1 / 18

REFERRAL

REFERRAL. George Chaipa Lungu. OBJECTIVES. Describe a referral Describe the services in the referral network Describe benefits of a referral network Demonstrate understanding of the referral framework Explain the steps in making referrals within the project activities. What is referral?.

jfalgout
Download Presentation

REFERRAL

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. REFERRAL George Chaipa Lungu

  2. OBJECTIVES • Describe a referral • Describe the services in the referral network • Describe benefits of a referral network • Demonstrate understanding of the referral framework • Explain the steps in making referrals within the project activities

  3. What is referral? • A referral is made when a service provider (health care or social service worker like peer educator) guides a client to obtain services that will meet the client’s need for continuity of care • Referral is the process by which immediate client needs for comprehensive SRH supportive services are assessed and prioritized with client, service options are discussed and clients are helped to gain access to needed services.

  4. REFERRAL PROCESS • Client/Patient: person who is accessing HIV/AIDS services • Referring organization: organization that first makes the referral; it is also sometimes called the coordinating organization. • Receiving organization: the organization to which the client is referred for services; it is also sometimes called the organization that fulfilled the referral.

  5. SRH REFERRAL SERVICES • HIV/AIDS Treatment (ART/ARV) • Family Planning • Gender based violence support • HTC • Home based care • Livelihoods Support • OVC Services & support • Nutrition & food supplements • PTC & psychosocial • Social welfare • PEP services • PMTCT • STI services • TB screening & treatment • Medical care • Free condom distribution • Prevention

  6. BENEFITS OF REFERRAL OF REFERRAL NETWORK • Comprehensive services and access to continuum of care for clients • It promotes continuity of care and support • Coordinated and improved service provision • Service provision is expedited • Helps to have feedback loop • Confidentiality is maintained across network members as a core value • Referrals can be tracked and documented • Gaps in services can be identified and addressed • Referrals help people to know where they can be assisted • It simplifies the fight against HIV/AIDS because people work as a team • It strengthens partnerships • Quality of life: enhancing the health and well-being of PLHIV • Decreases stigma and discrimination • Increases emotional and social well-being • Better adherence to ART • Reduced costs of service delivery coupled with improved outcome

  7. Barriers to Forming Referral Networks • Underrating each other among service providers • Poor coordination among service providers • Geographical locations • Ignorance on the importance of the coordinating in the fight against HIV/AIDS • Jealousy among service providers

  8. Referral Frame Work for Continuum of Care Psychosocial support provided by CBOs CBO CBO CBO CBO Provides: ART- services PMTCT services FP services Post abortal care HTC services PEP services Undertakes: Screening of GBV survivors Branding: With approval from MoH/DHO Legal Service ‘Hub’ Health facility Police VSU Peer educator Peer educator Peer educator Peer educator COMMUNITY LEVEL Community-Level GBV sensitization including youth club, TAs, VHM, etc

  9. Managing the referral process • Each peer educator should have a supply of the Tovwirane developed REFERRAL FORM – especially the • General Referral Forms • General Referral Register • Provider Service Directory N.B: Use every opportunity (in addition to the routine IPC sessions )to screen the MARPs client to refer for HTC, PMTCT, PEP, FP, PEP, STI, TB and other HIV related services. Use one referral form for each place where you are sending the client by completing applicable section of the form, refers client to services based on client’s concerns.

  10. Peer educators referral • ‘HUB’ Health facility • Receives client • Requests referral form and fills out part B of form • Places referral form brought by client in referral box • Registers client in Receiving Referral Register (RRR) • Provides service • If needed, refers client to various appropriate health services • Peer educator referral • Refers client to hub’s services based on client’s concerns • Fills out general referral form and general referral register • Files duplicate of referral form for later back-referral verification • Compiles data of referrals by the end of the month • Provides referral data

  11. Referral Framework 4. How? 3. When & Where? 2. What? • Create trust

  12. Referral framework and steps to make referral • Establish rapport • Needs assessment • Provide referral • Help to gain access

  13. Step 1: Developing Trust • - Starts with larger process/context • - Uphold the following principles/values • Confidentiality • Respect for client’s privacy and right to say “no” • Avoid stigma and discrimination • Be thorough and provide client clear/accurate information • Do not take advantage of situation for personal gain • Be professional at all times

  14. Step 2: Assessment of Client Needs • Explain areas where client might need services, taking into consideration services available in your area • Discuss client’s major concerns in terms of services needed • If there is concern about a friend/family member do not make formal referral but give some suggestions. It is best if family member/friend meets the counselor. • Do you understand your personal risks of HIV infection and transmission? • Do you know where to go? • Have you had an HIV Test before? • How long ago? • If you have a partner/spouse, can you go together? • Are there any other health or well being issues for which you might need services? If so, I might be able to help you to determine where to go.

  15. Step 3: Discuss Option • Where: at the hub facility • Outline the health and social service options available in the area to address client needs • Help the client to access services at the hub facility and explain the importance of accessing those services • When: Priorities – Prioritize needs

  16. Step 4: Help to Gain Access • Explain the importance of the services • Identify sources of support (family, friends) that can help the client access the services • Discuss which factors may make it difficult for the client to access the service(e.g., location, lack of transportation or child care, work schedule, cost, stigma) and try to address them based on available resources • Provide client referral form and fill out referral register

  17. Key Point – remember • Do not be pushy • Do not pass judgment • Confidentiality is crucial • Do not talk as if you are superior • Be courteous and respectful • Maintain professional lines • Walk the talk!

  18. THANK YOU FOR LISTENING • SIYABONGA KAKHULU

More Related