Secondary and selected certiary care will be made available within the hospitals on Majuro and/or Ebeye. This will require Improvement in the physical plants, equipment, and manpower, but should decrease the expensive referrals to Hawaii. The current contract between the Guam-Micronesia Mission bf Seventh- day Adventists and the Marshall Island Government will befcontinued, but limited to secondary and tertiary care. The Seventh-day Adventist Church has demonstrated competence in hospital management] and has won the confidence of the Marshallese Government. [t woufd have difficulty adequately developing and staffing the other c@mponents of the health care system. Though specific timetables are not developed, the assumption in this proposal is that the MarshallIslandGovernment, should pushy towardself- sufficiencyinmanpower, This requires a strong emphasiq ro which is detailed. on training