Answer: Riders for Health’s goal is to ensure that 21st century health care reaches the millions of people who so desperately need it. According to the World Health Organization, over 11 million people die each year from a handful of preventable and treatable infectious diseases such as measles, malaria and diarrhoeal diseases. Professional public health workers have the necessary expertise to radically improve the health of people living in rural communities, but one health worker can be responsible for up to 20,000 people scattered across miles of hostile terrain. Delivering health care on foot or even by bicycle is nearly impossible.
Riders for Health is tackling this problem by carefully managing reliable, motorised transport. We put in place maintenance and training systems to ensure that African health workers have reliable vehicles that never break down, and which are run for the longest possible time at the lowest possible cost. Working within our system of managed transportation, they are now able to do the job that they were trained to do and can repeatedly reach all the people they need to reach. The result is that today over 10.8 million women, men and children across Africa are able to access the kind of basic health care taken for granted in the developed world, sometimes for the first time in their lives.
The second key element of Riders work is training. By training health workers in how to ride or drive vehicles safely, and by educating them in how to carry out the basic checks and maintenance that all vehicles need, Riders is able to help establish a culture of maintenance in the communities in which it works. In 2002 Riders established the International Academy of Vehicle Management in Harare, Zimbabwe, and so far the IAVM has trained over 1,200 delegates.
Riders has developed what is increasingly being called a ‘social entrepreneurial’ approach to solving problems. Riders programmes are funded by its clients using Riders revolutionary cost per kilometre calculator. This calculates the true costs in running a fleet of vehicles, from maintenance to staff costs, from fuel to shipping. This helps governments and agencies budget accurately for transportation, and means that the programmes can be self funding. However, Riders is not a profit making organisation, so could not operate without the generous support of its fundraisers and supporters.