unicef annual report 2009 concluded that: the benefits for women in southern sudan are already apparent. no deaths were reported among the more than 170 pregnant women who used the service in 2009. community support has contributed to the success of the initiative. the telephone number to access the service has been posted on trees, broadcast on the radio, and announced in churches. people offer their phones to call the ambulances. in some cases, neighbours help carry the pregnant woman to the nearest pickup spot when a motorcycle cannot reach the woman's home. the special motorcycles are also being used to assist children and adults in need of medical attention. since the start of the unicef pilot study, additional motorcycle ambulances have been delivered to the region using a not on our watch awards grant to u.s. fund for unicef with the aim of reducing maternal mortality rates in southern sudan. tanzania the okoa project began manufacturing motorcycle ambulance trailers in mbeya, tanzania in 2018, when they launched their first international post with partner the olive branch for children. the okoa project is a non-profit dedicated to providing critical, life saving emergency transport to maternity patients, as well as all those ill or injured in need of essential health services. they worked side by side with mbeya communities to establish an emergency response system to dispatch the ambulances quickly. uganda in the mbale town and district in uganda, the partnerships overseas networking trust (pont), initiated the deployment of motorcycle ambulances in december 2010. the motorcycle ambulance work started with 5 eranger motorbike ambulances. these vehicles are in use 24/7 and are providing life saving emergency transport to maternity emergencies and to the ill and injured. 32 eranger motorbike ambulances which, were funded in part by rotary clubs, have now been deployed in mbale. a team of welsh paramedics are saving lives six thousand miles from their pontypridd base. they're a key part of the pont charity, which is supplying a fleet of motorcycle ambulances to mbale, in uganda. the remote, mountainous region has virtually no emergency service and desperately-ill people often have to find their own way to medical help. but now the motorcycle ambulances – funded by the rotary club – and drivers trained by the pont team are helping thousands of local people reach help. in march 2014, pulse village transport in kampala began manufacturing and distributing their product, the village ambulance, throughout uganda. their village ambulance is a custom-built trailer that can easily attach to virtually any motorcycle or bicycle and is designed for rough terrain and the hard to reach places. it was created to meet the medical transportation needs of rural communities and refugee settlements, with a primary focus on maternal / child health. as of november 2014, they had distributed village ambulances to communities in over 25 districts of uganda. united kingdom a honda st1100 paramedic motorcycle in birmingham honda st1300 and bmw r1200rt-p st john ambulance and st john cymru wales motorcycles in london motorcycles are used as rapid response vehicles by nhs emergency medical services and st john ambulance in the united kingdom. united states daytona beach fire rescue in florida has been using pairs of motorcycles since 1994 to help with response times during heavy congestion surrounding major events in the daytona beach area. they currently operate two harley davidson flhpi road king motorcycles. miami-dade county, also in florida used motorcycles for faster response times after a 2004 pilot programme. they had significant success, but the programme was cut in 2008 due to budget problems. the programme is credited with cutting response times in half. austin-travis county ems of austin, texas is using a fleet of four bmw g650 x-ps to supplement the standard ambulance response. as of 2011, the motorcycles were deployed only for special events and times of unusually high traffic congestion, but the county planned to make them a regular system resource. mset (motorcycle special events team of texas) is a texas department of state health services (dshs) registered first responder organization (fro), and is composed of volunteer emergency medical technicians and fcc licensed amateur radio operators on motorcycles. mset is active in and outside the austin community, supporting both mobile and stand-by events, such as bicycle races and festivals. zambia in 2009, a social enterprise called zambikes designed one of the first models of the ambulance trailer called the 'zambulance'. the zambulance is a locally built ambulance trailer that can be pulled behind any bicycle or motorcycle. zambikes' vision for the zambulance is to connect rural african villages to critical medical treatment. since 2009, they have distributed units throughout zambia and also exported to malawi. manufacturers honda, bmw, and yamaha motorcycles are common models used in many countries and departments. a number of manufacturers produce sidecars for motorcycles and scooters. active motorcycle ambulance manufacturers include the okoa project, a non-profit focused on improving rural maternal health that manufactures motorcycle ambulances in ghana and tanzania, the ranger production company, and riders for health, a charity which manufactures the uhuru in zimbabwe, and zambikes in zambia, and pulse, a social enterprise which manufactures the village ambulance in uganda.