Lack of Access to Healthcare (Alabama)

Pregnancy in Alabama can be deadly.  The state has the third-highest rate of maternal deaths in the nation, according to the US Centers for Disease Control and Prevention.  Alabama’s 36.4 deaths from pregnancy and childbirth complications per 100,000 births are more than twice the national rate of 17.4.

Families in rural areas do not have access to a medical facility and often lack transportation to get to one, according to Matt Holdbrooks, president and CEO of Kid One Transport.  The Birmingham nonprofit helps to tackle that problem by driving those in need of medical help to cities for health services ranging from prenatal care to dialysis or chemotherapy, he told a recent meeting of Zonta Club of Birmingham.  Some 25 percent of women in Alabama can’t get prenatal health care.  The result is often low birth weights, other complications, and infant mortality, which rivals third world countries, he said. Holdbrooks says Medicaid Expansion would provide income to rural hospitals, which would mean more money to pay for OB-GYN and pediatric care.

Matt Holdbrooks, President and CEO of Kid One Transport

The number of rural Alabama counties with ob-gyn care has plummeted, Holdbrooks said.  In 1980, 45 of the 54 rural counties in the state had such services.  In 2021, the number had dropped to 19, he said.

 Kid One strives to help.  With a fleet of 21 vehicles and 19 staff members, Kid One transports families in 39 Alabama counties to medical facilities, said Holdbrooks.  Mercedes Benz in Vance has been instrumental in supporting the organization by providing vehicles and maintaining them, he added.  Last year, Kid One made 12,886 transports, he said, down from 23,000 before the pandemic.  COVID has also meant that what services did exist in rural counties have been cut back or eliminated.    

Drivers often meet the clients at 4 a.m. or even before to get to early morning appointments in distant locations such as Birmingham.  Most of the people Kid One helps struggle with poverty.  Some 73 percent have annual incomes less than $10,000 a year.   A family might just have one vehicle that is needed to get to work or lack childcare at home to be able to leave for hours to see a doctor.  Kid One drivers are trained in CPR, safe driving techniques, wheelchair lift operation and a host of other tasks that might be required. 

Medicaid is vital to the state, he stressed.  It is very difficult for an adult to qualify, he said.  They must have an income of less than $4,000 year, be disabled or otherwise impaired.

Some 65 percent of Medicaid recipients are children and another 8 to 10 percent are expectant mothers, he said, adding that half the births in Alabama are funded by Medicaid.

Zonta Club of Birmingham is affiliated with an international group, Zonta International, which seeks to empower women through service and advocacy. Matt was the guest speaker at the August 5, 2021 monthly Zonta Club of Birmingham (Alabama) meeting. Find out more about our Club at or Zonta International at

To help us speak out about the need and benefit of expanding Medicaid in the state of Alabama, please read & consider signing the Cover Alabama petition:

Latoya lives in Greene County and is over 30 miles from the nearest OB/GYN service, pediatrician, and dentist. She relied on Kid One Transport while pregnant to access prenatal care. She continues to use Kid One Transport for access to her children’s essential medical care to ensure that they thrive.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s