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Riders for Health, led by 2006 Skoll social entrepreneurs Andrea and Barry Coleman, have just signed a deal in Gambia to deliver health care services to every Gambian citizen, making Gambia the first country in Africa with universal health care access. The Skoll Foundation provided Riders a program-related investment to support the initiative. The Transport Asset Management initiative is a vehicle leasing program that includes a fleet of new motorcycles, ambulances and trekking vehicles, all fully funded and budgeted for over their entire lifespan. This is a great example of a social entrepreneur creating significant large-scale change - national, in this case - and using partners to extend impact. It's a very innovative approach to an African-wide challenge and will be an interesting model to watch going forward.