What keeps people from seeking health services?

There are so many factors:  Poverty, Lack of Knowledge (of signs and symptoms of illness), Lack of Economic resources, Lack of Transportation, Poor infrastructure, Inequity of Access, Lack of resources within the health care system (no medicines!), Stigma of disease, Fatalism/Helplessness/Hopelessness, Inadequate number of health care centers, Inadequate training of health care providers.