The system integrates tightly with a larger system designed to address the "three delays" of obstetric care - the Mobilizing Maternal Health program
Dispatchers at a call center are available 24 hours per day, accessible by a toll free number, and use a mobile app running on tablet to triage calls, organize journeys, pay drivers and conduct follow-up.
Triaging determines whether call is to be treated as an emergency, and also whether the woman's condition can be handled by a lower-level facility, or whether she needs to go directly to the referral hospital.
A ministry of health ambulance is arranged if one is available, otherwise a community driver is contacted.
Once the dispatcher has selected a driver and confirmed availability, driver gets confirmation of client contact information and location automatically by SMS
The dispatcher can review any case information and arrange ad hoc journeys when necessary.
When a client lives on an island, this poses additional challenges and perils. Our driver database also includes boat drivers and the system prompts the dispatcher to arrange a boat to the mainland (and then a taxi from mainland to hospital).