Some ‘improvement mas come with the Marshall Islands. supplementary initiation cf service from Air This is used and should continue to be used only as a means of distribution since it is significantly more expensive. Recommendations : 1. The problem of not reimbursing suppliers should be taken care of through the administrative structure suggested in section IV. With these suggested changes it should then become more feasible for the funds budgeted for supplies to be available for prompt payment of invoices. A separate department should be set up independent of the hospitals for the organization, coordination, and control of the supply function for hospitals and clinics. The person in charge should have sufficient expertise and experience to handle the inventory control and supply system for a health care system of this size. The physical location of this department can remain at the hospital provided adequate storage space exists. Development and maintenance of standard inventory lists for each of the hospitals and outlying clinics. One list could be developed for use in most of the clinics since their situations will most likely be very similar to one another. Lists such as these would make it very easy for the community health worker or health assistant to determine which supplies they are in most need of. apply to the hospitals. This same reasoning would also As new supplies are adopted, additions and deletions should be made to keep the list up-to-date. Development of usage patterns related to workload so as to be able to establish standing orders of some supplies and anticipate needs of all units. Biweekly communication between the central supply depot and outlying centers with regard to needed supplies so that the central supply depot can make use of all opportunities to keep the outlying units supplied. For example, a particular clinic may be running low on a particular medicine due to a local epidemic. If the central depot is kept aware of the situation, alternate emergency shipments may be arranged for through private boats or through Air Marshall Islands.