There are parts of the world where the amount of money available
for health care services is pitifully small. A dollar a head a year
buys very little when it has to cover not only salaries, drugs,
etc., but also the building and equipping of health care
facilities. Prices in the catalogues of even second-hand equipment
are enough to deter anyone who wants to start a health centre or
small hospital from scratch in one of the many underserved areas
where the needs are greatest and money is scarcest. However, a
great deal of the basic but important equipment upon which health
services in developing regions depend can be made locally without
sophisticated or capital-intensive techniques. In Africa, for
example, Will Eaves designed beds, trolleys, wheelchairs and other
equipment made from wood, metal tubing and wheels taken from scrap
heaps. His plans and designs as well as other developed by health
care workers in various parts of the world have now been brought
together in the book compiled by Roger England. Is it hoped that
they will help to solves some of the problems of equipping rural
hospitals using local skills and local resources and materials
while still providing adequate equipment for little cost.
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