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.