Different models of reference medical response transport administrations have been presented in various States in India with an intend to lessen maternal and newborn child mortality. Most of the exploration on reference transport has focused on treatment, quality and monitoring help, this service can be referred by Doctors, Nurses, Paramedics or Drivers in government hospitals.

To ease delays in giving assets and clinical treatment, the Government of India and State legislatures have imagined various interest and supply side advancements identified with the advancement of institutional conveyance and the arrangement of transport. A few States have broadened this assistance for antenatal, post pregnancy care, inoculation, and another advanced medical treatment. The program follows a public-private association model with fleet of contracted private vehicles and a midway found 24 x 7 call centers to organize the vehicles. The vehicles are employed locally for a particular period to satisfy the obligations of carrying pregnant ladies or cases that need advances medical care to higher health facilities apart from the district government hospitals. Various models of execution for reference administrations have been attempted. In most of the cases Advanced Life Ambulances are deployed with highly trained staff to ensure higher quality of care and service. Zenplus is providing this service in association with the State Government and National Health Mission in the state of Madhya Pradesh, Uttar Pradesh, Sikkim and Odisha.