Table 5.
Referral practice | Rural | Urban | Total |
---|---|---|---|
Likely place to refer a client with prolonged cough (>2 weeks) | |||
Private hospital | 82 (71.3) | 222 (81.3) | 304 (78.4) |
Medical laboratory | 32 (27.8) | 49 (17.9) | 81 (20.9) |
Government hospital | 15 (13.0) | 32 (11.7) | 47 (12.1) |
Likely place to refer a suspected TB client | |||
Nowhere | 72 (62.6) | 246 (90.1) | 318 (82.0) |
Private hospital | 14 (12.2) | 24 (8.8) | 38 (9.8) |
Medical laboratory | 0 (0.0) | 3 (1.1) | 3 (0.8) |
Government hospital | 30 (26.1) | 4 (1.5) | 34 (8.8) |
Ever-referred client with prolonged cough (>2 weeks) | |||
Yes | 80 (69.6) | 221 (81.0) | 301 (77.6) |
No | 35 (30.4) | 52 (19.0) | 87 (22.4) |
Ever-referred a suspected TB client | |||
Yes | 74 (64.3) | 182 (66.7) | 256 (66.0) |
No | 41 (35.7) | 91 (33.3) | 132 (34.0) |
Average time between first contact with clients with cough and referral | |||
<1 week | 9 (11.3) | 26 (11.8) | 35 (11.6) |
1-<2 weeks | 38 (47.5) | 41 (18.6) | 79 (26.2) |
2–3 weeks | 9 (11.3) | 64 (29.0) | 73 (24.3) |
<1 month | 7 (8.8) | 14 (6.3) | 21 (7.0) |
>1 month | 17 (21.3) | 76 (34.4) | 93 (30.9) |
Reasons why referral may not be made | |||
If symptom disappears | 105 (91.3) | 244 (89.4) | 349 (89.9) |
Client may return to me for treatment | 88 (76.5) | 204 (74.7) | 292 (75.3) |
Client may loose confidence in me | 88 (76.5) | 204 (74.7) | 292 (75.3) |
Client may not go to referral place | 23 (20.0) | 46 (16.8) | 69 (17.8) |
Client may go to other PMVs instead | 24 (20.9) | 39 (14.3) | 63 (16.2) |
Client may go to traditional healers instead | 25 (21.7) | 31 (11.4) | 56 (14.4) |
I can handle all cases | 115 (100.0) | 249 (91.2) | 364 (93.8) |
There are no better facilities around | 15 (13.0) | 57 (20.9) | 72 (18.6) |
The people are very poor | 35 (30.4) | 75 (27.5) | 110 (28.4) |
Figures in parentheses indicate percentages;
PMVs=Patent medicine vendors;
TB=Tuberculosis