Project evaluation report : provision of health and dental services for Grenada

invasion in 1983. Project HOPE specialists were largely volunteers, with physicians staying an average of two months. While they performed well and Project HOPE meet its targeted goals, the Grenadian physicians were unsatisfied. Their major complaints were the rapid turnover of American physicians, and Project HOPE's emphasis on training, when Grenadian specialists were mostly concerned about service. Project HOPE's technical support was competent and valued by the Ministry of Health. These activities are deserving of continued support from A.I.D. after the life of the project. Four recommendations are provided to help Grenada develop a self- sustaining and affordable health care system: (1) promote self-reliance in health personnel development; (2) promote development of appropriate and affordable health services; (3) promote assistance in areas of health related to economic development (e.g., environmental sanitation); and (4) make the best use of obligated but unexpended funds under the present cooperative agreement. A strategy for achieving these objectives should emphasize: affiliation with the University of the West Indies; health planning and financing based on an improved information system; and environmental sanitation. (Author abstract)