Recommendations : Communications reliability 24 hours a day, 7 days a week, size of the Marshall Islands can geosynchronous satellite-based systems. be achieved most @ver a region the efifectively using Numberous problems - pplitical, policy, and budgetary - appear to be delaying installation of such a system. A hard wired system appears unrealistic due to low density use and cost of submarine cable network. frequency radio Until a satellite-based system can be installed, high communications must be restored for the outer island maintenance must be provided on a regular basis. replaced with disrupted loan units until repaired. clint#cs. Defective Communicative Preventive units must be liffhks must not be if adequate consultation and emergency service isto be provided. Communication modes at secondary care facilities and supervisary sites must be monitored continuously for emergency traffic.