é
For example, the Ministry of Public Works builds and
wastewater and drinking water systems, but the Ministry of H
tests the water for potability.
apparent.
aintains
the
Ith Services
Very little coordination between the two js
The Public Health Division is responsible for nutrifiion education
through the section of Health Education.
Nevertheless, nutritfion education
is also covered by the Schoo! Lunch Program run under tha
Education and additional
department as well.
nutrition work is done by the th
Further uncoordination is seen in the
Ministry of
agriculture
ea of mental
health and susbstance abuse (alcoholism, drug abuse, suicide,
tc.).
services are generally provided by separate entities in th
Ministry of
These
Social Services as well as that which is provided by the Minis try of Health
Services.
In summary,
health promotion and protection services
prevention and detection services are scattered throughout t
and
health
government.
Their location jn the government structure reflects the dispar te sources of
federal
grants-in-aid
which
started
them.
As
a
result
considerable
duplication of services and inefficiency is common..
Recommendations
It is not the purpose of this report to recommend changes le whole MIG
structure.
What is needed though, is that the Ministry of Healt
Services not
add to the problem by being uncoordinated within its own organiza ion.
Thus, it is recommended that al] Federal categorical grant programs i.e.
crippled
children's,
meals-on-wheels,
hypertension,
traditional "public health" programs i.e.
control, maternal
and
child
health,
as
wel]
as
the
more
immunizations, commun) cable disease
be put
Care/Public Health Services (see Org. Chart).
under
one
Divisi
of
Primary
Besides the above me tioned public
health activities, this division will manage the entire primary ca te (dispenary)
system on the outer islands {see section VI-B).
10