TY  - JOUR
PY  - 2015//
TI  - Systematic motorcycle management and health care delivery: a field trial
JO  - American journal of public health
A1  - Mehta, Kala M.
A1  - Rerolle, Francois
A1  - Rammohan, Sonali V.
A1  - Albohm, Davis C.
A1  - Muwowo, George
A1  - Moseson, Heidi
A1  - Sept, Lesley
A1  - Lee, Hau L.
A1  - Bendavid, Eran
SP  - 87
EP  - 94
VL  - 106
IS  - 1
N2  - OBJECTIVES: We investigated whether managed transportation improves outreach-based health service delivery to rural village populations. <br><br>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. <br><br>RESULTS: 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 < .001), use by 1.5 days per week (P < .001), and mean distance by 9.3 kilometers per trip (P < .001). Geographical coverage of health outreach increased in experimental (P < .001) but not control districts. <br><br>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. (Am J Public Health. Published online ahead of print November 12, 2015: e1-e8. doi:10.2105/AJPH.2015.302891).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2015.302891
ID  - ref1
ER  -