Eference no. SS 4903) on the 23 April 2019. three. Final results three.1. Demographics Qualities of Study o-Phenanthroline site participants About three-fourths with the caretaker participants were female, nine of whom had been mothers towards the sick young children. The typical age of your caretaker participants was 30.8 years. The well being worker participants had, on typical, been in service for six.five years, and most have been nurses. The other characteristics from the participants are shown in Table 2.Youngsters 2021, eight,six ofTable two. Demographic traits of caretakers and healthcare providers. Characteristic StatisticCaretaker participants (N = 16) Female sex 11 Average age 30.8 years Partnership to youngster Mother 9 Father 5 Grandmother 2 Wellness worker participants (N = 30) Male sex 17 Female sex 13 Typical period in practice in years six.5 Nurses 18 Clinical officers six Physicians 3 Laboratory assistant 1 Nursing assistants3.2. Overarching Themes We formulated and identified six themes: Hexythiazox In stock causes for referral, method of referral, overall health worker attitudes to referral, challenges in referral, experiences of caretakers and how the referral approach could possibly be enhanced. These, in conjunction with the subthemes and odes, are illustrated in Table three.Table three. Summary in the themes and subthemes for the referral procedure.Theme Subtheme CodesSeverely ill youngster Reasons for referral Avoiding loss of revenue Loss of prestige Particular person responsible for referral Course of action of referral Where to referLimited capacity to handle extreme illness Restricted information and abilities Restricted investigative capacity Lack of oxygen along with other treatments Lack of admission facilities Caretaker’s refusal to spend Caretaker’s lack of funds Fear to lose prestige if child dies at facility Assessing well being worker Most senior wellness worker Proprietor with the health facility Regional referral hospital Specialised children’s hospital Physician in private well being facility Referral notes Health-related forms Verbally Physically taken by overall health facility staff Benefits in good outcome for individuals Increases trust from individuals Offers chance to study Feeling incompetent Disappointing clientsHow will be the referrals doneHealth worker attitudes to referralPositive Adverse feelingsChildren 2021, eight,7 ofTable three. Cont.Theme Subtheme CodesNegative experiences Experiences of caretakersPositive experiences Non-adherence to referral directions by caretakers Loss of income to clinic Lack of feedback from referral facilities How the referral procedure may be improved Lower waiting time Strengthen transportation Cut down fees incurred Improved communicationChallenges in referralIncurring higher expenses for transport, medical care and feeding Difficulty in accessing transport Overcrowding around the ward spaces Unfriendly overall health facility staff Delays in accessing care Possibility for youngster to acquire appropriate care Caring well being workers No cost health-related care Refusal to go facility selected by well being worker Delay to take youngster to referral facility Total refusal to take kid to referral facility Failure or refusal of caretaker to spend for pre-referral care Lack of feedback regarding referrals from significant hospitals Boost quantity of healthcare workers Give referral letters Provide neighborhood ambulances Strengthen roads Establish referral overall health facilities nearer to communities Explaining to caretakers properly Improving communication among referring and referral overall health facilities3.2.1. Causes for Referral All participants stated that sick kids are referred due to the fact they’ve a severe condition.