5) Blood pressure, diarrhea, skin and eye mecicing S vere often totally lacking or inadequate. 6) Continuing education and supervision in areas of me@icine use and equipment maintenance is lacking. 2) Recommendations: a) Physical plant: One clinic site on each atoll should be designated for upgradi g to a “health center". linics (about The present size and design of the newest Hill-Burton 1000 sq. ft.) is more than adequate for a “health center." Additfional] building of an open-air "group-meeting place" for health education group actfivities, group immunization, pre-natal classes, is needed at most facilities. be attached to present (thatch). structures or built separate out This can either of It should be at least 30' x 30', open at sides (for go ventilation), have a large work table, and wooden benches (or cal material lighting and aised seating built in slab concrete around edge). In addition to the main clinic building (as in the Hill-Burto type) and the “group meeting area," the only other building need is for adequa e housing for the medical assistant and his family adjacent to the clinic available as part of the clinic structure itself). funless it is This dwelling should not be extravagant, but attractive, and large enough for a growing family, Good housing will be a principle motivating factor to induce medical assistants to accept posting to the outer islands. The present Hill-Burton Clinics are designed with: 1. three patient rooms (with cabinets for storage and sink) 2. one small office/reception area 3. one medicine storage and/or examiningroom 4 combined kitchen and sleeping quarters for the health as sistant (could be used as additional holding area or for celiver] of babies) 5. indoor bath/water-seal toilet facilities for patien and health assistant 6. water storage tank and tower (for running water) 7. Outdoor water-seal toilet (separate for outpatients) With additional attached or separate hcusing for the medical assistant and the group meeting shelter, the present Hill-Burton clinic desigr is adequate. Some of the atolls already have these new Hill-Burton facilities in the right places (near the population center and where airport is to be) Island. .@. Arno-Ine Many poulation areas, unfortunately, do not have adequate facilities or they have fallen into disrepair.