nutrition/health classes at the school or caurch.
special screening days for particlar problems, possibly in conjunction
with visiting health specialists i.e.
1.
c.
dental screening (dentist)
2.
diabetes/hypertension (internist)
3.
orthopedic problems (orthopedist)
4.
eye problem screening (ophthalmologist)
organization of weekly/monthly “clean-up” days, building of latrines,
penning of animals
joint
work
with
agricultural
extension
agent
in
food
production
extension and education activities.
minimum maintenance/repair of clinic facility and equipment
organization of special activities and classes for the elderly (besides
home health counselling)
statistical surveys/record keeping for assessment of health status and
need
training of community leaders and other volunteers in basic first aid
and health promotion skills
supervision, resupply and upgrading of traditional birth attendants
Other activities as determined by community and health care system
Hospital Services
1.
Secondary Care
Majuro:
The
hospital
at
Majuro
will
be
the
“major
health/hospital facility (100 beds) in the Marshall Islands.
It is
proposed that the level of care available be significantly upgraded.
This will require major changes in physician staffing, equipment, and
support services from present levels.
With
medicine,
the
primary
pediatrics,
care
physician
services
obstetrics/gynecology,
and
such
as_
internal
general
surgery,
nearly all of the medical/surgical problems encountered in the Marshal]
Islands can be adequately treated at Majuro or Ebeye hospitals.
To
provide such services requires not only adequacy in physician services
but all of the support services necessary such as: laboratory, x-ray,
anesthesia, respiratory therapy, critical care unit, etc.
Additional
expertise is planned in the manpower section where one extra physician
is
budgeted to
allow for consultants
22
in
specialized
areas
to make