In Uganda, a tougher bicycle offers hope for better health coverage in rural areas

LIRA, Uganda (AP) — The bicycle parked in Lucy Abalo’s compound doesn’t belong to her. Any one of the hundreds of people in her village can show up and ask to use it.

A man might wish to take his pregnant wife for a checkup. A woman might need transport to pick up HIV medication. An injured child might need a trip to a hospital.

“The goodness about this bike,” Abalo said, is its availability to all.

She is one of dozens of “village doctors” in rural Uganda who recently were supplied with the Buffalo Bicycle, so called because its steel parts are reinforced to perform in areas with bad roads.

World Bicycle Relief, a Chicago-based nonprofit, promotes the Buffalo Bicycle in remote parts of Africa. It collaborates with governments, non-governmental groups and others who use the bikes to improve access to health services.

In Uganda, an east African country of 45 million people, efforts to market the bicycle have focused on supporting health workers like Abalo, who visits people’s homes and reports any issues to authorities.

As a community health extension worker, or CHEW, she has gained the trust of villagers, who can knock on her door in emergency situations. She said she helps to look after about 8,000 people in the area.

And at least twice a week, she is required to report to a government-run health center about 5 kilometers (3 miles) away and assist with triaging patients.

Ugandan health authorities acknowledge that one challenge for CHEWs is transportation, part of a larger burden of poverty that can leave health facilities lacking ambulances or even gas to move them.

World Bicycle Relief, operating locally as Buffalo Bicycles Uganda, has collaborated with Ugandan health authorities since 2023 to equip 331 CHEWs in two of the country's 146 districts. One is Lira, 442 kilometers (274 miles) north of the capital, Kampala.

Bicycles have long been ubiquitous, and many families tend to have one. Cultural norms in northern Uganda don’t prohibit women from riding. While the roads in Lira town are paved, dirt paths lead into the heart of the district where farming is the main economic activity.

The Buffalo Bicycle is a recent arrival. Many have never heard of it, or can't afford it. Retailing for roughly $200, it is three times more expensive than the cheapest regular bicycle — otherwise out of reach for many CHEWs, who do not yet earn a salary.

The bike's promoters cite its durability in rough terrain, needing fewer trips to the mechanic as a way to save money.

The Buffalo Bicycle's heavy-gauge steel frame is so strong that it comes with a five-year warranty, said Amuza Ali, a monitoring officer in Lira for Buffalo Bicycles Uganda.

Abalo and others told the AP the Buffalo Bicycle felt uncomfortable to use in the beginning, with a braking system that doesn’t permit carefree backpedaling.

“When I climbed on it, it wasn’t that easy as I thought,” Abalo said. “I was like, ‘I am trying again to learn how to ride.’”

CHEWs using the bicycles reported a 108% increase in households reached each week, and the time to reach health facilities dropped by nearly half, according to a study published in May by World Bicycle Relief.

The study shows that “mobility is not a luxury in healthcare” but a lifeline, CEO Dave Neiswander said in a statement released for the report.

Diana Atwine, permanent secretary at the Ministry of Health, has urged the distribution of bicycles to more CHEWs across Uganda, saying front-line health workers save an unknown number of lives each year.

Abalo received her Buffalo Bicycle from the health minister last year.

One of her neighbors, Babra Akello, said she has used the bicycle at least six times already. The first was for transport to an antenatal checkup. She praised Abalo’s willingness to help.

The bike has also been used for emergencies. One evening earlier this year, a neighbor’s 4-year-old child suffered a deep cut while playing in the dirt. With the child’s parents away, Abalo transported the bleeding boy to a facility where he briefly lost consciousness before being revived.

“That bike, not me, saved the life of that child,” Abalo said. “If that bike hadn’t been there, I don’t know what would have happened.”

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Susan Apio, Community Health Extension Worker, riding buffalo bicycle through alley in Lira district, Uganda, May 19, 2025. (AP Photo/Hajarah Nalwadda)

Odongo Francis, Sales Representative for Buffalo Bicycle Uganda, speaks on phone in Lira district, Uganda, May 19, 2025. (AP Photo/Hajarah Nalwadda)

Okwir Augustine, explains how buffalo bicycle is better than the normal bicycles as he tries it out at his home in Lira district, Uganda, May 19, 2025. (AP Photo/Hajarah Nalwadda)

Patients wait to be treated at Ober Health Center IV in Lira district, Uganda, May 20, 2025. (AP Photo/Hajarah Nalwadda)

Lucy Abalo, Community Health Extension Worker riding her Buffalo bicycle in Lira, Uganda, May 19, 2025. (AP Photo/Hajarah Nalwadda)

WASHINGTON (AP) — President Donald Trump used his first major address since launching his war in Iran to assure Americans that all of his military objectives will be completed "shortly” and urge an increasingly skeptical electorate to give him a little bit more time.

Trump in his Wednesday evening speech dialed back the bluster that's dominated his rhetoric in recent days as world markets convulse and a badly battered Iran is still landing some effective blows on Gulf neighbors' infrastructure and U.S. bases.

But the Republican president's promise to “finish the job” hardly built confidence with a jittery market as oil prices surged and Asian stocks fell as he vowed that the U.S. will continue to hit Iran very hard.

He offered no detail about the state of negotiations with Iran that could bring about a promised endgame that he insists could come in a matter of weeks. There was also no overt lashing out at NATO allies for failing to fall in line and help him reopen the critical Strait of Hormuz waterway — something White House officials had said would be a prominent part of his roughly 20-minute address.

The U.S. will continue to hit Iran hard for the next two or three weeks, he said, without saying how much longer the war would last. But he offered a plea to Americans to show a little patience.

“We are in this military operation, so powerful, so brilliant, against one of the most powerful countries for 32 days, and the country has been eviscerated and essentially is really no longer a threat,” Trump said. “This is a true investment in your children and your grandchildren’s future. The whole world is watching, and they can’t believe the power, strength and brilliance.”

But Trump finds himself not only negotiating with an enemy that refuses to throw in the towel but also dealing with an American tolerance for a conflict that's being stretched.

Most Americans believe recent U.S. military action against Iran has gone too far, and many are worried about affording gasoline, according to an AP-NORC poll conducted in mid-March, a couple of weeks after the war started. While Trump is deploying more warships and troops to the Middle East, about 59% of Americans say U.S. military action in Iran has been excessive.

Meanwhile, 45% are “extremely” or “very” concerned about being able to afford gas in the next few months, up from 30% in an AP-NORC poll conducted shortly after Trump won reelection with promises that he would improve the economy and lower the cost of living.

Americans, Trump noted, have certainly shown patience during times of war.

“American involvement in World War I,” he said, “lasted one year, seven months and five days. World War II lasted for three years, eight months and 25 days. The Korean War lasted for three years, one month and two days. The Vietnam War lasted for 19 years, five months and 29 days. Iraq went on for eight years, eight months and 28 days.”

Hours before his address, Trump seemed to reflect on the domestic pressure he’s feeling to wrap up the war.

Speaking at a private lunch at the White House to mark Easter, Trump argued that the U.S. could “very easily” use this moment to take Iran’s oil. It is "unfortunate," he lamented, that there did not seem to be patience among the American people for such an effort.

“They want to see it end,” he said. He added, “People in the country sort of say, ‘Just win. You’re winning so big. Just win. Come home.’ And I’m OK with that, too.”

Sen. Chris Murphy, D-Conn., said Trump's speech was “grounded in a reality that only exists in Donald Trump’s mind.”

The president, Democrats fumed, offered no plan for how he would go about reopening Hormuz, the critical waterway for oil tankers that a battered Iran has effectively choked off even though Trump claims it's been defeated.

For allies worried about a global economy that's been rattled by rising oil prices, Trump suggested they “buy oil from the United States of America” and “build up some delayed courage” and help the U.S. secure the strait. Trump made no attempt to answer his European critics who say he entered his war of choice against Iran without consulting global allies but is now expecting the world to help him fix the unintended damage that it has caused.

“We are losing this war," Murphy added. "We cannot destroy all their missiles or drones, nor their nuclear program. Iran projects more power in the region than they did before the war, especially if they now permanently control the Strait of Hormuz. We are spending billions we don’t have and losing American lives in a war that is destabilizing the world and making us look feckless.”

Trump offered cautious optimism that those now in power in Iran after more than a month of U.S. and Israeli strikes are “less radical and much more reasonable" with much of the pre-war Islamic Republic’s hierarchy taken out. He didn’t explicitly mention a Monday deadline he has set for Iran to open the strait or face attacks from U.S. forces on its energy infrastructure, though he made clear that he remains open to targeting the heartbeat of Tehran’s economy.

“If there is no deal, we are going to hit each and every one of their electric generating plants very hard and probably simultaneously,” Trump said. “We have not hit their oil, even though that’s the easiest target of all, because it would not give them even a small chance of survival or rebuilding. But we could hit it, and it would be gone.”

Trump also notably did not signal that he's making any preparation for a ground invasion by American troops.

He seemed to steer away from the possibility of sending ground troops to secure Iran’s nearly 1,000 pounds (450 kilograms) of highly enriched uranium, saying it “would take months” for Iran to get to it as it’s buried under the rubble created by last year’s American bombing campaign of Iran’s nuclear sites.

Trump has offered shifting reasons for launching the war, but he has been consistent in articulating that a primary objective in joining Israel in the military action is ensuring that Iran will “never have a nuclear weapon.”

But over the course of the conflict, he has been more circumspect about how far he’s willing to go to follow through on his pledge to destroy Iran’s weapons program once and for all, including seizing or destroying the near-bomb-grade nuclear material that Iran possesses.

“We have it under intense satellite surveillance and control,” Trump said in his prime-time speech. “If we see them make a move, even a move for it, we’ll hit them with missiles very hard again. We have all the cards. They have none.”

Associated Press writers Collin Binkley, Michelle L. Price and Konstantin Toropin contributed to this report.

President Donald Trump is seen speaking about the Iran war on a television screen in the James Brady Press Briefing Room of the White House, Wednesday, April 1, 2026, in Washington. (AP Photo/Julia Demaree Nikhinson)

President Donald Trump arrives from the Blue Room to speak about the Iran war from the Cross Hall of the White House on Wednesday, April 1, 2026, in Washington. (AP Photo/Alex Brandon, Pool)

President Donald Trump speaks about the Iran war from the Cross Hall of the White House on Wednesday, April 1, 2026, in Washington. (AP Photo/Alex Brandon, Pool)