The Marshai:
1
i
Islands Government has served as a most important source
of information, insight, understanding and background.
We wewe fortunate to
meet with the king, president, ministers of health, finance,l resources and
development,
communication,
the
chief
secretary,
many
ministerial secretaries, and personne] in the operational le
health department.
pf
other
the
Is within the
Also brought into discussions were the Gham-Micronesia
Mission subcontractors who are currently managing the healthicare system.
Half of the atolls and islands were visited, including:
ajuro, Ebeye,
Enewetak, Rongelap, Utirik, Mejit, Wotje, Likiep, Maloelap,
ilinglapalap,
Visits on these islands were all wel
received and
The team was able to visit and study both hospita
, both super
Arno, Jaluit and Mili.
useful.
clinics, and over a third of the dispensaries.
with local
leaders, magistrates,
On each islan
Iroij, alab, councils, chief secretary
representatives, health personnel, and other local people.
group meetings were held.
the team met
Four survey instruments were used
any extensive
dealing with
the health facilities, clinic personnel, general information, environmental
and resident needs assessment (samples are in Appendix G).
gathered
a great
deal
of
information,
from which
plans
These surveys
pplicable to
currently existing needs and project demands can be built.
C.
Assumptions
The following represent major activities that are being mplemented by
the Marshallese Government independent of the existing health budget.
obviously
impact
the
health
care
system
and
this
prop sal,
so
They
its
relationship to each is discussed.
1.
Majuro Hospital
Plans are currently being discussed regarding the buil ing of a new
The current hospital is in poor physical
ondition and
the land where it is located "must" be returned to its owner
t the end of
hospital in Majuro.
the 25 year lease in 1981.
The possibility of constructing an “interim”
facility is being considered, which could later serve as
clinic.
n outpatient
Neither the advisability of rebuilding vs. renov ating nor the
budgetary implications are dealt with in this proposal.
2.
Nursing School
The Board of Regents, College of Micronesia has recent] y|voted to move
its nursing school from Saipan to Majuro.
Funding for this m t builiding
requirements on Majuro,. available faculty, etc. are unclear
the present