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The idea for this study came from the observation that urban motorcycle cab transport in Douala did not comply with any road safety standards. In fact, the State has issued decrees aimed at organizing the operation of this sector of activity in urban and peri-urban areas, except that in Douala these measures are not applied in compliance, which makes motorcycle transport a major cause of the negative effects on road safety. Yet these texts, which set out the terms and conditions for the operation of motorcycles for hire or reward, were adopted to enable the protagonists of motorcycle cab transport to carry out their activities without discretion. This study is intended as a contribution to synergy between all players in the motorcycle transport chain in Cameroon. It also contributes to reducing the externalities that have plagued this sector for decades, in order to take better advantage of the opportunities offered by this mode of transport.