Knowledge Item: CA-Barriers and Facilitators to Services-10
 Factor Analyses of Barriers

In a study of clients with HIV asked to cite barriers and facilitators to obtaining services at the time they were enrolled in their program, four related factors of barriers to care were identified.

The client’s profile of perceived service barriers should be considered in developing strategies for linking her or him to needed services.

Factor Items
Factor I:
Service Access Barriers		 3. Would have to wait too long.
4. Thought services were unaffordable.
5. Thought was not eligible for free services.
7. Transportation difficulties.
10. Afraid treatment would be denied.
13. Hard to make or keep appointments.
Factor II:
Services Unavailability Barriers		 1. Thought services didn't exist.
2. Didn't know where to get services.
5. Thought was not eligible for free services.
6. Service providers don't like people like client.
14. Thought providers don't speak language of client.
Factor III:
Child Care Barriers		 8. Need child care while in services.
11. Afraid would lose child custody.
17. Caregiver responsibilities.
Factor IV:
Social Barriers		 9. Worry about disclosing HIV status.
10. Afraid treatment would be denied.
11. Afraid would lose child custody.
12. Worried about being forced to take medication.
15. Difficulty communicating needs to providers.
16. Worry family/friends would disapprove.

Knowledge Item Citation: Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item: CA-Barriers and Facilitators to Services-10 from HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at www.TheMeasurementGroup.com.

Last Updated: January 02, 2008; data through June 15, 1999; analyses conducted October 2000.


Knowledge Base Citation: The Knowledge Base and this Knowledge Item were designed and authored by G. J. Huba, Ph.D.; in collaboration with Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; and the staff of The Measurement Group. Cite this work as "Huba, G. J., Melchior, L. A., and Panter, A. T. (1998 - 2001). The Measurement Group Knowledge Base on HIV/AIDS Care. On the World Wide Web: http://www.TheMeasurementGroup.com."

Questions or Comments: Contact The Measurement Group.

Use of Knowledge Base Information: Acceptable Uses and Limitations.

Collaborators from Participating Projects: Cooperative Agreement Steering Committee 1999. 

Participating Projects: This Knowledge Base is based on the service delivery experiences of 27 Cooperative Agreement Projects on Innovative Models of HIV/AIDS Care. These projects and the Evaluation and Dissemination Center which produced this Knowledge Base were funded by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB) as Special Projects of National Significance (SPNS) between 1994 and 1999. Click the Model Programs button above for descriptions of the projects that contributed to this specific Knowledge Item, a list of key staff, and project grant numbers.

Why This Evaluation was Conducted: Editorial.

More Information: Design of this Knowledge Base.

Recommended Citation Format for Web Materials: American Psychological Association Publication Manual Section, Revised 2001.

Work on the Knowledge Base and the cross-cutting evaluation was supported in part by Grant Number 5 U90 HA 00030-05 from the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau's (HAB) Special Projects of National Significance (SPNS). The contents of this Knowledge Base are solely the responsibility of The Measurement Group and do not necessarily represent the official views of HRSA or HRSA/HAB's Special Projects of National Significance nor may they represent the positions of the individual grantees whose projects are included in the cross-cutting evaluation.

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