Nges experienced by the HW participants have been categorised as: 1. 2. three. Non-adherence to Sunset Yellow FCF Epigenetics referral guidelines by the caretakers Loss of revenue towards the clinic Lack of feedback regarding the referral from referral facilitiesNon-adherence for the referral Healthcare worker participants were normally challenged by caretakers not adhering to the referral guidelines either by refusing to go the facility chosen by the HW or by delaying to depart or failing to go absolutely. This occurrence was also confirmed by caretaker participants. Lack of funds to cater for transport, upkeep even though at referral facilities or payment of healthcare bills was one of the important factors mentioned for non-adherence to referral guidelines. Caretakers frequently opted for facilities that they deemed more accessible physically. “The main challenge is the majority of the caretakers are unable to locate income for transport fare when I refer them for the Mbarara or Itojo hospital; they rather visit an additional private facility about . . . ” (HW10, female nurse, Rwampara) “The health worker referred us to Mbarara (hospital), but we rather went to Kobi, a health facility in our neighbourhood and easy for us to access . . . we have been told the child had no blood, and he died from there.” (CT3, 29-year-old mother who did not comply with all the referral) Some caretakers complied using the referral but left the referral facilities just before discharge because of the inability to afford fees of care. Among the list of caretakers explained: “At the children’s hospital where the doctor had referred us, they cared for the individuals effectively, but we left that hospital mainly because the medical bills have been high and we didn’t have sufficient funds.” (CT4, 26-year-old father of youngster with fever and convulsions) Improvement inside the child’s situation was usually an additional purpose for not proceeding using the referral. “They told me to go to the MRRH, that big hospital; I didn’t go there, because the youngster improved when we got the remedy . . . so because I saw he (child) was ok (improved), I decided not to bother myself.” (CT5, 23-year-old mother of a youngster with pneumonia)Children 2021, eight,ten ofLoss of revenue to the clinic Some wellness workers Methylergometrine Antagonist expressed issues in recovering costs on care and referral when the caretaker fails or refuses to spend for the pre-referral solutions. This usually prevents clinics from giving pre-referral treatment to sufferers. “When we refer them, they feel like we’ve got done absolutely nothing for their young children. They resist paying us for the care received prior to referral, because they believe we’ve failed.” (HW11, male nurse, Mbarara Municipality) Lack of communication and feedback on the final outcome in the patients’ condition HWs expressed aggravation in the communication gap involving LLPHFs and greater overall health facilities, in particular public hospitals. Most LLPHF overall health workers mentioned they frequently in no way get to understand the outcome of your referrals they make, because of a lack of feedback from the higher facilities exactly where the children happen to be referred. “They (the referral overall health facility) are supposed to fill what was done on the kind at the time of discharge to ensure that when the patient comes back, you get to understand what was accomplished. But we in no way get any feedback . . . .” (HW7, male physician, Mbarara Municipality) 3.2.5. Experiences of Caregivers during the Referral Method Caregivers expressed damaging and optimistic experiences throughout the referral course of action, occasionally contradicting each other. Adverse experiences integrated: 1. two. three. 4. five. 1. two.