The reason behind having referral system in Kenya is to have proper distribution of effective health care services to all Kenyans as well as linking and integrating medical services across all levels of healthcare. In Kenya, most of levels of health care lacks specialized manpower and equipment, proper communication strategies, knowledge on referral system and skilled health workers to deal with referral system. Therefore, this study addresses the challenges influencing the proper implementation of quality referral system of health care in Kaloleni sub-county, Kilifi County in Kenya.
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