ORIGINAL ARTICLE
Year : 2016  |  Volume : 18  |  Issue : 2  |  Page : 93-97

A comparison of referrals among primary health-care workers in urban and rural local government areas in North-Western Nigeria


1 Department of Community Medicine, College of Health Sciences, Bingham University, Karu, Nasarawa State, Asokoro, Abuja, Nigeria
2 Department of Community Medicine, Ahmadu Bello University, Zaria, Kaduna State, Asokoro, Abuja, Nigeria
3 Department of Microbiology, Ahmadu Bello University, Zaria, Kaduna State, Asokoro, Abuja, Nigeria
4 African Field Epidemiology Network, Asokoro, Abuja, Nigeria

Correspondence Address:
Sunday Asuke
Department of Community Medicine, College of Health Sciences, Bingham University, Karu, Nasarawa State
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2276-7096.192233

Rights and Permissions

Introduction: In Nigeria, the three tiers of health-care service are linked through the referral system and primary health care (PHCs) are an entry point into this health-care service. Effectiveness of referral system is a strong determinant of the strength of health-care service delivery. This study was conducted to assess and compare knowledge and practice of referral among PHC workers in urban and rural health facilities in two local government areas (LGAs) in Kaduna State. Methodology: The study was comparative cross-sectional. It enrolled all eligible PHC workers in the study areas; seventy in urban and 69 in rural LGAs. Data were collected using a structured interviewer-administered questionnaire containing close-ended questions. Results: Majority of the health workers in both LGAs were in the age range 25-34 years. Only 16 (22.9%) of those in urban and 13 (21.0%) in rural PHCs had good knowledge of referral (P = 0.594). In addition, only 9 (12.9%) in urban and 7 (11.3%) in rural PHCs had good practice of referral (P = 0.595). Conclusion: Knowledge and practice of referral were poor in both urban and rural PHCs. There is an urgent need for training on referral and other forms of intervention such as instituting a referral focal person to improve practice of referral among the health workers in both rural and urban PHCs.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3369    
    Printed66    
    Emailed0    
    PDF Downloaded243    
    Comments [Add]    
    Cited by others 1    

Recommend this journal