Amuru, Northern Uganda, was in dire need of reconstruction after 20 years of civil war that ended in 2007. BNB became aware of the need for reconstruction through BNB supporters who were volunteering in the region at the time. Amuru was the biggest and the most crowded displacement camp during the war housing about 20,000 people with scarce resources.

When the war was over, the refugees dispersed and formed towns surrounding the camp, and local healthcare centers nominated hundreds of health workers as community ambassadors who would travel to these towns to provide healthcare or connect them to healthcare centers. This democratic healthcare system was essential to the post-war reconstruction, but mobility was a huge limitation for the health workers.

When the project first started, only 20% of the workers had bicycles, and when David Branigan (BNB's International Director) attended a general meeting for the health workers beginning of the project, he talked to a health worker who had started walking at 5PM the day before to get to a meeting at noon that day. The health workers were so strongly motivated by the hope of rebuilding the community after a long war that they were willing to make village visits despite the long distances on their foot. This was a great inspiration for BNB and thus the first project began in Uganda with a shipment of 433 bicycles.