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Systematic Motorcycle Management and Health Care Delivery: A Field Trial.
Mehta, Kala M; Rerolle, Francois; Rammohan, Sonali V; Albohm, Davis C; Muwowo, George; Moseson, Heidi; Sept, Lesley; Lee, Hau L; Bendavid, Eran.
Afiliação
  • Mehta KM; 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
  • Rerolle F; 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
  • Rammohan SV; 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
  • Albohm DC; 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
  • Muwowo G; 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
  • Moseson H; 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 L; 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
  • Lee HL; 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
  • Bendavid E; 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
Am J Public Health ; 106(1): 87-94, 2016 Jan.
Article em En | MEDLINE | ID: mdl-26562131
ABSTRACT

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 < .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.

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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: Africa Idioma: En Ano de publicação: 2016 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: Africa Idioma: En Ano de publicação: 2016 Tipo de documento: Article