P s-ommendations 1. Maintenance of a health education “office” within the Public Health division. Develop educational materials for use by health workerB and in the community at large, e.g. through radio. Coordinate workshops and demonstration projects to upgrade the educational skills of primary health care workers @.g. medex and health assistants. Set targets, design plans and monitor changes in knowledpe, attitudes and practices within the community. 2. Maternal and Child Health Maternal and Child Health activities include antenatlal, natal] and postnatal care, family planning, immunizations, nutritibn education, ~ well child care school health and other health care needsfof the mother and child. This group is at particular risk, as shown byfa relatively high infant mortality rate. As with other public health services, usually only Majuro and Ebeye have organized maternal andj care available. such as child health And even in these centers certain components of care, antenatal and postnatal visits, family @lanning and nutritional advice are poorly utilized. Most aspects of maternal and child health care can provided through the primary care network. There does not] Bnd should be seem to be a major problem in the Marshalls with males providing maternal and child health services except to their own relatives. There arb traditional birth attendants (TBA's) who relate to the health personne] and assist in or provide delivery services, but no formal midwifery| training has been provided. Family planning activities are still difficult} to discuss culturally but it is expected this resistance will gradually change and family planning will become an important maternal and [child health component. Immunization services and school health shoul continue as important components and will coordinate with the communifable disease section and Ministry of Education respectively.