_____________________________________________________________________________________________________ *Corresponding author: E-mail: kanaire@yahoo.com; International Journal of TROPICAL DISEASE & Health 33(1): 1-12, 2018; Article no.IJTDH.41879 ISSN: 2278–1005, NLM ID: 101632866 Operation Assessment on Ambulance Services: A Case Study of Machakos County, Kenya Wambura Francis Muchiri 1,2* , Karanja Simon Muturi 1 , Ngumo James Kariuki 3 , Otundo Dennis Orare 4 , Chimbevo Lenny Mwagandi 1,5 and Muthuka John Kyalo 1,6 1 Institute of Tropical Medicine and Infectious Diseases (ITROMID), College of Health Sciences, Jomo Kenyatta University of Agriculture & Technology, Kenya. 2 Kenya Medical Training College, Department of Health Education & Promotion, Nyahururu, Kenya. 3 Center for Public Health Research (CPHR), Department of KEMRI, Kenya. 4 Institute of Tropical and Infectious Diseases, College of Health Sciences, University of Nairobi, Nairobi, Kenya. 5 School of Health sciences, Kirinyaga University, Kerugoya, Kenya. 6 Kenya Medical Training College, Department of Health Education & Promotion, Nairobi, Kenya. Authors’ contributions This work was carried out in collaboration between all authors. Authors WFM, KSM and NJK designed the study, developed the protocol and managed the literature searches the study. Author WFM performed the data collection of the study. Authors CLM, ODO and MJK performed the statistical analysis and participated in the development of the first draft of the manuscript. All authors read and approved the final manuscript. Article Information DOI: 10.9734/IJTDH/2018/41879 Editor(s): (1) Dr. Jorge Paredes Vieyra, Universidad Autonoma De Baja California, Campus Tijuana, Mexico. Reviewers: (1) Akshat Pandey, India. (2) Beata Rybjojad, Medical University of Lublin, Poland. (3) Istifanus A. Joshua, Kaduna State University, Nigeria. Complete Peer review History: http://www.sciencedomain.org/review-history/27046 Received 02 May 2018 Accepted 01 August 2018 Published 05 November 2018 ABSTRACT An efficient ambulance services is an integral component of EMS (Emergency Medical services). This paper attempts to establish a cost-efficient ambulance service appropriate for community critical care transport needs in Kenya on basis of data collected in Machakos County. A descriptive Original Research Article