Table 8. HCW-reported reasons why referred patients did not present for HAT testing (n = 32).

20 patients (62.5%): Cost or scarcity of transportation
18	Patient complained of lack of transportation or associated cost
1	Family member was waiting to be paid before paying for patient transport
3	Patient treated unsuccessfully after travelling to a hospital before HAT referral & patient therefore reluctant to go again
7 patients (21.9%): Non-medical travel
7	Patient left county for a reason unrelated to illness, including 2 barracks transfers
5 patients (15.6%): Insufficient family support
3	Patient has psychiatric problems and has no carer available to travel with
2	Household responsibilities make it difficult for patient to travel
4 patients (12.5%): Permission to travel denied
4	Military refused permission to travel
4 patients (12.5%): Non-HAT diagnosis treatment pursued
3	Patient went to non-HAT referral hospital
1	Family disagreed with HAT diagnosis & preferred to treat with herbs
3 patients (9.4%): Hospital patient processing problem implicated
3	Patient reported to have travelled to Nimule since referral, but no record of hospital visit

Note: Multiple reasons may be listed for individual patients.