Step 1: Facility-Based Delivery: Mama Rescue will provide transport vouchers to women enrolled in the system after attending their fourth antenatal visit. These vouchers will guarantee them free transport by boda boda (motorcycle taxi) from home to a health center at the time of delivery with a skilled midwife.
Step 2: Rapid Emergency Response: Midwives at health centers will use their simple mobile phones to request emergency transport, using an automatic dispatch USSD-based system (Unstructured Supplementary Service Data). Local taxi drivers will be alerted by mobile phone text and a driver with boda boda is selected based on the quickest response time. Upon transporting the woman to the receiving facility, the midwife will verify the driver immediately and initiate payment with mobile money for the transport service rendered. Additionally, automobile taxis will be enrolled as well to serve as ‘ambulances’ when emergency referral from health center to hospital is required and a proper ambulance is not available.