For example, the Ministry of Public Works builds and maintains the wastewater and drinking water systems, but the Ministry of Health Services tests the water for potability. apparent. Very little coordination between the two is The Public Health Division is responsible for nutrition education through the section of Health Education. Nevertheless, nutrition education is also covered by the School Lunch Program run under the Ministry of Education and additional department as well. nutrition work is done by the the agriculture Further uncoordination is seen in the area of mental health and susbstance abuse (alcoholism, drug abuse, suicide, etc.). These services are generally provided by separate entities in the Ministry of Social Services as well as that which is provided by the Ministry of Health Services. In summary, health promotion and protection services, and health prevention and detection services are scattered throughout the government. Their location in the government structure reflects the disparate sources of federal grants-in-aid which started them. As a result considerable duplication of services and inefficiency is common.. Recommendations It is not the purpose of this report to recommend changes in the whole MIG Structure. What is needed though, is that the Ministry of Health Services not add to the problem by being uncoordinated within its own organization. Thus, it is recommended that all Federal categorical grant programs i.e. crippled children's, traditional control, meals-on-wheels, hypertension, "public health" programs i.e. maternal and child health, be as well as the more immunizations, communicable disease put Care/Public Health Services (see Org. Chart). under one Division of Primary Besides the above mentioned public health activities, this division will manage the entire primary care (dispenary) system on the outer islands (see section VI-B). 10