Table 1 Rotated Component Matrix^a

 Q14

I do not have enough trust in the skills, and scientific competence of the doctor

 Q15

I do not have enough trust in the service providers

 Q5

I am not satisfied with the quality of the provided care

 Q11

My doctor does not have a good relationship with me

 Q6

Health care provider deal with me violently and discriminately

 Q18

The behaviour of health care providers is unfair and discriminatory

 Q4

The waiting time for taking care is too long

 Q12

I cannot communicate properly with my doctor

 Q17

My family does not support me in following and continuing the treatment process

 Q16

I do not have much desire to continue life

 Q8

I have a lot of family and working activities

 Q9

I’m unwilling to take medication

 Q7

I do not need the prescribed treatment

 Q13

I do not have enough awareness and knowledge of the consequences of forgone care

 Q10

I would prefer to use alternative therapies such as herbal medicines and traditional therapists

 Q1

I do not have enough money to pay for the treatment of the disease

 Q3

The treatment process is too long and timely

 Q2

I have a long distance from the health care centres