Pacific Partnerships for Health Charting a Course for the 21st Century (1998) / Chapter Skim
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1 Introduction
1 Introduction
Pages 15-22
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From page 15... ...
These include: administrative structures that emphasize hospitalbased acute care; the long distances that must be covered to provide care to people in remote areas; dependence on foreign aid; inadequate fiscal and personnel management systems; poorly maintained and equipped health care facilities; the enormous costs involved with sending patients off-island for tertiary or specialized care; and shortages of adequately trained health care personnel. In many cases, the island jurisdictions are also contending with significant social change brought about by incredible population growth, rapid economic development, and a shift away from a way of life based on communal 15
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STUDY APPROACH To undertake the requested study, IOM's Division of Health Care Services and Board on International Health convened a 12-member study committee, with experts in primary health care, education, international health, mental health, and public health (see Appendix A for a complete list of committee members and their brief biographies)
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U.S. INVOLVEMENT WITH THE REGION The ties that bind these Pacific islands to the United States have been forged largely within the past century from ties through trade and religious missions to ties with the United States as the United Nations-approved trust administrator and the preeminent funder of much of the region's economic activity and its social and health services.
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During its occupation, thousands of Japanese citizens immigrated to the islands and helped to develop an extensive infrastructure of roads, schools, and hospitals. After World War II, the United States reclaimed control over Guam.
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In the aftermath of the Cold War, a strong military presence remains a priority for the United States and its partners in Asia. The United States is obligated to protect Japan, Taiwan, and through the Compacts the freely associated states from external threats.
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980s, all parties agreed that the United States should remain involved with the region's health care. Today several federal agencies provide health-related services and funding to the region, including several agencies of the U.S.
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By documenting the health status and treating the Marshallese islanders and the U.S. military personnel exposed to radiation during nuclear weapons tests during the 1940s and l950s, for example, the United States has learned a great deal about radiation and its effects on human health (Howard et al., 1995~.
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