Table 2.
Completeness of obstetric referral notes submitted to the three referral hospitals in three districts in the Greater Accra region, comparing baseline and intervention periods
| Category | Variable | Entered on form (n=85) | Entered on form (n=195) | Entered on form (n=280) | P value |
| Yes (N (%)) Baseline |
Yes (N (%)) Intervention |
Yes (N (%)) Overall |
|||
| Facility variables | Standard GHS referral form | 40 (47.1) | 166 (85.1) | 206 (73.6) | <0.01 |
| Name and address of referring facility | 81 (95.3) | 193 (99.0) | 274 (97.9) | 0.05 | |
| Patient registration number | 26 (30.6) | 85 (43.6) | 111 (39.6) | 0.04 | |
| Time referred | 73 (85.9) | 181 (92.8) | 254 (90.7) | 0.07 | |
| Time patient left facility | 11 (12.9) | 25 (12.8) | 36 (12.9) | 0.98 | |
| Patient identification | Patient name | 82 (96.5) | 190 (97.4) | 272 (97.1) | 0.66 |
| Age | 76 (89.4) | 179 (91.8) | 255 (91.1) | 0.52 | |
| Patient insurance status | 54 (63.5) | 148 (75.9) | 202 (72.1) | 0.03 | |
| Clinical variables | Patient complaints | 62 (72.9) | 155 (79.5) | 217 (77.5) | 0.23 |
| Obstetric examination findings | 64 (75.3) | 155 (79.5) | 219 (78.2) | 0.43 | |
| Blood pressure | 83 (97.6) | 185 (94.9) | 268 (95.7) | 0.29 | |
| Weight | 47 (55.3) | 131 (67.2) | 178 (63.6) | 0.05 | |
| Laboratory findings | 37 (43.5) | 74 (37.9) | 111 (39.6) | 0.38 | |
| Diagnosis | 83 (97.6) | 192 (98.5) | 275 (98.2) | 0.64 | |
| Management given | 55 (64.7) | 92 (47.2) | 147 (52.5) | <0.01 | |
| Reason for referral | 75 (88.2) | 176 (90.3) | 252 (90.0) | 0.83 | |
| Position of referring officer | 77 (90.6) | 164 (84.4) | 240 (85.7) | 0.02 | |
| Signature of referring officer | 80 (94.1) | 188 (96.4) | 268 (95.5) | <0.01 | |
| Phone number of referring officer | 35 (41.2) | 39 (20.0) | 74 (26.4) | <0.01 | |
| Completeness categorised | Poor | 3 (3.5) | 1 (0.5) | 4 (1.4) | 0.14 |
| Average | 46 (54.1) | 113 (57.9) | 159 (56.7) | ||
| Good | 36 (42.4) | 81 (41.5) | 117 (41.8) | ||
| Mean completeness % (95% CI) | 70.67 (60.43 to 80.90) | 71.87 (61.10 to 82.65) | 71.31 (64.14 to 78.48) | 0.87 |
GHS, Ghana Health Service.