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It is important that the MD's participate in the training program so they
will know what to expect from their assistants and they can begin establishing
a working relationship immediately.
These training programs always provide a
forum for discussion of concerns regarding personal and family health problems.
The BNL team can begin to ascertain what each island perceives its biggest
health problem to be from this kind. of exchange.
With the exception of the TI M.O.'s who accompany the survey, the majority
of the BNL collaborators are unfamiliar with Marshallese customs and the TT
“health care delivery system.
By assisting with the training and working with
the local health aide and the TT medical interpreters, they will become more
deeply involved with the community than they have in the past.
The result
should be a better understanding of one another's strengths and weaknesses.
As soon as the local people are trained and used on one survey,
should be contacted and used again as soon as possible.
should be interviewed to determine why.
they
Those who drop out
The interview should be conducted by
the BNL Marshallese nurse-practitioner to avoid any cultural bias.
It is
important that she be involved with all phases of the program, since her presence will lend credibility when plans for "Marshallization™ of the program are
discussed.
Based on information generated through village meetings and individual discussions with the newly-trained assistants, a pilot program will be developed to
be given on the following survey visit.
It will be relatively short, and simple
hand-out materials will be devised that can be upgraded by the people who
receive the first programs, demonstrating that they retain some control.
The
new assistants (facilitators) will be encouraged to assist in setting up and
carrying out the program, if it is culturally appropriate.
Pap
an
.