Building on the success of its steel-framed bicycle ambulance, Design for Development is further improving affordability and sustainability with the bambulance, a bicycle-pulled emergency medical transport device designed and manufactured with bamboo. In areas where bamboo is plentiful, such as East Africa, this design offers a lightweight, strong, and sustainable emergency transport device that can help save lives when motorized transport is unavailable or inappropriate. The bambulance project also includes community-based training in manufacturing and maintenance, specifically seeking to support local ownership and provide employment opportunities for HIV positive women.