A major challenge that we face is attitudinal barriers. We often hear people express surprise that there is an AIDS Foundation in Nevada County, let alone an AIDS epidemic. Many who stop by at SFAF public events are uneducated about HIV issues. Service delivery is often difficult in rural areas, especially the more remote areas of tile County. Services required by people who are home bound, such as attendant care and meal delivery, may be hard for people living with HIV to access.
Transportation is always a major problem.
In urban areas there are buses, trains, cabs and other transportation available. In rural areas it can be difficult to provide adequate transportation services. The delivery of services in the eastern end of our county is hampered by the Sierra Nevada mountains. Medical services can be difficult to access as well. Health care professionals may not be as educated about HIV issues as those in urban areas, simply because they don't see the same numbers of people.