Table 4.

External referral form

External Transfer Form (n = 307)	RH1 n = 8	RH2 n = 89	DH1 n = 7	HC3 n = 64	HC1 n = 67	HC2 n = 72	Average
Patient Identification (%)	71.4	90	100	99.8	98.7	86.7	92.9
Transfer details (%)	54.9	54.7	68.3	57.3	62.3	46.8	55.3
Clinical Information (%)	67.9	43	53.1	40.8	37.5	51.8	44.3
Vital signs (%)	29.7	30.2	41.1	48.8	32.1	21.5	32.7
Referring healthcare provider details (%)	97.5	92.1	91.4	95.9	83.9	64.4	84.8
Referral feedback & Counter referral (%)	24.2	22.8	0	48.9	43.5	66.8	42.6
Average completeness of referring (%)							62
Average completeness of counter referral (%)							42.6
Total average completeness (%)							58.8

RH Reference Hospital, DH District Hospital, HC Health center, n Count