“
Some
of
the
patient load.
newer 4ill-Burton clinics were built where
is no veal
trdre
The possibility of dismantling and moving some of these misplaced
Hill-Burton clinics should be explored.
Clinics will probably need rebuilding.
At
least 1/2 - 2/3 df the present
At all “health center" sfite additional
upgraded housing for the medical assistant and the group meeting
elter will be
needed.
Thus it is estimated that 21-25 atolls and islands wil] need
(some may need two because of the size and remoteness of
lagoons).
Health Centers
islands within the
Probably 5-7 of them are presently adequate except for|minor repair,
leaving 16-18 needing total replacement.
Some of the smaller atolls and islands
(which will only have health assistants due to low populations) will need only a
small clinic and many already have one i.e. Ujae.
Some criteria ame stated below
for the physical facilities, along with preventive maintenance sliggestions and
some equipment recommendations.
Recommendations:
1.
It is recommended that the clinic size be maintained
Bt about 1,000
Square feet maximum.
2.
Alumninum
(preferably)
roofs
should
be
used
where
Furthermore this roof should be used for water catchment]
possible.
draining to a
cistern of sufficient dimensions to provide for dependatile fresh water
year round.
3.
Water seal toilets must be provided, both for patients in
holding beds,
and outpatients who need a separate facility.
4.
Windows and doors must be of a low maintenance type and
durability.
Plastic
is strongly recommended.
considerable
Fibergfass products,
especially in the medicine cabinet areas, are the desirable choices.
5.
Plumbing must be plastic, with all the fittings preferably plastic also.
Pumps
to
raise
water
to
tanks must
be the
simplest]
possible
and
materials for maintenance must be available locally.
6.
The two present superclinics are oversized and underut}lized.
It is
recommended that a standard size clinic-health center befbuilt to serve
Jabor
on
Jaluit
and
the
Superclinics are now present.
Wotje/Wotje
population
[center
where
The existing physical plant on Wotje
could be used for other community services.
Preventive Maintenance needs:
l.
A preventive maintenance schedule must be provided with the equipment,
and the health worker trained to maintain the equipmer t.
Occasional
preventive maintenance checks from the central support service section
on Majuro are needed also.
3