XI.
Proposed Sudget
A.
Administrative
Administrative responsibility for the budget will be wi th the
Financial Intermediary/Program Implementor (FIPI).
This enti Ly will
be responsible for providing whatever reporting and control i
required
by the U. S. Government.
be account-
It is not anticipated that FIPI wil
able for that portion of funding provided by the Marshal? Is] nds.
In
addition to monitoring and reporting on how U. S. funds are s ent, it is
suggested that the FIPI be responsible for the development off budgets and
future U. S. funding requirements for health care in the Mars all Islands.
The budget which follows represents an estimate of total costs for
the indicated year.
No attempt has been made to identify the U. S. portion
and the Marshall Islands portion.
For example, for FY 1980 the Marshall
Islands health care budget is approximately three million.
budget is close to eleven million dollars.
T e recommended
In theory the amo nt to be
provided under 96-205 in year one would be about eight millio
dollars.
It is beyond the scope of this study to recommend what the pa ticipation
of the Marshall Islands should be in funding this share of th
costs.
health care
Since this is something to be worked out by the two g vernments,
it was decided to develop a total cost budget with the level Df funding
to be determined by the two governments at a later date.
B.
Primary Care/Public Health
As might be expected, supplies, equipment and personnel costs repre-
sent the major budget items.
Although the population is onl
sand, there are twenty-six atolls with populations requiring
thirty thouprimary care.
Because of the obvious transportation and communication probipms presented
in the Marshall Islands, this level of care is more costly t
found for the same population with a different geography.
n would be