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.