From cost of treatment to lack of medicines, the barriers to accessing life-saving health care in rural Tanzania are well known. To help address these issues, the Government of Tanzania introduced a cadre of community health volunteers (CHVs) to provide essential health-care services in rural districts. Yet once trained, many CHVs lack the support they need to carry out their work, especially in remote areas; and referral systems from villages to health facilities are often min adequate, while emergency transport is scarce and costly.

In response, the Health and Insurance Management Services Organization (HIMSO) has built on work initiated by its partner, the International Centre for Development and Research (CIDR) to improve health emergency transport and referrals between villages and health facilities. The project aims at improving emergency transport system (ETS) outreach, performance, reliability and sustainability in three districts in Mbeya Region and one district in Songwe Region.

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