Assessment of the AcQual Referral System by CBDs and Facility-Based Nurses, Kinshasa, DRC, 2017

Can identify counterpart in referral system88.4%54.7%
Frequency of interactions between CBDs and referral facilities
Reasons for referral to facilities
    Method not provided by CBD83.9%67.1%
    Management of side effects29.9%40.0%
    Preference for health facilities11.3%22.9%
    Method provided by CBD but stocked out9.1%17.1%
    Implants/IUD removal21.4%
    Does not know3.3%
Perceived approval of CBD activities by health facility personnel
    Very positive96.6%70.0%
    Somewhat positive17.1%
    Somewhat negative2.1%0.0%
    Very negative7.1%
    Does not know1.2%5.7%
  • Abbreviations: CBD, community-based distributor; DRC, Democratic Republic of the Congo; IUD, intrauterine device.