Strengthening referral systems in community health programs: a qualitative study in two rural districts of Maputo Province, Mozambique.

ABSTRACT:

Background

Effective referral systems from the community to the health care facility are essential to save lives and ensure quality and a continuum of care. The effectiveness of referral systems in Mozambique depends on multiple factors that involve three main stakeholders: clients/community members; community health workers (CHWs); and facility-based health care workers. Each stakeholder is dependent on the other and could form either a barrier or a facilitator of referral within the complex health system of Mozambique.

Methods

This qualitative study, aiming to explore barriers and enablers of referral within the lens of complex adaptive health systems, employed 22 in-depth interviews with CHWs, their supervisors and community leaders and 8 focus group discussion with 63 co

SUBMITTER: Give C 

PROVIDER: S-EPMC6489304 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature