nutrition/health classes at the school or caurch. special screening days for particlar problems, possibly in conjunction with visiting health specialists i.e. 1. c. dental screening (dentist) 2. diabetes/hypertension (internist) 3. orthopedic problems (orthopedist) 4. eye problem screening (ophthalmologist) organization of weekly/monthly “clean-up” days, building of latrines, penning of animals joint work with agricultural extension agent in food production extension and education activities. minimum maintenance/repair of clinic facility and equipment organization of special activities and classes for the elderly (besides home health counselling) statistical surveys/record keeping for assessment of health status and need training of community leaders and other volunteers in basic first aid and health promotion skills supervision, resupply and upgrading of traditional birth attendants Other activities as determined by community and health care system Hospital Services 1. Secondary Care Majuro: The hospital at Majuro will be the “major health/hospital facility (100 beds) in the Marshall Islands. It is proposed that the level of care available be significantly upgraded. This will require major changes in physician staffing, equipment, and support services from present levels. With medicine, the primary pediatrics, care physician services obstetrics/gynecology, and such as_ internal general surgery, nearly all of the medical/surgical problems encountered in the Marshal] Islands can be adequately treated at Majuro or Ebeye hospitals. To provide such services requires not only adequacy in physician services but all of the support services necessary such as: laboratory, x-ray, anesthesia, respiratory therapy, critical care unit, etc. Additional expertise is planned in the manpower section where one extra physician is budgeted to allow for consultants 22 in specialized areas to make