Because this is an entirely new concept, both to BNL and the Marshallese,

it should be implemented slowly, and should respond only to perceived needs, at
first.

By allowing the staff health educator freedom to do staff development as

well as provide consumer/patient education, she is likely to be viewed as a

credible professional by both groups.

It also assures she will be assimilated

into the working team and will find it easier to recruit educational resources

from the professional staff.
Her key liaisons on each island will be the president of the women's club,
the queen,

the health aide,

the minister and the school teacher.

It is expected

the trip leader will establish liaison with the magistrate and the iroij,

if ap-

propriate.
As the idea generates more demand for programs, health educator/RN or PA's

(US-trained physician's assistants or medex or Fiji-trained medex) should be
recruited fc

each island to work with the indigenous health facilitators.

Marshallese or other Micronesians are available,

sideration,

If

they should be given first con-

If not, former Peace Corps volunteers who have gone back for

medical training would be good job candidates, since they are familiar with the
Marshall Islands and speak Marshallese.

This program should work directly with

the one currently being conducted by Dr. Naidu, which addresses the effects of

radiation in man.

It will be desirable to "share" educators.

Based on response to meetings held with women's groups on Rongelap and
Utirik, on the May-June,

1979 Survey, the women would like programs on nutrition

(aimed at weight reduction) on each island.

In addition, on Rongelap, the women

want to know how to care for acute and chronic otitis media in their children.
On Utirik, a dental health program, with supplies, was requested.

All of these

requests, along with previous requests for education programs on diabetes and

Select target paragraph3