well. A sample of a child home based medical record is in the Appendix. 2. Medical supplies and equipment (i.e. teaching/counselling aides, contraceptives, food supplements) must be immediately on hand in the premises. Furthermore, the resupply and inventory system should be tied directly to the patient-care record system. 3. The primary care worker must be trained in al] the skill areas expected and given the opportunity to practice such an integrated approach under appropriate supervision. It will be difficult for this concept to be put in practice by the primary care worker unless he has seen it work, is convinced it is better, and has the chance of trying it out. 4. The need for continuing and timely positive support and constructive supervision from the central office by specialists of several kinds is mandatory i.e. health educators, public health Nurses, sanitarians, nurse-midwives, etc. 5. Upgrade the communications system to allow for guaranteed contact with a higher trained health professional, whenever that contact is deemed necessary by the clinic worker. This may be through a walkie-talkie type radio contact with the main clinic where a "beeper" or other device is always being monitored by someone (the wife) who can go call the medical assistant. The medical assistant in turn will be the main contact person with the central facility in Majuro or Ebeye if consultation is required. an emergency call for referral or At all times of the day the medical assistant will have a supervisory medical officer or physician on call at Majuro or Ebeye to answer questions and to decide whether referral is needed. 3) Community Health Activities Besides specified hours allotted at the clinic for “walk-in" curative and preventive services oriented to the individual patient, there will also be other regular periods scheduled for specified community health activities (these may be on a daily, weekly, monthly or other schedule as befitting local needs). It will be the duty of the primary care worker to lead out in such activities as: “at