Another nigh prioirty in the data gathering/s*atistics area should be the
implementation of a Marshall Islands Population Health Needs Assessment Survey.
This should be done to establish a baseline of data on knowledge, attitudes and
practice
in the health area for use
in monitoring and evaluating whatever
programs are implemeted as a result of P.L. 96-205.
This initial health assessment survey should be but the first in a regularly
planned sequence of sample surveys to assess change in the health service system
and the health status of the population.
Carefully designed sample surveys will
probably for the foreseeable future be the best source of data available in the
Marshalls.
It is also recommended that a major evaluation be conducted five
years
implementation to measure change
after
revisions in the health care system.
in
health
status
and
to make
This evaluation shyould involve several
types of scientists: sociologists/anthropologists, health planners, ecologists,
and epidemiologists.
Data processing of all statistical data collected should probably in the near
future be hand tabulated, even though purchase of a computer is being considered.
This is recommended primarily because clerical labor is not in short supply and
is relatively inexpensive.
Furthermore the required technical expertise to make
a computerized system work effectively is not present.
sorted data system should be maintained as a back-up.
If nothing else a hand-
The use of a small desk-top
computer for analysis of data might be utilized.
4.
Evaluation in Manpower Training
It is recommended that the Planning/Evaluation Unit work very closely with
the continuing education/manpower training personnel
in designing instruments
for evaluating and assessing the skill levels of the health aides in the outer
island clinics.
Present transportation and communication problems have meant
very little assessment of skill level or health worker attitudes and acceptance
has been done.
Furthermore, vital statistical data is processed so slowly it has
marginal use as a monitoring tool for management or administrative purposes.