Facilitating access is concerned with assisting people to command appropriate health care resources in order to improve or preserve their well-being. If services are available, then a population may ‘have access’ to health care provision. The extent to which access is gained can depend on administrative, political, social and cultural factors and barriers. The services available must be relevant and effective if people are to gain access to improved health outcomes. Barriers to services and utilisation have to be evaluated in the context of the differing perspectives, health needs, and cultural settings and change. There has been recognition that.