5)
Blood
pressure,
diarrhea,
skin
and
eye mecicing S
vere
often
totally lacking or inadequate.
6)
Continuing education and supervision in areas of me@icine use and
equipment maintenance is lacking.
2)
Recommendations:
a)
Physical plant:
One clinic site on each atoll should be designated for upgradi g to a “health
center".
linics (about
The present size and design of the newest Hill-Burton
1000 sq. ft.) is more than adequate for a “health center."
Additfional] building
of an open-air "group-meeting place" for health education group actfivities, group
immunization, pre-natal classes, is needed at most facilities.
be attached to present
(thatch).
structures or built
separate out
This can either
of
It should be at least 30' x 30', open at sides (for go
ventilation), have a large work table, and wooden benches (or
cal
material
lighting and
aised seating
built in slab concrete around edge).
In addition to the main clinic building (as in the Hill-Burto
type) and the
“group meeting area," the only other building need is for adequa e housing for
the medical
assistant and
his
family adjacent to the clinic
available as part of the clinic structure itself).
funless it is
This dwelling should not be
extravagant, but attractive, and large enough for a growing family,
Good housing
will be a principle motivating factor to induce medical assistants to accept
posting to the outer islands.
The present Hill-Burton Clinics are designed with:
1.
three patient rooms (with cabinets for storage and sink)
2.
one small office/reception area
3.
one medicine storage and/or examiningroom
4
combined kitchen and sleeping quarters for the health as sistant
(could be used as additional holding area or for celiver] of babies)
5.
indoor
bath/water-seal
toilet
facilities
for
patien
and
health
assistant
6.
water storage tank and tower (for running water)
7.
Outdoor water-seal toilet (separate for outpatients)
With additional attached or separate hcusing for the medical assistant and
the group meeting shelter, the present Hill-Burton clinic desigr
is adequate.
Some of the atolls already have these new Hill-Burton facilities
in the right
places (near the population center and where airport is to be)
Island.
.@.
Arno-Ine
Many poulation areas, unfortunately, do not have adequate facilities or
they have fallen into disrepair.