x/ Medical Records Technicians - 1 at Majuro and 1 at Ebeye Med*cal Recoras Clarks - 3 at Majuro ana 1 at tbeye There are training sites for some of these personne] at the University of the South Pacific and the College of Micronesia. Since the numbers of personnel needed in each area are so few, it does not warrant conducting special training schools in the Marshall Islands other than that of on-thejob training. training site Each need must be and fulfilled individually evaluated for the proper with an appropriate participant manpower training program. SUMMARY OF HEALTH MANPOWER RECOMMENDATIONS Establish scheme of service ladder for upgrading personnel in medical and nursing cadres. Improve health manpower administrative structure and develop incentives for recruitment of health personnel and improvement of morale. Emphasize and support health care on the outer islands by creation of five divisions: 1) Primary Care/Public Health, 2) Secondary Care, 3) Support Services, 4) Planning and Evaluation, 5) Manpower Training. Select and train one community health worker for approximately every 50-75 persons on the outer islands, and upgrade qualified candidates to health assistants. Assign one medical assistant to every atoll, in each health center. Begin the training of 10 medical assistants every year for the next three years and 3-5 every year thereafter. The training to be at the School of Medicine in Suva, Fiji until the school is established at Honiara, Solomon Islands. Immediately select and begin the training of one or more qualified candidates for medical officer or medical doctor training at the School of Medicine in Suva, Fiji and continue to enroll two candidates per year for the foreseeable future. Select appropriate candidates and begin the training of approximately 3-5 nurses for graduate nurse training each year at the School of Nursing of the College of Micronesia in Ponape and Saaipan. Give consideration to providing financial assistance for the move of the School of Nursing of the College of Micronesia from Saipan to Majuro, Marshall Islands. 10. Request the training of practical nurses as needed through the extension division of the College of Micronesia with the training to be provided in Majuro. 15