Table 2.

Summary of barriers to diagnosis access for Chagas disease in Colombia.

Barriers to access diagnosis
(i) Lack of diagnostic tests in hospitals in primary care
(ii) Few centers that perform confirmatory tests
(iii) Lack of awareness and knowledge about the disease among physicians
(iv) Lack of validation of rapid tests
(v) High heterogeneity in test reliability
(vi) Nonintegration of diagnosis and treatment of Chagas disease
(vii) Prior authorizations by health insurance institutions
(viii) Difficulty for physicians to interpret test results
(ix) The recruitment of medical and nursing staff
(x) Lack of insurance reimbursement for services rendered
(xi) Budget cuts
(xii) The lack of more diverse staff to serve language minority communities
(xiii) The multihiring services in different locations
(xiv) Space limitations for medical equipment
(xv) Cultural barriers
(xvi) Internal armed conflict