The problems of Health Care Delivery in developing Countries and how Nigeria and a Multinational Company such as Shell Petroleum Development Company (SPDC) have been coping are being highlighted.

The advantages of establishing well equipped specialist hospitals within the company's Industrial Area, one in each of the three locations with a level of expertise and infrastructure which compares favourably with that available in both public and private sectors are discussed using slides, viewgraphs showing performance indicators, types of surgical operations and other medical statistics. Our scheme has been so successful that other companies have now introduced or plan to establish their own hospitals.

We recognise that the overall SPDC performance in HSE depends on the efforts of our own staff together with those of our contractors who number over 25,000 and other persons who reside in our operational areas. Recently therefore the assurance of adequate medical facilities for those who might be affected by our operations is being vigorously pursued. Efforts in this direction which include the donation of equipment worth 2.0 million Naira to furnish twenty Rural Health Centres in our areas of operations have not only demonstrated the company's sensitivity to the political, social and economic situations prevailing in the Nigerian environment but have also resulted in the sharing of our experience and knowledge for the overall benefit of all.

In summary, in this time of economic recession, the need for effective management of human resources can only be assured by a well-trained, highly encouraged and cared for staff. These three objectives have been achieved by SPDC's progressive improvement over the years of an efficient, purposeful, cost-beneficial Health Care Delivery for its staff.

The concept of Primary Health Care which is gaining ground in developing countries and rapidly paving the way for specialist care could be improved by incorporating Occupational Health and Safety Programmes. This approach will facilitate co-ordination and eliminate duplication of efforts and also promote the concept of "Total Loss Control".

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