x11 Rates of pregnancy/delivery complications in the Outer Islands (except for hyperemesis and prolonged Yabor) are far lower than in the other two locations. g) Immunization levels are low throughout Marshall District. There- fore there is a large population at risk in case of communicable disease outbreaks. ?. Health Services: In general, providers and the general public consider the providers of medical care to be well trained and capable of delivering quality health care. The exception to this is that practically all dispensary users were dissatisfied with the present level of skills of the Health Assistants. Most consumers of health care expressed dissatisfaction with the use of Medex in the delivery of health care at the hospital. The majority of problems expressed by the consumers of health care regarding the heatth system have to do with the administration: - Lack of availability of physicians at the hospital during weekends, nights, etc. - Lack of controls to assure delivery of quality medical care, such as the performing of physical examinations before prescribing medications. Other problems of health care have to do with public expectations of the level of professionalism and diligence from the health providers. The consumers often complained about the unfriendliness and lack of courtesy of certain nurses; as physicians taking time for coffee breaks while 50091 bb