This document summarizes a study exploring factors influencing referrals by community health volunteers (CHVs) in Kenya. The study found that CHV referrals enhance access to formal healthcare and motivate CHVs. Key factors supporting referrals included having a standardized referral process, logistics like referral tools, and supportive supervision. Client factors influencing referrals included cost of care, perceived attitudes of healthcare workers, CHV escort to facilities, and illness-related stigma. Facility factors included distance, cost of care, availability of services, and wait times. The study concluded that strengthening feedback between CHVs and facilities and clarifying expectations could improve referral uptake.