Partners for Development Taxi Service
Partners for Development
Saving Lives at Birth Taxi Service: an affordable transportation system for rural Cambodian individuals, linking various villages to each other and to hospitals for emergency/mass transport. A motor bike, called a “Remorque”, pulls a 5.25 m^2 cart that can fit about 25 people to the nearest desired location (usually a hospital or healthcare center).
Partners for Development, through local government management and local private sector transport providers.
~$1 USD per month per subscriber who purchases a transportation card
Monthly fee per community, so that transportation is always available without the worry of an up-front payment. Each fee will vary based on travel distance to the next stop on the route.
PFD will assist Commune Councils (CCs) in competitively awarding contracts to local private transport (boat/barge, truck/motorcycle cart) providers at a set monthly fee for plying a specified daily route be developed in consultation with villagers based on perceived transport needs.
Village-level revolving loan funds will be established to provide on-the-spot micro-credit for the costs of emergency travel. When poor women are transported to the hospital, the loan will be repaid by the Health Equity Fund, a government social protection scheme already in place. Otherwise, families will be responsible for repayment with interest rates and repayment terms as set by the Village Development Council.
In unusually distant locations where emergency transport costs would exceed the repayment capacity of most residents, Commune Council social welfare
funds will subsidize the actual cost.
Goal #3: Good Health and Well-Being
Local private sector transport providers serving pregnant women and newborn children in need of routine and urgent ante/postnatal and delivery care.
Service is still in the testing stage.
If an end user or an end user’s community pays the $1 USD monthly fee, they can have unlimited access to the transportation service.
Unknown- The scheduled route of the service results in about 4 uses every day per product. Interview with representative
The transport network that PFD and local communities developed worked much like a public bus system. Families paid a low fixed monthly rate in exchange for regular transportation to schools, markets, health facilities and other popular destinations. Managed by the community, the system sought to leverage the high demand for inexpensive transport to create a strong incentive among community members to keep the system running for ante-natal care.
The service includes a motor bike, called a “Remorque”, which pulls a large cart to the desired destination.
Cart dimensions (LxW) (cm): 350 x 150 (roof height not given, but can be comfortably sat under)
Please click here
Some parts of the cart are repairable.
Partners for Development plans to provide 24 hour access to transportation in rural villages that otherwise would not have access.
How many patients can be transported per trip
Nicholl, J., West, J., Goodacre, S., Turner, J., The relationship between distance to hospital and patient mortality in emergencies: an observational study. Emergency Medicine Journal. 2007 Sep;24(9):665-668.
Razzak, J. A., Kellermann, A. L., Emergency medical care in developing countries: is it worthwhile? Bull World Health Organ. 2002 Nov;80(11):900-905.
Kobusingye, O.C., et al., Emergency medical systems in low- and middle- income countries: recommendations for action. Bull World Health Organ. 2005 Aug;83(8):626-631.
Macintyre, K., Hotchkiss, D.R., Referral revisited: community financing schemes and emergency transport in rural Africa. Social Science & Medicine. 1999 Dec;49(11):1473-1487.
Fourneir, P., Dumont, A., Tourigny, C., Dunkley, G., Drame, S., Improved access to comprehensive emergency obstetric care and its effect on institutional maternal mortality in rural Mali. Bull World Health Organ. 20009 Jan;87(1):30-38.
None Found. No applicable international standards have been cited by the manufacturer/ service provider.
Project feasibility will be measured based on the following parameters:
1. The percent of households subscribed to the transportation system;
2. The percent of village loan funds which, inclusive of reinvested interest
and any CC subsidies, remain at or above 90% of the initial capitalization levels at the end of year 2.
Impact on maternal/neonatal health will be measured through changes in the following indicators:
1. The number and percent of deliveries taking place in a health facility;
2. The number and percent of pregnancies receiving at least 4 ante-natal
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