COMMUNICABLE DISEASE ROOT CAUSE ANALYSIS

Key Concerns
Biological Factors
Economic Factors
Healthcare System Factors

Lifestyle Choice Factors
Physical Environment Factors
Psycho-Social Factors
Spiritual Factors

BIOLOGICAL

Number

• Language Barriers

2

• Multi-drug resistance

1

• Sex Drive

0

• No vaccines for most HIV/STDs

0

• Racial Diversity

0

ECONOMIC

Number

• Lack of Access to Care

4

• Poverty

2

• Travel/Mobility

0

HEALTHCARE SYSTEM

Number

• Racism *
• Under-representation of minority population as policy makers, leaders, etc. *

5

• Lack of access to care

3

• Lack of culturally sensitive model

2

• Confidentiality concerns

1

• Too few providers of services

1

• Collaboration with correction facilities

1

• Tracking

1

• Lack of knowledge

1

• Drug Abuse - no Texas center available

0

• Provider Education

0

LIFESTYLE CHOICES

Number

• Substance abuse *
• Drugs for sex "CRACK" *

4

• Sexual risky behaviors

1

• History of tradition

1

PHYSICAL ENVIRONMENT

Number

• Laws/Politics

2

• Media

2

• Lack of Advocacy

1

• Public Policy

1

• Border state

0

PSYCHO - SOCIAL

Number

• Lack of Education
• Lack of knowledge
• Information (factual)

5

• Cultural Issues *
• Society Norms *
• Taboos against discussing sex *

3

• Self esteem
• Women's lack of empowerment (to say No; to promote condoms)

2

• Sexual behaviors

2

• Alienation

2

• Distrust of authority

1

• Sexual Abuse

0

SPIRITUAL

Number

• Whether or not I am exposed to a disease is in God's hands

1

• Judgment/condemnation

0

• "Witch" doctors

0