Bodas For Life UC Berkeley

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Bodas For LifeUC Berkeley The Blum Center

• Presentation to Uganda Ministry of Health
• 21 August 2008

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Todays meeting agenda
Purpose of todays meeting To share our teams
findings from fieldwork and to discuss a plan for
program sustainability
Program background
Recent findings
Challenges
Partnerships Sustainability
Replicating in other districts
Moving forward with next steps
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Bodas For Life is an ongoing collaboration UC
Berkeley and MOH have worked together since 2006
FALL 2006- 2007
FALL 2007-2008
FALL 2008 - Beyond
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Bodas For Life program starts in fall of 2007
The current setup of the program is largely
decentralized
1 national director
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Normal operations of Bodas For Life Riders and
Health Workers collaborate to help patients
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Todays meeting agenda
Program background
Recent findings
Challenges
Partnerships Sustainability
Replicating in other districts
Moving forward with next steps
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Bodas 4 Life is operational in two
districts Patients are accessing health services
via B4L rides
of rides/month Average distance Average cost Free rides
Nakaseke 141 4km 1230 ugsh 10
Kyenjojo 161 5.4km 1709 ugsh 13
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Bodas For Life address critical health
issues Malaria, pregnancy among the many reasons
patients take B4L rides
Top patient complaints
User age profile
Boda contact method
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Leadership is core to program success Additional
components support program sustainability
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B4L services recognized as valuable Multiple
stakeholders take initiative to reinforce and
expand offerings
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Early signs point towards program
success Anecdotal evidence indicates improvement
in overall health care access

• Patients describe Bodas for Life riders as
• Timely (boda bodas arrive more quickly,
  especially at night)
• Reliable (boda bodas will show-up, even in
  remote areas)
• Less expensive (many riders give a discounted or
  free ride)
• Easily reached by phone (riders on call numbers
  publicized in the community)
• Preliminary results
• An increase in patient volume (20) for more
  than half of Kyenjojo health centers served by
  B4L
• No increase in hospitals not served by B4L

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Trained riders respond quickly and reliably Bodas
For Life provides rides that otherwise would not
have happened

• Bodas For Life patient
• Mrs. K., 19, lives in Kakabara (Kyenjojo
  District). She has
• used B4L several times including for malaria
  and during
• her most recent pregnancy.
• She heard about B4L via the local radio program
  and uses
• the village pay phone to call the rider, who
  comes to her
• house in only 30 minutes.
• She lives more than 6km from the health center,
  which is
• sometimes too far to walk when she is sick or
  pregnant.
• She likes the service, has recommended it to her
  friends,
• and thinks B4L is very valuable because of
  the reduced price and because they arrive soon.

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Todays meeting agenda
Program background
Recent findings
Challenges
Partnerships Sustainability
Replicating in other districts
Moving forward with next steps
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Challenges persist despite B4L successes Solutions
do exist to address these issues
Challenge Proposed solution
Operational Increase retention Improved selection process More frequent trainings/check-in
Operational Promote program awareness among patients and health workers Radio programs Village health teams
Operational Address the needs of most remote patients Beyond program scope
External Availability of supplies and staff at health centers Availability of supplies and staff at health centers
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Todays meeting agenda
Program background
Recent findings
Challenges
Partnerships Sustainability
Replicating in other districts
Moving forward with next steps
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Bodas For Life moves towards sustainability Long-t
erm partnerships are needed as Blum Center
funding ends
Two-year funding cycle ends in 2008
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Todays meeting agenda
Program background
Recent findings
Challenges
Partnerships Sustainability
Replicating in other districts
Moving forward with next steps
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Bodas For Life can be replicated De-centralized
model allows districts to initiate program
independently
Bodas For Life is currently operating in two
districts and other districts have expressed
interest in participating in the
program Recommendation Provide a standardized
program description and toolkit for Bodas For
Life
Bodas for Life tool-kit includes
Criteria for identifying new districts Detailed program operating instructions
Creative methods for obtaining funds supplies Marketing communication guide
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Todays meeting agenda
Program background
Recent findings
Challenges
Partnerships Sustainability
Replicating in other districts
Moving forward with next steps
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Moving forward, MOH support is critical The
Berkeley team will need guidance in the pursuit
of additional funding.

• UC Berkeley
• Pursuing partnerships for additional funding
• Finalize Bodas For Life toolkit for replication
  into additional districts
• Ongoing communication with Kyenjojo and Nakaseke
  to refine program
• UC Berkeley officials will return in October
  2008

• Uganda Ministry of Health
• Help find local contacts at potential funding
  organizations
• Provide ongoing support and encouragement as
  Bodas For Life seeks funding

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Thank you!