— --
nutrition/health classes at the school or caurch.
special screening days for particlar problems, possibly in conjunction
with visiting health specialists i.e.
l.
dental screening (dentist)
2.
diabetes/hypertension (internist)
3.
orthopedic problems (orthopedist)
4.
eye problem screening (ophthalmologist)
organization of weekly/monthly "clean-up" days, buildigg of latrines,
penning of animals
joint
work
with
agricultural
extension
agent
in
od
production
extension and education activities.
minimum maintenance/repair of clinic facility. and equip ent
derly (besides
organization of special activities and classes for the
home health counselling)
statistical surveys/record keeping for assessment of he Ith status and
need
training of community leaders and other volunteers in
asic first aid
and health promotion skills
supervision, resupply and upgrading of traditional birt&
Other activities as determined by community and health
attendants
fare system
Hospital Services
1.
Secondary Care
Majuro:
The
hospital
at
Majuro
will
656
the
major
health/hospital facility (100 beds) fn the Marshall I
ands.
It is
proposed that the level of care available be significa tly upgraded.
This will require major changes in physician staffing,
quipment, and
Support services from present levels.
With
medicine,
the
primary
pediatrics,
care
physician
services
obstetrics/gynecology,
and
such
as
internal
gen ral
surgery,
nearly all of the medical/surgical problems encountered 7
the Marshal]
spitals.
Islands can be adequately treated at Majuro or Ebeye
To
provide such services requires not only adequacy in phys cian services
but all of the support services necessary such as: labo atory, x-ray,
anesthesia, respiratory therapy, critical care unit, et .
Additional
expertise is planned in the manpower section where one e tra physician
is
budgeted to allow for consultants
22
in
specialized
reas to make