Lived Experiences of Trained Motorcyclists and Bicyclists Providing First Aid after Road Traffic Accidents in Rwanda: A Phenomenological Study.

Background: Road traffic accidents (RTAs) are a major cause of death and disability, particularly in low- and middle-income countries. Although motorcyclists and bicyclists have been trained to provide first aid, little is known about their experiences. This study explored their experiences while providing first aid after RTAs in Rwanda. Methods: A phenomenological study was conducted using two focus group discussions with 10 purposively selected first aid-trained participants from Nyarugenge and Nyagatare districts. Data were collected in February 2025, transcribed, and thematically analyzed using ATLAS.ti. Data saturation was achieved, as no new themes emerged from additional discussions. Results: Four main themes emerged: (1) first aid response at accident scenes, (2) transformation following first aid training, (3) community impact and recognition, (4) challenges faced during first aid provision. Participants reported increased confidence, readiness to assist, and emotional satisfaction. However, they faced barriers such as mistrust from bystanders, lack of official identification, and limited resources. Conclusion: First aid training empowered participants to provide timely care and highlighted their role in Rwanda's prehospital system. Strengthening public awareness, formal recognition, and access to supplies could enhance community emergency response and improve outcomes.