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Referral Pathway Guidelines for Immediately Reportable Diseases, Conditions, and Events

Healthcare services in Liberia are delivered at three levels namely the primary, secondary, and tertiary. It begins in the community through Primary Health Care (PHC) services aimed at making services accessible and affordable to families and individuals through their participation and in line with the 1978 Alma-Ata Declaration. The organization of service delivery into three levels of care is intended to rationalize the delivery of health services within the health system for efficient use of existing resources.

The Primary level comprises the community staffed by community health workers and clinics. Activities at the Primary level focus mainly on promoting health through health education, treatment of minor ailments, identification of cases for referral to health facilities, screening, prevention of diseases, adherence support, and PHC services. The clinics are the first formal institutional point of contact with the health services and form the interface between the community and the higher-level facilities. Patients may present at the primary level facilities with any healthcare requirement (whether for promotive, preventive, curative, rehabilitative, or palliative) and will either receive the care they need based on the defined package of services at this level or will be referred to Secondary level facilities or higher if more specialized services are necessary (EPHS II,2022)