Editing Ambulance (section)

===Intermediate technology===
In parts of the world that lack a high level of infrastructure, ambulances are designed to meet local conditions, being built using [[intermediate technology]]. Ambulances can also be trailers, which are pulled by bicycles, motorcycles, tractors, or animals. Animal-powered ambulances can be particularly useful in regions that are subject to flooding. Motorcycles fitted with [[sidecars]] (or [[motorcycle ambulance]]s) are also used, though they are subject to some of the same limitations as more traditional over-the-road ambulances. The level of care provided by these ambulances varies between merely providing transport to a medical clinic to providing on-scene and continuing care during transport.<ref name=motor1/>

The design of intermediate technology ambulances must take into account not only the operation and maintenance of the ambulance, but its construction as well. The robustness of the design becomes more important, as does the nature of the skills required to properly operate the vehicle. Cost-effectiveness can be a high priority.<ref name=motor2/><ref name="Hofman Dzimadzi Lungu Ratsma pp. 191–197">{{cite journal | last1=Hofman | first1=Jan J. | last2=Dzimadzi | first2=Chris | last3=Lungu | first3=Kingsley | last4=Ratsma | first4=Esther Y. | last5=Hussein | first5=Julia | title=Motorcycle ambulances for referral of obstetric emergencies in rural Malawi: Do they reduce delay and what do they cost? | journal=International Journal of Gynecology & Obstetrics | publisher=Wiley | volume=102 | issue=2 | date=2008-06-16 | issn=0020-7292 | doi=10.1016/j.ijgo.2008.04.001 | pages=191–197| pmid=18555998 | s2cid=26227283 }}</ref>