Community health workers often have 10 villages to look after at a time. That’s a lot of walking, walking that takes time and could be spent working with people in communities. So transport is needed, but what?
Donkeys and bicycles are cheap, but they don’t offer the speed or comfort that a motorcycle can. And cars are comfortable and fast but they are expensive to buy and run. Even 4x4s don’t cope well with much of the terrain that health workers must pass to reach communities in many of the African countries.