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Therese Drammeh, Country Director of Riders for Health The Gambia talks about some of the issues the country faces and about how the Riders solution.

The question of gender confronted Riders from the outset. Some people said that women should not ride motorcycles. But that made no sense to us as so many of the health workers who needed reliable transport to do their jobs were - of course - women.

Riders' teams from across four country programmes spent a week workshopping the components of Riders' unique system. The aim was to create a manual that ensure all teams are following the same rigorous practices and could be used by new programmes as Riders prepares to expand across the continent.