Riders for Health is a charity that ensures healthcare workers can reach African villages on a regular basis by supplying them with motorcycles and pick-ups and, crucially, ensuring that they work. According to the article I read, they do this by operating, a system of preventive maintenance that would shame any British rail operator. Spark plugs are changed before they stop sparking. Cylinders are re-bored before they seize up. Money permitting, vehicles are replaced before they break down unexpectedly, and no health worker climbs onto his or her motorbike without giving it a once-over worthy of an airline pilot. This means ambulances work, travelling clinics travel, and every community health nurse with “outreach” responsibilities for rural villages has a sturdy Japanese motorbike to take them there. In other words, they focus on the true customer needs (in Gambia, for example, 60% of healthcare is delivered to patients rather than vice versa), anticipate problems rather than react...