Barriers | n | % |
---|---|---|
Healthcare Needs | ||
Increased Incidence and complication of disease and trauma | 31 | 96.9% |
Increased Mental Health needs | 28 | 87.5% |
Pregnancy cases, maternal and prenatal care | 16 | 50.0% |
Healthcare Desires | ||
Lack of knowledge of the Colombian health system | 30 | 93.8% |
Transitioning from the FARC Health System | 19 | 59.4% |
Lack of preventive medicine and public health | 13 | 40.6% |
Preference for and ease of accessibility of traditional medicine | 11 | 34.4% |
Patient non-adherence, tendency to skip brigades, appointments, or follow-up | 8 | 25.0% |
Providers are unaccommodating, only motivated financially | 2 | 6.3% |
Healthcare Seeking | ||
Resource insufficiency in rural areas | 31 | 96.9% |
Burdensome geographic distances between communities and nearest hospital | 27 | 84.4% |
Economic barriers | 21 | 65.6% |
No internet nor WiFi, and limited cell phone connectivity | 11 | 34.4% |
Delayed or absent emergency health services | 10 | 31.3% |
Transport barriers | 9 | 28.1% |
Healthcare Initiation | ||
Stigma | 29 | 90.6% |
Health insurance (EPS) and healthcare initiation barriers | 29 | 90.6% |
FARC are slow to trust healthcare providers for fear of mistreatment | 17 | 53.1% |
Confusing bureaucratic processes, lacking information to understand how the healthcare system is constructed | 15 | 46.9% |
Identification associated problems in healthcare initiation | 14 | 43.8% |
Healthcare Continuation | ||
Medical brigades provided to ETCRs and surrounding rural communities | 22 | 68.8% |
FARC health promoters with valuable skills are not utilized as care providers | 18 | 56.3% |
Community providers, ETCR leaders lack communication channels to share common obstacles or create institutional change | 12 | 37.5% |
Wait-times on days of scheduled appointments | 12 | 37.5% |
Lack of clear avenues for FARC and surrounding communities to self-advocate | 8 | 25.0% |
EPS authorization delays cause some to not request them in the first place | 7 | 21.9% |
Loss to follow-up for lack of health system knowledge (labs, diagnostic exams) | 7 | 21.9% |
Migration of FARC community members and their families | 6 | 18.8% |
Inopportune appointment scheduling, compounded by care seeking barriers | 4 | 12.5% |
Non-adherence to medical treatment (taking medicines, vitamins, exercising) | 2 | 6.3% |
Other Barriers | ||
The social determinants of health | 29 | 90.6% |
Breach of the Peace Agreement by the government | 18 | 56.3% |
Education of forgiveness is required for reconciliation and ending cycles of violence | 13 | 40.6% |
Interventions lack holistic health approaches and psychosocial dimensions | 6 | 18.8% |
Research without interventions and uncoordinated care from universities and NGOs has created distrust of external groups among FARC | 4 | 12.5% |