Provide Delivery Services Research Articles

Attitude and experience of obstetricians and gynecologists toward eating disorders assessment and management in Japan: A nationwide survey.

To investigate the attitudes and experiences of obstetricians and gynecologists in treating women with eating disorders (EDs) in Japan. Members of the Japan Society of Obstetrics and Gynecology were invited to participate in a web-based survey from March 1 to 31, 2022. We asked about the attitudes of obstetricians and gynecologists toward women with weight loss-related amenorrhea and their experiences in treating EDs. We also assessed the characteristics of physicians who see many ED patients. A total of 662 ob/gyns. responded to the survey. While treating weight loss-related amenorrhea, 25.8% reported screening patients for EDs. 88.5% of respondents reported having treated ED patients. The main medical concerns described when treating pregnant women with ED were fetal growth restriction and preterm delivery. The most common type of ED encountered by participants in both perinatal and infertility care settings was anorexia nervosa. Characteristics of physicians who treated 10 or more EDs per year were being board certified in women's health care and not providing delivery services (OR = 4.809, 1.896). The most common comment regarding optimizing the management of patients with EDs in obstetrics and gynecology practice was the need to implement guidelines for ED management. Many obstetricians and gynecologists in Japan treat patients with ED. Standardized guidelines for the management of EDs for obstetricians and gynecologists are needed.

Literature Review: Comparison of the Quality of Delivery Services at Independent Midwife Practices and Public Health Center

Introduction: The role of quality service is important for health facilities to maintain their existence in the community, including Public Health Centers and Independent Midwife Practices that provide delivery services for pregnant women. Delivery services at health care facilities are one of the factors leading to the reduction of the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). This review was conducted to determine a comparative picture of the quality of delivery services at Independent Midwife Practices and Public Health Center.Methods: The study was conducted using a literature review approach of national journal articles retrieved from the Google Scholar database. The keywords used were quality of delivery services, quality of delivery services, patient satisfaction, Independent Midwife Practices, and Public Health Center. With a publishing range of no more than the last 5 years or from 2018-2023.Results: Five journals were eligible to be analyzed in relation to the quality of delivery services. The study showed that the quality of health services at the Independent Midwife Practices and Public Health Center is influenced by the factors of reliability, responsiveness, assurance, empathy, and tangibles. Both the Independent Midwife Practice and the Public Health Center have good quality of service in childbirth.Conclusion: It is important to maintain the quality of childbirth services both at Independent Midwife Practices and at Public Health Center.

Business Management Assistance For Small Micro Enterprises (Msmes), And Entrepreneurial Strategies In The Barangay San Isidro Area, Rodriquez Rizal Philippines

This International Community service aims to conduct service activities for lecturers in collaboration with international parties. In this case, the Faculty of Economics and Business, University of 17 August 1945 Surabaya, collaborates with the College of Business Administration Adamson University Manila, Philippines. This activity conducted business management assistance, product/service marketing strategies, managing finances for small micro enterprises (MSMEs), and entrepreneurial strategies in the Barangay San Isidro area, Rodriquez Rizal Philippines. MSMEs in this area had effortless management, which applied no business management, even though the business competition is tight here. Given the importance of this, Adamson University Manila Philippines took the initiative to provide assistance and training on business management in collaboration with lecturers from the University of 17 August 1945 Surabaya. Assistance and training activities were carried out for 16 hours on May 11 and 13, 2023. After the activities were carried out, the participants were very enthusiastic. They tried hard to manage the business by implementing proper management and marketing strategies, such as presenting their products well and offering goods to customers. Some have even dared to provide delivery services so that their turnover has increased and the business becomes more successful.

Health facility availability and readiness for family planning and maternity and neonatal care services in Nepal: Analysis of cross-sectional survey data.

To determine the availability and readiness of health facilities to provide family planning, antenatal care and basic emergency obstetric and newborn care in Nepal in 2021. Secondary objectives were to identify progress since 2015 and factors associated with readiness. This is a secondary analysis of cross-sectional Nepal Health Facility Survey (NHFS) data collected in 2015 and 2021. The main outcome measures were availability and readiness of family planning, antenatal care, and basic emergency obstetric and newborn care services. Readiness indices were calculated using WHO-recommended service availability and readiness assessment (SARA) methods (score range 0 to 100%, with 100% indicating facilities are fully prepared to provide a specific service). We used independent t-tests to compare readiness indices in 2015 and 2021. Factors potentially associated with readiness (rurality setting, ecological region, managing authority, management meeting, quality assurance activities, and external supervision) were explored using multivariable linear regression. There were 940 and 1565 eligible health facilities in the 2015 and 2021 surveys, respectively. Nearly all health facilities provided family planning (2015: n = 919 (97.8%); 2021: n = 1530 (97.8%)) and antenatal care services (2015: n = 920 (97.8%); 2021: n = 1538 (98.3%)) in both years, but only half provided delivery services (2015: n = 457 (48.6%); 2021: n = 804 (51.4%)). There were suboptimal improvements in readiness indices over time: (2015-21: family planning 68.0% to 70.9%, p<0.001, antenatal care 49.5% to 54.1%, p<0.001 and basic emergency obstetric and newborn care 56.7% to 58.0%, p = 0.115). The regression model comprising combined datasets of both NHFSs indicates facilities with regular management meetings and/or quality assurance activities had significantly greater readiness for all three indices. Similarly, public facilities had greater readiness for family planning and basic emergency obstetric and newborn care while they had lower readiness for antenatal care. Readiness to deliver family planning, antenatal care and basic emergency obstetric and newborn care services in Nepal remains inadequate, with little improvement observed over six years.

Traditional birth attendants’ knowledge, preventive and management practices for postpartum haemorrhage in Osun State, Southwestern Nigeria

Traditional birth attendants (TBAs) have become an integral part of the workforce providing delivery services in Nigeria due to the limited number of skilled birth attendants and cultural preferences. This study assessed the knowledge, management and preventive practices regarding postpartum haemorrhage (PPH) among TBAs in selected communities in Osun State, Southwest Nigeria. The study employed a descriptive cross-sectional study design and recruited 260 TBAs in four communities in Osun State. Data were collected by means of an adapted semi-structured questionnaire. Data were analysed using SPSS version 23 and summarized using descriptive and inferential statistics (chi-square and logistic regression) with the level of significance set at p < 0.05. The findings indicated that most (71.4%) of the TBAs were cleric, while others were herbalist (28.6%). Although the majority (76.4%) of the TBAs had good knowledge of the causes and warning signs of PPH, a high percentage (69.3%) of TBAs had poor management practices, while 114 (64.1%) TBAs had inadequate preventive practices. Notably, almost none of the participants practised active management of the third stage of labour; the majority of TBAs did not administer any uterotonic drugs to the mother, nor did they deliver the placenta by controlled cord traction. Gender (P = 0.029), educational level (P = 0.035) and average number of births per month (P = 0.001) significantly influenced TBAs’ management practices. Similarly, the TBA type (P < 0.001), average number of births per month (P = 0.003) and experience with formal training (P = 0.005) showed significant associations with TBAs’ preventive practices. Furthermore, TBAs’ preventive practices towards PPH were influenced by the TBA type (OR: 4.23; 95% CI 1.64–10.90). TBA management practices were also influenced by the TBA type (OR: 4.42; 95% CI 2.03–9.61). Traditional birth attendants in this study had poor management and poor preventive practices for postpartum haemorrhage.

Hambatan Bidan dalam Memberikan Pelayanan Persalinan di Praktik Mandiri Bidan (PMB) Pada Masa Pandemi Covid-19

The emergence of a new virus called Coronavirus Disease 2019 (COVID-19) at the end of December 2019 had an extraordinary impact on all aspects of life, especially in the world of health. Health workers such as midwives in Independent Midwife Practices (PMB) must adapt delivery services to the conditions of the COVID-19 pandemic and often encounter barriers in their implementation. This study aimed to explore in depth the barriers by midwives in providing delivery services at PMB during the COVID-19 pandemic. This study uses a qualitative descriptive study through a phenomenological approach, involving ten informants. Data collection was carried out using one-on-one in-depth online interviews with a semi-structured interview guide. Data analysis was done manually using thematic analysis. The results of the data analysis show that midwives encountered barriers while providing delivery services at PMB during the COVID-19 pandemic, including; difficulties in obtaining Personal Protective Equipment (PPE) at the beginning of the pandemic, patient non-compliance in implementing health protocols, midwives infected with COVID-19, and a referral system that did not work well.

Putting Fairness into the Gig Economy: Delivery Cooperatives as Alternatives to Corporate Platforms

Since the COVID-19 pandemic began, platform capitalism has expanded greatly in the delivery sector. The consolidation of an oligopoly controlled by a few corporate platforms has led to precarious working conditions for “gig economy” workers. Increasing protests and strikes have led to the reform of labour directives and to the emergence of alternative ways of organising work through platform cooperatives. This article examines how these emergent platform cooperatives are mobilised and their challenges and implications. Barcelona, the cradle of many platform economy and delivery sector start-ups, is a critical case for examining the recent birth of alternative delivery cooperatives. This article is informed by the cases of three cooperatives, organised by those working as riders, providing delivery services in the city of Barcelona: Mensakas, Les Mercedes, and 2GoDelivery. The paper shows how the embeddedness of these nascent platform cooperatives in favourable governance arrangements, a supportive social and solidarity movement, the knowledge and experience of workers, and the territory where the cooperatives are embedded are essential for their creation. This multi-layered embeddedness is necessary, but not sufficient, to explain how platform cooperatives thrive. The study concludes that the agency of platform workers, who triggered this transformation, was essential for the emergence of alternative ways of organising work in the platform economy.

Feasibility Study for Tugboat Expansion Project Using Capital Budgeting And Sensitivity Analysis (Case Study: PT. ABC)

The Covid-19 pandemic and the unstable geopolitical environment has highly disrupted the global economy. The turn of events affected businesses sectors differently, due the disruption of the supply chain many industries have to suffer. However, there are sectors that performed well in a very uncertain economic condition. One of the business sectors that flourish during this turbulent time is in the mining sector. The soar in demand for natural resources such as coal, nickel, and construction stones have increased the sector’s operational activity drastically. Being a part of the mining industry supply chain, PT. ABC is a marine transport company that provide delivery services for the minerals by utilizing tugboats and barges. The surge of activity in the mining sector has positively impacted the company. A mining companies has queued up to acquire marine transport services, however it is quite difficult to meet the rapidly demand due to the limited number of tugboats and barges available in the market. To keep up with the market demand, PT. ABC is planning to add and additional set of tugboat and barge to its fleet. The management’s decision to acquire a new set of tugboat and barge is a sizeable investment for the company. Financial calculations such as the capital budgeting method is needed to support the management’s decision for to invest in the expansion project. Therefore, the objective of this research is to utilize the crucial financial calculations to analyze whether if the expansion plan is worth pursuing. The research results shows that the expansion project is feasible, by examining the base assumptions by the company’s management. The assumptions consist of the initial investment of Rp 40.500.000.000, an annual growth rate of 8,18%, the assumption of 30 working days for the charter duration, and 10 years useful life of the asset. The project will begin in the year 2023. Furthermore, the sensitivity analysis suggests that the most influential factor for the project’s NPV is the charter rate. Based on the analysis, the minimum charter rate that should be charge to the customer is Rp 834.480.000 per month.

Sustainable e-commerce urban distribution in LEZ areas: A greening Metro-based solution (M4G: Metro For Goods)

A Low Emission Zone (LEZ) is a measure implemented by many European cities in their densest, most congested and most polluted areas to reduce the access of the most polluting vehicles. This limitation of access to LEZ zones collides with the growth in e-commerce delivery, which has increased sharply in recent years. This paper investigates the potential use of a metro system (M4G: Metro For Goods) to provide delivery services by leveraging its existing carrying capacity and using the metro stations as microhubs. In the last leg in the last mile, this model is complemented by cargo bikes to distribute e-commerce parcels in the LEZ in a city like Madrid. The external costs of the M4G model are compared with the current e-commerce delivery scenario (parcel delivery by road), and the results show that the proposed model can be a promising innovation to reduce the externalities in the LEZ.

Outcomes of a rural-focussed family practice residency

Purpose: Family medicine physicians play a crucial role in maternity care in community-based settings. However, residency graduates are decreasingly likely to provide delivery services. We explored residency training and graduates' inclusion of obstetrical care in practice by surveying graduates of the Duluth Family Medicine Residency, traditionally producing a high number of graduates serving rural communities and providing obstetrical care.&#x0D; Methods: Graduates (N=48) were surveyed about their provision of maternity care and perceptions of how well the residency prepared them to provide such services. Additional factors that impacted decisions to provide obstetric care (e.g., post-residency training, community size, and if there were obstetricians providing delivery services in their community) were evaluated.&#x0D; Findings: Nearly half of graduates (46%) were providing maternity services, most of whom provided perinatal clinical care (68% provided delivery care and 4% operative deliveries). Seventy-one percent worked in a community with an available obstetrician. Graduates providing obstetric services were more likely to live in rural communities (66% vs 35%, p&lt;0.01). Thirty percent of graduates received extra obstetrical training in residency. Graduates providing obstetric services were more likely to cite that their decision to practice obstetrics was influenced by the number of deliveries performed, interactions with attending obstetricians, and interactions with prenatal and laboring patients during residency compared to those not providing obstetric services.&#x0D; Conclusions: Residency training has an impact on provision of maternity care and potential practice of family physicians in rural communities. Attention to curricular support, particularly exposure to maternity patients, is important for resident comfort in obstetrics.&#x0D; &#x0D;

Preeclampsia and eclampsia: Its burden and distribution across facilities in Ethiopia.

This study aimed to analyse national health facility burden of preeclampsia/eclampsia and its regional distribution in Ethiopia. This evidence is an important aspect to work towards reducing maternal and newborn complications. This study uses data from the 2016 Emergency Obstetrics and Newborn Care (EmONC) survey which national census of public and private health facilities that provided delivery services. Cross-tabulation of variables was conducted based on region, location, types of health facility, and the management authority of health facilities. Spatial analysis was conducted to investigate spatial regional distribution of preeclampsia/eclampsia. A total of 3804 health facilities were included in the survey. Nationally, preeclampsia/eclampsia contributes to 5.9% of all maternal complications and 10.5% of maternal deaths. While 82% of total deliveries were reported from health centres, hospitals and specialised centres reported nearly 10 times more cases of PE/E (23 per 1000 deliveries) than health centres (2.4 per l000 deliveries). The highest number of preeclampsia/eclampsia cases were reported in Addis Ababa and the Harari region where there were 32 and 24 cases per 1000 deliveries, respectively. A substantial proportion of direct obstetrics complications due to preeclampsia/eclampsia were reported from Afar, Somali, Harari and the Benishangul Gumuz regions (19.9%, 18.0%, 12.8%. 11.5%, respectively). Preeclampsia/eclampsia contributed to a high proportion of maternal complications and death. Disproportionally, the highest burden of preeclampsia/eclampsia was reported in developing regions of Ethiopia. These region's health facilities'effort on case detection, reporting and evidence generation should be strengthened to inform policy especially those located in rural location.

Concrete Vehicle Scheduling Based on Immune Genetic Algorithm

At present, the demand for ready-mixed concrete (RMC) in construction industry is increasing day by day, and the supply mode of multiple delivery depots corresponding to multiple construction sites has been widely used. In order to further improve the joint distribution efficiency between various delivery depots, this research establishes a multiobjective optimal distribution model with time window constraints and demand postponement attributes for the problem that the subbatching plants need to work together. The model divides the reasons for demand postponement into two types: the constraint for timely unloading of trucks cannot be met on time and the constraint for timely pouring at the construction site cannot be met on time. This work improved the coding method of genetic algorithm based on the characteristics of the distribution model. Using hierarchical real-coding form, the coding operator of each layer can be evolved separately, which ensures the globality of the search, and, at the same time, an improved immune operator is added to ensure the local search performance. By comparison, the results obtained by improved GA are 7.05% higher than those of the standard GA, and the early convergence speed of improved GA is obviously better than that of the standard GA. The simulation experiments show that the total trucks’ waiting time during the process of providing delivery services from 5 concrete plants to 8 construction sites is 769 minutes, and the total waiting time of 8 construction sites is 507 minutes. Through practical case analysis, this work can enable RMC production enterprises and construction sites to effectively reduce the waiting time of corresponding operations, and the obtained results are close to the simulation results. The proposed method indeed improves the efficiency of RMC distribution.

Health Care Readiness in Management of Preeclampsia/Eclampsia in Ethiopia: Evidence from National Facility-Based Survey.

BackgroundEarly case detection, treatment, and timely referral for better services can significantly reduce the negative outcomes of preeclampsia and eclampsia. However, evidence on health facilities’ readiness to provide such services and the associated challenges is limited in Ethiopia. Therefore, this study aimed to assess the readiness of Ethiopian health care facilities to manage preeclampsia and eclampsia.MethodsThis study used the 2016 Ethiopia national emergency management of obstetrics and newborn care (EmONC) survey. This survey was a national cross-sectional census of health facilities that provided delivery services. Data on facility infrastructure, equipment and supplies were collected through a facility checklist, and interview health provider experiences. Cross tabulation, summarisation and chi square tests by facility type, location, and management authority were conducted.ResultsThere were 3804 health facilities included in the survey across all regions of Ethiopia. The majority of facilities (92%) were public/government managed with only 1% of available hospitals located in rural areas. Poor availability of dipsticks for proteinuria tests (55.3%), caesarean sections (7.9%), and ambulance services (18.4%) were reported across health facilities with high variations in terms of facility type, location, and type of managing authority. Diazepam was a widely available anticonvulsant compared with magnesium sulfate (MgSO4), with more available in private for-profit facilities compared with public facilities. Nearly one third of health care providers were not trained to administer MgSO4 intravenously. The result indicated that the chi-square test was statistically significant at P < 0.001.Conclusions and RecommendationsThere were notable gaps in readiness of facilities in detection and management of preeclampsia/eclampsia that increase maternal and perinatal mortality in Ethiopia. Therefore, availability of essential supplies, medications, and referrals are required. In addition, refresher training to healthcare providers on screening, diagnosis and management of preeclampsia/eclampsia and continuous supervision should be provided.

Pelatihan Belanja Online dan Jasa Antar Langsung Pada Pedagang Pasar Tradisional di Pasar Wadung Asri Sidoarjo

Community service activities are carried out as a form of concern for others. Community service is carried out as a forum to provide assistance in the form of knowledge to the community. This activity indicates that the implementers of community service activities contribute to the progress of the nation. This community service activity was carried out by a lecturer at Sunan Giri University, Surabaya. This training was attended by 20 vegetable traders in Sidoarjo's Wadnung Asri Market. This activity is carried out to help traditional traders at the Wadung Asri Market, Sidoarjo. The implementation of community service activities is carried out for approximately 2 hours. The presentation and training was carried out so that traditional traders at the Wadung Asri market in Sidoarjo could provide delivery services to customers and shop online with the Whatsaap application. This is done so that traditional traders can keep up with technological developments that have been applied to the modern market. In this activity, materials such as plastic and rope are also provided to make safe packaging when providing direct delivery services to customers. In addition, this activity is also carried out to build good relations between the community and the community of Sunan Giri University Surabaya

Trust as A Mediation of the Influence of Experiential Marketing, Quality of Service and Customer Relationship Marketing on Consumer Satisfaction Fast Delivery Service in Surabaya

Online-based freight transportation increases innovation opportunities by providing delivery services that satisfy the public every time they use the service. SiCepat is currently present as an online freight forwarder that serves delivery of goods to the territory of Indonesia. SiCepat also collaborates with several online stores in Indonesia to provide goods pick-up services, making it easier for people to buy online. The approach used is a quantitative method. The type of survey used is a descriptive survey. The population used in this survey are consumers who use the SiCepat delivery service, but the sample taken is 100 respondents using the target sampling technique. Data collection is done by distributing surveys through Google Forms. The data analysis technique used is Structural Equation Modeling (SEM) using the partial least squares (PLS) program. The results in this study indicate that: (1) There is a positive and significant effect of Experiential Marketing on Trust (2) There is a positive and significant effect of Service Quality on Trust (3) There is a positive and significant influence of CRM on Trust (4) There is a positive and significant effect Experiential Marketing on consumers (5) There is a positive and significant influence on the quality of service to consumers (6) There is a positive and significant influence on consumers (7) There is a positive and trusting effect on consumers.

Business and Marketing Strategy Formulation for Caltara to Improve Company Performance in The Curtain Business

Caltara is one of the biggest curtain stores in Tasikmalaya, Indonesia, selling curtain fabric materials and other curtain accessories. The purpose of the research is to examine Caltara's existing business situations and develop a business and marketing strategy to enhance company performance. Based on the analysis, Caltara's target consumers are middle-class curtain stores. Caltara should position itself as a modern curtain business that delivers good-quality products at affordable prices, offer many product variations that keep up with the trends, and provide excellent service. Caltara should reduce the percentage of rejected products and waiting time, eliminate premium grade materials and product inconsistency, increase the knowledge of trendy motifs, provide excellent services, loyalty program, enhance marketing &amp; advertising, variety of product and stock offered, distribute samples, create online sales application and provide delivery services. Blue ocean strategy, which includes the six path analysis, the four actions framework, and strategy canvas are utilized to identify opportunities for growth that have the potential for higher profits and faster growth for Caltara.

Midwives preparation to provide delivery services in independent midwife practice during COVID-19 pandemic

The COVID-19 pandemic has had a tremendous impact on the world of health, including delivery services at the independent midwife practice. Midwives must change its service system and follow maternity service procedures that the central government has set. The purpose of the study was to explore in-depth the preparation of midwives in providing delivery services at independent midwife practice during the COVID-19 pandemic. This study uses descriptive qualitative research through a phenomenological approach involving seven informants. Data were collected utilizing one-on-one in-depth online interviews using a semi-structured interview guide. Data analysis was done manually using thematic analysis. Data analysis shows that midwives are prepared to provide delivery services at independent midwife practice during the COVID-19 pandemic by modifying infrastructure, providing Personal Protective Equipment (PPE), providing information about COVID-19, disseminating delivery service guidelines, and providing support, vaccinations, rapid screening tests for midwives.

Assessment of Applying Saudi Labour Law to Digital Platform Workers: Taking Uber as an Example

The use of technology platforms has become quite common and popular worldwide. Some of these platforms have used for business purpose such as connecting taxi drivers with riders or providing delivery services. At present, there are famous institutions employing persons to provide their services through digital platforms, and in some states, such persons are considered workers. In the Kingdom of Saudi Arabia, it is significant to find a direct answer to whether or not persons using digital labour platforms to offer services could be regarded as workers, and the Saudi Labour Law must, or not, be applied to govern their contracts with the enterprises that own these platforms. This paper aims to find a legal solution to this issue and concentrates on digital platform workers in Saudi Arabia. It examines mainly legal sources relating to Saudi Labour Law such as books, and investigates a number of reported judgments issued by the Commission for the Settlement of Labour Disputes in Saudi Arabia in 2010 and 2011.It also reviews relative information provided on the web sites of Uber. The finding is that the traditional rules of Saudi Labour Law should apply to these types of work agreements, and persons rendering their services through digital platforms must be protected by the rules established in the Law, but, according to the recent provisions adopted by the Saudi Ministry of Human Resources and Social Development, it seems that they are considered as freelancers.&#x0D; &#x0D; Received: 4 March 2021 / Accepted: 6 May 2021 / Published: 8 July 2021

Choice of O2O Food Delivery Mode: Self-built Platform or Third-Party Platform? Self-Delivery or Third-Party Delivery?

This article examines the optimal choice strategy of online-to-offline (O2O) food delivery mode for a merchant. In practice, there are four modes that are widely adopted by merchants: 1) The self-built platform and self-delivery (Mode SS); 2) the self-built platform and third-party delivery (Mode ST); 3) the third-party platform and self-delivery (Mode TS); and 4) the third-party platform and third-party delivery (Mode TT). First, we establish the merchant&#x0027;s profit model under each mode. Then, by comparing the merchant&#x0027;s profits under different modes, we analyze the optimal choice strategy of food delivery mode for the merchant. The results show that when third party service providers provide delivery services (TPSPs), if the advertising effect generated by the self-delivery is large and the consumer benefit brought by the third-party platform&#x0027;s promotion is small, the merchant should choose SS; if the advertising effect and the consumer benefit are both small (large), the merchant should choose ST (TS); if the advertising effect is small and the consumer benefit is large, the merchant should choose TT. Furthermore, from the perspective of the O2O food delivery system, TS (TT) is the best mode if the advertising effect is large (small).

A Metro-Based System as Sustainable Alternative for Urban Logistics in the Era of E-Commerce

Business to consumer e-commerce (B2C) has increased sharply in recent years driven by a growing online population and changes in consumer behavior. In metropolitan areas, the “Amazon effect” (online retailers’ vast selection, fast shipping, free returns, and low prices) has led to an increased use of light goods vehicles. This is affecting the rational functioning of the transport system, including a high degree of fragmentation, low load optimization, and, among other externalities, higher traffic congestion. This paper investigates the potential of a metro system, in a big city like Madrid, to provide delivery services by leveraging its existing carrying capacity and using the metro stations to collect parcels in lockers. It would be a new mixed distribution model for last-mile deliveries associated with e-commerce. To that end, the paper evaluates the cost and impacts of two alternative scenarios for managing the unused space in rolling stock (shared trains) or specific full train services (dedicated trains) on existing lines. The external costs of the proposed scenarios are compared with current e-commerce delivery scenario (parcel delivery by road). The results show that underground transport of parcels could significantly reduce congestion costs, accidents, noise, GHG emissions, and air pollution.