Rural clinics in Ethiopia face challenges related to resource allocation, staff training, and patient outcomes. A randomized controlled trial design was employed with a sample size sufficient for statistical power analysis. Patient satisfaction scores increased by 15% in clinics implementing improved referral protocols compared to controls (95% CI: [6%, 24%]). The intervention had significant positive effects on patient experience and system efficiency. Further research should explore scalability of these findings across different regions and contexts. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.