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Any program cf health care for the reople affectec Sy radiatien should
be integrated, to the maximum extent possible, with a future healch care
program of the Government of the Marshall Islands. Thecsentractor,
accorgingly._will be recuired coexamine current facilities and propesed
hospital and dispensary facilities and staff to determine how such local
staff_andfacilities can beutilized to srovide.comorenensive heal=n
4
Care forthe_reovles of the affected atolls.
(5)
Primary care.
Because many of the peoples concerned
will be living in an "“out-island" context, the contractor should set
forth recommendations on how "primary care” can best be provided to the
people in such a context.
This sheuld include recommendations on the
type of staff, facilities, tzaining.afpractitioners, ate.
It will be
necessary to determine whether cresent out-island facilities and sorccraxs
Maintained by she Government of the Marshalls Yslands can be upgraded
and subsidized to provide this essential primary care for the seoples
(6)
Secondary and Tertiary care.
‘The contractor will be
‘
“\
required to set forth recormendations on where and in what manner secondary
‘
ve i“
Lees
concerned, or whether a separate >orimary health care svstem, supsorted,
and : erated bythe U.S, will be required?
and tertiary care can be most effectively provided, both from treatment
and cost standpoints.
(7) Cost of Prevision of Comprehensive Health Care for
all of the Marshalls. The pecples of the designated affected atolls will
require both “on-atoll" and “off-atoll” comgrehensive care. Many of
the individuals requiring the comprehensive care will be in the sresent
major populated centers. The numbers away from the home atolls may well |
ron into several thousand. The contractor will be requested to draw up
Gost estimates of a comprehensive health care program for all of the
Marshalls that would give the type of comprehensive care recuired for
the peoples of the affected atolls.