A Study on Antenatal Clinic Referrals of Medical Officer of Health Office, Navithanveli

Introduction: Timely referrals are crucial for improving maternal and child health, as delays can have adverse consequences. Understanding the factors affecting referrals is essential for improvement.Objectives: To assess the timeliness and outcomes of referrals from antenatal clinics, and to identify the factors influencing the outcomes.Methodology: This retrospective descriptive study reviewed data from 39 referrals made in the last quarter of 2023 at the Medical Officer of Health Office Navithanveli, Sri Lanka. Data sources included patient records, referral books, and semi-structured interviews with healthcare providers.Results:• Referral timing: Most referrals (66.7%) were made in the third trimester.• Patient characteristics: The majority of mothers were aged 20-35 years, studied up to Ordinary Level, and were accompanied by a person to the clinic.• Referral reasons: The most common reasons were anemia (28.2 %), high blood pressure and fundal height issues.• Referral outcomes: Two-thirds of mothers reached the hospital on time. Others went to private care, delayed seeking care, or refused referral.• Reasons for delay: Transport/financial barriers (38.4%) and lack of a companion (23%) were the main reasons for delay or not seeking care.Conclusion: While most referrals were timely, there is room for improvement. Transport and financial problems, and lack of a companion were key barriers.