Evidence map›Paper›PMID 26562131›Full record

Trial reportAmerican journal of public health2016

Systematic Motorcycle Management and Health Care Delivery: A Field Trial.

Kala M Mehta, Francois Rerolle, Sonali V Rammohan, Davis C Albohm, George Muwowo, Heidi Moseson, Lesley Sept, Hau L Lee, Eran Bendavid

Abstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kala M MehtaKala 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 Program, Livingstone, Zambia. Kala M. Mehta and Heidi Moseson are with the Department of Epidemiology and Biostatistics, University of California, San Francisco. Eran Bendavid is with the Department of General Medical Disciplines, Stanford University School, of Medicine Stanford.
Francois RerolleKala 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 Program, Livingstone, Zambia. Kala M. Mehta and Heidi Moseson are with the Department of Epidemiology and Biostatistics, University of California, San Francisco. Eran Bendavid is with the Department of General Medical Disciplines, Stanford University School, of Medicine Stanford.
Sonali V RammohanKala 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 Program, Livingstone, Zambia. Kala M. Mehta and Heidi Moseson are with the Department of Epidemiology and Biostatistics, University of California, San Francisco. Eran Bendavid is with the Department of General Medical Disciplines, Stanford University School, of Medicine Stanford.
Davis C AlbohmKala 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 Program, Livingstone, Zambia. Kala M. Mehta and Heidi Moseson are with the Department of Epidemiology and Biostatistics, University of California, San Francisco. Eran Bendavid is with the Department of General Medical Disciplines, Stanford University School, of Medicine Stanford.
George MuwowoKala 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 Program, Livingstone, Zambia. Kala M. Mehta and Heidi Moseson are with the Department of Epidemiology and Biostatistics, University of California, San Francisco. Eran Bendavid is with the Department of General Medical Disciplines, Stanford University School, of Medicine Stanford.
Heidi MosesonKala 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 Program, Livingstone, Zambia. Kala M. Mehta and Heidi Moseson are with the Department of Epidemiology and Biostatistics, University of California, San Francisco. Eran Bendavid is with the Department of General Medical Disciplines, Stanford University School, of Medicine Stanford.
Lesley SeptKala 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 Program, Livingstone, Zambia. Kala M. Mehta and Heidi Moseson are with the Department of Epidemiology and Biostatistics, University of California, San Francisco. Eran Bendavid is with the Department of General Medical Disciplines, Stanford University School, of Medicine Stanford.
Hau L LeeKala 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 Program, Livingstone, Zambia. Kala M. Mehta and Heidi Moseson are with the Department of Epidemiology and Biostatistics, University of California, San Francisco. Eran Bendavid is with the Department of General Medical Disciplines, Stanford University School, of Medicine Stanford.
Eran BendavidKala 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 Program, Livingstone, Zambia. Kala M. Mehta and Heidi Moseson are with the Department of Epidemiology and Biostatistics, University of California, San Francisco. Eran Bendavid is with the Department of General Medical Disciplines, Stanford University School, of Medicine Stanford.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe investigated whether managed transportation improves outreach-based health service delivery to rural village populations.

methodsWe 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.

resultsSystematic 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.

conclusionsSystematic motorcycle management improves basic health care delivery to rural villages in resource-poor environments through increased health worker productivity and greater geographical coverage.

Indexed as

Health Services AccessibilityAdolescentAdultCluster AnalysisCommunity Health WorkersFemaleHumansMaleMotorcyclesQuality Indicators, Health CareRural Health ServicesTransportationYoung AdultZambia

Identifiers

PMID26562131
PMCPMC4695954

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.