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Averting Maternal Death and Disability
2008-09-23
The objectives of this year long study were to assess whether motorcycle ambulances placed at rural health centers are a more effective method of reducing referral delay for obstetric emergencies than a car ambulance at the district hospital, and to compare investment and operating costs with those of a 4 wheel drive car ambulance at the district hospital.
This was done by placing motorcycle ambulances at 3 remote rural health centers in Malawi. Data were collected over a 1-year period, from October 2001 to September 2002, using logbooks, cashbooks, referral forms, and maternity registers.
Depending on the site, the median referral delay was reduced by 2 to 4.5 hours (35%–76%). In addition the purchase price of a motorcycle ambulance was 19 times cheaper than for a car ambulance. Annual operating costs were US $508, which was almost 24 times cheaper than for a car ambulance.
As a conclusion the researchers stated that in resource-poor countries motorcycle ambulances at rural health centers are a useful means of referral for emergency obstetric care and a relatively cheap option for the health sector.© 2008 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd.
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