pre-natal services delivery and post-partum services, and other obstetrical and gynecologic services child health services (for children of all ages not just “under-fives" or “school age", etc.) prevention/detection services for all desiring them i.e. immunization, detection and prevention of malnutrition, health education, screening tests for hypertension, hearing loss, etc. communicable disease control as well as education i.e. parasites, TB, leprosy health promotion counselling services i.e. smoking, alcohol, drugs, mental health family planning-child spacing services emergency curative services i.@. injuries, drownings, poisonings chronic disease problems i.e. insulin shots for diabetics, etc. b. Organization, supervision and stockingof clinic: The clinic facility should be stocked, equipped, and organized in such a way that any preventive or curative service required by a patient can be delivered efficiently and quickly at one site. To achieve this several other things need to be done: There is the need for one single “integrated" medical record system that utilizes individualized forms on which al] information can be written irrespective of the types of services delivered. Separate forms for each kind of service delivered should be discontinued i.e. separate forms for maternal] health, child health, general physical, etc. Streamlining of the record system will mean less work for the health worker and will be more meaningful to the patient. result. Accuracy in data gathering should also increase as a In this regard the use of a patient-retained comprehensive health care form is to be tested. The latter is a system in which most records are kept by the patient in a plastic bag and carried by him/her to wherever health services are delivered. This encourages patient cooperation and means all relevant background medical data is always available whether the patient is at a home island clinic or at another clinic away from home. been found to work particularly well This system has where the population spatially mobile (as is the case in the Marshalls). is Use of the radio for data reporting (i.e. monthly visits) is to be tried as a ee a 1.