Seoeeres HEALTH EDUCATION PROGRAM REQUIREMENTS This program will have two areas of responsibility which need to be were closely related for maximum effectiveness: 1. Personnel development and inservice education. 2. Consumer/patient education, In order to achieve lasting results, the people receiving the educational programs must be actively involved at all levels, from the beginning. In addition, they should have more direct involvement in the ongoing physical examination and screening portion. be brought into the program. To accomplish this, more Marshallese need to Men and women from each island will be recruited to assist MD's during physical examinations. They will serve as assistants/translators, as well as, in the case of females, chaperones. By training people on each island we are: 1. not so dependent on TT manpower; 2. more likely to head off ill will on each island because people who live there will see, first hand, what we are doing, what constraints we have and the mechanics of the program; 3. | we develop people who can become indigenous health facilitators in our absence; 4. we cut costs because we do not have to pay for transportation and salaries on sailing days when no work is done. The initial training can be done by the MD's and RN's now available to the program, plus two interpreters and the island's health aide, while the other BNL staff are setting up. (Initially, these Local. assistants would not be expected to perform procedures such as blood pressure measurement or dip stick urinalyes Pi Ps sis. That would be taught on subsequent surveys.)