The weakest link: Competence and prestige as constraints to referral by isolated nurses in rural Niger

Human Resources for Health

Volumn 2, Issue , 2004, Pages

  Bossyns, Paul ^a   van Lerberghe, Wim ^b  

^a German Technical Cooperation   (Niger)

^b WORLD HEALTH ORGANIZATION   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 4243155236     PISSN: 14784491     EISSN: None     Source Type: Journal    
DOI: 10.1186/1478-4491-2-1     Document Type: Article

References (63)

1. Lamboray J-L, McLaughlin J, Niimi R, Knippenberg R: Health centres: from responsibility to accountability. Studies in Health Services Organisation and Policy Volume 4. Antwerp: ITG Press; 1997:1-32.
2. World Health Organization: Hospitals and health for all Geneva; 1987.
3. Van Lerberghe W, Lafort Y: The role of the hospital in the district. Delivering or supporting primary health care. Division of Strengthening of Health Services. Current Concerns. SHS paper number 2 Geneva: World Health Organization; 2002:1-36.
4. Görgen H: Le Système de Santé de District. Expériences et Perspectives pour l'Afrique Eschborn: GTZ Division Santé, Population, Nutrition; 1994.
5. Shaw RP, Elmendorf AE: Revitalizing national systems of health care. In Better Health in Africa : Experience and Lessons Learned Washington, DC: World Bank; 1994:45-66.
6. Blaise P, Kegels G, Van Lerberghe W, Diakité DB, Touré G: Coâtset financement du système de santé de cercle au Mali. Studies in Health Services Organisation and Policy Volume 5. ITG Press, Antwerp; 1997:1-129.
7. Low A, de Coeyere D, Shivute N, Brandt JL: Patient referral patterns in Namibia: identification of potential to improve the efficiency of the health care system. International Journal of Health Planning and Management 2001, 16:243-257.
8. Van Lerberghe W, Pangu K: Comprehensive can be effective: the influence of coverage with a health centre network on the hospitalisation patterns in the rural area of Kasongo, Zaire. Social Science and Medicine 1988, 26:949-955.
9. Siddiqi S, Kielmann AA, Khan MS, Ali N, Ghaffar A, Sheikh U, Mumtaz Z: The effectiveness of patient referral in Pakistan. Health Policy and Planning 2001, 16:193-198.
10. Blas E, Limbambala ME: The challenge of hospitals in health sector reform: the case of Zambia. Health Policy and Planning 2001, 16(suppl 2):29-43.
11. Sanders D, Kravitz J, Lewin S, McKee M: Zimbabwe's hospital referral system: does it work? Health Policy and Planning 1998, 13:359-370.
12. Thaddeus S, Maine D: Too far to walk: maternal mortality in context. Social Science and Medicine 1994, 38:1091-1110.
13. Dehne KL, Wacker J, Cowley J: Training birth attendants in the Sahel. World Health Forum 1995, 16:415-419.
14. Le Bacq F, Rietsema A: High maternal mortality levels and additional risk from poor accessibility in two districts of Nothern Province, Zambia. International Journal of Epidemiology 1997, 26:357-363.
15. Wilson JB, Collison AHK, Richardson D, Kwofie G, Senah KA, Tinkorang EK: The maternity waiting home concept: the Nsawam, Ghana experience. International Journal of Gynecology and Obstetrics 1997, 59:165-172.
16. Okello D, Guwatudde D, Sebina A, Lubanga R: Low bed occupancy rates in Uganda's peripheral health units: is it a policy problem? East Afr Med J 1994, 71:601-603.
17. Ohara K, Meléndez V, Uehara N, Ohi G: Study of a patient referral system in the Republic of Honduras. Health Policy and Planning 1998, 13:433-445.
18. Ali Y: Analysis of caesarean delivery in Jimma Hospital, south-western Ethiopia. East Afr Med J 1995, 72:60-63.
19. Mekbib T-A, Teferi B: Caesarean section and foetal outcome at Yekatit 12 hospital, Addis Abeba, Ethiopia, 1987-1992. Ethiopian Medical Journal 1994, 32:173-179.
20. Jahn A, De Brouwere V: Referral in pregnancy and childbirth: Concepts and strategies. Studies in Health Services Organisation and Policy Volume 17. Antwerp: ITG Press; 2001:229-246.
21. Kambarami RA, Chirenje M, Rusakaniko S: Situation analysis of obstetric care services in a rural district in Zimbabwe. Central African Journal of Medicine 2000, 46:154-157.
22. Bergsjo P: What is the evidence for the role of antenatal care strategies in the reduction of maternal mortality and morbidity? Studies in Health Services Organisation and Policy Volume 17. Antwerp: ITG Press; 2001:35-54.
23. Mcdonagh M: Is antenatal care effective in reducing maternal morbidity and mortality? Health Policy and Planning 1996, 11:1-15.
24. Lambrechts T, Bryce J, Orinda V: Integrated management of childhood illness: a summary of first experiences. Bulletin of the World Health Organization 1999, 77:582-594.
25. Nkyekyer K: Peripartum referrals to Korle Bu teaching hospital, Ghana - a descriptive study. Tropical Medicine and International Health 2000, 5:811-817.
26. Jahn A, Dar Iang M, Shah U, Diesfeld HJ: Maternity care in rural Nepal: a health service analysis. Tropical Medicine and International Health 2000, 5:657-665.
27. Omaswa F, Burnham G, Baingana G, Mwebesa H, Morrow R: Introducing quality management into primary health care services in Uganda. Bulletin of the World Health Organization 1997, 75:155-161.
28. Fawcus S, Mbizvo M, Lindmark G, Nyström L: A community-based investigation of avoidable factors for maternal mortality in Zimbabwe. Studies in Family Planning 1996, 27:319-327.
29. Shehu D, Ikeh AT, Kuna MJ: Mobilizing transport for obstetric emergencies in northwestern Nigeria. International Journal of Gynecology and Obstetrics 1997, 59:173-1800.
30. Maher D, Muula B, Hamandi K, Stephens J: Transport and referral of medical inpatients in Blantyre, Malawi. Tropical Doctor 1995:93-94.
31. Essien E, Ifenne D, Sabitu K, Musa A, Alti-Mu'azu M, Adidu V, Golji N, Mukaddas M: Community loan funds and transport services for obstetric emergencies in northern Nigeria. International Journal of Gynecology and Obstetrics 1997, 59:237-244.
32. Macintyre K, Hotchkiss RD: Referral revisited: community financing schemes and emergency transport in rural Africa. Social Science and Medicine 1999, 49:1473-1487.
33. Samai O, Sengeh P: Facilitating emergency obstetric care through transportation and communication, Bo, Sierra Leone. International Journal of Gynecology and Obstetrics 1997, 59:157-164.
34. Martey JO, Djan JO, Twum S, Browne ENL, Opoku SA: Referrals for obstetrical complications from Ejisu district, Ghana. West African Journal of Medicine 1998, 17:58-63.
35. Nordberg E, Holmberg S, Kiugu S: Exploring the interface between first and second level of care: referrals in rural Africa. Tropical Medicine and International Health 1996, 1:107-111.
36. Darkaoui N, De Brouwere V, Zayyoun A, Filali H, Belouali R, Gouaima F, Van der Vennet J, Dujardin B: L'utilisation d'un service hospitalier d'urgences pour les soins de première ligne (é tude à l'Hâpital d'Enfants de Rabat, Maroc). Revue Epidémiologique et Santé Publique 1999, 47:53-64.
37. Atakouma DY, Gbetoglo D, Tursz A, Crost M, Agbéré A, Assimadi JK: Etude épidémiologique du recours aux consultations hospitalières d'urgence chez les enfants de moins de 5 ans au Togo. Revue Epidémiologique et Santé Publique 1999, 47:75-92.
38. Bachman HK, Freeborn KD: HMO physicians' use of referrals. Social Science and Medicine 1999, 48:547-557.
39. Bailey J, King N, Newton P: Analysing general practitioners' referral decisions 2. Applying the analytical framework: Do high and low referrers differ in factors influencing their referral decisions? Family Practice 1994, 11:9-14.
40. Newton J, Eccles M, Hutchinson A: Communication between general practitioners and consultants: what should their letters contain? British Medical Journal 1992, 304:821-824.
41. Balint M: The Doctor, his Patient and the Illness 2nd edition. London: Pitman Medical Publishing Co; 1964.
42. Evans A: A study of the referral decision in general practice. Family Practice 1993, 10:104-110.
43. Roland M, Morris R: Are referrals by general practitioners influenced by the availability of consultants? British Medical Journal 1988, 297:599-600.
44. Griffiths HS, Wilson MA, Kincey JA: Anxiety levels, patient satisfaction and failed appointment rate in anxious patients referred by general practitioners to a dental hospital unit. British Dental Journal 1998, 185:134-136.
45. Palmer K: Assessing the referral system. The Practitioner 1991, 235:42-44.
46. Somerset M, Faulkner A, Shaw A, Dunn L, Sharp JD: Obstacles of the path to a primary-care led National Health Service: complexities of outpatient care. Social Science and Medicine 1999, 48:213-225.
47. Bowling A, Jacobson B, Southgate L, Formby J: General practitioners' view on quality specifications for "outpatient referrals and care contracts". British Medical Journal 1991, 303:292-294.
48. Urassa E, Massawe S, Lindmark G, Nyström L: Operational factors affecting maternal mortality in Tanzania. Health Policy and Planning 1997, 12:50-57.
49. Atkinson S, Ngwengwe A, Macwan'gi M, Ngulube TJ, Harpham T, O'Connell A: The referral process and urban health care in sub-Saharan Africa: the case of Lusaka, Zambia. Social Science and Medicine 1999, 49:27-38.
50. Coulter A: The patient's perspective. In Hospital Referrals Edited by: Roland M, Coulter A. Oxford, New York, Tokyo: Oxford University Press; 1992:123-135.
51. Les besoins obstétricaux non couverts au Niger en 1998 Ministère de la Santé Publique; 2001:1-73.
52. De Brouwere V, Van Lerberghe W: Les besoins obstétricaux non couverts Paris: L'Harmattan; 1998.
53. Fukuda-Parr S, Woods N, Birdsall N: Rapport mondial sur le développement humain 2002. Approfondir la démocratie dans un monde fragmenté Bruxelles: DeBoeck & Larcier S.A.; 2002.
54. Jones R: Decision-making and hospital referrals. In Hospital Referrals Edited by: Roland M, Coulter A. Oxford, New York, Tokyo: Oxford University Press; 1992:92-107.
55. Lloyd M, Bradford C, Webb S: Non-attendance at outpatient clinics: is it related to the referral process? Family Practice 1993, 10:111-117.
56. Wilkin D: Patterns of referral: explaining variation. In Hospital Referrals Edited by: Roland M, Coulter A. Oxford, New York, Tokyo: Oxford University Press; 1992:76-91.
57. Hours B: L'Etat sorcier. Santé publique et société au Cameroun Paris: L'Harmattan; 1985.
58. Souley A: Santé urbaine à Niamey. Indicateurs de l'équité et de la qualité dans l'accès aux soins Coopération frana̧ise; 2000.
59. Paul S: Accountability in public services: exit, voice and control. World Development 2002:1047-1059.
60. Mehrotra S, Jarrett WS: Improving basic health service delivery in low-income countries: 'voice' to the poor. Social Science and Medicine 2002, 54:1685-1690.
61. Reich RM: Reshaping the state from above, from within, from below: implications for public health. Social Science and Medicine 2002, 54:1669-1675.
62. Van Lerberghe W, de Béthune X, De Brouwere V: Hospitals in sub-Saharan Africa: why we need more of what does not work as it should. Tropical Medicine and International Health 1997, 2:799-808.
63. Murray FS, Davies S, Phiri RK, Ahmed Y: Tools for monitoring the effectiveness of district maternity referral systems. Health Policy and Planning 2001, 16:353-361.