• Barnett, E. A. Restricted Abortion Access: Opinions About Abortion Among Reproductive-Age Women in the Cayman Islands.

  • Singh, S., Remez, L., Sedgh, G., Kwok, L. & Onda, T. Abortion worldwide 2017: uneven progress and unequal access (2018).

  • Bearak, J. et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: Estimates from a comprehensive model for 1990–2019. Lancet Glob. Health 8(9), e1152–e1161 (2020).

    PubMed 

    Google Scholar     

  • Say, L. et al. Global causes of maternal death: A WHO systematic analysis. Lancet Glob. Health 2(6), e323–e333 (2014).

    PubMed 

    Google Scholar     

  • Dragoman, M. et al. Overview of abortion cases with severe maternal outcomes in the WHO multicountry survey on maternal and newborn health: A descriptive analysis. BJOG Int. J. Obstet. Gynaecol. 121, 25–31 (2014).


    Google Scholar     

  • Sedgh, G. et al. Abortion incidence between 1990 and 2014: Global, regional, and subregional levels and trends. Lancet 388(10041), 258–267 (2016).

    PubMed 
    PubMed Central 

    Google Scholar     

  • Sully, E. A. et al. Estimating abortion incidence among adolescents and differences in postabortion care by age: A cross-sectional study of postabortion care patients in Uganda. Contraception 98(6), 510–516 (2018).

    PubMed 
    PubMed Central 

    Google Scholar     

  • Legodi, T. L. & Wolvaardt, J. E. A blank page: Feedback from first referral hospitals to primary health care clinics. S. Afr. Fam. Pract. 57(4), 282–285 (2015).


    Google Scholar     

  • Abrahim, O., Linnander, E., Mohammed, H., Fetene, N. & Bradley, E. A patient-centered understanding of the referral system in Ethiopian primary health care units. PLoS ONE 10(10), e0139024 (2015).

    PubMed 
    PubMed Central 

    Google Scholar     

  • Omole, V. N. et al. Knowledge, attitude, and perception of the referral system among tertiary health-care workers in Kaduna metropolis, Nigeria. Int. J. Med. Sci. Public Health. 6, 1481–1488 (2017).


    Google Scholar     

  • Kamau, K. J., Osuga, B. O. & Njuguna, S. Challenges facing implementation of referral system for quality health care services in Kiambu county, Kenya (2017).

  • Carlsson, I., Breding, K. & Larsson, P.-G. Complications related to induced abortion: A combined retrospective and longitudinal follow-up study. BMC Womens Health 18, 1–9 (2018).


    Google Scholar     

  • White, K., Carroll, E. & Grossman, D. Complications from first-trimester aspiration abortion: A systematic review of the literature. Contraception 92(5), 422–438 (2015).

    PubMed 

    Google Scholar     

  • Organization WH. Management of Health Facilities: Referral Systems. (World Health Organization, 2014).

  • Sensalire, S. et al. Saving mothers, giving life approach for strengthening health systems to reduce maternal and newborn deaths in 7 scale-up districts in northern Uganda. Glob. Health Sci. Pract. 7(Suppl 1), S168–S187 (2019).

    PubMed 
    PubMed Central 

    Google Scholar     

  • Jackline, A. et al. Exploring the utilization of postabortion care services and related factors among women at a tertiary health facility in Gulu, Northern Uganda. Womens Health 20, 17455057241295896 (2024).


    Google Scholar     

  • Conlon, C. et al. Factors influencing general practitioners decisions to refer Paediatric patients to the emergency department: A systematic review and narrative synthesis. BMC Fam. Pract. 21(1), 210 (2020).

    PubMed 
    PubMed Central 

    Google Scholar     

  • Ludke, R. L. An examination of the factors that influence patient referral decisions. Med. Care 20(8), 782–796 (1982).

    PubMed 

    Google Scholar     

  • van den Broek-Altenburg, E., Atherly, A., Cheney, N. & Fama, T. Understanding the factors that affect the appropriateness of rheumatology referrals. BMC Health Serv. Res. 21(1), 1124 (2021).

    PubMed 
    PubMed Central 

    Google Scholar     

  • Chitsa, B. Factors affecting the provision of referral services at the primary level of health care in Zomba District in Malawi. Texila Int. J. Public Health. 10(01), 023 (2019).


    Google Scholar     

  • Harris, M. et al. Identifying important health system factors that influence primary care practitioners’ referrals for cancer suspicion: A European cross-sectional survey. BMJ Open 8(9), e022904 (2018).

    PubMed 
    PubMed Central 

    Google Scholar     

  • Rajman, A. & Mahomed, O. Prevalence and determinants of self-directed referrals amongst patients at hospitals in eThekwini District, KwaZulu-Natal 2015. S. Afr. Fam. Pract. 61(2), 53–59 (2019).


    Google Scholar     

  • Michie, S., Atkins, L. & West, R. The Behaviour Change Wheel. A Guide to Designing Interventions. 1st ed. 1003:1010 (Silverback Publishing, 2014).

  • Tong, A., Sainsbury, P. & Craig, J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int. J. Qual. Health Care 19(6), 349–357 (2007).

    PubMed 

    Google Scholar     

  • French, V. et al. Influence of clinician referral on Nebraska women’s decision-to-abortion time. Contraception 93(3), 236–243 (2016).

    PubMed 

    Google Scholar     

  • Dodge, L. E., Haider, S. & Hacker, M. R. Using a simulated patient to assess referral for abortion services in the USA. J. Fam. Plan. Reprod. Health Care. (2012).

  • Margo, J. et al. Women’s pathways to abortion care in South Carolina: A qualitative study of obstacles and supports. Perspect. Sex. Reprod. Health 48(4), 199–207 (2016).

    PubMed 

    Google Scholar     

  • Hebert, L. E., Fabiyi, C., Hasselbacher, L. A., Starr, K. & Gilliam, M. L. Variation in pregnancy options counseling and referrals, and reported proximity to abortion services, among publicly funded family planning facilities. Perspect. Sex. Reprod. Health 48(2), 65–71 (2016).

    PubMed 

    Google Scholar     

  • Gebremariam, F. A., Habtewold, E. M., Degife, D. T., Geneti, H. B. & Gebrekiros, D. H. Health facilities readiness to provide comprehensive abortion care and factors associated with client satisfaction in Central Oromia Region, Ethiopia: A multilevel modeling approach. Reprod. Health 20(1), 72 (2023).

    PubMed 
    PubMed Central 

    Google Scholar     

  • Aantjes, C. J., Gilmoor, A., Syurina, E. V. & Crankshaw, T. L. The status of provision of post abortion care services for women and girls in Eastern and Southern Africa: A systematic review. Contraception 98(2), 77–88 (2018).


    Google Scholar     

  • Gebreselassie, H., Gallo, M. F., Monyo, A. & Johnson, B. R. The magnitude of abortion complications in Kenya. BJOG Int. J. Obstet. Gynaecol. 112(9), 1229–1235 (2005).


    Google Scholar     

  • Upadhyay, U. D. et al. Incidence of emergency department visits and complications after abortion. Obstet. Gynecol. 125(1), 175–183 (2015).

    PubMed 

    Google Scholar     

  • Erko, E., Abera, M. & Admassu, B. Safe abortion care, utilization of post abortion contraception and associated factors, Jimma Ethiopia. J. Women’s Health Care. 4(4), 5–9 (2016).


    Google Scholar     

  • Nakayuki, M., Basaza, A. & Namatovu, H. Challenges affecting health referral systems in low-and middle-income countries: A systematic literature review. Eur. J. Health Sci. 6(3), 33–44 (2021).


    Google Scholar     

  • Vlassoff, M., Singh, S. & Onda, T. The cost of post-abortion care in developing countries: A comparative analysis of four studies. Health Policy Plan. 31(8), 1020–1030 (2016).

    PubMed 
    PubMed Central 

    Google Scholar     

  • Ameyaw, E. K., Njue, C., Tran, N. T. & Dawson, A. Quality and women’s satisfaction with maternal referral practices in sub-Saharan African low and lower-middle income countries: A systematic review. BMC Pregnancy Childbirth 20, 1–16 (2020).


    Google Scholar     

  • University G. FBongomin_GULU UNIVERSITY WEBSITE 2024 [updated 2024]. https://gu.ac.ug/wp-content/uploads/2023/07/FBongomin-GU-Webpage-1.docx.pdf.