Table 2

History and outcomes of referral

DRCBurundiTotalP value
N=89N=64N=153
Have you been told you need a referral and actually gone to another hospital?<0.001
 Yes68 (76.4%)28 (43.8%)96 (62.7%)
 No21 (23.6%)36 (56.3%)57 (37.3%)
Are you still waiting to be sent to another hospital?0.47
 Yes12 (57%)24 (67%)36 (63%)
 No9 (43%)12 (33%)21 (37%)
Have you been told you needed a referral but decided not to go?0.83
 Yes5 (5.6%)3 (4.8%)8 (5.3%)
 No84 (94.4%)59 (95.2%)143 (94.7%)
If you did decide not to go, what was the reason?0.45
 Fear3 (60%)1 (33%)4 (50%)
 Lengthy process0 (0%)1 (33%)1 (13%)
 Too sick to travel1 (20%)0 (0%)1 (13%)
 No transportation1 (20%)1 (33%)2 (25%)
Were you given a referral slip?0.72
 Yes47 (69%)21 (75%)68 (71%)
 No20 (29%)7 (25%)27 (28%)
 I do not know1 (1%)0 (0%)1 (1%)
Were you referred for a surgical problem?0.075
 Yes35 (52%)8 (29%)43 (45%)
 No31 (46%)20 (71%)51 (54%)
 I do not know1 (1%)0 (0%)1 (1%)
Did you have radiological testing (eg, X-ray, CT) performed at the outside hospital?0.12
 Yes48 (71%)24 (86%)72 (75%)
 No20 (29%)4 (14%)24 (25%)
Were you referred for an urgent condition?0.084
 Yes28 (41%)5 (18%)33 (34%)
 No39 (57%)22 (79%)61 (64%)
 I do not know1 (1%)1 (4%)2 (2%)
How long did you wait to be referred (ie, to be sent to another hospital)?0.57
 <1 day3 (4%)1 (4%)4 (4%)
 1–3 days6 (9%)6 (22%)12 (13%)
 4–6 days4 (6%)0 (0%)4 (4%)
 1–2 weeks9 (13%)4 (15%)13 (14%)
 2–4 weeks4 (6%)2 (7%)6 (6%)
 1–3 months22 (32%)7 (26%)29 (31%)
 >3 months20 (29%)7 (26%)27 (28%)
How long were you treated at the outside hospital?0.029
 1–3 days19 (28%)16 (57%)35 (37%)
 3–7 days10 (15%)5 (18%)15 (16%)
 1–2 weeks18 (27%)2 (7%)20 (21%)
 2–4 weeks11 (16%)1 (4%)12 (13%)
 >1 month9 (13%)4 (14%)13 (14%)
Did you get better after being referred elsewhere?0.012
 Yes27 (40%)19 (68%)46 (48%)
 No41 (60%)9 (32%)50 (52%)
Is the problem you were referred for ongoing?0.42
 Yes53 (77%)20 (69%)73 (74%)
 No16 (23%)9 (31%)25 (26%)
  • DRC, Democratic Republic of the Congo.