An Assessment of Referral System Effectiveness among Health Facilities in Enugu State, Nigeria. (Tertiary, Secondary and Primary Health Facilities)
Background: A good referral system serves as a link between
the three levels of health care practiced in Nigeria and ensures the continuity
of proper health care service delivery. The effectiveness of referral system is
an important determinant of the strength of health care service delivery. This study
assesses referral system effectiveness among health facilities (primary, secondary
and tertiary) in the urban and rural areas using two local government areas in Enugu
State. Objective: To assess referral
system effectiveness among health facilities in Enugu state Nigeria. Methodology: A cross-sectional epidemiological
study of the analytical type was carried out among health workers in the various
levels of health facilities within two local governments in the urban and rural
areas in Enugu state. Stratified sampling technique was used to select the study
participants. A pretested self- administered questionnaire was used to collect data
from the respondents and was analysed using SPSS version 23. Results: The mean age of the respondents
was 36.26 ± 8.73(SD) years. There was a good overall knowledge and practice of referral
given as 392 (95.6%) and 235 (57.3%) respectively. Majority 74(47.3%) of the respondents
had a relatively good knowledge of feedback but do not practice the feedback system
of referral. Conclusion and Recommendations:
The level of awareness of the referral system was impressive. However, the actual
referral practice was not very satisfactory due to the lack of proper feedback and
poor follow up. Efforts should be made by the agencies involved towards an improvement
of the referral system.
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