Systematic Motorcycle Management and Health Care Delivery: A Field Trial AMERICAN JOURNAL OF PUBLIC HEALTH Mehta, K. M., Rerolle, F., Rammohan, S. V., Albohm, D. C., Muwowo, G., Moseson, H., Sept, L., Lee, H. L., Bendavid, E. 2016; 106 (1): 87-94


We investigated whether managed transportation improves outreach-based health service delivery to rural village populations.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 outcome was the average number of outreach trips per health worker per week. Secondary outcomes were health worker productivity, motorcycle performance, and geographical coverage.Systematic fleet management resulted in an increase of 0.9 (SD = 1.0) trips to rural villages per health worker per week (P < .001), village-level health worker productivity by 20.5 (SD = 5.9) patient visits, 10.2 (SD = 1.5) measles immunizations, and 5.2 (SD = 5.4) child growth assessments per health worker per week. Motorcycle uptime increased by 3.5 days per week (P

View details for DOI 10.2105/AJPH.2015.302891

View details for PubMedID 26562131