Health Services A. Administration It is proposed that the administration of Health Services be provided by two divisions - Division of Primary Care/Public Health and the Division of Secondary and Tertiary Care. While these division's services are related, their differences in program development, level of care, and unique administrative needs suggest a more efficient program will result if administered separately. As discussed earlier, we are suggesting that the Guam/Micronesia Mission's contract be modified on implementation of 96-205 to take advantage of their unique experience and skills in the management of secondary and tertiary care facilities. The division responsible for primary care and public health should be administered by a public health physician with the appropriate support staff Skilled in the areas of primary care and public health. B. Public Health The recently drafted Five-Year Health Plan for the TT has put "public health” needs as the number one priority in the Health Plan.. It classifies public health programs into two categries (for ease of analysis only). These are: 1) health promotion and protection services, and b) prevention and detection services. The primary focus of the first is the community, while the focus of the second is the individual or family. Obviously there is considerable overlap, yet separation of the two is done purposely to clarify function. As was pointed out under Section V Health Status, many illnesses and deaths in the M.I. (Particularly those of infants, children and women in childbearing years), could be prevented by use of resources available to almost every family: boiling and/or filtering of water; greater attention to personal hygiene; improved food handling methods; improved waste disposal methods; immunization of children; prenatal care; spacing of births; use of basic first aid procedures; and improved nutrition. These represent just a few of the ways Marshall Island residents could improve their health. However, before people can effectively use these mechanisms to promote health, they must understand the relationship between health, illness and daily living habits and they must be motivated to make the required changes in lifestyle as expressed in the Five-year Health Plan (pp. 227):