Sof
Two budget items require special comment, training and
tion.
mew construc-
A major concern throughout the development of the progwam has been
providing for the training of individuals so the Marshall Is]
ds in time
can use more and more of their own people.
may appear
For this reason i
to be an over-budgeted item but in part is cost effective and
ulturally
desirable.
The other item, construction, is a result of the fact t
t from a
practical point of view, housing is going to have to be provi
d to the
Medical Assistant/Health Assistant on the atolls. There is 13
le avail-
able housing and in one instance they had to leave an atoll b
ause of
this.
It becomes a major budget item in years two thru five
this re-
presents the timing for individuals coming off training progr
C.
Secondary/Tertiary Care
As with any health delivery system, costs for this level of care are
the highest single component of the system.
Contributing to
e cost are
the short useful life of equipment and maintenance costs beca
e of the
hostile environment (climate).
roved main-
It is anticipated that with i
tenance the average useful life of most equipment will be thr
to four
years.
As discussed in the previous section, training and upgr
ing of per-
sonnel is something that must be included early in the progra
We have not budgeted for any major renovation of the Maj ro Hospital,
as it appears that a new one will be built.
Since it seems t
be beyond
the scope of this study and there are funds already available
or this new
hospital, it was not included in this budget.
nae and a
Should plans c
new hospital not be built, this could bea major addition to t
health care delivery system.
cost of the