A partnership between Transaid, Medicines for Malaria Venture (MMV), and other consortium partners completed a 12 month malaria project in Serenje district in Zambia. Child fatality reduced from 8% to 0.25% - 3 recorded deaths to the 97 expected deaths during this time period. A two-pronged approach was used: 1) rapid analysis by field health care workers who could identify and treat children with malaria, and 2) communities were equipped with specially designed bicycle ambulances with a flat, bed-like cart that tows the child to speed up the journey to hospital.