Assessment of Community-Level Barriers

Assessment of Community-Level Barriers

RUNNING HEADER: Week 3 Assignment 1

Assessment of Community-Level Barriers

Celeste Melancon

HCA 430 Special Populations

Dr. Julie Bruno

June 11, 2018



There are several barriers that impact individuals that are stricken with the HIV/AIDS

Immune disease. Some of these barriers consist of the barrier of finances, this barrier hinders the

person who has the HIV/AIDS virus because there are not very many clinics that treat this

disease specifically. Due to the lack of facilities and the lack of income that a patient who hads

AIDS, that person may not be able to pay for or even afford healthcare or the medications that

are needed to sustain their lives. According to our text, lifestyle educational programs need to be

put in place with awareness of prevention programs and possible areas that provide funding for

this disease that may have beneficial effects on their lives (Burkholder, Nash, 2013).


Proposed program description

The people who have been infected within our surrounding communities have increased in

numbers because of lack of education about the disease and how to help themselves from

contracting the virus which most times results in the contraction of the disease. My program

would address the Government for funding that would have outpatient clinics that would solely

take care of HIV/AIDS patients and their needs which would include educating them about the

disease and how to prevent themselves from contracting the disease. It would contain education

on nutritional choices that would slow down the progression of the effects of the disease and the

values that the necessary medications would have on the disease if taken properly, these would

be my continuum of care services. They would be long term as the disease is becoming more and

more apparent in the Louisiana regions.


Barriers to receiving proper care

These barriers would include lack of finances to pay for medicines needed to treat their

symptoms. Some people may have to take a second job to pay for their medicine. In doing so

they may not be able to make their appointments because they are trying to raise the amount of

funds needed for the treatments. Another barrier would be transportation to and from the doctor’s

appointments and the pathology labs where there will be orders for blood tests of the progressive

findings of their diseases. The last barrier I feel would hinder the individual would be the

political stand points of the government to provide adequate funding for these treatments without

putting the individual in a category that does not have the federal financial attention that it should

have since this pandemic is readily taking lives of the children, the teenagers and the elderly

(Chaitow, 2000).

Potential Solutions to barriers

The fight to eradicate the AIDS/HIV pandemic is a task in itself, and a widely economic

issue. The lack of funds that an individual has would stop them from receiving the care that is

needed. A solution to this problem would be to have the individuals insured, this way they would

get the healthcare needed. Reducing the costs of the medicines would be the problem solver for

those that cannot afford the medicine to treat their effects of the disease, (Leoni, Patrick 2010).


Barrier two would be to to provide transportation for those individuals that have no way to

attend appointments. Have city councils access vans strictly for the individuals who have no type

of transportation or are too sick to drive, or have noone to carry them to and from appointments.

The final barrier concerning government policies would be to create a policy that would fund

better care for individuals with the disease that would educate them on their ability to protect

themselves better. The White House Office of National AIDS Policy aims to decrease infections,

improve health outcomes, and reduce health disparities and they outlined future goals that would

see that these policy issues had good outcomes (Joe, J. Richelle, 2015).

Analysis of Regulatory. Legal, Ethical, and Accreditation Requirements

The Center for Disease Control promotes material that organizations may find informative

and useful in their approach to combat the HIV/AIDS disease that have rules and regulations that

prevent those organizations from discriminating against race, gender, ethnic background or post

exposure to the disease (CDC, 2018). Again, according to the CDC, laws and policies are

structural interventions that can be facilitators or barriers to effective HIV prevention and care

activities. There are 49 states that have HIV testing laws that must be consistent with the

regulations of the CDC. There are 32 states that receive reimbursements from medicaid programs

for routine screenings for HIV that range from the ages of 16 to 65 years of age.


Given the importance of the regulations of the CDC it is necessary to monitor public health

laws and their research methods that collect assess statutory and regulatory frameworks that deal

with the legalities of the frameworks of organizations that may constitute as a barrier or a

facilitator. The accreditation for these for organizations must be kept in good standing with the

CDC and are monitored by the DHAP which looks for the statutes mandatory for standards of

CD4 testing which involves viral load data for surveillance purposes, and the criminalization

processes of potential HIV exposure. These organizations that partner with the CDC must

continually reevaluate their procedures, continue in educational research development and

evaluations for their organizations that participate in biomedical and behavioral interventions to

prevent HIV transmission and reduce HIV transmission (CDC, 2018).


Burkholder, D.M., & Nash, N.B. (2013). Special Populations in healthcare [Electronic version].

Retrieved from

Leoni, P. (2010). Economic Challenges in the Fight Against HIV/AIDS New York: Nova Science

Publishers, INC. OCLC: 740435

Joe, J. R. (2015). Evaluating the National HIV/AIDS strategy. Making room for families. The

Family Journal, 23(3), 271-276, Accession Number: 2015-24827-007

HIV and The Law (CDC) Centers for Disease Control and Prevention

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