— -- nutrition/health classes at the school or caurch. special screening days for particlar problems, possibly in conjunction with visiting health specialists i.e. l. dental screening (dentist) 2. diabetes/hypertension (internist) 3. orthopedic problems (orthopedist) 4. eye problem screening (ophthalmologist) organization of weekly/monthly "clean-up" days, buildigg of latrines, penning of animals joint work with agricultural extension agent in od production extension and education activities. minimum maintenance/repair of clinic facility. and equip ent derly (besides organization of special activities and classes for the home health counselling) statistical surveys/record keeping for assessment of he Ith status and need training of community leaders and other volunteers in asic first aid and health promotion skills supervision, resupply and upgrading of traditional birt& Other activities as determined by community and health attendants fare system Hospital Services 1. Secondary Care Majuro: The hospital at Majuro will 656 the major health/hospital facility (100 beds) fn the Marshall I ands. It is proposed that the level of care available be significa tly upgraded. This will require major changes in physician staffing, quipment, and Support services from present levels. With medicine, the primary pediatrics, care physician services obstetrics/gynecology, and such as internal gen ral surgery, nearly all of the medical/surgical problems encountered 7 the Marshal] spitals. Islands can be adequately treated at Majuro or Ebeye To provide such services requires not only adequacy in phys cian services but all of the support services necessary such as: labo atory, x-ray, anesthesia, respiratory therapy, critical care unit, et . Additional expertise is planned in the manpower section where one e tra physician is budgeted to allow for consultants 22 in specialized reas to make