P-commendations 1. Maintenance of a health education “office” within the Public Health division. Develop educational materials for use by health workers and in the community at large, e.g. through radio. Coordinate workshops and demonstration projects to upgrade the educational skills of primary health care workers e.g. medex and health assistants. Set targets, design plans and monitor changes in knowledge, attitudes and practices within the community. 2. Maternal and Child Health Maternal and Child Health activities include antenatal, natal and postnatal care, family planning, immunizations, nutrition education, ~ well child care school health and other health care needs of the mother and child. This group is at particular risk, as shown by a relatively high infant mortality rate. As with other public health services, usually only Majuro and Ebeye have organized maternal and child health care available. such And even in these centers certain components of care, as antenatal and postnatal visits, family planning and nutritional advice are poorly utilized. Most aspects of maternal and child health care can and should be provided through the primary care network. There does not seem to be a major problem in the Marshalls with males providing maternal and child health services except to their own relatives. There are traditional birth attendants (TBA's) who relate to the health personnel and assist in or provide delivery services, but no formal midwifery training has been provided. Family planning activities are still difficult to discuss culturally but it is expected this resistance will gradually change and family planning will become an important maternal and child health component. Immunization services and school health should continue as important components and will coordinate with the communicable disease section and Ministry of Education respectively.