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4 Improving Community Health Globally
Pages 65-77

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From page 65...
... The principles of community health management can be illustrated by the ExxonMobil ChadCameroon oil pipeline project. This project involved the construction of an oil pipeline from ExxonMobil's oil production facility in Chad through neighboring Cameroon to the African coast.
From page 66...
... ExxonMobil Corporation offers one such example of a management system that was established to ensure that their safety, health, and environmental goals policies and goals are effectively implemented. ExxONMOBIL: ENVIRONMENTAL HEALTH PERFORMANCE DRIVEN BY MANAGEMENT SYSTEMS The key goal of ExxonMobil Corporation is to provide reliable sources of quality energy products at a reasonable cost to meet an individual's needs in both developed and developing countries, said Flannery.
From page 67...
... By coordinating the goals, procedures, and expectations of all of ExxonMobil's management plans, the company's entire management system portfolio has the potential to work in harmony. The SHE management system, for example, is designed to work closely with other systems such as ExxonMobil's Global Management System and Environmental Business Planning to ensure that goals and procedures among the management plans are uniform.
From page 68...
... SOURCE: Utzinger et al., 2005. 4-1 fixed image, jpeg or bitmap an oil pipeline through both Chadnot Cameroon to transport oil to the African andeasily altered coast.
From page 69...
... To ensure that revenues from oil production in Chad were dedicated to local development and not dissipated through corrupt programs and individuals, ExxonMobil worked with the Chad government and the World Bank to develop a binding agreement called the revenue management plan. This plan outlined specific strategies for the use of oil production revenues.
From page 70...
... After speaking with community members, it became clear that the most valued public health service among Pygmy villagers was not standard medical supplies, food, or doctors; it was government identification cards which would allow the Pygmies access to government medical services and support. This example illustrates that individual or group needs cannot be assessed by outside parties with little or no understanding of the community structure, social dynamic, or history.
From page 71...
... PUBLIC HEALTH LESSONS LEARNED FROM THE ExxONMOBIL CHAD-CAMEROON PIPELINE PROJECT Community Health Outreach Program In both Chad and Cameroon, ExxonMobil created health management plans to protect the health of pipeline workers and communities neighboring the pipeline. One of the major public health initiatives established by ExxonMobil during oil pipeline construction was the Community Health Outreach Program (CHOP)
From page 72...
... Extending this concept further, by collecting data, performing cumulative impact assessments, and referencing successful community health models, an effective national public health plan can be created, said Singer. A malaria prevention program, the Ifakara Center in Tanzania, and a demographic surveillance system (DSS)
From page 73...
... Cameroon. and Chad ers k r o w e n u m m i - n o N in astneserpersihT.3002ya libo sruohrekrow Mni 3500 3000 2500 2000 1500 1000 500 0 000,002repsesac contractors .03% M-03 .03% 3-0F3 and 5.22 dna .2% J-0 yees .2% D-02 1% N-02 emplo 1% 1% 2% -02O2-0S2-0A erskrowenummi-noN December %30.ot2002tsuguAni 45foetara in Non-immune rceofkrow %2 2 2% J-0 eey ExxonMobil drocer .3% J-02 Cases emplo of w 1% M-02 hcihw testing vie .4% A-02 cases (7/29)
From page 74...
... ExxonMobil is in the oil business, not in the health busiA potential method of managing questions ness, but the question remains -- what of corporate social responsibility is to happens in not only the communities empower local governments to support affected by the oil pipeline project and manage their own public health but also communities throughout the systems. entire country of Chad?
From page 75...
... fixed images, jpegs or bitmaps offers an opportunity for Chad to manage their own system by providing guidance and direction for resource allocation. A revenue management plan that incorporates successful public health models will provide effective and reasonable solutions to Chad's public health problems.
From page 76...
... When the World Bank or other international development institutions provide loans, the governments are required to repay these loans over a period of 15­35 years. It is a commitment made today that the next generation will have to repay tomorrow.
From page 77...
... One of the market-based solutions for the private sector is building broader social capacity, creating sustainable markets, and supporting environmental sustainability. The social legitimacy of sustainable markets, including capturing new market opportunities,dependsonhowefficiently social causes are addressed, said Petkoski.


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