In poorly resourced rural areas, most local health services are ill-prepared to manage severe complications or offer emergency surgical care. Saving lives in an emergency requires timely and appropriate referral to higher levels of care but poor infrastructure, long distances, and underdeveloped emergency transport services can delay referral times, leading to preventable deaths and morbidity. Even for non-urgent care, a lack of tracking systems and limited human resources can create deficiencies in continuity of care, with high rates of pre-treatment loss-to-follow-up among individuals diagnosed with HIV or tuberculosis, among other diseases. Creative solutions are needed to ensure timely transport in an emergency and better patient tracking across care providers