er recommendations : Communications reliability 24 hours a day, 7 days a week, over a region the size of the Marshall Islands can geos ynchronous satellite-based systems. be achieved most effectively using Numberous problems - political, policy, and budgetary - appear to be delaying installation of such a system. A hard wired system appears unrealistic due to low density use and cost of a submarine cable network. Until a satellite-based system can be installed, high frequency radio communications must be restored for the outer island maintenance must be provided on a regular basis. replaced with disrupted loan units until repaired. clinics. Preventive Defective units must be Communicative links must not be if adequate consultation and emergency service is to be provided. Communication modes at secondary care facilities and supervisory sites must be monitored continuously for emergency traffic.