Compliance with referral of sick children: a survey in five districts of Afghanistan

BMC Pediatrics

Table 3 Urgency of referral, use of referral slips and compliance with referral, by first source of care

First source of care	Urgency of referral
	Immediately		Same day		If worse		Not specified		No recall		p value¹
CHW	6	21%	11	38%	9	31%	2	7%	1	3%
Clinic	2	9%	5	22%	7	30%	8	35%	1	4%	.0210
Hospital	5	71%	1	14%	0	0%	1	14%	0	0%
Private clinic/ pharmacy	4	67%	1	17%	1	17%	0	0%	0	0%	.5072
Traditional healer	1	33%	0	0%	1	33%	1	33%	0	0%
Relative/friend	11	36%	6	19%	7	23%	5	16%	2	7%
Total	29	29%	24	24%	25	25%	17	17%	4	4%
			1. Comparing CHW with BPHS facilities and All others combined
First source of care				Referral slip given
	Yes		No		p value²	p value³	2. Comparing CHW with BPHS facilities and with all others combined
CHW	21	72%	8	28%			3. Comparing BPHS facilities with all others combined
Clinic	5	22%	18	78%	.0040
Hospital	5	71%	2	29%
Private clinic/ pharmacy	3	50%	3	50%	<.0001	.0439
Traditional healer	1	33%	2	67%
Relative/friend	1	3%	30	97%
Total	36	36%	63	63%
First source of care				Complied with referral
	Yes		No		1^st Source	Yes		p value
CHW	23	79%	6	21%	Community level	53	84%
Clinic	15	65%	8	35%
Hospital	6	86%	1	14%	Public or private facility	22	61%	.0146
Private clinic/ pharmacy	1	17%	5	83%
Traditional healer	3	100%	0	0%
Relative/friend	27	87%	4	13%
Total	75	76%	24	24%	Total	75	76%

ISSN: 1471-2431