Ja
outside agencies which they do not have much control over (as hasbeen the case
with the Trust Territory Health Services Administration in the pakt).
is recommended that the proposed planning unit be administratively
Thus, it
tied directly
to the Ministry of Health Services and that it work closely with} the Nitijela,
the Health Coordinating Council (it if remains functional), and the
Health Services (see Organization Chart,
Section IV A).
Secretary of
As [noted in the
Organization Chart, the Planning/Evaluation Unit will be on the same level as the
ather main divisions.
This wil] assume it has both the independgnce and clout
needed to fulfill its role.
It should be stressed that the planners (if expatriate) must} be willing to
adapt their planning methodologies to the traditional political system found in
the M.I.
Complicated Health Services Administration-type planning
as used in the U.S. are not approriate here.
health
planning
for
developing
The planners must hav@
countries
and
the
support
consultants of various categories will be needed, i.e. social sci
methodologies
experience in
d
backup
by
tists, survey
statisticians and epidemiologists.
2.
Manpower
There is not available locally personnel who have the statistical, planning,
and epidemiological expertise needed to adequately supervise the
Bystem.
It is
recommended that for at least five years a full-time expatriate planner/evaluator
and a statistician/epidemiologist be hired.
As soon as possible, promising
Marshallese should be sent for advanced training in statistics
d planning so
that the expatriates can be phased out.
There is also need for an expatriate hospital medical recordg
assist
in
revamping
that
system.
This
person
could
also
planning/evaluation unit particularly in the design and upkeep
technician to
assist
in
the
pf the clinic-
based patient record keeping system.
3.
Vital Statistics Gathering
It is recommended that this unit make as its first priority|the testing of
other alternatives to the existing vital statistics and medica]
i.e. a patient-retained record system.
record system
The latter would be tofcounteract the
double problems of a highly mobile population and the custom off
frequent name
changes.
data gatering
The possible utilization of the radio for selectiv
should also be tested.
In addition the design of a planned schediile of periodic
sample surveys to assess program effectiveness needs to be done.