, it seems likely that the push to advance quinacrine use will likely continue unabated. 3 RN Merchant et al.