**6. Health service utilization and barriers to health services in children with HIV/AIDS**

The results of this investigation shows the dynamics of the demand of services by children affected with HIV/AIDS, and the information will be useful in planning and organizing care for families with HIV. We found in Colombian families affected with HIV/AIDS a pattern of frequent use (50.8% N=145) of the health service (See Table 5).


Table 5. Health Services Utilization in Colombian families affected with HIV/AIDS.

Families affected with HIV have to face some barriers in health service provision such as: Arrival Time to heath service (half hour to an hour or more than an hour) 60.4% (N=138); Waiting Time exceeding 30 minutes in 53.8% (N=154) and 85.7% (N=245) of the children affected are not receiving Home Care even though they needed it; Health professional argue against this latter finding that caregivers do not provide personal information for fear of discrimination (See Table 6).

No significant results were found for other barriers explored: Respectful and Friendly Service; Discretion and Confidentiality Service; Subsidizes Antiretroviral Therapy; Acquisition of Antiretroviral Therapy with own money and Transportation, however many of the families reported in the focus groups did not have resources for transportation to health service (See Table 6).


The results of this investigation shows the dynamics of the demand of services by children affected with HIV/AIDS, and the information will be useful in planning and organizing care for families with HIV. We found in Colombian families affected with HIV/AIDS a pattern of

> **(N=286) F % Frequent** 145 50.8 % **Regular** 74 25.9 % **Occasional** 37 12.9 % **Sporadic** 30 10.4 %

Table 5. Health Services Utilization in Colombian families affected with HIV/AIDS.

Families affected with HIV have to face some barriers in health service provision such as: Arrival Time to heath service (half hour to an hour or more than an hour) 60.4% (N=138); Waiting Time exceeding 30 minutes in 53.8% (N=154) and 85.7% (N=245) of the children affected are not receiving Home Care even though they needed it; Health professional argue against this latter finding that caregivers do not provide personal information for fear of

No significant results were found for other barriers explored: Respectful and Friendly Service; Discretion and Confidentiality Service; Subsidizes Antiretroviral Therapy; Acquisition of Antiretroviral Therapy with own money and Transportation, however many of the families reported in the focus groups did not have resources for transportation to

**Barriers to Health Services Category N %** 

Less than half an hour 148 51.7% Half hour to an Hour 102 35.7% More than an Hour 36 12.6%

One Bus 127 43.6% More than one Bus 25 9.1% Mototaxi 35 12.5% Particular Transport 29 10.5 % Other: (walking; bike) 70 24.3%

Immediately (15') 39 13.6%

More than 30' 154 53.8%

Yes 259 70.6% No 26 29.1% Sometimes 1 0.3%

Family should wait (15' A 30') 93 32.6%

**6. Health service utilization and barriers to health services in children with** 

frequent use (50.8% N=145) of the health service (See Table 5).

**HIV/AIDS** 

**Health Services Utilization** 

discrimination (See Table 6).

health service (See Table 6).

**Arrival Time (N=286)** 

**Transportation (N=286)** 

**Waiting Time in Service (N=286)** 

**Respectful and Friendly Service (N=286)** 


Table 6. Barriers of Health Services in Colombian families affected with HIV/AIDS.

87.4% of Families affected with HIV reports that health attention has not been denied (See Table 7).


Table 7. Denial of Health Services in Colombian families affected with HIV/AIDS.
