This intervention development project is exploring, co-developing and undertaking initial acceptability testing of a community first responder intervention that will train and equip community champions to attend road traffic collisions and provide lifesaving first aid to individuals that require it. These same individuals will also undertake prevention sessions, using a variety of arts-based approaches, to local community organisations (e.g. churches, schools, community groups etc), to increase pedestrian behaviour. We have undertaken a wide range of qualitative data collection, using both traditional and innovative design methodologies with community members in Bangwe and Domasi. We have also collected data from and co-constructed the intervention with a range of national stakeholders, including the Road Traffic Police, The Fire Brigade, Hospital staff, The Road Traffic Authority, community leaders and others.