Article: Reflecting on the changing landscape of Emergency Transport Systems (ETS) in rural Zambia, a year after the conclusion of the MAM at Scale programme
In Zambia, through the MAMaZ Against Malaria (MAM) and MAMaZ Against Malaria at Scale (MAM@Scale) projects, Transaid delivered its largest scale-up ETS intervention to date which has reached nearly one million community members since its inception in 2017. Trained Community Health Volunteers (CHV) were instrumental in the running of a community-based ETS consisting of 70 bicycle ambulances. In an effort to prevent mortality in children under six due to severe malaria, the project sought to tackle the practical barriers and delays in accessing healthcare services at the primary healthcare level.
The MAM@Scale project shows the value of investing in rural mobility. When interventions are implemented in a manner that generates community ownership and are responsive to community needs, the benefits are far-reaching and sustainable. This approach changes the way communities are able to access vital health services and for health care to become people-centred as envisioned in the Sustainable Development Goals. At the very least, it is an incremental step in the right direction towards achieving universal access.
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