Riders for Health Liberia works to improve the capacity and efficiency of health care delivery platforms in Liberia. This is done by strengthening transport systems, instilling a culture of maintenance, attention to detail, introducing new thinking and fostering attitude change, to support the reach to the rural poor in Liberia with health care and vital services. We help organisations, government entities to design/implement a sustained customised transport solution, building ownership of systems to ensure sustained reach to the rural poor by governments and communities past the program funding phase.Riders' system is unique; we are able to manage and maintain transport systems used in health care delivery from end to end – from the upfront planning and budgeting down to the retirement/replacement of the vehicle. Riders can do this as we have human and intellectual capital of over 30 years' experience of Riders work in Africa using innovative thinking for the sole purpose of managing vehicle fleets and transport used in health systems – with a special focus on the ‘last mile'. We have the experience of engaging in true public-private partnerships with governments who see the benefit in outsourcing non-core services. We have experience in working with US government agencies given the success of our operation in Liberia for the eradication of Ebola and now with COVID 19. Our main partners are the Ministry of health (MoH), NPHIL, UN agencies, US government agencies, and other health-focused non-governmental organisations (NGOs).We build sustained transport systems with local ownership. We train nationals of the countries in which we work to be transport managers, transport administrators, workshop managers, vehicle/motorcycle technicians, safe drivers, safe riders, reliable and efficient specimen transport couriers through mentorship and supervision. This is to enable the transfer of core skills and embedding the culture of maintenance to build local capacity.