Sierra Leone, a country with very high maternal mortality rates, has a landscape rich in waterways and difficult terrain. Many geographical barriers make transportation extremely challenging. In the event of an emergency, it is often impossible for people living in rural areas to reach a hospital quickly. The risk of arriving too late is very high.
In the Pujehun district, where we have been working since 2012, we have developed an emergency referral system using ambulances, complemented by a more agile solution: motorbike ambulances, which can reach the most remote and inaccessible areas.
Thanks to our collaboration with the volunteer group “In moto con l’Africa”, we have been able to equip the hospital with motorbike ambulances, which are essential for transporting sick children and women in labour.In 2025 alone, around 1,400 children were transported from areas inaccessible by car to the hospital, where they received appropriate care and treatment. In some cases, drivers have even assisted women during childbirth, helping them safely deliver their babies.
In Pujehun, we work to ensure continuous emergency referral through motorbike ambulances.
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We reach the most remote and critical cases using motorbike ambulances, which can access areas where cars cannot go, crossing rivers and waterways, sometimes using ferries or boats.
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We provide drivers with basic first aid training, as well as essential medicines and medical supplies, so they can respond effectively in emergencies.
Sometimes, a motorbike can save a life. To ensure safe and timely referral of sick children and pregnant women from the most remote villages to the hospital, it is essential to have a fast, flexible, and always-ready means of transport.
Motorbikes must be regularly checked and maintained, and must always have sufficient fuel for the journey. We also provide a basic emergency medical kit.