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Table 5 Barriers identified in people not actively seeking CD testing

From: Diagnostic pathways of Chagas disease in Spain: a qualitative study

Accessibility

Administrative: Irregular migrant status.

Business hours: their work schedules overlap with appointment slots.

Physical: healthcare facilities are far away from their work place/home

Professional: psychological discomfort or embarrassment.

Acceptability

Willingness to use the service: Severity of symptoms, lack of trust in healthcare professionals, fear of knowing their CD status.

Stigma

Knowledge of CD: Knowledge and beliefs about transmission routes and treatment of CD.

Effectiveness

Health system response to user demand: Knowledge and training of healthcare professionals.