MINISTRY OF HEALTH IN THE REPUBLIC OF THE MARSHALL ISLANDS
Competitive Funding Application for Capital Improvement Program for Consolidated Health Center Programs ?Creating Culturally Competent, High Quality Healthcare through Broad Community Outreach?
Applicant Name: Ebeye Community Health Center/RMI Ministry of Health
Address: PO Box 5219, Ebeye, Republic of the Marshall Islands, MH 96970
Contact: Ms. Irene A. Paul (692)-329-8030 extension 269; fax: (692)-329-3385
E-mail: email@example.com or firstname.lastname@example.org
Existing Federal Funding: Community Health Center (CHC) 330e and Increased Demand for Services (IDS) Grant
Funding Requested: Capital Improvement Funding for Alteration/Repair/Renovation of an Existing Satellite Service Site and Equipment Purchase for Main Health Center Site
Ebeye CHC is the sole healthcare provider to over 15,000 Marshallese residents of Kwajalein Atoll. The main health center is located in Ebeye but services are also provided to other communities within the atoll through outer-island health dispensaries.
The dispensaries were built in the 1990s to provide primary health services and modest emergency services before they can be transported to the main health center. Most islands are lacking in development and only accessible by boat. Thus, access to health services for the people in these islands heavily relies on the resources available in the dispensary units. Over the years, the units have pretty much deteriorated in almost every aspect. The cost of building maintenance and repair is a big financial burden to our program. Because most of the islands do not have adequate utility systems in place, the dispensaries need to have built-in solar power panels and water catchments to run the clinics properly. The building itself has also deteriorated a lot and lack of adequate clinical equipments limit the providers in doing their work. For these reasons, people in the community tend to come in late for health care intervention because of the limited services available. They began to rely more in the periodic visits of the outreach teams which doesn?t come very often. In the end, health disparities rose in these areas.
The main health center meanwhile has improved its services in general. Still, there are some critical issues that remained unanswered. Radiology services needs to be improved and machines upgraded. The old x-ray machine has frequent mechanical problems which shut down the services for weeks ? sometimes for months. This has caused complaints from medical providers who need this diagnostic capability regularly in performing their clinical work. Maintenance and repair of these outdated machines is too costly to keep. Medical waste management is also a problem. Currently, all medical wastes are only brought to the dump area and burned in a shallow pit. Equipments for proper infectious waste management need to be acquired. Lastly, the health center is in need of two new dental units to maintain full operation of dental services.
The purpose of this application is to support capital improvement projects that will address the needs stated and improve the health outcomes in the community.