[2] Each year, BTA donates bicycles (and tools) to healthcare workers in Africa, particularly those involved in HIV/AIDS-related work.
[3] BTA volunteers travel to Africa to assemble and give away bicycles to recipient organizations (typically established, qualified HIV clinics, hospitals, or NGOs).
[7][8][9] That same year, BikeTown Africa changed some of its policies, insisting that the bicycles must be owned by individual recipients rather than the organization, so as to promote personal responsibility for the maintenance and repair of the bikes.
During September 2009, an international team of volunteers assembled 268 bicycles in the Orange Farm township of Gauteng, South Africa.
In March 2010, 100 Specialized Fuse BMX bikes were distributed to four tracks built by AMA Rider for children in townships around Cape Town.
[11] In August 2010, 120 Kona AfricaBikes were distributed in Malawi at the Baylor Tingathe Community Outreach Program.
[13] In 2011, BikeTown Africa was approached by AMA Rider to assist with its children's mountain biking league.
In 2012 BTA traveled to Mwanza, Tanzania to assemble and give away 100 bicycles to HIV healthcare workers at the Baylor Pediatric AIDS Hospital there.