Available online Jul 18, 2018.
[ Original ] Volume 25, Issue 2, 2016, Pages 164-175
Poor referral linkages had been noted and documented by various researchers on the health care delivery system
in Nigeria. This study is designed to find out the situation of referral practices and make recommendations on how
to improve the situation.
MATERIALS & METHODS
A quasi-experimental study was carried out to determine the effect of health education and training on the
Knowledge, attitude and practices of patient referral by primary health care workers in Mushin and Surulere Local
Government Areas of Lagos State of Nigeria.
A total sample of 170 primary health care workers was involved in the study: 85 in each of the Local Government
Areas. The study involved three stages, the pre-intervention, the intervention phase, and a post intervention phase
of the study.
Analysis of the responses of the two groups showed that there was no statistically significant difference in the
responses in the areas concerning their attitude towards, and knowledge of patient referral at the pre-intervention
In the post-intervention phase the differences in the responses between the two groups in the area of practice of
patient referral were statistically significant. In the control group 18.8% of the workers used the two-way referral
form in the pre-intervention phase. This rose to 27.1% in the post intervention phase. In the experimental group,
17.5% used the two-way referral form in the pre-intervention phase, and this rose to 69.4% in the post intervention
The conclusion was that education and training on patient referral could improve the patient referral activities of
primary health care workers.
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Volume 25 | Issue 2
Page Nos. 164-175
Online since Jul 12, 2018