Systematic motorcycle management and health care delivery: A field trial

K.M. Mehta, F. Rerolle, S.V. Rammohan, D.C. Albohm, G. Muwowo, H. Moseson, L. Sept, H.L. Lee and E. Bendavid

American Journal of Public Health, 2016, vol. 106, issue 1, 87-94

Abstract: Objectives. We investigated whether managed transportation improves outreachbased health service delivery to rural village populations. Methods. We examined systematic transportation management in a small-cluster interrupted time series field trial. In 8 districts in Southern Zambia, we followed health workers at 116 health facilities from September 2011 to March 2014. The primary outcomewas the average number of outreach trips per health worker perweek. Secondary outcomes were health worker productivity, motorcycle performance, and geographical coverage. Results. Systematic fleet management resulted in an increase of 0.9 (SD = 1.0) trips to rural villages per healthworker per week (P

Keywords: child; child growth; controlled study; field study; health care delivery; health care facility; health care personnel; human; human experiment; measles vaccination; motorcycle; productivity; rural population; time series analysis; Zambia; adolescent; adult; clinical trial; cluster analysis; female; health auxiliary; health care quality; male; motorcycle; organization and management; procedures; rural health care; statistics and numerical data; traffic and transport; young adult, Adolescent; Adult; Cluster Analysis; Community Health Workers; Female; Health Services Accessibility; Humans; Male; Motorcycles; Quality Indicators, Health Care; Rural Health Services; Transportation; Young Adult; Zambia (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302891_3

DOI: 10.2105/AJPH.2015.302891

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