A study carried out by Masiye (2007) indicates only around 40% of Zambia’s hospitals can be defined as efficient. There remains a significant problem of resource wastage in Zambia’s hospitals and the hospitals are technically inefficient in producing, and delivering, services. Health goals cannot be achieved in Zambia if hospitals continue to function inefficiently. This raises concern as to how the hospitals cope once referrals are sent? Is the wider health system adequate?  Outsourcing of medical professions into rural areas, and making improvements in the speed and quality of referrals does not resolve the issue of hospital quality. Although VDP’s can act to significantly reduce the number of inappropriate referrals investment, training, and improved management, is still required within Zambia’s hospital system. Additionally, improved access to drugs is needed. Drug shortages have been reported due to corruption scandals - funding provided to supply drugs in the health sector have previously gone missing [1] . Generic drugs are in short-supply, and high demand. Without doctors being able to access vital drugs, whether they are located in hospitals or remote areas, treatment cannot be provided.  [1] See further readings: IRIN, 2011.