by a strong, and at present expatriate, leader. These divisions are as ms, follows: 1) Primary Care/Public Health, 2) Secondary Care (hospital staff), 3) Support Services, 4) Planning and Evaluation, 5) Manpower Training. 1. Primary Care This division will be headed by an expatriate physician with public health training, with a Marshallese counterpart who is a Medical Officer with public health training. public health They would be responsible for all primary care and activities. Their staff would consist of seven medical assistant or graduate nurse specialists, al] of whom would have had public health training. These personnel would carry out preventive activities in areas of health education, maternal and child health, communicable diseases, chronic diseases, environmental health and sanitation, nutrition, and mental health and social problems. The staff would also include two sanitarians and four secretaries. 2. Secondary Care As with most health care institutional operations, there is need for a large number of personnel to care for acutely il] services 24 hours per day, seven days a week. patients that require The secondary care portion of this health care plan requires by far the greatest number of personnel of the entire health care system. of administration components. Hospital management follows amore clear cut plan and personnel requirements than do rural health care The manpower needs for secondary care can be understood by reference to the list of manpower requirements included at the end of Section IX. 3. Support Services One of the most important components of a successful health care plan is that of support services. Without communication, even qualified personne] satisfactorily perform their duties. supplies, transportation and in the rural areas are unable to The Division of Support Services would be headed by an expatriate director and due to non-availability of qualified Marshallese personnel each of his section chiefs would also need to initially be expatriates. and Communication Inventory. 4. This includes the Maintenance Officer, the Transportation Officer and the Officer in Charge of Supplies and Other staff include pharmacists, secretaries, repairmen, etc. Planning and Evaluation The Division of Planning and Evaluation is essential progress and monitoring of health care functions. for continued The head of this division