Assessment of the AcQual Referral System by CBDs and Facility-Based Nurses, Kinshasa, DRC, 2017
| CBDs | Nurses | |
|---|---|---|
| Can identify counterpart in referral system | 88.4% | 54.7% |
| Frequency of interactions between CBDs and referral facilities | ||
| Often | 13.7% | 31.4% |
| Sometimes | 34.3% | 31.4% |
| Rarely | 42.6% | 8.6% |
| Never | 7.3% | 27.1% |
| Reasons for referral to facilities | ||
| Method not provided by CBD | 83.9% | 67.1% |
| Management of side effects | 29.9% | 40.0% |
| Preference for health facilities | 11.3% | 22.9% |
| Method provided by CBD but stocked out | 9.1% | 17.1% |
| Implants/IUD removal | — | 21.4% |
| Other | 7.4% | — |
| Does not know | 3.3% | — |
| Perceived approval of CBD activities by health facility personnel | ||
| Very positive | 96.6% | 70.0% |
| Somewhat positive | 17.1% | |
| Somewhat negative | 2.1% | 0.0% |
| Very negative | 7.1% | |
| Does not know | 1.2% | 5.7% |
Abbreviations: CBD, community-based distributor; DRC, Democratic Republic of the Congo; IUD, intrauterine device.