It's already been mentioned earlier, nevertheless it's an important point: the roads matter. A mud path is hell to go through on bike - and even more so on tricycle and yet more so if the thing you're riding is a lot heavier than modern bikes. Paved roads are better - but never try to ride a bike without modern air-filled wheels on cobbled stone!
That said, I can see a wider usage in dryer and hotter countries where any dust road is good for bicycles.
So...Africa, maybe? Perhaps in some of the outlying tsetse regions, where horses aren't going to live long anyways, so they aren't really an alternative?