~ Medical Records Technicians - 1 at Majuro and 1 at Ebey Med‘cal Recoras Clerks - 3 at Majuro and 1 at Ebeye There are training sites for some of these personnel] at [the University of the South Pacific and the College of Micronesia. Since fhe numbers of personnel needed in each area are so few, it does not warrant conducting special training schools in the Marshall Islands other than tilat of on-thejob training. training site Each need must be individually evaluated ffr the proper and fulfilled with an appropriate particigant manpower training program. SUMMARY OF HEALTH MANPOWER RECOMMENDATIONS Establish scheme of service ladder for upgrading personnel iff medical and nursing cadres. Improve health manpower administrative structure and develop jncentives for recruitment of health personnel and improvement of morale. Emphasize and support health care on the outer islands by crdation of five divisions: 1) Primary Care/Public Health, 2) Secondary Card, 3) Support Services, 4) Planning and Evaluation, 5) Manpower Training. Select and train one community health worker for approximately every 50-75 persons on the outer islands, and upgrade qualified candidafes to health assistants. Assign one medical assistant to every atoll, in each health canter. Begin the training of 10 medical assistants every year for the next three years and 3-5 every year thereafter. The training to be at Fhe School of Medicine in Suva, Fiji until the school is established at Homiara, Solomon Islands. Immediately select and begin the training of one or more qualiffed candidates for medical officer or medical doctor training at the School qf Medicine in Suva, Fiji and continue to enroll two candidates per year for t§e foreseeable future. Select appropriate candidates and begin the training of approximately 3-5 nurses for graduate nurse training each year at the School of fursing of the College of Micronesia in Ponape and Saaipan. Give consideration to providing financial assistance for th@ School move of the of Nursing of the College of Micronesia from Saipqn to Majuro, Marshall Islands. 10. Request the training of practical nurses as needed through division of the College of Micronesia with the training to Majuro. 15 [the extension provided in