Table 4 Reasons for referral by receiving facility type
Type of reason | Reason for referral | Receiving health facility levela | |||
|---|---|---|---|---|---|
Health Centers N = 2 n (%) | District Hospitals N = 89 n (%) | Regional Hospitals N = 116 n (%) | Zonal N = 518 n (%) | ||
Staff capacity | Need for specialist care | 0 (0.0) | 21 (23.6) | 77 (66.4) | 436 (84.2) |
Lack of post-operative care | 0 (0.0) | 0 (0.0) | 9 (7.8) | 24 (4.6) | |
Need for imaging equipment training | 0 (0.0) | 1 (1.1) | 0 (0.0) | 0 (0.0) | |
Member of surgical team not available | 2 (100.0) | 0 (0.0) | 3 (2.6) | 15 (2.9) | |
Need for laboratory diagnostic training | 0 (0.0) | 0 (0.0) | 0 (0.0) | 8 (1.5) | |
Equipment | Lack of imaging diagnostic equipment | 0 (0.0) | 21 (23.6) | 30 (25.9) | 228 (44.0) |
Lack of laboratory diagnostic equipment | 0 (0.0) | 7 (7.9) | 28 (24.1) | 143 (27.6) | |
Non-functional imaging diagnostic equipment | 0 (0.0) | 25 (28.1) | 2 (1.7) | 3 (0.6) | |
Non-functional laboratory diagnostic equipment | 0 (0.0) | 3 (3.4) | 8 (6.9) | 4 (0.8) | |
Drugs and supplies | Lack of medical supplies and consumables | 0 (0.0) | 2 (2.2) | 8 (6.9) | 51 (9.8) |
Lack of drugs | 0 (0.0) | 1 (1.1) | 7 (6.0) | 45 (8.7) | |
Lack of blood | 0 (0.0) | 13 (14.6) | 19 (16.4) | 8 (1.5) | |
Lack of oxygen/water/electricity | 0 (0.0) | 0 (0.0) | 2 (1.7) | 4 (0.8) | |
Infrastructure | OR not functional | 1 (50.0) | 1 (1.1) | 0 (0.0) | 0 (0.0) |
Lack of inpatient beds | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
OR occupied | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
Patient preference | Patient preference | 0 (0.0) | 1 (1.1) | 1 (0.9) | 6 (1.2) |
Other | Other | 0 (0.0) | 0 (0.0) | 1 (0.9) | 0 (0.0) |