Today, millions of people across the world are unable to access medical treatment. In some communities where we work, access to healthcare may be limited or inadequate. For example, parts of Iraq have an acute shortage of doctors and other medical staff due to ongoing local conflicts and war.
To help address these challenges, Shell runs various projects that provide access to adequate healthcare to communities, often in partnership with local non-governmental organisations or development bodies. We also have health facilities that are available to employees, contractors and, where possible, to local people.
In the Niger Delta, for example, the Obio Cottage Hospital in Port Harcourt has become one of the most visited health facilities in the region. It was set up by Shell Petroleum Development Corporation (SPDC) in 2010 and offers a community health insurance scheme. In 2014, more than 45,000 people were enrolled on the health scheme and SPDC supports 27 health facilities in the Niger Delta.
In Iraq, we partner with the AMAR International Charitable Foundation (AMAR ICF), a charity that helps communities in the Middle East to rebuild their lives after conflict. Together, we train women from local communities to provide vital health services to thousands of people every month, supporting health education in schools as well as providing access to clean water.
During 2014, more than 4,500 vaccinations were administered to women and children, while health services are provided by mobile health clinics to reach communities in remote locations. A network of female health volunteers in Basra province, near our operations, visited more than 4,000 people every month in their homes.
Reducing the spread of disease
We contribute to various global partnerships to offer our expertise to fight the spread of diseases such as HIV/AIDS. We are a member of the Global Business Coalition on Health (GBCHealth) and also develop local partnerships in the regions and countries where we operate.
We are currently implementing our HIV/AIDS programme in more than 60 countries around the world. We support initiatives to tackle HIV/AIDS at local, national and international level. We focus especially on highly affected areas such as sub-Saharan Africa and selected major construction projects.
Drawing on experience gained through our operations in sub-Saharan African countries, where HIV/AIDS is a major health concern, we have worked with UNAIDS to develop scenarios for ways in which the disease could spread in future. This work will help the UN and other bodies to identify the actions required to respond appropriately to different circumstances.
In Nigeria we are part of Niger Delta AIDS Response (NiDAR), while in South Africa, we have launched an initiative that brings mobile clinics into Shell service station forecourts. We are also working with a number of partners to help us implement our HIV/AIDS guidelines in lower prevalence areas, such as the Middle East.
In the Philippines, we participate in a long-term private-public partnership in malaria control called Movement Against Malaria (MAM). MAM is one of the flagship public-private health programmes in the country, aimed at eradicating malaria in the Philippines by 2020. By 2011, there was an 87% reduction in the total number of malaria cases and a 96% reduction in deaths compared with a 2003 baseline.
To date, long-lasting insecticide-treated mosquito nets have been distributed in 40 provinces. More than 10,000 health service providers have been trained and nearly two million diagnostic consultations have taken place.