Coping with paediatric referral—Ugandan parents' experience

Challenges Facing Implementation Of Referral System For Quality Health Care Services In Kiambu County, Kenya

“…A study in Uganda also showed that of those who accessed the referral site, only half did so the same day (Peterson et al 2003).…”

“…Of the 185 children who complied with referral the next day or later, or who did not comply with referral at all, 5% had died. There were no deaths reported among the children who complied with referral the same day the recommendation was made [11]. Although common barriers to successful referral are generally known, the relative importance of these constraints should be assessed in each country or region to guide the design of targeted, appropriate interventions to improve referral.…”

Utilization of Integrated Management of Childhood Illnesses for Child health in Western Kenya

“…WHO recommends at least one facilitator for every four participants (C. Victoria, 1978). Post basic IMCI training enhance capacity building to service providers in order to assess child's illness basing on severity using a series of algorithms, from which specific treatments are identified; guidelines are built around a series of simple questions, and easily recognized with defined signs and symptoms, with emphasis on nutrition, health promotion and counseling, (L. Boulanger, 1999) Study by Peterson, Mushinda and Magumba on IMCI provides a model for comprehensive implementation of proven public health interventions (Peterson 2004) . An evaluation carried out in 5 countries in Africa , showed greater improvements in health care performance following IMCI training (J.…”

“…In Peru this was as low as 10%. Even in most successful sites in utilization, have rooms for improvement (Peterson 2004). …”

Assessing the feasibility of mobile phones for followup of acutely unwell children presenting to village clinics in rural northern Malawi

“…2 However, extant literature suggests children in some regions of sub-Saharan Africa, who would benefit from higherlevel care, are not being referred or are failing to present, increasing their risk of severe morbidity and mortality. 3,4 Knowledge of HSA referral practices, and subsequent patient outcomes post-consultation, permits evaluation of the effectiveness of interventions to improve care, 2 but it is unclear how measurable these outcomes are in Malawi. Collecting follow-up data is dependent on the ability to accurately identify patients from medical records, which is limited by lack of routine use of a national patient identification system, geographically dispersed health facilities, and a poor medical records infrastructure, which is largely paper-based.…”