The availability and usage of Means of Transport (MoT) and Transport Services (TS) in Sub-Saharan Africa (SSA) is patchy. Sometimes the reasons are evident, such as unsuitable terrain or infrastructure, but often they are not fully clear. Several attempts to introduce and disseminate Intermediate Means of Transport (IMT) have had limited impact and often improvements in infrastructure do not achieve the results anticipated in terms of increased levels of traffic. There are obviously other barriers. Often there is a \"Catch 22\" situation in that incomes are constrained by poor access whilst improvements in access through increased use of MoT and transport services are constrained by low incomes. There is a need to identify the inputs required to break out of this cycle.