‘ef by a strong, and at present expatriate, leader. These divisions are as follows: 1) Primary Care/Public Health, 2) Secondary Care (hofpital staff), 3) Support Services, 4) Planning and Evaluation, 5) Manpower 1. Training. Primary Care This division will be headed by an expatriate physiciah health training, with a Marshallese counterpart who is a Medica] public health training. public health with public Officer with They would be responsible for al] prgmary care and activities. Their staff would consist of Beven medical assistant or graduate nurse specialists, all of whom would have had public health training. These personnel would carry out preventive Jactivities in areas of health education, maternal and child health, communicable diseases, chronic diseases, environmental health and sanitation, nutriti@n, and mental health and social problems. The staff would also include two sdnitarians and four secretaries. 2. Secondary Care . As with most health care institutional operations, there fis need for a large number of personnel to care for acutely il] patients[ that require services 24 hours per day, seven days a week. The secondary care portion of this health care plan requires by far the greatest number of pemsonnel of the entire health care system. Hospital management follows a more of administration and personnel requirements than do rural lear cut plan health care The manpower needs for secondary care can be nderstood by reference to the list of manpower requirements included at the d of Section components. IX, 3. Support Services One of the most important components of a successful healt& that of support services. Without communication, even qualified personne! satisfactorily perform their duties. supplies, care plan is transpqrtation and in the rural areas gre unable to The Division of Support Services would be headed by an expatriate director and due to non-availability of qualified Marshallese personnel each of his section chiefs would also need to initially be expatriates. and Communication Inventory. 4. This includes the Maintenance Officer, the Transportation Officer and the Officer in Charge of Bupplies and Other staff include pharmacists, secretaries, repagrmen, etc. Planning and Evaluation The Division of Planning and Evaluation is essential progress and monitoring of health care functions. The head of for continued Ehis division