Bicycle Ambulances In Uganda Are FABIO!

There are some places that can't be reached easily, or at all, with cars or trucks.  In some places, like rural Uganda, that can be a matter of life and death. 


Uganda's infant, newborn and maternal mortality rates are among the highest in the world.   The harsh terrain spreads between the vast distances pregnant women often must traverse in order to get care for themselves or their newborns.  As an example, early in her pregnancy, Sandra Naigaga had to walk more than four kilometers (2.5 miles) to access antenatal care in Kibibi.  Later in her pregnancy, that distance may as well have been the distance to the moon.

Fortunately for her, the First African Bicycle Information Organization (FABIO:  Could you ask for a better acronym?)  introduced bicycle ambulance service to her region's two major health centers late last year.  FABIO has been offering similar services, ferrying pregnant women as well as other people needing medical care, in other parts of Uganda since 2006.

Sandra Naigaga (R) after arriving at the antenatal care centre in Kibibi

Aside from the services it provides, another thing that's great about FABIO is that it tries to maintain an environmentally sustainable system that can be easily maintained by local people using local materials from local sources.  So, the ambulances are built around basic black bicycles for which spare parts are readily available, even in such a remote region. And the carts that are attached to those bicycles are made from locally-sourced materials.  FABIO's ambulances are thus "African solutions to African problems," in the words of field officer Jeremiah Brian Nkuutu.  

Jeremiah Brian Nkuuti welding a carriage for a FABIO bicycle ambulance.

While most of the bicycle ambulances are of the pedaled, mechanical kind, FABIO also has ambulances towed by rechargeable e-bicycles.  These are used in hilly areas and, like the bicycles, are chosen for their reliability and the local availability of spare parts.

What They Notice

Years ago, I would attract attention while riding my bike.  In many communities, people stopped riding bicycles as soon as they were old enough to drive--if, indeed, they ever rode bicycles in the first place.  Seeing an adult on two wheels instead of four, and pedaling instead of stepping on a gas pedal, was strange for many people.  

And, in my workplaces, I was "the one who rides a bike."  I didn't mind the appelation:  I simply wished others would ride.

Apparently, it's still possible to get attention simply by riding a bicycle:

On The Path Across America: The Hennepin Canal

When I was an undergraduate, one of my favorite rides took me along the Delaware and Raritan Canal Towpath.  One of my favorite rides in Paris follows the Canal St. Martin, and one of the highlights, for me, of cycling in Montreal was the Lachine Canal path.

All over the world, as canals designed for barge traffic fall into disuse, paths alongside them--which were often trod by horses and mules that pulled the barges--turn into all-but-ideal cycling and walking lanes.

Some folks in northern Illinois have discovered as much:  a trail alongside the Hennepin Canal has become a magnet for cyclists.  It's so popular, in fact, that it will become part of the Great American Rail Trail.

The Hennepin Canal connects the Illinois and Mississippi Rivers through northern Illinois.  Like the Delaware-Raritan,  St. Martin and other canals, it once served as an important link for water transportation.  Now it is a draw for all sorts of recreation, including fishing, boating and hiking as well as cycling.  

For one thing, paths along canals are flat.  But, perhaps most of all, canals are almost always scenic, whether because of the landscapes surrounding them or the industrial structures that line them.