Referral Service Barriers in Ethiopia: experiences and perceptions of actors.

Conclusion: This study explored and described several referral service barriers in four regional states of Ethiopia. The referral service barriers were influenced by both individuals and health systems related factors. The investigators recommend implementing performance and quality improvement interventions to strengthen the referral systems. In addition, to address the barriers of referral system, improving the communication skills of health care providers was recommended. Furthermore, providing governing documents including referral protocol, referral service directory, and guidelines can solve some of the referral services barriers. Equipping ambulances with trained providers and lifesaving equipment, enhancing telephone lines and office facilities are recommended. [Ethiop. J. Health Dev. 2021;35(SI-5):55-62]Keywords: referral, barrier, primary healthcare, experience, Ethiopia
Source: Ethiopian Journal of Health Development - Category: African Health Authors: Source Type: research