ArticleActa paediatrica (Oslo, Norway : 1992)2020
Insufficient referral practices of sick children in Ethiopia shown in a cross-sectional survey.
Article in Acta paediatrica (Oslo, Norway : 1992), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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21 citing papers in PubMed.
- Added value of routine pulse oximetry use within Integrated Management of Childhood Illness guidelines in primary care in West Africa: insight from AIRE.BMJ global health · 2026Article
- Care management and determinants of day 14 mortality in severely ill children aged under 5 years subsequent to hypoxaemia diagnosed using routine pulse oximetry in primary care: evidence from the AIRE project.BMJ global health · 2025Article
- Missed opportunities for hospital referral of young children with severe pneumonia identified at primary care using pulse oximetry: an analysis from the AIRE study in West Africa.BMJ global health · 2025Article
- Implementation status, drivers and barriers to the sick children quality of care improving interventions in the Oromia region, Ethiopia: case study design.BMC health services research · 2025Article
- Clinical characteristics and outcome of critically ill children referred to a tertiary hospital in Indonesia: a prospective observational study.BMC pediatrics · 2024Observational
- Experience of caregivers on the continuum of care and prevention of malnutrition among children with cholera in Ethiopia: a phenomenology study.BMC public health · 2024Article
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- Quality of sick child management by health extension workers: role of a complex improvement intervention.BMC health services research · 2023Article
- Is Women's Engagement in Women's Development Groups Associated with Enhanced Utilization of Maternal and Neonatal Health Services? A Cross-Sectional Study in Ethiopia.International journal of environmental research and public health · 2023Article
- Article
- A Qualitative Exploration of the Referral Process of Children with Common Infections from Private Low-Level Health Facilities in Western Uganda.Children (Basel, Switzerland) · 2021Article
- A mixed-methods study exploring adherence to the referral of severely sick children in primary health care in Southern Ethiopia.Archives of public health = Archives belges de sante publique · 2021Article
- Barriers to the utilization of community-based child and newborn health services in Ethiopia: a scoping review.Health policy and planning · 2021Article
- District health managers perspectives of introducing a new service: a qualitative study of the community-based newborn care programme in Ethiopia.BMC health services research · 2021Article
- Factors associated with the referral of children with severe illnesses at primary care level in Ethiopia: a cross-sectional study.BMJ open · 2021Article
- Prevention and treatment of suspected pneumonia in Ethiopian children less than five years from household to primary care.Acta paediatrica (Oslo, Norway : 1992) · 2021Article
- Article
- Assessing Facilitators and Barriers to Referral of Children Under the Age of Five Years at Ndirande Health Centre in Blantyre, Malawi.Global pediatric health · 2021Article
- Insufficient referral practices of sick children in Ethiopia shown in a cross-sectional survey.Acta paediatrica (Oslo, Norway : 1992) · 2020Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThis study aimed at assessing the referral of sick young infants and children from the community, health posts and health centres to higher levels.
methodsA cross-sectional survey was conducted in four of the largest Ethiopian regions from December 2016 to February 2017. Referral practices were assessed at each level in 46 districts of these regions. Interviews were supplemented by reviews of registers at health posts and health centres.
resultsThe women's development group leaders, who do not provide health services, referred half of the sick children they visited in the community to the health posts. The health extension workers referred 16% of the sick young infants and 6% of older infants and children to higher levels. From health centres, the health workers referred 6% of sick young infants and 1% of older infants and children to hospital. Many cases of possible severe bacterial infection were not referred to higher levels. A functional ambulance was available for a bit more than a third of the health centres.
conclusionReferral practices of sick young infants and children at all levels were weak that may threaten the continued reduction of child mortality in Ethiopia. Referral logistics were insufficient, which partly could explain the missing referrals of severely ill infants and children.
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