by a strong,
and at present expatriate,
leader.
These divisions are as
ms,
follows: 1) Primary Care/Public Health, 2) Secondary Care (hospital staff),
3) Support Services, 4) Planning and Evaluation, 5) Manpower Training.
1.
Primary Care
This division will be headed by an expatriate physician with public
health training, with a Marshallese counterpart who is a Medical Officer with
public health training.
public
health
They would be responsible for all primary care and
activities.
Their
staff would
consist
of
seven medical
assistant or graduate nurse specialists, al] of whom would have had public
health training.
These personnel would carry out preventive activities in
areas of health education, maternal and child health, communicable diseases,
chronic diseases, environmental health and sanitation, nutrition, and mental
health and social problems.
The staff would also include two sanitarians and
four secretaries.
2.
Secondary Care
As with most health care institutional operations, there is need for a
large number of personnel to care for acutely il]
services 24 hours per day, seven days a week.
patients that require
The secondary care portion of
this health care plan requires by far the greatest number of personnel of the
entire health care system.
of administration
components.
Hospital management follows amore clear cut plan
and personnel
requirements
than
do
rural
health
care
The manpower needs for secondary care can be understood by
reference to the list of manpower requirements included at the end of Section
IX.
3.
Support Services
One of the most important components of a successful health care plan is
that
of
support
services.
Without
communication, even qualified personne]
satisfactorily perform their duties.
supplies,
transportation
and
in the rural areas are unable to
The Division of Support Services would
be headed by an expatriate director and due to non-availability of qualified
Marshallese personnel each of his section chiefs would also need to initially
be expatriates.
and
Communication
Inventory.
4.
This includes the Maintenance Officer, the Transportation
Officer
and
the
Officer
in
Charge
of
Supplies
and
Other staff include pharmacists, secretaries, repairmen, etc.
Planning and Evaluation
The Division of Planning and Evaluation
is essential
progress and monitoring of health care functions.
for continued
The head of this division