Kid One Transport
- Need: Transportation to medical appointments for children and expectant mothers living in rural Alabama.
- Intervention: Kid One Transport provides rides to medical appointments for clients who otherwise have no other means of transportation.
- Results: The program has transported 401,858 children and expectant mothers to and from medical appointments. Children have recovered from life-threatening illnesses and are experiencing a higher quality of life.
The nonprofit Kid One
Transport was started in 1997 by Russell Jackson.
After seeing the health disparities and destitution just
miles from his home, Jackson voluntarily drove children
who needed a ride to and from their medical appointments.
Since then, the service has grown to become a 23-vehicle
team, covering 45 of Alabama's 67 counties.
Of Kid One Transport's clients, 83% of their families
make less than $10,000 a year and 91% receive Medicaid.
More than 25% of expectant mothers in Alabama do not
receive adequate prenatal care. That, and the region's
low birth weight and high infant mortality rate, is why
Kid One Transport also puts a priority on expectant
In many of these rural communities, patients have to
travel more than 100 miles for specialized healthcare.
For families that have no method of transportation or
money for fuel, getting medical treatment is problematic.
Kid One Transport's purpose is to "bridge the
transportation gap that prevents thousands of Alabama's
children and expectant mothers from accessing much-needed
Kid One Transport partners
with over 700 healthcare organizations, county
departments of health, community service agencies,
physicians, government agencies, and nonprofits
Clients are encouraged to pay what they can for the rides
if they are able, but 90% of the program's yearly budget
comes from corporate
partners to help cover transportation costs. Eleven of
Kid One Transport's vehicles have been donated by
International, Inc. Other corporate sponsors include
Burr & Forman LLP of
Birmingham, the Quarterbacking Children's
Health Foundation, the Children's Trust Fund of
Alabama, and Buffalo Rock.
The following aspects are part of Kid One Transport's
- Rides can be scheduled up to 30 days in advance of
appointment either by phone or online.
- Kid One Transport offers local transportation in 16
counties and provides long-distance transportation to
specialty medical care appointments for the other 29
counties. Specialized service destinations include
preventive medical and dental care, behavioral
counseling, cancer treatment, pediatric dialysis,
high-risk prenatal care, and mental health, to name a
- A bilingual patient coordinator is available for
- Before being employed with Kid One Transport, drivers
go through a vetting process which includes driving and
drug testing, CPR, and child/domestic violence training.
Drivers not only act as chauffeurs, but also voluntarily
provide emotional support for patients and families en
route to and from appointments.
- Referrals to Kid One Transport can extend beyond a
medical facility to family members, friends, schools,
local organizations, or the clients themselves.
To be eligible for Kid One Transport services, applicants
must meet the following criteria:
- Reside in a community served by Kid One Transport
- Have a permanent or temporary lack of transportation
- Children must be under the age of 19
- Adults must be expectant mothers in need of prenatal
Note: The above criteria can be altered as situations
are evaluated and clients accepted on a case-by-case
Since the program's launch, 401,858 children and
expectant mothers have been transported to and from
appointments. Because of Kid One Transport, children have
learned to speak and walk, and others have recovered from
life-threatening illnesses. In 2019, Kid One Transport
provided 23,627 transports to healthcare appointments.
Since their purpose also includes ensuring a higher
quality of life for their clients, Kid One Transport has
also measured applicable results of clients since they
began using the service (current as of 2019):
- 70% of families reported improvement in their child's
behavior at home and a decrease in behavioral problems at
- Over 50% of clients report their child was sick less
often and missed fewer days of school
- 48% of clients reported a decrease in emergency room
- 40% of clients reported an improvement in overall
health and well-being
Kid One Transport's Founder Russell Jackson was a
CNN Hero in 2008.
The following barriers have, at times, slowed Kid One
Transport's processes, making it difficult to fulfill
- Fluctuating Medicaid reimbursement rates
- The lack of providers as a whole within the state
(several counties do not have OBGYNs, pediatricians, or
- Keeping up with the maintenance on all 23 of their
- Acquiring vehicles that are handicap accessible
The following is advice from current Kid One Transport
President and CEO Matt Holdbrooks for those who would
like to replicate a similar program:
- Like Kid One Transport's founder, start with what you
have, and then build on your foundation.
- Work to secure a big vendor, like Mercedes-Benz, who
can provide you with not only financial support, but
- Capitalize on a variety of fundraising opportunities
events and fundraising
- Secure a fleet of vehicles and secure funding to put
drivers in place before you launch your program.
- Make it easy for clients to reserve a ride. Providing
both a phone number and an email address gives clients
several options to get the help they need.
helpful tips with clients to make their rides, and
your job, easier.
Children and youth
Maternal health and prenatal care
March 14, 2016
Date updated or reviewed
February 22, 2021
Suggested citation: Rural Health Information Hub,
Kid One Transport [online]. Rural Health Information Hub. Available at:
[Accessed 2 February 2023]
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about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The
programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural
community should consider whether a particular project or approach is a good match for their community’s
needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep
in mind that changes to the program design may impact results.