The Ministry of Health (MoH) is at the forefront of coordinating emergency medical evacuations through the National Ambulance fleet, managed by the Emergency Medical Services (EMS) department. This critical service is deployed at regional referral hubs, health facilities, and health sub-districts to ensure communities have access to emergency care. 

However, alongside the expansion of Uganda’s National Ambulance fleet, significant challenges have been identified, including a gap in the capacity of ambulance drivers to safely and efficiently manage these specialized vehicles. Ambulances are not just modes of transport; they are vital, life-saving assets equipped to provide care during patient transfers. 

Recognizing this gap, Enabel has partnered with MoH to optimize the skills of ambulance drivers through a comprehensive two-week defensive driving training program. This initiative, focusing on practical skill-building, aims to strengthen the capacity of drivers to ensure patient, crew, and vehicle safety during transit. 

Dr. Marion Nakyeyune, Principal Medical Officer of the EMS Department at MoH, highlighted how this training directly aligns with Strategic Objective 2 of the EMS Strategic Plan 2020/21 – 2024/25, which seeks to increase the proportion of emergency patients receiving ambulance response within one hour while maintaining the highest safety standards. 

“Ambulance drivers play a critical role in road safety and patient outcomes during transit. By equipping them with defensive driving skills, we are safeguarding a substantial investment made by the Government of Uganda and its partners. This training ensures timely and safe patient transport, protects lives, and preserves valuable ambulance resources,” emphasized Dr. Nakyeyune.

The initiative also underscores Enabel’s commitment to improving the overall functionality of ambulance services. Beyond safe driving practices, the training includes modules on vehicle maintenance, equipment management, and infection prevention through proper cleaning and handling protocols. These skills ensure that ambulances remain operational, reliable, and effective for their life-saving purpose. 

Reflecting on the program, Lillian Barungi, Public Health Officer in charge of EMS at Enabel, remarked, “The loss of a Type B ambulance in Omoro shortly after its deployment during our completed Enhancing Health in Acholi project highlighted the critical need for defensive driving training. Such incidents not only jeopardize patient care but also lead to significant resource losses. By empowering drivers with these skills, we are preserving lives, safeguarding assets, and advancing Uganda’s emergency medical services.” 

The impact of the training was evident in the reflections of Mirengo Nua, an ambulance driver from Kamuli General Hospital. “This training has taught me how to prioritize safety while on the road. I now understand the importance of speed control and defending the lives of my crew, my patients, and other road users. Maintaining the ambulance and ensuring it’s in the best condition for emergencies is also a responsibility I take seriously. I feel better prepared to drive responsibly and help save lives,” he shared. 

Through this collaboration, ambulance drivers across Rwenzori, Busoga, and the Greater Kampala Metropolitan Area are now better equipped to navigate the demands of emergency medical evacuations. With a clear understanding of road safety, vehicle maintenance and patient care during transit, these drivers are integral to achieving MoH’s goal of timely and safe emergency responses.
 Enabel remains dedicated to building sustainable health systems that prioritize safety, efficiency, and accountability in emergency medical services.