Systematic Motorcycle Management and Health Care Delivery

A Field Trial

Bibliographic Data

ID11028408
AuthorsKala M Mehta (0000-0001-8281-5796, Kala M. Mehta, Sonali V. Rammohan, and Hau L. Lee are with the Value Chain Innovation Initiative, Stanford Graduate School of Business, Stanford University, Stanford, CA. Francois Rerolle was with the Department of Civil and Environmental Engineering, Stanford University. Davis C. Albohm and Lesley Sept are with the Stanford Institute for Innovation in Developing Economies, Stanford University. George Muwowo was with the Stanford Graduate School of Business Field Office, Riders for Health Evaluation...), Francois Rerolle (0000-0002-3837-5700, Kala M. Mehta, Sonali V. Rammohan, and Hau L. Lee are with the Value Chain Innovation Initiative, Stanford Graduate School of Business, Stanford University, Stanford, CA. Francois Rerolle was with the Department of Civil and Environmental Engineering, Stanford University. Davis C. Albohm and Lesley Sept are with the Stanford Institute for Innovation in Developing Economies, Stanford University. George Muwowo was with the Stanford Graduate School of Business Field Office, Riders for Health Evaluation...), Sonali V Rammohan (Kala M. Mehta, Sonali V. Rammohan, and Hau L. Lee are with the Value Chain Innovation Initiative, Stanford Graduate School of Business, Stanford University, Stanford, CA. Francois Rerolle was with the Department of Civil and Environmental Engineering, Stanford University. Davis C. Albohm and Lesley Sept are with the Stanford Institute for Innovation in Developing Economies, Stanford University. George Muwowo was with the Stanford Graduate School of Business Field Office, Riders for Health Evaluation...), Davis C Albohm (Kala M. Mehta, Sonali V. Rammohan, and Hau L. Lee are with the Value Chain Innovation Initiative, Stanford Graduate School of Business, Stanford University, Stanford, CA. Francois Rerolle was with the Department of Civil and Environmental Engineering, Stanford University. Davis C. Albohm and Lesley Sept are with the Stanford Institute for Innovation in Developing Economies, Stanford University. George Muwowo was with the Stanford Graduate School of Business Field Office, Riders for Health Evaluation...), George Muwowo (Kala M. Mehta, Sonali V. Rammohan, and Hau L. Lee are with the Value Chain Innovation Initiative, Stanford Graduate School of Business, Stanford University, Stanford, CA. Francois Rerolle was with the Department of Civil and Environmental Engineering, Stanford University. Davis C. Albohm and Lesley Sept are with the Stanford Institute for Innovation in Developing Economies, Stanford University. George Muwowo was with the Stanford Graduate School of Business Field Office, Riders for Health Evaluation...), Heidi Moseson (0000-0002-2488-2429, Kala M. Mehta, Sonali V. Rammohan, and Hau L. Lee are with the Value Chain Innovation Initiative, Stanford Graduate School of Business, Stanford University, Stanford, CA. Francois Rerolle was with the Department of Civil and Environmental Engineering, Stanford University. Davis C. Albohm and Lesley Sept are with the Stanford Institute for Innovation in Developing Economies, Stanford University. George Muwowo was with the Stanford Graduate School of Business Field Office, Riders for Health Evaluation...), Lesley Sept (Kala M. Mehta, Sonali V. Rammohan, and Hau L. Lee are with the Value Chain Innovation Initiative, Stanford Graduate School of Business, Stanford University, Stanford, CA. Francois Rerolle was with the Department of Civil and Environmental Engineering, Stanford University. Davis C. Albohm and Lesley Sept are with the Stanford Institute for Innovation in Developing Economies, Stanford University. George Muwowo was with the Stanford Graduate School of Business Field Office, Riders for Health Evaluation...), Hau L Lee (0000-0003-2910-6696, Kala M. Mehta, Sonali V. Rammohan, and Hau L. Lee are with the Value Chain Innovation Initiative, Stanford Graduate School of Business, Stanford University, Stanford, CA. Francois Rerolle was with the Department of Civil and Environmental Engineering, Stanford University. Davis C. Albohm and Lesley Sept are with the Stanford Institute for Innovation in Developing Economies, Stanford University. George Muwowo was with the Stanford Graduate School of Business Field Office, Riders for Health Evaluation...), Eran Bendavid (0000-0002-8364-4711, Kala M. Mehta, Sonali V. Rammohan, and Hau L. Lee are with the Value Chain Innovation Initiative, Stanford Graduate School of Business, Stanford University, Stanford, CA. Francois Rerolle was with the Department of Civil and Environmental Engineering, Stanford University. Davis C. Albohm and Lesley Sept are with the Stanford Institute for Innovation in Developing Economies, Stanford University. George Muwowo was with the Stanford Graduate School of Business Field Office, Riders for Health Evaluation...)
Year2016
Volume106
Issue1
Pages87-94
Publication date2016-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2015.302891
PMID26562131
OpenAlexW2175609467
LanguageEN
Citations received1
References cited22

Objectives. We investigated whether managed transportation improves outreach-based 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 outcome was the average number of outreach trips per health worker per week. 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 health worker per week (P Conclusions. Systematic motorcycle management improves basic health care delivery to rural villages in resource-poor environments through increased health worker productivity and greater geographical coverage

Economic growth · Environmental health · Measles · Outreach · Productivity · Public health · Rural area · Rural health · TRIPS architecture · Vaccination · Child Nutrition and Water Access · Demography · Global Health and Surgery · Global Maternal and Child Health · Medicine · Nursing

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