FY06 College of the Marshall Islands (CMI) - USCompact.org | US

FY06 College of the Marshall Islands (CMI) l.

Progress on Outcomes A. Status of Outcomes, Progress through the end of the 4Q

CMI identified 3 Outcomes. Outcome 10 & 11 both consists of 5 Output Groups. Outcome 12 consists of 1 Output Group. This section provides an overview of the impacts and progress to date in FY06 with regard to the Outputs/Output Groups in each Outcome. Bullet points correlate to impact of accomplishments found in the attached performance matrix. Outcome 10: Improve Academic Performance on Learning Outcomes Output Group 10.1 Improve Academic Performance on Learning Outcomes (Output 10.1.1): Course outlines are reviewed and updated The CAC did not meet during the months of July and August due to the Summer Semester holiday for regular faculty members. Upon the beginning of the 2006-07 academic year, the CAC continued working on completing electronic copies of all updated course outlines. It was discovered that the electronic copies gathered in 3Q were not complete. (Output 10.1.2): Develop and Implement Academic Program The Math Department, along with the assistance of an outside consultant, completed its Program Review and recommended changes are pending approval by the CAC. The Nursing Department has continued its work on it departmental Program Review, and has contracted an outside consultant to assist in making recommendations for changes and updates to the CAC. (Output 10.1.3): Improve faculty and retention Three (3) faculty members were sponsored to attend Summer Courses at the University of Guam in order to help them complete their Bachelor’s Degrees. Approval was given for financial assistance for four (4) faculty members working towards their Master’s Degrees on-line. CMI contracted Dr. Ballendorf from the Micronesian Area Research Center at UOG to present a series of lectures on the history of educational development in Micronesia to the Faculty at Fall faculty orientation, as well as to the public. CMI also contracted a TESOL trainer from the School for International Training (SIT) to train our faculty in TESOL Best Practices. Two (2) new instructors were hired in Fall 2006, one English instructor and one Math instructor. In addition, a replacement JOCV volunteer was supplied by the JICA office in order to continue Japanese language instruction. CMI also lost four (4) full-time instructors due to personal reasons. (Output 10.1.4): Develop and implement student learning outcomes The CAC approved the proposed Student Learning Outcomes for the General Education Core. It also approved the process by which individual course objectives will be assessed throughout Fall 2006.

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Output Group 10.2 - Increase Success Rate Among Students Pursuing Advanced Degrees (Output 10.2.1): Increase number of students seeking advanced degrees The Student Leadership program is successfully running, with 19 students participating in the program. They students assist with teaching the new College Experience 105 course, tutoring and mentoring their peers, and helping run student activities. The summer session of Upward Bound, which ended in July, had an enrollment of 68 students. At the conclusion of the six week summer session, the students and staff traveled to the outer island of Aur to live with host families and learn about traditional Marshallese living and skills. The month of August was spent completing academic year end financial and reporting obligations, properly storing academic files, and helping students complete college applications and admission requirements. Upward Bound has tracked recent graduates, and records show that 48 recent graduates are attending college in six different countries. An additional six students are serving in the United States military, and another five students are currently working in the RMI. The month of September was dedicated to preparing the Fall semester of Upward Bound’s program. Entrance tests were administered, and interviews and screening of applications for students was completed. The Upward Bound TRIO grant is up for renewal, and the office is working with the United States Department of Education to finalize the next grant submission. This is a long process, and this is the first time that the 50+ grant renewal application will be submitted entirely online. (Output 10.2.2): Increase success of students attending institutions of higher learning after CMI The Vice President for Academic and Student Affairs visited Eastern Oregon University in late July and discussed articulation and other issues with college administrators. In the end, while there may be other projects CMI can work on with Eastern Oregon, it is unlikely that CMI be sending many students there, largely because of the poor success rate of Marshallese students who attend that institution. It is doubtful that CMI will pursue the articulation agreement with Eastern Oregon. There are on-going e-mail talks regarding articulation agreements with Dickinson State University and Jamestown College. Conversations are about to start with Ball State University. No agreements have been entered, and no agreements have been discontinued. CMI has long-standing agreements with Chaminade, BYUH, and Hawaii Pacific; however, it is not known if those institutions still honor the agreements or consider them current. CMI purchased 350 copies of a student assessment instrument to measure: Self Assessment: Developing skills and values for personal and career goals Needs Assessment: Identifying priorities for advising, counseling and program strategies Outcomes Assessment: Focusing research on co-curricular learning and institutional or retention effectiveness A small pilot study of these instruments was administered in September, 2006, and a larger scale administration of the instruments has been scheduled for the coming months. A new course, College Experience 105, was introduced during the Fall 2006 Semester. This course, which all new students are required to take, better helps students prepare for college-level life and studies. Output Group 10.3 - Maintain Marshallese Studies Program (Output 10.3.1): Continue to offer Marshallese culture, government, orthography and related courses During Fall Semester 2006, six (6) Marshallese courses are being offered for credit. In addition, a noncredit, 10-week course is being offered in Marshallese culture, history, and society for non-Marshallese employees of the College. The Fall 2006 Faculty Orientation also included a session on Marshallese Culture and its implications towards teaching in the RMI. 5

During the Faculty Orientation, the faculty prioritized and outlined action steps to achieve three visions for CMI. One of these visions was the creation of a Marshallese Institute. In addition, Pacific Literature and Pacific Geography are also being offered in Fall 2006. The college’s Nuclear Institute also saw many visitors during the 4th quarter: Nine students from the SS260: Nuclear Tests in the Pacific visited the office to talk about assignments More than twenty members of the Nuclear Club and their friends visited the office to chat and ask questions related to CMI classes; study; talk about the Nuclear Club; and browse through the books and magazines in the office A student who was taking a BYU extension course came to the office looking for sources of information pertaining to the RMI nuclear issues A married couple visited the office to talk about grant proposals regarding preserving Marshallese history and culture A writer and director for Ecriture-Realization came to the office with her camera crew to conduct an interview for Focus: Project 4.1 A student activity survey was administered to Fall 2006 students to gauge their interest in traditional Marshallese arts, crafts, and customs. As a result of the survey information and in honor of Manit Day (Culture Day), the college offered informal classes in Marshallese skills, such as weaving and coconut husking. One of the CMI counselors has also taken groups of students spear fishing on Friday evenings. This has not only allowed students to practice traditional fishing skills, but only has served as a productive form of weekend entertainment. CMI has also continued offering 1-hour presentations entitled Friday Forum Community Awareness Series, where members of the RMI community discuss timely, relevant issues to attendees. Both members of the CMI community and the general public are welcome to attend these events, and advertisements for the events are placed in the local newspaper, the Marshall Islands Journal. Output Group 10.4 - Develop Vocational Programs to meet RMI Needs (Output 10.4.1): Develop adult and vocational programs to meet RMI needs based on RMI Labor Market Report There are a total of 170 students registered for GED for Fall Semester 2006. Funding for GED for the 2006-07 academic year has been an issue. GED would like to start offering Evening Sessions for adult students during the semester, but this is dependent on finding funding. GED also might re-visit its addendum sites, Ebeye and Jaluit, if funding permits. There is also a growing need for more GED classrooms, as enrollment is growing. Output Group 10.5: Increase Continuing Education Offerings (10.5.1): Expand Adult and Continuing Education Offerings to meet Community Needs The 4th quarter was a break from the regular academic year. This allowed several faculty members to become more involved in community projects and initiatives: Three Education Department faculty members helped with the training of instructors for the Ministry of Education's English Language Institute. Two Education Department faculty and one member of the CMI Library Staff gave 1-2 hour orientation sessions to the new group of World Teach Volunteers. Four faculty members continued the Saturday Morning Story Hour, where members of the community bring their children to come and listen to stories outside of the Alele Museum, the RMI’s National Museum and Library. Some other faculty took the summer time to work on grant funded projects with other RMI Ministries and Offices: 6

A science instructor attended a water quality workshop in Palau. A science instructor and three students participated in research projects under the Undergraduate Mentoring in Environmental Biology (UMEB) project out of the University of Hawaii-Manoa. Four faculty members serve on the Coastal Management Advisory Council (CMAC), an interagency NGO under MIMRA, the Marshall Islands Marine Resources Authority A faculty member help facilitate the All Micronesia Fishing Tournament A science faculty member is the chair of Environmental Committee for the Majuro Chamber of Commerce A science faculty member is the national focal person for the GEF small grants program. Another science faculty member is the Executive Director for the Marshall Islands Conservation Society CMI faculty members have worked at the college’s Arrak campus on a fin fish hatchery with ICDF out of Taiwan. This is a CMI and MIMRA partnership. Other faculty members work with Majuro CARE to hold a weekend science program for middle schools at the Arrak campus. Faculty involvement includes providing curriculum and resources for the program. Preparations are also underway by faculty who will work on the Rongelap monitoring project that will occur in November/December 2006. This project will monitor the effects the resettlement of people will have on the marine resources. Two faculty members also have worked with the High Court to develop law courses. This was done with funding from the United States Ministry of Justice. The college also began a community men’s basketball league and intramural basketball and volleyball leagues for the students. These efforts were meant to provide exercise and friendly competition for the community and students. Due to changes in Compact Funding, CMI has worked with the RMI National Scholarship Board to find funding for previously-funded Federal Work Study and FSEOG students. Outcome 11: Campus Environment: Improve fiscal, personnel, physical plant, student services, governance and planning operations Output Group 11.1 - Improve fiscal operations (Output 11.1.1): Improve Fiscal Operations to include budget policies and guidelines, Long Range Capital Plan, revise Fiscal Procedures to remove audit findings and review management policies The FY07 budget was completed during the 4th quarter, and the budget was approved by the college’s Board of Regents on September 4, 2006. The end of the FY06 was on September 30, 2006, and the Business Office was busy during August and September (a) updating fixed assets information, (b) completing FY06 purchasing orders, and (c) organizing information for the yearly audit. The driving forces of the Fiscal Year 2006-07 budget process were the college’s mission statement and the results of the college’s visioning retreats. Meetings with stakeholders from all college areas participated in the budget meetings, and the group created a list of five (5) priority areas to be included in the budget: Testing/Assessment Instruments – including English testing; Diagnostic testing, and AdvisorTrac, TutorTrac, and ACT assessment – however the group request more details about the last three items to ensure that they meet identified needs for all students and do not simply address a select group of students. Employee Development – for Staff and Faculty, including Consultants to work with Faculty Planning – CCSEE benchmarking surveys for students and faculty Program Reviews (the primary focus was on academic program reviews, although non-academic reviews might be included) – consultants to help with the reviews, use of campus data and research tools (i.e. appropriate statistical software, maintaining the student records database, etc.) 7

Software/Hardware – there are two branches to this priority. (1) instructional software upgrades to ensure that classes are delivered utilizing the latest methods and (2) campus-wide technology upgrades to ensure that software and hardware are kept current. This includes requests for statistical software and student records database information stated in “Planning” above. These five budget priorities further demonstrate an ongoing commitment to assess the effectiveness Output Group 11.2 - Improve student services (Output 11.2.1): Improve Student Services Operations to include development of central computer database, enforcement of Admission policies, and development of additional student services Efforts are underway to upgrade the college’s student database, develop a compatible database for GED and Upward Bound, and implement a Human Resources database with links to the student database. The supplemental student database being developed was tested during the Fall 2006 semester registration process, and adjustments to improve the database are being made. There is an aggressive timetable for implementing all of the new databases, as there is a growing demand for the information. The Fall 2006 Semester Student Activity survey allowed the college to gauge the interests of its current students. This survey, which allowed students to give feedback on over 60 different activities, allows the college to better provide activities and services to its students. Regarding other student services held during the 4th quarter: The Student Development Program held a student retreat at the Arrak Campus. 20 students were involved in the retreat. A three day New Student Orientation was held on August 11, 12, and 14. 85 students attended orientation on the 11th; 125 attended on the 12th; and 75 participated on the 14th. During the 4th quarter, there was increased use of the college’s counseling services, with a total of 151 visits to the counseling center. Part of this increased counseling service use can be attributed to the beginning of the 2006-07 academic year. Output Group 11.3 - Improve personnel operations (Output 11.3.1): Improve Personnel operations to include revision of faculty evaluation process, professional development of employees, revise hiring procedures and revise Personnel Manual In September 2006, the Dean for Academic Affairs, Human Resources Director, Vice President for Academic and Student Affairs, and the Vice President for Research, Planning, and Grants debriefed on the Spring 2006 faculty hiring process. The result of this debriefing was an outline for conducting future hiring processes and ensuring that all hiring processes are conducted in an unbiased, uniform manner. The IT Department and Human Resources Office teamed up to prepare basis computer classes to college employees. Classes will be offered in Marshallese and English and will begin on October 1, 2006. Two additional college employees were hired during the 4th quarter: a Staff Development Specialist and an Assistant Director of Institutional Research. Additionally, an existing employee changed positions and became the Coordinator of Student Athletics and Recreation. A Grants Coordinator position was also advertised, with applications for the position due on October 20, 2006. Output Group 11.4 – Improve Physical Plant operations (Output 11.4.1): Improve physical plant operations to include development of maintenance priorities and development of long-term physical plant master plan A Project Management Unit (PMU) for the redevelopment of CMI’s Uliga campus was a major focus of facilities work for the 4th quarter. A Request for Proposals (RFP) was distributed to the public on July 3, and a pre-proposal conference was held on campus on July 14. Six companies expressed interest in the RFP. Four companies attended the pre-proposal conference, and two companies submitted qualifying 8

proposals. The PMU was awarded to BECA International on August 21, with PMU duties set to begin on October 1. Other facilities work completed during the quarter included: Obtained four houses along the Oceanside of the campus; demolishing these houses, and preparing the space for college use. The space is now a sandy area where numerous college events have already been held. Adding bench seats along walkways on campus. This work was done in response to a request from students for more space to sit, relax, and converse with other students. The contract for constructing the college’s new dormitory (the 1st phase of the Facilities Master Plan) was put out to bid, and the contract was awarded to Pacific International Inc. Output Group 11.5 – Improve governance and planning (Output 11.5.1): Improve governance and planning to include Regents self evaluation, develop comprehensive board policies, and evaluation of President A small visioning retreat was held for the BoR on Aug.14. The purpose of this mini retreat was to not only disseminate information for other campus stakeholder retreats, but also to prepare the BoR members for the AGB-led visioning and mission retreat that will be held Oct. 19-20. At the Sept. 4 BoR meeting, a new shared governance structure for the college was approved. The Executive Council is the central feature of in the college’s shared governance structure. It provides advice to the President; is a clearinghouse for policy matters considered by College Standing Committees; is an essential communications channel across employee groups and to the administration; and contributes to the college-wide planning process. The Faculty Senate, Staff Senate, SBA, and College Standing Committees all have representation on the Executive Council, with the appropriate administrative staff representing the various college Standing Committees (except the CAC which is represented by the Faculty Senate representatives). It should be noted that the Faculty Senate, Staff Senate, SBA, and College Standing Committees do not report to the Executive Council. Rather, members of the Executive Council are charged with reporting activities of their respective committee(s) to the Council and report back to their respective groups (and subordinates, in the case of administrators) the actions of the Council. Outcome 12: Sustainable Development: Increase Agricultural, Aquacultural, Extension Projects Output Group 12.1: Increase agriculture and aquaculture research projects (Output 12.1.1) Increase agriculture and aquaculture research projects The College of Micronesia Board of Regents held their 3rd quarter meeting in August to review and to approve the FY07 proposed budget, which included Cooperative Research Extension initiatives. The COMCRE budget for FY07 was unanimously approved by the board. The CRE programs at CMI, COM-FSM and PCC, come October 1, 2006 will have an approved budget to work with. Two extension agents’ openings were advertised in the Marshall Islands Journal. The CRE Dean is soliciting from local stakeholders on what expertise is needed in order to hire a 3rd Researcher for CRE. So far, the areas where experts are lacking on are in animal feed/husbandry, bio-fuel, and agronomy. The CRE Agriculture Researcher is teaching AG 101: Intro to Agriculture, this semester at CMI. There are 23 students including two CRE agriculture staff attending this course. The Nutrition Extension Agent visited Ebon, Mejit and Jaluit atolls to conduct a workshop on food safety and sanitation, nutrition, and cooking demonstrations. Some of the ingredients used during the cooking demonstrations were taken from the gardens of the individuals who participated in the CRE-CES Food Security Project. The oyster spat project in the 5 selected outer atolls and Majuro is still ongoing. The trainees are still monitoring the oyster spats and communicating with CRE aquaculture personnel on a biweekly basis. The Water Quality Extension Agent visited Ebon and Namu to follow up and interview the community regarding the Solar distillation unit which was set up in the atolls last year. As a result of the trips, it turns 9

out that the units were still in workable condition, but no one was able to set up one in their own backyards due to the fact that they cannot afford to purchase the necessary materials needed to build one. The community asked if CRE can assist in identifying funds for the project. The Extension Agent has begun communication with USDA Rural Development (Farmer’s Home) to see if micro loans can be provided to interested individuals to purchase the materials needed to set up similar units. Hopefully, more information will be provided in next quarter’s report. CRE staff had the opportunity to attend a local or off island sponsored workshop/training to upgrade their work skills. The CRE Dean attended work related meetings pertaining to program. CRE Researchers have written new research proposals addressing RMI oyster spats production and ways to improve RMI soil fertility. These proposals were submitted to USDA Cooperative State Research, Education, and Extension Service (CSREES) for final approval. B. Annual Performance Measures Annual performance measures have been developed by CMI for Outcome 10, 11 and 12. Table 1 below contains this information

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Output and Impacts: CMI Outcome 10: Improve Academic Performance on Learning Outcomes Number and/or percent of courses reviewed/updated Number students seeking advanced degrees (increase)

1Q FY06 39% 1.

2Q FY06

3Q FY06

4Q FY06

100% 2.

3.

1 new course developed 646 (Fall 2006 Semester, as of Sept. 4)

Number Marshallese Studies/related classes offered (constant or increase)

5

6

6 Spring Semester 4 Summer Semester

6 Fall Semester + 1 non-credit course on Marshallese culture (offered in the evenings for 10 weeks) Business: 146 Education: 189 Nursing: 118

Enrollment in Vocational Programs (increase)

Completion rate of vocational students Enrollment in Adult/Continuing Ed

140 Completed in Academic Year 60 Summer GED students

165 (600) on waiting list) for GED 2 Continuing Ed Courses

Completion rate of Adult/Continuing Ed CMI graduation rate (college age) increase

170 GED students (Fall 2006 semester as of September 22, 2006) and 500 on the waiting list

34 GED Graduates 23 Certificates Awarded 80 Diplomas awarded 2 Honorary Doctoral Degrees awarded

Faculty Retention

8 new hires

2 new hires, in addition to 1 JOCV. The college also lost 4 full-time instructors Math Department Review completed (with outside consultant on-island during 4th Q.); Nursing Review underway (with outside Consultant on-island during 4th Q.

Academic Program Reviews

Output and Impacts: CMI Outcome 11: Improve fiscal, personnel, physical plant, student services, governance and planning operations Update fixed assets inventory

100%

Improve accuracy of student records

100% entered

Continue work on Facilities Master Plan

100%, Master Plan submitted on 05/31/06

Personnel (hiring/evaluation) system improved Output and Impacts: CMI Outcome 12: Increase Agricultural, Aquaculture, & Extension Projects Increase number of agriculture projects Increase number of aquaculture projects

2 2

2 2

2 2

3

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II. Financial Performance Linked to Expected Outcomes This section provides an overview linking financial performance to expected outcomes. Table 2 below contains this information. In the portfolio budget, each outcome was broken down into Output Groups, and each Output Group consists of a series of outputs. Amounts spent for each output (through the end of the quarter) were totaled to arrive at the amount spent for each output group. This amount is compared to the total allocation for the output group. Outcome 10

Output Group 10.1

Improve Academic Performance on Learning Outcomes Outcome 11

Spending through 4Q: $2,457,133/$2,043,673

Campus Environment: Improve fiscal, personnel, physical plant, student services, governance and planning operations Outcome 12 Sustainable Development: Increase Agricultural, Aquacultural, and Extension Projects TOTAL

Outcomes 10-12:

Output Group 11.1 Spending through 4Q: $515,501/$917,477

Output Group 12.1 Spending through 4Q: $413,390/$430,099

Output Group 10.2 Spending through 4Q: $285,184/$325,362 Output Group 11.2 Spending through 4Q: $396,228/$458,821

Output Group 10.3

Output Group 10.4

Spending through 4Q: $155,679/$/$205,528 Output Group 11.3

Spending through 4Q: $220,520/$213,162

Spending through 4Q: $313,918/$391,462

Output Group 11.4 Spending through 4Q: $1,655,455/$2,074,842

Output Group 10.5 Spending through 4Q: $24,502/$23,685 Output Group 11.5 Spending through 4Q: $876,938/$444,035

TOTAL Spending through 4Q: $3,143,018/$2,811,410 TOTAL Spending through 4Q: $3,758,040/$4,286,637

TOTAL Spending through 4Q: $413,390/$430,099

TOTAL OUTCOMES

$7,314,448/$7,528,146

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College of the Marshall Islands Evaluation The level of buy-in from the College of the Marshall Islands into the PBB initiative should be looked at and used as an example by the rest of the entities that utilize this management system. The progress made within the management system at CMI should be reviewed by Health and Education and consider using practices and routines can be shifted into respective the ministries. CMI currently has one person coordinating the whole PBB effort. Because of this, reporting is centralized and there is better coordination in all of the reporting activities undertaken by CMI. This person has regular meetings and discussions with the Economic Policy, Planning and Statistics Office on the progress made so far through-out the year, and how to better utilize this system to maximize the benefits for CMI. The Comptroller for CMI is also heavily involved in the formulation and execution of the PBB efforts there. This is something that is lacking in all of the other government entities that use PBB. The Comptroller provides financial information on how much was expended versus how much was budgeted for a particular activity. The Comptroller gives all this information to the PBB coordinator when he develops CMI’s quarterly performance report for the Government. On the other hand, there are a few items that need to get better for the PBB to maximize its potential at CMI. This includes better identification of performance measures. There needs to be more coordination between CMI and EPPSO to discuss this specific issue of performance measurements. Currently, CMI is still trying to identify which indicators they should measure to fully address their needs. More coordination between CMI and EPPSO has been discussed and is currently in our work plan for this upcoming fiscal year.

Recommendations CMI system should be studied by all engaged in PBB Better coordination between CMI and EPPSO on development of performance indicators

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FY 06 National Training Council (NTC) l.

Progress on Outcomes

NTC identified 1 Outcome consisting of 5 Output Groups. This section provides an overview of the impacts and progress to date in FY06 with regard to Outputs/Output Groups in each Outcome NTC (MOE Outcome 8): Continued Coordination and Improved Performance of Schools and Training Providers Output Group 8.1 – National Training Policy Revision and Implementation The postponement of RMI 2006 Community Survey and Socio-Economic Analysis (CSSA) project, enable NTC to delay its Employers, Employees survey (Labor Market Survey) that was planned to take place on August as it was planned to jointly conducted by NTC and EPPSO, was able commence on the 15th of September, at which time contracted labor market Consultant and an NTC staff went on a trip to Kwajalein to undergo distribution and collection of surveys in both Kwajalein and Ebeye. The success of the trip resulted in completion of more than 10 employers survey, and 40 employee surveys. While staffs of EPPSO and NTC were distributing and collecting surveys in Majuro. The outcome is that there were 40 completed employer surveys, and 400+ employee surveys ready to be shipped to ADB office in Suva. The Consultant is analysing the results to come up with a draft result, which will be released to the public in due time. After a trip made by NTC Director, the Director of NVTI, and the Assistant Secretary of Vocational Education to Fiji Institute of Tech, and the Hawaii Job Corps, establishment of the TVET RMI was made, as a staring committee was established and is currently working on a plan for the creation of TVET in the Marshalls and establish a framework. Meetings have been actively taken place every two weeks, and are now in their final discussions where two Consultants from ADB are on island to assist the establishment of the framework be finalized and be ready for the re-thinking education and training in the Marshall Islands to be made December of this year. The Job Corps is actively recruiting students as its office was confirmed to be part of NTC component, and is also included as part of the training units in the TVET-Framework. The survey results will enable the NTC to perceive the skills needed of the country in terms of its workforce, and establish training following a priority list soon to be establish by NTC Human Resources Development Consultant who arrive on Wednesday the 11th, who will also work with the TVET Staring Committee in assisting them the establishment of the TVET Framework of the RMI. Output Group 8.2 – Advise stakeholders Meetings have been held with both training providers and with tourism-related/construction-related businesses to discuss, one-on-one, the present NTC training policies, perceived training needs as well as current and needed training programs and resources. As a result of the meetings made with tourism related/construction related business, steps has been made by approving a number of trainings that aims at, and contribute in reducing the unemployment of youths, The MIDB Self- Help Program, The Youth to Youth in Health, The Mejit Drijo im Ukoj Basic Construction Program, The CMI Oyster Ornament Handicraft Project in Imiej Jaluit, the CMI Pearl Oyster Project in Arno, the Internship program in Kwajalein under the KRS contract are some of the ongoing trainings that resulted from meetings made with related tourism, construction-related, businesses, and NGO’S, to address the unemployment rate of youth in the Marshall Islands, The same attachment trip of NTC Director, the NVTI Director, and the Assistant Secretary for Vocational Education to TVET, FIT, and the Maui Job Corps in May, 30 students from different schools in RMI joined the Maui Job Corps, and more are ready to be send in the future. FY06 Annual Performance Report

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Establishment of a two member group who will work with TVET and FIT in an arrangement to enrolling RMI student will commence following an attachment trip (in September), for implementation of the link between RMI and the two Fiji Vocational Institutes. Trip has been postponed and will be re-scheduled in the future. Preparation for the re-thinking education in the Marshall Islands Conference are under way as NTC, MOE are conducting meeting from time to time with stakeholders and outside consultants. The framework will show what direction the NTC is to take, and the collaboration between NTC and other organizations, and etc. This consultation meeting is postponed for another two to three months Output Group 8.3 – Coordination of the National Training Provision Three training contracts were issued to YTYIH, WAM, and KRS to commit around $260,000 for the training of unemployed youth/youth-at-risk and to mobilize and move Marshallese employees upward. Another three contracts worth of $170,000 were issued to Mejit Drijo im Ukon Basic Construction project, CMI Marine Ornament Project, and the CMI Pearl Oyster Handicraft Project. These three other Project contributes the Training program objectives and coursework for both the employed and the unemployed will provide better benchmarks in the development of the non-formal and informal training syllabi. NTC Research and Information Section is on top to monitor, and be able to identify if there is need in this area. MIDB Self Help Program and the Mejit Drijo im Ukoj Program are using the activity booklet in reporting the progress of their NTC funded program. The utilization of the activity booklet in reporting the daily activity of each projects helps NTC to foresee the progress made in each of these programs and the accomplishment done as well as well preparation of the reports. The NTC Training Course Regulations were also provided to newly formed NGO training providers to help guide the development of their vocational training proposals. Three proposals were submitted by 2 NGOs and a SOE seeking around $250,000 from NTC to provide training. Mejit proposal, among the three was approved by NTC Board. Contracts are currently under process for implementation stage to take place. Output Group 8.4 – Distribution of information NTC worked with the Marshall Islands Council of NGOs (MICNGOs) and WUTMI, as well as with members of the National Focal Group (NFG) for the GEF/SGP (Global Environmental Facility/Small Grant Programme), as well as with the committee that is presently planning the Microfinance Trust Fund (contributed by ROC) so that training for sustainable livelihood, self-employment, and small business development will be developed and targeted. A one day training on marketing of local made products, and handicrafts was made at NTC which brought in more than 20 participants from NGO’s in Majuro, members of the YTYIH, and Chief of Community Development office in the Internal Affairs. To establish a mutual relationship between handicraft makers, sellers and their collaborative efforts in marketing their products, as applied to total quality management cycle. How to involve the outer islands to take part, and be able to work within the agreed criteria. Consultation meetings with both employers (tourism-related) and training providers (NVTI & CMI & USP) were conducted to further the work on the development of the employment training/enhancement planning. 4 training proposals worth around $295,000.00 that were developed during the second quarter to address community initiatives two of them is in progress, and two are presently in the implementation stage.

FY06 Annual Performance Report

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Output Group 8.5 - Certification Standards Booklets used by supervisors in reporting the trainees progress are been used by the supervisors, as these books were developed to work within the scope of training regulation. These booklets are used as guidelines to these three areas. Presently, the project under the MIDB SelfProgram is the only one using it, it is the intention of the NTC to have the Mejit Drijo im Ukoj do the same, as well as the Auto- Mechanic training in Kwajalein. In regard to certification standards to ensure high quality workforce, NTC staffs are currently attending courses at the USP in developing their skills to be able to perform in a capacity that will help them address skills required that will help them perform satisfactorily, in administering, delivering, monitoring, evaluating, and assess training programs C. Annual Performance Measures Annual performance measures have been developed for Training Council. The table below illustrates progress made in the key annual performance areas during the 4Q FY06. Performance Measure Progress Outcome 1: To Improve Coordination among Schools and Other Training Providers NTC Performance Measures 1Q FY06 Number training providers offering programs targeting workforce needs Number of graduates local training providers Number of local training graduates offered employment Table 1: FY06 Performance Measure Progress NTC

2Q FY06

3Q FY06

4Q FY06

Financial Performance Linked to Expected Outcomes This section provides an overview linking financial performance to expected outcomes. Table 1 below contains this information. In the portfolio budget, each outcome was broken down into Output Groups, and each Output Group consists of a series of outputs. Amounts spent for each output (through the end of the quarter) were totaled to arrive at the amount spent for each output group. This amount is compared to the total allocation for the output group. Outcome Outcome 8: Improve Coordination among Schools and Other Training Providers Total Outcome 8 through end of 4Q

ll.

Output Group 8.1 Total Spent through end 4Q:

Output Group 8.2 Total Spent through end 4Q:

$15,940/$20,0 00

$19,925/$25,0 00

Output Group 8.3 Total Spent through end 4Q: $419,475/$526, 326

Output Group 8.4 Total Spent through end 4Q: $15,940/$20, 000

Output Group 8.5 Total Spent through end 4Q:

Total Total Spent through end of 4Q:

$23,910/$30,0 00 $495,189/$621,326 (revised)

Main Issues Confronted and Potential Resolutions

FY06 Annual Performance Report

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This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. Outcome 8 SEG FY05 is reported here. SEG FY05 for NTC is $449,140. This will reduce the funding for FY06 to $621,326. This reduction will be taken out of Output Group 8.3. IV.

Major Sector Revisions and Adjustments

This section provides details regarding any major sector revisions or adjustments that came up during the quarter. Outcome 8 SEG FY05 is reported here. SEG FY05 for NTC is $449,140. This will reduce the funding for FY06 to $621,326. This reduction will be taken out of Output Group 8.3.

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National Training Council Evaluation The National Training Council (NTC) has shown a steady growth from the first year of implementation of the PBB system to this third (3rd) year. These improvements are a result of direct interaction with EPPSO and PBB consultants. Aside from that, there are issues that need to be addressed to further along PBB efforts within NTC. In light of the overall human resources issues for the RMI, there should be some increased priority in placing policy ad education/training analysts as assistants to the director of NTC. Currently, there is only person coordinating PBB efforts within NTC. This person is responsible for putting together the performance report, and discuss with the upper-level managers of NTC. The person who is coordinating this effort is the fiscal officer, so the link between financials and performance reporting is there. One issue with PBB in NTC is the quality of the reports. There needs to be more emphasis and usage of the quarterly reporting templates as a “daily” check-list of things to do during the course of each quarter. The problem is that this is not done so. Another issue revolves around their performance indicators. These indicators will have to be re-evaluated so they are relevant and they work for NTC. Recently, the board hired a new director to oversee the operations and re-evaluate the direction of where this office will focus on. During FY 2006, NTC has been deeply involved in re-examining its role and responsibilities, particularly with the situation regarding youth unemployment and skills development, as well as working with the private sector in conducting a labor survey. The goal is to have NTC weave the PBB effort into their overall management scheme. This will enable them to better track their future progress Recommendations Better utilize PBB matrices to manage NTC Revisit performance measures/indicators to show progress towards NTC’s new direction

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FY 06 Environmental Protection Authority (EPA) I.

Progress on Outcomes

EPA identified 3 Outcomes. Outcome 1 contains 5 Output Groups; Outcome 2 contains 4 Output Groups; and Outcome 3 contains 1 Output Group. This section provides an overview of the impacts and progress to date in FY06 with regard to the Outputs/Output Groups in each Outcome. Outcome 1: To Improve the Effectiveness of Environmental Protection and Environmental Programs in the RMI Output Group 1.1– Improve Environmental Health and Water Quality (Output 1.1.1) Improved public water supply quality Of the 33 water sampling tests for Majuro public water, only 70% was safe. Continued public announcement for boiling of drinking water was issued. Of the 53 restaurant kitchen water catchments tested, only 75% was found safe and 25% contaminated. Notices were issued to the restaurant owners to correct the deficiency by treating their waters with bleach when using for washing dishes. Of the 30 water samplings of imported bottles and ice water, 100% safe of bottled water and only 47% of ice waters were safe. Again notices were issued to business owners of the findings and for corrective actions. (Output 1.1.2) Improved Community-based Management of Water Supplies A SOPAC Team came to Majuro to conduct a preliminary study of the water related issues that we would like to address in our fresh water protection and management work plan for the agency. This will lead to the establishment of works for the protecting the Laura lens and deduction and location of leakage in the water pipes. A proposal to initiate a local public awareness program at Laura Village for the protection of the Laura lens was submitted to SOPAC for funding. This include gathering of source and non source pollution points, public awareness, and development of a risk management plan. Of the 11 water catchments tested at Jenrok Community, all except one were found safe. The contaminated water catchments had 603 e.coli reading. This showed greater number of safe water catchments in the community, thus decrease number of water borne related sickness. Of the 23 private water catchments tested in Majuro community, only 65% were considered safe for public household use. The other 35% was not safe and owners were notified accordingly. Water tests for the following outer islands showed these results: Mejit Island has 21 catchments in which 57% were safe and 43% unsafe; Utrik Atoll has 55 tested in which 35% were safe and 65% unsafe; Jabwor in Jaluit Atoll has tested 42 in which only 17% were safe and 83% not safe. Test results were communicated to the owners of the findings and recommendation made to clean those catchments in bad conditions. (Output 1.1.3) Ensure appropriate marine water quality for planned/actual use including recreation, conservation, fishing, industrial Of the 26 coastal samplings collected from Majuro collection points, only 65% were found unsafe. Results were announce in the EPA radio program to inform the people from these areas not to use these locations for food preparation and swimming.

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3 Oil spill reports were received at the Office from shore line communities of long islands and Rita. Our inspectors went to sites but could not identify the violators as these spills were made during the cover of darkness. As a result, EPA Patrol Boat began to conduct night time surveillance in the lagoon. (Output 1.1.4) Establish roles/responsibilities between MOH and EPA for sanitation programs on issues including but not limited to fecal pollutants, vector borne disease, access to toilets (household), and health impacts of pigpens. While awaiting cabinet approval for transfer of Restaurant and Food Inspections to MOH, the RM:IEPA Taskforce conducted the 4th Quarter Inspection of Restaurants. The Finding showed that 11 (55%) of the food establishments received grade A, while 7 (35%) received grade B, and 2 (10%) received grade C. Test results for the 15 Restaurants drinking and kitchen waters showed all 3 sources of drinking water were safe (Others use bottled water), and only 2 (17%) of the 12 kitchen waters were safe. (Output 1.1.5) Continue to establish roles/responsibilities between MOH and EPA for food safety on issues including but not limited to food handling/safety in restaurants and grocery stores. 70 incoming foreign vessels were clear and de-rated upon arrival at port. This is done to ensure that vessels are disease vectors free. A second submission of the Cabinet Paper for transfer of restaurant and food inspection to MOH was transmitted as it was lost. This will allow EPA to concentrate more on its mandate under the NEPA Act. Output Group1.2 – Coastal and Land Management (Output 1.2.1) Establish Environmental Impact Assessment (EIA) as an integral part of any major development plan in the RMI The last report from Anderson was received indicating that their operation of the asphalt plan had come to an end as their resurfacing project is completed. Dismantle of this plan awaits result of their bid to work on the 6 month airport apron project, 9 Major Earthmoving permits were issued to various development projects and 22 permits for minor projects. This shows greater compliance of the community with the earthmoving regulations. Two public hearings were conducted separately for comments. The fist one was on DAR Dredging project at Delap. Few people attended and no one showed or voice any concerns. The second hearing was on the Dry Dock to be located at Delap. Majority of the people who attended did not support project new location. This is now up to the Board to make its final decision. (Output 1.2.2) Implement Coast Conservation Act of 1988 people in the community to discuss issues related to the development of a coastal management plan for the atoll. The group consisted of representatives from RMIEPA and a NGO. With the information obtained during the consultation meeting, a draft coastal management plan has been developed that will promote sustainable development of the atoll’s marine resources. A week later after Wotje meeting, a similar meeting was held with the Majuro Local Council to review their draft coastal management plan. This plan incorporates the fisheries management plant that was developed by MIMRA earlier. A Research Team from Japan on Sustainable Land Management of Majuro gave a presentations at EPA Office of their findings on foraminifera production rate, sand drift, erosion and sedimentation of the atoll. Such findings will greatly assist RMIEPA in its plan to promote sustainable land management. A Research team from SOPAC also arrived in the country to locate and assess the quality of sand deposits within the Majuro Lagoon. To do this, various samples were collected from different depth and sides of the FY06 Annual Performance Report

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lagoon. Samples were sent for further analysis at SOPAC Office in Fiji. Results of the research will help RMIEPA to determine the best dredging areas, volume and quality of sand deposits for construction. Similar consultation meeting were held in Jaluit Atoll to consult the community and obtain information needed for the development of the atoll’s coastal management plan. The trip was successful and the draft management plan for the atoll has been developed which will need review by the for approval. (Output 1.2.3) Ongoing permitting and monitoring of development projects – per EIA, and Earthmoving regulations An application for earthmoving activities from the International Group for Historic Aircraft Recovery (TIGHER) was submitted for review. This group is interested to recover one of the five WWII aircraft wrecks in Jaluit Lagoon to put in a museum. The permit will ensure that little disturbance of sediments is made during the operation to cause poor water quality. A request was made from Anderson Pavement Inc. for renewal of their permit to provide repair works needed at the airport apron. Their request will be forwarded to the Board for consideration as the residents had voiced out strong opposition to the plant. Output Group 1.3– Biodiversity Conservation (Output 1.3.1) Enhance biodiversity conservation department at EPA A proposal for a workshop on invasive species was approved for funding by SPREP. The workshop aims to establish some management measures on invasive species from neighboring island of Guam due to the new shipping route of cargos. This will ensure unwanted species do not arrive to destroy our fragile atoll environment. A training workshop is being coordinated with SPREP to be held in Jaluit Conservation Area next Quarter. The workshop will bring stakeholders to learn ways to coordinate their efforts for protection of the resources and to look at the links with other international environmental agreements on biodiversity conservation. (Output 1.3.2) Conservation area development Repeated attempts to obtain a signed MOU from the land owners for Eniwetak Islet Conservation Area in Kwajalein failed. This is made to protect the biodiversity of the marine resources in Kwajalein atoll. (Output 1.3.3) Implement Endangered Species Act Under PIER Program, a trip to Tarawa, Maloelap Atoll was made by a local scientist to survey invasive plant species. Aside from identification of the 60 plants, few native species were also discovered and had not be documented before. Such findings will determine if such species are endangered or not. A black skink species was recently discovered on Tarawa which is suspected to be an endemic to the region. This species is not known to be found on other islands and atolls. This discovery will lead to determine if this is a new native species. The Charter for CMAC, a joint interagency committee whose role is to assist and coordinate activities related to coastal resources management in the country was approved by its members. This will foster the need for coordination and cooperation among agencies in the protection and sustainable development of the coastal resources. A workshop for management of invasive species to the country in light the new shipping route from Guam is planned for next quarter. This workshop aims to establish a coordinating committee among the stakeholders to develop some guideline and measures to control importation of alien species into the country’s fragile environment.

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Output Group 1.4 – Solid Waste & Pollution (Output 1.4.1) Implementation of solid waste regulations A Sub-regional meeting was held on Guam to discuss shipment of scrap metals from the Micronesian islands to Asia for recycling. This will address the concerns by many of the outer islands mayors who had requested assistance from RMIEPA to dispose the grounded vessels in their respective jurisdictions. A local contractor was dispatched to Ebeye to work on the sunken LCU at Ebeye dock. The work to reafloat the vessel is estimated to be completed within 90 days. This will get rid of the oil pollution source at the lagoon and free badly needed docking spaces at the Ebeye Dock. Anderson Asphalt Company reported that all the bitumen and bitumen emulsion drums have been crushed and will be shipped out of country. 6 Violation notices were issued out and 10 notices of information on improper disposal of hazardous and solid waste and illegal dump sites. A shipment of 2 tons of recycled aluminum cans and copper was shipped out by Two Guys Company. This will keep Majuro clean of solid waste thus provides good environment. There are over 25 pending violation cases that were file with the Attorney General Office. AG needs to persecute the violators to comply with the regulations. (Output 1.4.2) Implementation of hazardous waste regulations During the Leadership Conference, many of the Outer Islands Mayors expressed interests to removed used batteries from the islands and requested the assistance of RMIEPA to get rid of these hazardous wastes to make their islands safe. In response to the Mayors’ request, RMIEPA sent an officer on the field trip to atolls in Ratak Chair and collected 400 used batteries from the atolls of Ailuk, Utrik, Wotje, and Kabin at Maloelap. This will make the atolls safe from hazardous materials. Mobil Fuel Farm and MEC Fuel Farm were inspected by our staff and USEPA. This let to finding of non compliance of the Marine Water Regulations. Companies were given 45 days to provide a work plan to address identified issues that would make the companies comply with the regulations. 4 Gas Stations in Majuro were also inspected and were issued warning to fix the non compliance areas identified during the inspection work. 30 days were given to respond with an action plan to address and fix the issues. POPs Coordinator went to inspect the fuel storage tanks in Jaluit Atoll. He was only able to inspect the MEC but not Mobil as they would not allow him. His findings will soon made available for GM to review and to take actions to ratify any reported violations of the regulations. Output Group 1.5 – Outer Island Water Quality Output 1.5.1 (See Output 1.1.2) Implement new water quality program on Jaluit and Wotje The first water quality monitoring report was received from Jaluit Atoll. It indicated that 17% of the 42 water catchments tested were safe. Public was informed and advised to clean their catchments if the results were not good. This will result in improving the quality of drinking water in the community.

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Outcome 2: To Increase Environmental Education and Awareness through Effective Management of Information and Human Resources Output Group 2.1 – Education and Awareness (Output 2.1.1) Increase knowledge about the environment in the community A request for a replacement of a Japanese Volunteer was submitted to JOCV Office for consideration. The Volunteer will continue to work with the Education and Awareness Unit thus raise public awareness on the environmental issues facing the country. A public awareness trip to Ennibur (Santo Island) in Kwajalein was made in coordination with the local government officials. 150 residents attended. The two main issues were on solid waste management and water quality management. This led to the development of a Solid Waste Management Plan for the community. An update presentation on environmental issues pertaining to the outer islands was made to 23 members of the mayors association during their annual conference. This provided opportunity for the mayors to ask questions and seek better ways for coordination and dissemination of information to the people in their communities. A public awareness presentation was held at Rita LDS Church for 30 members. Issues covered were water quality and solid waste management. Participants became aware of ways to treat and manage their drinking water and keep their homes free and safe disposal of solid wastes to keep their homes safe from associated sicknesses. Coordinated community clean up with members of the Japan Overseas Volunteer in DUD area once a month. This keeps the atoll clean and make people aware of the need for proper solid disposal and management to keep Majuro healthy. (Output 2.1.2) Increase environmental knowledge of school children The first 4 draft Chapters of the Environment Guide were completed and a review workshop was held with 25 teachers from middle school and different elementary schools from outer islands. The guide covers local environmental issues and will foster increased understanding among the students of their natural environment. The Unit participated in the Traditional Custom Day, an holiday, by displaying posters depicted of traditional conservation areas known as “mo’s”, Over 200 young and old people visited their poster and asked questions about “mo” to increase their knowledge. Organized and coordinated school children’s art Competition .on climate change for submission to United Nation Office by December 2006. This increases the awareness among the students on the potential impacts of climate change in the whole wide world. Output Group 2.2 – Information Management (Output 2.2.1) Information Management System Weekly radio program was conducted at the government radio station with different speakers discussing various environmental issues. This allows general public to be aware of the environmental issues facing the nation. Office Computer server was also updated for virus scan to the internet program.

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(Output 2.2.2) Develop information collection capacity 38 new books were added to the library and computer catalogued. This will improve access for information by staff in their works. 105 copies of leaflets on solid waste, conservation, and water quality management were printed and distributed to public and schools. Output Group 2.3 – Planning and Human Resource Development (Output 2.3.1) Strategic and Operational/ Program Planning A round table discussion with the members of the Parliament was held for ministries and agencies heads. This provides an opportunity for the RMIEPA to voice out the issues pertaining to the support needed from the Parliament for its effectiveness in the implementation of its programs for the good of the nation. Coordinated with USEPA to conduct a training workshop on Fuel storage facilities to RMIEPA Staff. This resulted in carrying out inspection by our staff that identified violations of the Marine Water Quality Regulation. A letter was issued out to operators of the fuel storage facilities to initiate a work plan to correct such violations Coordinated with USEPA also conducted another workshop on EIA Review which was attended by our staff and representatives from the private sectors. The participants expressed greater knowledge and skills gain from the workshop that will improve their review of EIAs for development project in the country. (Output 2.3.2) Staff Performance Management System Annual review of staff performance and attendance is ongoing for last year. When completed management will discuss report with individual staff to improve deficient areas in their units An interview for the Assistant POPs Coordinator was made for the vacancy created. Of the 20 applicants, six were picked up for interview. The shortlist of three will be recommended for Board to select and approve one of them. This new staff will increase the efficiency and effectiveness of the program. (Output 2.3.3) Monitoring of EPA Outcomes Staff meeting continues to be held. This provides each unit to report on their progress as well as constraints where staff share their ideas and recommendations to such issues. Initial meetings were held with each unit to review last year’s work and to improve identified areas of weaknesses. This is part of the strategic management planning for next years’ performance output activities to ensure quality of performance by staff being guided by the Agency’s Strategic Management Plan. (Output 2.3.4) Governance and Legislation A public hearing on the Coastal Management Frame Work was held at RRE Complex. Not many people showed up. The framework is now with the Board of Directors for consideration and then to the Cabinet for approval. This framework will serve as a guide for sustainable development for all the projects within the coastal areas. A draft coastal development & management regulation was forwarded to public comments and is presently under review by the Board members. This will regulate and improve management of the coastal resources in the Republic.

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Output Group 2.4 – Finance and Administration (Output 2.4.1) Administration FY 05 Audit was being carried out by Deloitte and Touche Audit Firm. Their report will be completed soon and distributed. Initial report indicated that RMIEPA is on the tract as being auditable. Inventory of office equipment was carried out to ensure these are in good working conditions and are kept where assigned. This inventory also was made at the Ebeye Office. This is to ensure there is accountability on the government properties and the actual value of the equipment is made. (Output 2.4.2) Finance RMIEPA FY05 Annual Report was completed and distributed to relevant government offices including the members of the Parliament and the Cabinet. This report outlines the accomplishments and constraints of the agency during the year. The Fiscal Officer attended a week long Workshop/Conference of the Association of the Pacific Islands Public Auditors. This will increase the capacity of the staff to improve her work in financial management. For the first time, Auditor Office staff came to our office to ensure we have a proper closing of financial transaction for the fiscal year. RMIEPA was invited to appear at the Nitijela Public Account Committee. The Chair gave good remarks for the agency to be considered and listed with the list of “auditable” government agencies. Outcome 3: To Increase Environmental Programs on the Kwajalein Atoll Output Group 3.1 – Ebeye and Kwajalein Environmental Program (Output 3.1.1) Improve Community Water Quality Due to frequent power blackouts on Ebeye, not much water testing and monitoring was made. Of the 17 tests, only26% was safe and 74% contaminated. As a result public was informed to boil their drinking waters. Two staff from Public Education and Awareness Unit and Solid Waste Management visited Santo Island in Kwajalein. While there, they were able to conduct public awareness activities and also tested the community’s 18 drinking water catchments. Only 2 of the catchments were tested safe. 138 of the 156 the residential homes in Ennibur use fresh water transported from Roi Namur which is safe. Only 7 homes out of 156 homes do not have access to toilet. The people either use their neighbors’ toilet or the beaches. Plans were made with the home owners to build toilets to improve the sanitation on the island for better health. (Output 3.1.2) Coastal and Land Management for the Kwajalein Atoll A week long workshop training on coastal management and coastal water quality management was held in Majuro for two Ebeye office staff and one from Jaluit Atoll Conservation Area. The training was made part for the development of the Coastal Management plan for Ebeye and Jaluit atoll respectively, The plans will ensure sustainable development of the coastal resources in these two islands. 5 foreign commercial vessels were inspected upon arrival at Ebeye Port for de-rating and sanitation related issues. Also 3 stores on the island were also inspected for food quality and safety. 5 restaurants and 5 bakeries on Ebeye were also inspected to ensure workers have health certificate and the eating/food preparing facilities are clean and meeting public health standards.

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(Output 3.1.3) Develop and Coordinate Solid Waste Program The meeting with the Enibbur community and leaders from Kwajalien Local Council with representative from RMIEPA resulted in the development of a draft solid waste management plan for the community. This plan will need the endorsement of the local council and the people for implementation to better manage the solid waste in the community. Work had started on the sunken LCU vessel at Ebeye after a week was spent by the contractor in Kwajalein and Ebeye preparing and procuring all the needed equipment for the job. This work aims to remove the vessel from the dock as source of oil pollution and allow more space in the dock for loading and unloading of cargo vessels. Ebeye Staff participated in the fuel storage facility inspection training with Majuro staff. Inspection was made at Kajur Power Plan Facility and private owned gas station. This training exposed the staff to carry out inspection independently. (Output 3.1.4) Coordinate Education and Outreach at the School and Community Level A community awareness meeting was conducted with over 150 people from Ennibur Island (Santo) in Kwajalein. The issues were on water quality and solid waste management. 150 people attended the meeting and many, as a result, became aware of the negative impacts of poor water quality and mismanagement of solid waste. The Majuro staffs traveled to Ebeye to meet with ODS importers and to carry out inventory of the equipment and types of ODS being used. No equipment and banned ODS is being used on Ebeye. (Output 3.1.5) Legal Consultation None to report in 4Q (Output 3.1.6) USAKA related activities Assisted USEPA conducting inspection on USAKA fuel farm, which included 2 USTs and 5 ASTs on Kwajalein as part of training on inspection of fuel storage tanks. This resulted in skills learned that would enhance productivity among our staff. Concurred with the Final DEP for the USAKA Optic Cable that would be extended from Guam to FSM and Majuro. This will greatly improve communication systems between the countries with minimum environmental impact on marine life.

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D. Annual Performance Measures Annual performance measures have been developed for each EPA outcome. Table 1 and Table 2 below provide progress made in the annual performance areas during the 4Q in FY06.

Performance Measures Progress for Outcome 1: To Improve the Effectiveness of Environmental Protection and Environmental Programs in the RMI Table 1: FY06 Performance Measure Progress EPA Outcome 1

Output/Impact Measures Safe city water taps/catchments (%) Number samples taken (Majuro and Outer Islands) Fecal contamination trend data from selected areas Current number water specialists in outer islands Current % reef dead or endangered Current number/type of solid waste violations (illegal dumps)

Environmental Health & Water Quality Data Number public water supply samples taken Outer Island Catchments w/safe water % Majuro population w/access to safe water % Ebeye population w/access to safe water % Majuro population w/access to public sanitation

1Q FY06 33% 100 33% 21 10% 11

2Q FY06 50% 100 73% 21 10%

FY05 1Q 59 18% 88% Deferred 2Q 66%

3Q FY06 20% 224 100% 21 10%

FY05 2Q 66 25% 88%

4Q FY06 47% 196 35% 26 N/A 6

Total FY06 620 26 17

FY05 3Q 46 43% 89%

FY05 4Q 102 20% 90%

Performance Measures Progress for Outcome 2: To Increase Environmental Education and Awareness through Effective Management of Information and Human Resources Output/Impact Measures Number of environmental education activities (school & communities)* Number of schools implementing all or part of environment curriculum (what is the curriculum?)* Number of new additions to EPA library (Electronic and Hard resources)

FY06 Annual Performance Report

1Q FY06 5

2Q FY06 6

3Q FY06 9

4Q FY06 8

Total Fy06 28

5

5

5

6

21

86

87

50

38

261

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Education and Awareness Education Awareness Activities for community

Education Awareness Activities for school

FY05 1Q

FY05 2Q

FY05 3Q

FY05 4Q

Awareness conducted in Ebeye, Jaluit, Majuro and Ujae with about 1850 people Visited 17 schools in Majuro and Ebeye

Public Awareness activities were conducted on Utrik, Namu, and Wotho with about 1,250 people in attendance

Conducted awareness to 95 adults at Ebon Atoll, Rongrong and senior and junior classes of all 4 high schools on Ebeye Visited two schools in DUD, one in Rongrong, and two on Ebon Atoll. Made presentation to 663 students and teachers

Displayed environmental billboards during Manit Day Celebration to over 1,200 people

Visited 4 high schools on Ebeye. Made presentation to 202 students and teachers

Coordinate clean up activities with other government ministries for about 500 Majuro youths Continued with weekly radio program

Awareness Presentation to 1,819 students and teachers

Public Service Announcements

Conducted Weekly Radio program Provided Environmental news/information articles Monthly to local newspaper

Conducted awareness in 17 schools on Majuro, Jaluit, and Ebeye 2,300 students and their teachers attended the public awareness presentations 100 pamphlets on water quality and solid wastes were printed and distributed to schools Weekly radio program is ongoing Monthly Environmental news/information articles to the local newspaper is an ongoing activity Posting of billboard signs in public places on solid waste management and earthmoving regulations

Continued with weekly radio program Continued with publication and distribution of pamphlets of various environment issues

Conducted science summer camp for 15 eight graders from 7 elementary schools in Jaluit Atolls

Continued with printing and distribution of pamphlets of environmental issues Set up of public awareness billboards in crowded places

Financial Performance Linked to Expected Outcomes This section provides an overview linking financial performance to expected outcomes. Table 3 below contains this information. In the portfolio budget, each outcome was broken down into Output Groups, and each Output Group consists of a series of outputs. Amounts spent for each output (through the end of the quarter) were totaled to arrive at the amount spent for each output group. This amount is compared to the total allocation for the output group. At this time the EPA financial breakdown is not available. This is explained in Section IV below.

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Outcome Outcome 1: To Improve the Effectiveness of Environmental Protection and Environmental Programs in the RMI Outcome Outcome 2: To Increase Environmental Education and Awareness through Effective Management of Information and Human Resources Outcome Outcome 3: To Increase Environmental Programs on the Kwajalein Atoll Total Outcomes 1,2&3 through the end of 4Q

III.

Output Group 1.1 Total spent through end 4Q

Output Group 1.2 Total spent through end 4Q

Output Group 1.3 Total spent through end 4Q

Output Group 1.4 Total spent through end 4Q

Output Group 1.5 Total spent through end 4Q

$67,975/$68,756

$57,311/$57,970

$22,739/$23,000

$42,556/$43,045

$49,432/$50,000

Output Group 2.1 Total spent through end 4Q

Output Group 2.2 Total spent through end 4Q

Output Group 2.3 Total spent through end 4Q

Output Group 2.4 Total spent through end 4Q

$21,997/$22,250

$16,743/$16,935

$24,716/$25,000

$124,130/$125,557

Output Group 3.1 Total spent through end 4Q $98,687/$98,687 Total spent through end 2Q $525,163/$531,200

Main Issues Confronted and Potential Resolutions

This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. Outcome 1 None in 4Q Outcome 2 None in 4Q Outcome 3 None in 4Q IV.

Major Sector Revisions and Adjustments

This section provides details regarding any major sector revisions or adjustments that came up during the quarter. Outcome 1 None in 4Q Outcome 2 None in 4Q Outcome 3 None in 4Q FY06 Annual Performance Report

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Environmental Protection Authority Evaluation PBB efforts in EPA again have shown some progress. The difference between this past year and the previous two years has been the level of involvement of the staff in developing and implementing EPA’s objectives. As of fiscal year 2006, EPA staff has been keen in assisting in developing these portfolio budget statements that outline the authority’s plans for the year. In the past, performance criteria and objectives were set mainly between EPPSO and the EPA General Manager. EPA still needs to incorporate financial information with the quarterly reports. This is being done, but independently of one another. Doing this will give more information to the General Manager and his staff on how much money is being spent on individual activities. This in turn will allow the General Manager to see whether the money is being spent is done so efficiently and effectively. Relevant performance indicators need to be reexamined at to fully assess whether they are relevant or useful for EPA. For example, in addition to the percentage of water tanks and wells passing or failing testing, the number of water borne illness cases reported from the Ministry of Health needs to be included in this section, as a way to gauge performance. There should be a re-examination of the working relationship with the Ministry of Health (Public Health) on issues dealing with water and solid waste. Increasing urbanization on Majuro and induced environmental issues and problems will require that coordination and communication improve. Recommendations Develop a more appropriate performance measurement criterion for EPA Better coordination between the individual managers and the financial officer Better communication and coordination with the Ministry of Health on public health issues.

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FY06 Marshall Islands Visitors Authority (MIVA) Progress on Outcomes MIVA identified 1 Outcome. Outcome 1 contains 3 Output Groups. This section provides an overview of the impacts and progress to date in FY06 with regard to the Outputs/Output Groups in each Outcome. Outcome 1: To Increase Private Sector Development through Tourism Promotion Output Group 5.1: Marketing and Promotion (Output 5.1.1): Develop Promotional Material MIVA continues to receive questions, comments and requests referred from the website. 22 information packets were mailed out during the 4th quarter along with the distribution of materials to various regional and national meetings and conferences with assistance from traveling members of the public sector. MIVA continues to receive referrals from the website with over 110 emails responded to, during the quarter. Due to most correspondence through email, the amount of information packets mailed out during the last quarter was less than previous quarters. Considering the increased costs of mailing, MIVA will need to find other alternatives in FY2007 – possibly have the brochures and other promotional materials available to download and/or purchase from the website. (Output 5.1.2): Participate in Overseas Trade Shows MIVA and Air Nauru had planned to conduct a “Destination Seminar” in Australia to promote the Marshall Islands as a tourism destination in 2006 but due to the discontinuation of flights, this activity was never held. Air Nauru has since acquired a new airline, now tagged as Our Airline, and services to the RMI should recommence in October 2006. With the services reconvening in October 2006, MIVA will reintroduce the project to the “Our Airline” Sales Office and hopefully the seminar can take place early next year. MIVA staff, Loreen Bigler and Emelyn Simon, attended the 3rd Kwajalein Trade Fair along with representatives from the local business community along with members of the Handicraft Association and Laura Farmers Association. This event was another successful event for all parties involved. The RMI businesses were able to make valuable contacts on Kwajalein as was the members of the Kwajalein community. Not all who attended last year were able to attend due to the unavailability of sea transportation. MIVA, along with representatives from the Marshall Islands Resort, Bill Weza and Hirobo Obeketang and Ms. Katina Peter, from the handicrafts sector, attended a U.S. Naval Travel Fair in Guam. The military community was offered special travel packages, airfares, hotels, and tour promotions from participating vendors. Considering the possible increase of the military sector in Guam, MIVA noticed the potential of increased business to the RMI and promoted not only the hotels and restaurant, but also the services offered at our air and seaports as possible stops for military vessels. MIVA, will in 2007,increase marketing efforts towards the military market considering the accessibility of the RMI through its air and seaports. With the apparent typhoon damages incurred on Wake Island and the RMI’s compact relations with the U.S., Majuro will see an increase in the number of military visits, both sea and air, in the next year. The Japan Association of Travel Agents (JATA) Show was held on September 22-24 in Tokyo Big Site, Japan. Over 100,000 visitors attended the event. MIVA produced 2000 information brochures on the Marshall Islands of which all were disseminated during the event. Once the Japan Airlines charter flights FY06 Annual Performance Report

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are confirmed, MIVA will produce another brochure to indicate this. The 2nd Quarterly meeting of the PATA Micronesian Chapter was scheduled to be held in early September in Yap but due to unforeseen circumstances, it had to be postponed. On October 6, 2006, a teleconference was scheduled with MIVA participating through PeaceSat at CMI but due to a conflicting schedule, MIVA was not able to participate. New items for discussion on the meeting agenda included presentations by the chapter officers on: “Positioning your destination’s brand” “Marketing via the Internet” “Marketing your Products” “Student Outreach and Organization” “Tourism – What’s in it for us” (School Visits) (Output 5.1.3): Marketing and Image Improvement Under the MIVA Marketing Support Scheme, MIVA was able to assist Marshalls Dive Adventures, the Marshall Islands Resort with promotional materials and advertising. MIVA also purchased the promotional materials needed for the launch of the traditional Marshallese medicine book. Action Asia – one-page advertisement for the July/August issue plus an 8-page feature on diving the WWII wrecks of Jaluit Atoll by Tim Rock. Marine Diving – 6-page feature on diving in the Marshall Islands by Naoki Sugiyama in the August issue, plus a 2 ¾ page diving, hotel and activities guide. (MIVA Japan Office) Travel Diver – 8-page feature on diving in the Marshall Islands by Shigeko Nishikawa in the August issue, plus a 4-page guide to diving, hotel and accommodations guide. (MIVA Japan Office) R&R Pacific – “Highlight on Micronesia” with a 1-page information guide to the Marshall Islands (guide to activities for the military market based in Guam). Traditional Medicine of the Marshall Islands: The Women, the Plants, the Treatments, written by Dr. Irene Taafaki, Maria Fowler and Randy Thaman, was successfully launched in Honolulu, HI under Na Mea/Native Books. MIVA has been one of the supporters of this project. MIVA Japan Office met with the Marine Art Center in September and produced a marketing and promotions proposal for FY2007 to focus on the proposed Japan Airlines (JAL) charter services currently scheduled to start in 2007. Although the flights are yet to be confirmed (awaiting GSE acquisition and further inspection of the AKIA runway), MIVA remains optimistic about this flight and wants to prepare as much as possible A three-member team from the RMI, representing the Marshalls Billfish Club, wins the annual Oko’e Bay Invitational Fishing Tournament held in Kona, Hawaii, sponsored by Tropadilla Productions. Jodi Bright of Tropadilla Productions has been working with MIVA for the past two years to come to the Marshall Islands to do a show for Pacific Expeditions, a nationally televised fishing show in the United States. Due to prior commitments, Mr. Bright may not be able to come to Majuro in 2007, but does plan to coordinate a visit for his colleagues with the assistance of MIVA and the Marshalls Billfish Club. Satoshi Yoshii, Marshalls Dive Adventures, expands his diving business by doing a coop with Pacific Explorer Fleets based in the Philippines, and welcomed the Pacific Explorer on Friday, August 4. The liveaboard already has dive trips scheduled for the next few weeks visiting atolls such as Mili and Arno. Indies Trader receives license to conduct business here in the RMI. Although the first trip has been scheduled for November 2006, there still needs to be agreements set in place for with the communities and leaders of the selected atolls that the live-aboard plans to operate in. Output Group 5.2: Tourism and Environmental Awareness (Output 5.2.1): MIVA sponsored Environmental Awareness Activities MIVA Mobile Unit continues with its daily operations. MIVA assisted the communities of Delap and Rairok villages with cleaning up after the high water and FY06 Annual Performance Report

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winds devastated these areas on the storm of October 7, 2006. Environmental messages continue in the Journal. MIVA continues to be actively involved in government and community organizations focusing on the environment and community development and improvement. MIVA, with the assistance of Satoshi Yoshii and the MIVA Japan Office, is in the process of acquiring a “plastics to fuel” converter machine developed in Japan by Blest, Inc. This machine will allow for products such as plastic bags, Styrofoam and plastic bottle caps to be chipped and processed to fuel. With the assistance of the Green Energy Innovative Committee under the Japanese Liberal Democratic Party, MIVA may be able to acquire this machine at no-cost. H.E. President Kessai H. Note endorsed MIVA’s request for this product by submitting a letter of support to the Chairman of the said party. No date has been set for the actual acquisition of this product. MIVA hopes that with the acquisition of this product, we may be able to decrease the amount of plastics and Styrofoam products currently strewn around Majuro while educating the community about the importance of recycling and moreover, provide an alternative to buying expensive fuel from the local companies. A plan has not been put in place regarding the proceeds from selling the recycled fuel but MIVA does intend to sell the fuel to tour operators and possible government during the first few months. The Ching-Fu Company, whose dry-dock facility was discouraged from being built in Uliga, has recently resubmitted its Environmental Impact Assessment (EIA) to the RMI-EPA to reconsider with a planned location now proposed for Delap. A small public hearing was held by the RMI-EPA to get the community’s view of this project. Apparently, the community was appalled to hear that this project has resurfaced and more so, to the landowners who claim that they had no knowledge of such plans for their properties. This project continues to receive a lot of negativity from members of the community because of its longterm effects. Again, as was suggested before, it’s now about not wanting a drydock, most members of the community understand the economics of it. The problem is the logistics of it and more importantly, the impending negative social and environmental impacts resulting from this operation. “Increasing Ownership of and Effective Demand for Improved Urban Waste Management”, an ADB TA, which is led by Tim O’Meara and Ben Chutaro through the Solid Waste Task Force, has recommended to the RMI Government that a separate organization be established to manage solid waste in the RMI. This organization will be responsible for all aspects of solid waste management including collection, supplies and equipment, management of the dump, training and awareness among other things. MIVA’s Mobile Unit has continued to clean up picnic areas around Majuro and also the roadside in the downtown area with the assistance of the National Police. With the establishment of this new office, employees of government offices and agencies that are directly involved in solid waste would be transferred to work in this new office. MIVA may not operate a Mobile Unit anymore but will work closely with the new office and continue to conduct environmental awareness activities in the community. This is probably the first positive step that the RMI Government has undertaken as far as tackling the solid waste problem in the RMI. MIVA, as a member of the Solid Waste Task Force has been seeking such action from the government for a number of years now. Output Group 5.3: Training and HR Development Program (Output 5.3.1): Training and HR Development program carried out MIVA participated in relevant workshops held by the RMI Government during the quarter

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E. Annual Performance Measures Annual performance measures have been developed for each MIVA outcome. Table 1 below provides progress made in the annual performance areas during the 4Q FY06. Performance Measures Progress for Outcome 5: Tourism Promotion

To Increase Private Sector Development through

Impact MIVA (Outcome 5): To Increase Private Sector Development through Tourism Promotion Increase Tourist arrivals (Total air/sea) disaggregated if needed * Increase tourist arrivals from targeted populations (list) Increase revenues from tourism Increase number employed in tourism related industry

Performance Measure Tourist arrivals air * Tourist arrivals (sea)* Number hotel nights

1Q FY05 139 691

2Q FY05 292 424 986

1Q FY06 8,842 1,411

2Q FY06

3Q FY06

4Q FY06

300

3Q FY 05 366 642

4Q FY05 583 0

FY 05 Totals 1380 1757

Financial Performance Linked to Expected Outcomes This section provides an overview linking financial performance to expected outcomes. Table 2 below contains this information. In the portfolio budget, each outcome was broken down into Output Groups, and each Output Group consists of a series of outputs. Amounts spent for each output (through the end of the quarter) were totaled to arrive at the amount spent for each output group. This amount is compared to the total allocation for the output group. Outcome Outcome 5: To Increase Private Sector Development through Tourism Promotion

Output Group 5.1

Output Group 5.2 Total spent through Total Spent through end 4Q end 4Q Outputs Outputs 5.2.1 5.1.1-5.1.3 $231,898/$293,775

$21,801/$27,618

Total Outcome 5 through the end of 4Q

Output Group 5.3

Total

Total Spent through 4Q Outputs 5.3.1

Total Spent Outcome 1 through 4Q:

$8,200/$10,388 $261,899/$331,781

Main Issues Confronted and Potential Resolutions This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. Outcome 5 None to report in 4Q

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Major Sector Revisions and Adjustments This section provides details regarding any major sector revisions or adjustments that came up during the quarter. Outcome 5 MIVA was informed by the Ministry of Finance, that their Special Revenue Fund will be decreased by $50,900 ($200,000 - $149,100) MIVA is authorized to receive the Hotel Tax, but it has not been receiving the tax since 1997. They had originally budgeted $50,000 for the hotel tax, which most likely, will not receive. The prior year surpluses was estimated at $71,645, but according to MIVA, they have no prior year surpluses MIVA revised budget for FY06 is $331,781. This amount is the sum of the Compact grant, Special Revenue Fund, and other miscellaneous funds they will receive The new allocation for Output Group 5.1 is now $293,775 The new allocation for Output Group 5.2 is now $27,618 The new allocation for Output Group 5.3 is now $10,388

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Marshall Islands Visitors Authority Evaluation MIVA is one of those entities that utilize the PBB system very well and is well understood by all MIVA staff. MIVA is not new to developing work plans based on objectives; a strong emphasis on this type of management has been a major element of operations since the creation of MIVA in the late 90’s. The step MIVA should to take to better utilize the PBB system is to better link the financial information with their performance reporting, by looking at things like units costs and how that can be used to improve MIVA operations and planning. Once this happens, management can have a better understanding on how much they are actually spending on activities through out the year. MIVA does an excellent job at collecting and collating data and information about visitors to the RMI and providing this to EPPSO in a timely manner. Recommendation

Further develop the link between financial information with performance information to extend additional improvements into planning and operations.

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FY 06 Auditor General’s Office (AG) l.

Progress on Outcomes

AGO identified 2 Outcomes, each consisting of 3 Output Groups. This section provides an overview of the impacts and progress to date in FY06 with regard to Outputs/Output Groups in each Outcome. Outcome1: To Express opinions on the Financial entities of the RMI Output Group 1.1: Financial Opinions (Output 1.1.1): To complete financial opinions as stated in the various acts that established the organizations to be audited Three Opinions given on Financial Statements of an entity and two local governments; Of the 3 opinions issued, 1 was unqualified and 2 disclaimer. Meaning financial statements for 1 entity present fairly, in all material respects, the financial positions in conformity with Generally Accepted Accounting Principles (GAAP); and 2 local governments accounting records were significantly inadequate to enable the auditors to express on opinion. One Internal Control and Compliance; Management Letter issued and sent on the opinion: 3 reportable conditions and material weakness were disclosed. Approximately 1755 hours were used on above audits. (Output 1.1.2): To complete annual financial opinions for the Compact Grants This step has been incorporated into Output 1.1.1 audits mentioned above. Compliance is part of the financial statement audit that includes determining if entities are in compliant with the Compact, as amended Output Group 1.2: Staffing (Output 1.2.1): Training of staff on financial audits A major challenge as part of strengthening its audit procedures and improving the quality of audit reports is to provide the necessary training for our staff. In addition, the Government Auditing Standards (GAS) require each auditor who performs governmental audits to have 80 hours of continuing professional educations (CPE) and trainings every 2 years. As such, we are responsible for establishing and implementing a training program to ensure that auditors meet the requirements. No training was delivered during 4th quarter, but plans have been made for one staff to attend a workshop during the 1st week of December in San Diego, California. Output Group 1.3: Policy and Planning (Output 1.3.1): Determine barriers (adequate resources) for Auditor General Office to perform functions and inform the Government of findings Completed in the first quarter. Barriers have been identified and the office has put into place plans to tackle barriers as stated in the five year Strategic Plan.

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Outcome 2: To perform performance and program audits of all Ministries and agencies of the RMI Output Group 2.1: Value for Money Opinions (Output 2.1.1): Complete performance auditing for RMI government beginning FY06 Deferred to 4Q when we hire 2 additional staff, an Audit Manager and a Staff Auditor.

(Output 2.1.2) To complete annual performance audit for one Compact sector Deferred to 4Q after completion of 2.1.1 and the financial and compliance audits of the various entities mandated under the Compact, as amended. Output Group 2.2: Audit Planning (Output 2.2.1): Establish a entity schedule Completed in the 1Q. Barriers have been identified and annual audit plan has been established as stated in the five year Strategic Plan. (Output 2.2.2): Staff training in performance auditing Two auditors have completed a 60-day on the job training on performance auditing at the OIG office in Denver, Colorado. Output Group 2.3: Policy and Planning (Output 2.3.1): Determine barriers (adequate resources) for Auditor General Office to perform functions and inform the Government of findings Completed in the 1Q as barriers have been identified and office has put into place plans to tackle barriers as stated in the five year Strategic Plan. Annual Performance Measures Annual performance measures have been developed for the AGO. The tables below provide progress made in the annual performance areas during the 4Q FY06. OUTCOME1: TO EXPRESS OPINIONS ON THE FINANCIAL ENTITIES OF THE RMI AGO Data Areas 1Q FY06 2Q FY06 3Q FY06 4Q FY06 Number of Financial Opinions Issued Number of Management Letters Written Number of (man hour) training (type) Number of Policy Papers written Number of Standard Hours per Audit

12 12

6 6

12 12

1 3

2 1 2817

9 0 1229

7 0 2656

0 0 1755

TOTAL FY06 31 33 18 1 8457

OUTCOME 2: TO PERFORM PERFORMANCE AND PROGRAM AUDITS OF ALL MINISTRIES AND AGENCIES OF THE RMI AGO Data Areas 1Q FY06 2Q FY06 3Q FY06 4Q FY06 TOTAL FY06 Number of Value for Money Opinions 0 0 0 0 0 given Number of Observations made 0 0 0 0 0 FY06 Annual Performance Report

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Number of audits accomplished/planned Number of Policy Papers written Number of Standard Hours per Audit

0 0 0

0 0 0

0 0 0

0 0 0

Outcome 1: Express opinions on the Financial entities of the RMI 1Q 2Q FY05 3Q FY05 4Q FY05 FY05 Number of Financial Opinions Issued 6 5 6 12 AGO Data Areas

Number of Management Letters Written Number of staff trained Number of Policy Papers written

6 4 (one week), 2 (60 Days) 0

0 0 0

TOTAL FY05 29

5 5

6 1

7 9

24 21

0

0

1

1

Outcome 2: To perform performance and program audits of all Ministries and agencies of the RMI AGO Data Areas 1Q FY05 2Q FY05 3Q FY05 4Q FY05 TOTAL FY05 Number of Value for Money Opinions 0 0 0 0 0 given Number of Observations made 0 0 0 0 0 Number of audits accomplished compared to planned 0 0 0 0 0 Number of Policy Papers written 0 0 0 0 0 Financial Performance Linked to Expected Outcomes This section provides an overview linking financial performance to expected outcomes. Table 2 below contains this information. In the portfolio budget, each outcome was broken down into Output Groups, and each Output Group consists of a series of outputs. Amounts spent for each output (through the end of the quarter) were totaled to arrive at the amount spent for each output group. This amount is compared to the total allocation for the output group.

Outcome 1

Output Group 1.1

Output Group 1.2

Outcome1: To Express opinions on the Financial entities of the RMI

Total spent for Output Group 1.1 through 4Q

Total spent for Output Group 1.2 through 4Q

$811,711/$905,545(revised) Output Group 2.1

$63,992/$71,389 Output Group 2.2

Total spent for Output Group 1.1 through 4Q

$7,894/$8,806

Outcome 2 Outcome 2: To perform performance and program audits of all Ministries and agencies of the RMI Total Outcome 1&2 through 4Q

FY06 Annual Performance Report

Output Group 1.3 Total spent for Output Group 1.3 through 4Q

Total

$878,169/$979,868(revised) Total

Total spent for Output Group 1.2 through 4Q

$2,467/$2,752 Output Group 2.3 Total spent for Output Group 1.3 through 4Q

$59,694/$66,595

$2,467/$2,752

$70,055/$78,153

Total Spent through 4Q

Total Spent through 4Q

$948,224/$1,057,839(revised)

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III.

Main Issues Confronted and Potential Resolutions

This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. Outcomes 1 & 2 None in 4Q IV.

Major Sector Revisions and Adjustments

This section provides details regarding any major sector revisions or adjustments that came up during the quarter. Outcomes 1 & 2 Funds from Compact Funds have been appropriated (Appropriation Bill) totaling $500,000 have been appropriated for the single audit. This amount was not been shown in the original Portfolio. Since it is a maximum that the USA will fund no matter what the costs of the RMI Audit is, a better estimate would be closer to the matching funds set up from the General Fund of $310,000 since the audit is shared on a 50/50 basis. Therefore the costs set up for the single audit Output 1.1.1 should increase by $310,000. Auditor General Fund increased by $239,095 from the original appropriation. This increase is only reflected in Output 1.1.1 since it pertains to the actual audits. Notes Fy06 – Plan was for one performance audit Fy05 – Plan was for one performance audit

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Auditor General Office Evaluation The Auditor General Office is a long away from getting to the same level as CMI and MIVA in regard to implementing the PBB system for daily management of their objectives. Currently, half of the objectives that the AGO had agreed to do were not met because of the lack of personnel to fully address their core objectives as an office. In the past several years, the AGO has planned to conduct value for money audits or performance audits to compliment its financial audits. The performance audit is part of the AGO’s mandate, and they are to conduct this along side the financial audit. The issue of conducting performance audits has been on the table for the last several years, with none being conducted despite many weeks and months of training being provided to AG staff as well as being incorporated into AG operational plans and annual performance budgets. This needs to change if the AG is to become more influential in providing much needed ORGANIZATIONAL evaluations and advice to the government on the status and performance in a wide variety of government and government owned operations. The AG’s needs to start a performance audit if we are to ever examine what is needed in terms of capacity, other wise there will be a continuation of muddling through audits with the opportunity to use audits process to improve government performance being needlessly lost. Recommendation Begin implementing performance audit schedules, incrementally, business as usual without performance audits can no longer be a part of the annual work plan.

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FY 06 Infrastructure Development and Maintenance Program (IDMP) I.

Progress on Outcomes

IDMP identified projects that are listed below, for the Health and Education sectors. construction, maintenance, and purchasing of equipments. IDMP 0001 Rita Elementary School Phase I (Construction of two 4-classroom blocks) Budget incl. Contract Expenditure A&E Value to date $1,028,255 $1,028,255 $1,028,255 Current Activities: Comments:

Estimated Final Cost $594,000

Completion date

Percentage Complete 100%

Completion date

None. Awaiting budget reallocations before Variations can be settled.

IDMP 0003 Laura Elementary School (Maintenance) (8 classrooms and a library space) Budget excl. Contract Expenditure Final Cost A&E Value to date $208,000 $157,815 $204,193 $204,193 Comments:

Percentage Complete 100%

None. Awaiting budget reallocations before Variations can be settled.

IDMP 0002 Laura High School Phase I (Construction of one 4-classroom block) Budget incl. Contract Expenditure A&E Value to date $567,673 $567,673 $566,154 Current Activities: Comments:

Estimated Final Cost $1,040,000

Projects include

Percentage Complete 100%

Completion date

Project completed.

IDMP 0004 Majuro Hospital Maintenance (Painting, flooring, wall repairs, seating, isolation ward WC, doors and shelving repairs) Budget excl. Contract Expenditure Final Cost Percentage Completion A&E Value (orig) to date Complete date $200,000 $179,925 $190,596 $190,596 100% Comments:

Project Completed.

IDMP 0005 Ebeye Hospital Maintenance Year 1 (Programmed maintenance of mech/elect and HVAC equipment, architectural repairs) Budget excl. Contract Expenditure Final Cost Percentage Completion A&E Value to date Complete date $307,502 $307,502 $307,502 $307,502 100%

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Activities last month:

Project completed.

IDMP 0006 Jaluit High School Phase I (Construction of two 8-classroom blocks and a dormitory) Budget excl. Contract Expenditure Estimated A&E Value to date Final Cost $3,262,609 $2,752,000 $2,406,207 $3,000,000

Percentage Complete 96%

Completion date (current) 1 June 2006

Current Activities:

Block 16 occupied, Block 17 complete but for external painting, Dorm roof completion and internal fit-out. Furniture shipped to Jaluit from Majuro and ready for assembly and marking by MoE and government. Quality of Workmanship: Very Good. Project Constraints: Delays: caused by labor permits, Variations and school principal. The contractor has also run out of exterior walls paint. Remedies: Time extension. Program revision. Combine Phase I with Phase II. Comments: The EPA has imposed a fine of $5,000 for unauthorized excavation adjacent to mangroves and imposed conditions on the “reclamation” that the contractor has produced with surplus demolition material. The contractor has indicated verbally that a time extension claim and costs of up to $600,000 may be requested. Liquidated damages have not yet been applied in an attempt to head off this claim. IDMP 0007 Jaluit High School Kitchen Maintenance (Kitchen finishes repairs, new cooking equipment and flooring to the dining room) Budget excl. Contract Expenditure Estimated Percentage Completion A&E Value to date Final Cost Complete date $77,885 $77,885 $134,868 $200,000 100% Current Activities: Quality of Workmanship: Project Constraints: Remedies: Comments:

Kitchen equipment installation completed. Good. MoF Funding reallocation is delaying payments to the contractor. Equipment installation was rescheduled. Still awaiting MoF signature on the Bid Committee approved Variation. furniture has arrived and is awaiting transportation.

IDMP 0008 Health Centre Maintenance I (Health centre maintenance on Southern atolls and Arno, 8 Centers in total) Budget excl. Contract Expenditure Estimated Percentage Completion A&E Value to date Final Cost Complete date $235,882 $198,354 $235,882 $235,882 100% Current Activities:

Project completed.

IDMP 0009 Education Maintenance I (Elementary school maintenance on Majuro) Budget excl. Contract Expenditure Estimated A&E Value to date Final Cost $130,796 $130,796 $130,796 $130,796 Current Activities: FY06 Annual Performance Report

Percentage Complete 100%

Completion date

Project completed. Page 43

The

IDMP 0010 Marshall Islands High School Phase I (Construction of an 8-classroom block) Budget incl. Contract Expenditure Estimated A&E Value to date Final Cost $1,180,316 $1,180,316 $1,110,800 $1,250,000 Current Activities: Quality of Workmanship: Project Constraints: Remedies: Comments:

Percentage Complete 99%

Work on transformer slab. Very good. No permanent power connection due to MEC lack of equipment/funds. Materials could be purchased by PMU but quotations received are excessive and a decision by government has been requested. MEC response has been slow due to recent fire and high level visitors from overseas being on Majuro.

IDMP 0011 Northern Islands High School Phase I (Construction of an administration building and a dormitory) Budget incl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $872,277 $872,277 $923495 $900,000 100% Current Activities: Quality of Workmanship: Project Constraints: Remedies: Comments:

Completion date est. 1 June 2006

Modifications to septic tank system. Very good. No permanent power connection due to MEC lack of equipment/funds. As for MIHS I: Materials may be purchased by PMU. Furniture has been shipped to site.

IDMP 0012 MIHS Gymnasium Maintenance (Floor and wall repairs, toilet construction in the school gymnasium) Budget excl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $84,000 $65,594 $72,921 $76,759 100% Comments:

Completion date 1 June 2006

Completion date

Project completed.

IDMP 0013 MIHS Painting and Fencing Maintenance (Painting of the two Japanese-funded buildings and fencing of the staff quarters) Budget excl. Contract Expenditure Estimated Percentage Completion A&E Value to date Final Cost Complete date $50,000 $99,679 $113,197 $112,776 100% Comments:

Project Completed.

IDMP 0014 Health Centre Maintenance II (Health centre maintenance on the Eastern atolls) Budget excl. Contract Expenditure Estimated A&E Value to date Final Cost $203,587 $203,587 $203,587 $205,000

FY06 Annual Performance Report

Percentage Complete 100%

Completion date est.

Page 44

Current Activities:

Project completed.

IDMP 0015 Education Maintenance III (Elementary school maintenance on Jaluit and Arno atolls) Budget excl. Contract Expenditure Estimated A&E Value to date Final Cost $220,185 $220,185 $198,167 $221,000 Current Activities:

Percentage Complete 100%

Project completed.

IDMP 0016 Ailuk Elementary School (Education Maintenance Project) Budget excl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $59,000 $59,000 $59,419 $59,419 100% Current Activities:

Completion date est.

Completion date

Project completed.

IDMP 0017 Rita Elementary School Phase II (Construction of two additional classroom blocks) Budget incl. Contract Expenditure Estimated A&E Value to date Final Cost $1,200,000 $1,400,294 $799,055 $1,450,000

Percentage Complete 65%

Completion date est. 25 Jan 2007

Current Activities:

Upper floor blockwork and roofing to Block 9. Upper floor slab completed and 50% of upper floor blockwork to Block 10 Quality of Workmanship: Good. Project Constraints: PMU Supervisor/Engineer has not yet been officially appointed. Comments: Minor project, to secure the water catchments, underway. IDMP 0018 Marshall Islands High School Phase II IDMP 0018 (Construction of three 8-classroom blocks and a 4-classroom block) Budget incl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $4,750,000 $4,396,047 $924,820 $4,500,000 22% Current Activities: Workmanship: Project Constraints:

Remedies:

Floor slabs to Blocks 12 and 13 poured, Block 14 ready for concrete pouring. Blockwork to ground floor of Blocks 12 and 13 is 75% and 40% complete. Very good. PMU Supervisor/Engineer has not yet been officially appointed. In 6 weeks time construction will conflict with overhead power lines and MEC has no cabling or equipment to reroute the cables. See comments in 0010. MEC has agreed to temporarily relocate the overhead lines

IDMP 0019 Education Maintenance IV (Phase I) (MIHS Classroom Ceilings Renovations and Electrical work) Budget excl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $168,388 $168,388 $151,549 $168,388 97%

FY06 Annual Performance Report

Completion date est. 22 Sept 2007

Completion date Late Aug 06

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Current Activities: Workmanship:

Project completed. Excellent.

IDMP 0020 Namdrik Elementary School (Phase I) (Construction of an 8 classroom block) Budget incl. Contract Expenditure Estimated A&E Value to date Final Cost $1,000,000 $885,510 $ $885,511 Current Activities: Project Constraints:

Percentage Complete 100%

Project Constraints: Comments:

Percentage Complete 35%

FY06 Annual Performance Report

Completion date est. End Nov 06

Painting of structural roof framing. Contractor negotiating Variation to include wall strengthening and window penetrations in this contract. Materials delivery from US supplier.New contractor’s PM appointed, delay to materials supply is being re-investigated. Delays to this project are holding up Phase II.

IDMP 0024 Jaluit High School Phase II (Construction of accommodation, library and various demolition works) Budget incl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $1,571,250 $ $ $1,850,000 % Current Activities:

Completion date

Project completed.

IDMP 0023 Rairok Elementary School Phase I (Building structure and roofing repairs) Budget incl. Contract Expenditure Estimated A&E Value to date Final Cost $2,023,500 $512,853 $177,411 $520,000 Current Activities:

Completion date

Project completed

IDMP 0022 Marshall Islands High School Toilets Maintenance Budget excl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $25,000 $22,622 $22,622 $22,622 100% Current Activities:

Completion date est. 1st Jan 2007

Materials are currently being shipped to Majuro. No reef passage making the project difficult to execute.

IDMP 0021 Majuro Middle School Toilets Maintenance Budget excl. Contract Expenditure Estimated A&E Value to date Final Cost $33,538 $28,586 $33,538 $33,538 Current Activities:

Percentage Complete %

Completion date est.

Ordering of materials. Contract document compilation.

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IDMP 0025 Education Maintenance IV (Phase II) (Construction of a new roof for the MIHS Admin Block) Budget incl. Contract Expenditure Estimated A&E Value to date Final Cost $150,000 $136,810 $60,240 $136,810 Current Activities: Project Constraints:

Percentage Complete 50%

Truss assembly off-site. New contractor’s PM appointed, delays to materials supply and the contract are being re-investigated.

IDMP 0026 Education Maintenance IV (Phase III) (MIHS Classroom renovations: windows, floors and painting) Budget incl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $200,000 $179,400 $146,121 $180,000 97% Current Activities: Workmanship: Comments:

Completion date est. 4 Sept 2006

Project was completed on time. Excellent. Flooring cannot be installed until new chairs have arrived: the old ones have lost their glides and would have damaged the flooring. New chairs scheduled to arrive in mid October.

IDMP 0027 Majuro Hospital Emergency Repairs (Health Mtce Project) (Rebuilding of corridors, morgue, laundry and storage rooms) Budget incl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $200,000 $180,000 $180,000 $180,000 100% Current Activities:

Completion date 28 Oct 2006

Completion date

Project completed.

IDMP 0028 Laura High School Phase II (Stage I) (Preparation for the second half of Conversions to the Laura Garment Factory) Budget incl. Contract Expenditure Estimated Percentage Completion A&E Value to date Final Cost Complete date est. $1,255,500 $145,234 $148,711 $175,000 100% 1 Oct 2006 Current Activities: Constraints:

Replacement ceiling tiles installed. Project completed on time. Awaiting delivery of ceiling tiles to replace ones damaged in transit.

IDMP 0029 Rairok Elementary School Phase II (Internal fit-out of the renovated Grocery Building) Budget incl. Contract Expenditure Estimated A&E Value to date Final Cost See 0023 $ $ $750,000 Current Activities: Project Constraints:

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Percentage Complete %

Completion date est. 25 Feb 2007

Variation to Phase II to include window openings and wall strengthening was passed to Phase I contractor for pricing. Bidding delayed due to lack of progress on Phase I.

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Remedies:

None required as commencement of internal fit-out is dependent upon the completion of the preparatory work.

IDMP 0030 Northern Islands High School Phase II (8 classroom block, staff accommodation and dormitory renovation) Budget incl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $2,658,750 $2,740,288 $ $ % Current Activities: Constraints: Remedies: Comments:

Project awarded. A lease has yet to be secured for the staff accommodation units. MoE negotiating for a smaller portion of the adjacent weto. Budget revision has not been made yet.

IDMP 0031 Ebeye Elementary School Phases I and II (6 classroom block and a 9 classroom block) Budget incl. Contract Expenditure Estimated A&E Value to date Final Cost $3,888,750 $3,172,464 $ $3,500,000 Current Activities: Constraints: Remedies: Comments:

Completion date

Percentage Complete %

Completion date

None. The award cannot proceed until a lease is in place. High-level government negotiations with the landowners. This project will probably be deferred. The winning contractor has asked for a status report.

IDMP 0032 Ebeye Hospital Maintenance Year 2 (Programmed maintenance of mech/elect and HVAC equipment, architectural repairs) Budget incl. Contract Expenditure Estimated Percentage Completion A&E Value to date Final Cost Complete date $307,572 $307,572 $230,679 $457,572 75% 1 Jan 2007 Current Activities: Constraints: Comments:

Routine Operation and Maintenance of Ebeye Hospital. None. Variations for major equipment repairs are being assessed with a view to including them in the current contract ends on the 31st December 2006.

IDMP 0033 Laura High School Phase II (Stage II) (Conversion of the second half of the former Garment Factory) Budget incl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $1,255,000 $1,132,380 $ $1,175,000 % Current Activities:

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Completion date 7 Feb 2007

Ordering of construction materials.

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IDMP 0034 Education Maintenance V (Eastern Atolls) (Ailinglaplap, Kwajalein and Namu atolls and Lib island) Budget incl. Contract Expenditure Estimated A&E Value to date Final Cost $387,418 $420,567 $ $420,567 Current Activities:

Percentage Complete %

Ordering materials.

IDMP 0035 Health Center Maintenance III (Central and Western Atolls) (Ailinglaplap, Jabat, Namu, Lib, Lae, Wotho) Budget incl. Contract Expenditure Estimated Percentage A&E Value to date Final Cost Complete $197,468 $247,500 $ $247,500 % Current Activities:

Percentage Complete 15%

Estimated Final Cost $1,125,000

Percentage Complete %

Completion date

None. Bid documents awaiting project approval.

IDMP 0038 Uliga to Assumption (Materials supply for 6 temporary classrooms’ construction) Estimate Contract Expenditure Estimated Percentage Value to date Final Cost Complete $30,000 $28,293 $28,293 $28,293 100% Current Activities:

Completion date

Work commenced at Rita Elementary School.

IDMP 0037 Delap Elementary School (New 6-Classroom block) Budget Contract Expenditure Value to date $ $ $ Current Activities:

Completion date

Ordering materials.

IDMP 0036 Schools Water Supply Maintenance (Water system improvements in 3 Majuro schools) Budget incl. Contract Expenditure Estimated A&E Value to date Final Cost $ $49,562 $7,996 $49,562 Current Activities:

Completion date

Completion date N/A

Project completed.

OTHER PROJECTS CURRENTLY IN THE DESIGN STAGE Outer Island Schools (Master Plan for rebuilding of irreparable OI schools) Status:

FY06 Annual Performance Report

Consultant finalizing a combined MP/PDP to allow early execution and spending of reallocated funds. Brief confirmed by Ministry of Education but MoE selected materials (CMU and concrete) will not result in savings, speedier construction or more local contractor involvement. Discussions are ongoing but, as the MP is Page 49

required urgently, the planned extent of the project might have to be revisited to suit the budget. The master plan is due for completion at the end of October 2006. FY05 PROJECTS WITH CONSTRAINTS Uliga Elementary School ($3,738,750) Status: No change, project on HOLD. Constraints: A site and a lease have not yet been secured. Comments: The PMU has not yet been instructed to act on this project but, to keep the project moving forward, the project’s consultant (Beca) is preparing speculative proposal for the studies and design of a reclamation for the Bay adjacent to Assumption School, as a potential site for the this school. FY06 PROJECTS WITH CONSTRAINTS Kwajaleine Atoll High School ($2,544,028) Status: No change, project on HOLD. Constraints: A suitably sized site and lease have not yet been secured. Delap Elementary School ($1,453,000) Status: This project, to construct a six-classroom block, will proceed as soon as a budget line has been confirmed. The design, specifications and tender drawings have been prepared by the project’s consultant and they are being held by the PMU. Ebeye Wastewater Status: No change from last report: awaiting Wastewater Control Group establishment. BONDING The new bonding rules have not resulted in more interest from small local bidders. TRAINING/PMU STAFF ISSUES Formal training has been completed and 8 MoPW staff are now competent to define and manage building maintenance projects. A further training exercise, on the Delap Head Start/Kindergarten building, will take place as soon as MoE sends an official request to the PMU. Beca’s contract to manage the PMU officially ended on the 1st of October 2006. A replacement PMU Manager (John Craig) has been proposed and Beca’s plan to complete Delap, Rairok, Laura and Outer Islands Schools master planning has been verbally approved by the Chief Secretary. Beca will continue to run the PMU till the end of January 2007 and Tony Tomlinson will overview activities. SITE SUPERVISORS One supervisor is currently on Jaluit supervising JHS Phase I and he will stay on Jaluit to supervise the concurrent Phase II project which was recently won by the incumbent contractor. The NIHS supervisor is currently on Majuro supervising RES II and MIHS II until NIHS II commences. One supervisor is an architect and one is an engineer, and they will be alternated between these two projects to make best use of their skills. John Craig will supervise Rita II and MIHS II until the end of January 2007. An additional supervisor will soon be required for Namdrik ES. FY06 Annual Performance Report

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A supervisor will be required for Namdrik ES and one for RES II and NIHS II. COASTAL MANAGEMENT GROUP Nothing to report. SCHOOL FURNITURE MIHS I furniture arrived on schedule and has been installed. Jaluit High School Phase I furniture has arrived and is awaiting transport to Jaluit. NIHS I furniture has been installed but MoF has still not yet paid for it. MIHS Admin: new chairs have been ordered, arrival anticipated mid October. REMAINING MAINTENANCE PROJECTS BUDGET Additional maintenance funding may be available when recommended budget reallocations take place. A & E BUDGET Nothing to report.

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Infrastructure Development & Maintenance Plan Evaluation The reports on progress for the construction and maintenance projects are more than satisfactory. There are two major areas that need attention from the PMU and client ministries. The first is the reconciliation of project accounts with the Ministry of Finance. Steps have been taken to address issues on project amounts remaining and expended. Associated with this is the entire process of communication up and down the chain of command with these projects. There must be improvements in communication, particularly when there are situations that require Cabinet level decisions on project status and budgets. The second major issue is obtaining more timely decisions from client ministries on projects that need to proceed. The lack of timely decisions on projects has led to some unnecessary delays that end up tying down significant sums of funding for long and unnecessary periods of time. This has an impact on service delivery and budgets, because in construction time does equal money. Recommendations 1. The PMU and the Ministry of Finance must have, at least quarterly, meetings to reconcile accounts and project status. This will ensure that the contracting and billing processes can proceed smoothly. This must happen and be institutionalized as a matter of course. 2. When new projects are approved each budget year, the account structure for these projects must be correctly entered into the MIS system in Finance as soon as possible, in order to avoid the significant problems with A/E and furniture costs seen in the reconciliation’s of the FY 0 4 – FY06 new construction projects. 3. The Ministry of Finance needs to improve communications with the PMU whenever there are problems and issues with funding for maintenance and new construction projects. Lack of communication back to the PMU in this area has also caused some unnecessary delays in projects because of a lack of information. 4. The PMU and client ministries must work together in order to ensure that projects move forward smoothly without unnecessary delays that can increase the cost of projects as well as adversely affect budget planning and service delivery.

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FY06 Ministry of Education (MOE) l.

Progress on Outcomes

MOE identified 3 Outcomes (Outcome 1 consists of 5 Output Groups, Outcome 2 consists of 6 Output Groups, and Outcome 3 consists of 9 Output Groups). This section provides an overview of the impacts and progress to date in FY06 with regard to Outputs/Output Groups in each Outcome. MOE Outcome 1: To Continue to Improve the Curriculum at all Levels of Education in the RMI Output Group 1.1 – Textbook and Supplies Output 1.1.1 (Textbook committee) Identification and purchase of textbooks and supplies to coordinate with curriculum revisions and addition of new classes at all levels of education in the RMI ELEMENTARY: Moving into English textbooks purchased and arrived in August for grades K, 1 & 2. Moving into English materials have arrived and distributed to all Majuro, Jaluit, Arno, Ailuk, Likiep, Maloelap, Mejit, Utrik, Kwajlein, Ejit and Wotje schools. Distribution of books and materials to remaining schools will be made pending the availability of ships to those outer islands schools. Selection and adoption of math textbooks from Houghton-Mifflin by the ministry A plan to purchase textbooks is now in place. Purchase will continue to support implementation of primary school curriculum. The plan for FY- 06 (SEG) and FY-07 is as follows: Continue to purchase Moving into English textbooks for grades 3, 4 & 5. Four alternatives for math textbooks were developed. The textbook committee decided on one alternative based on prices, available budgets and other considerations. Purchase for math textbooks for grades K, 3, 5-8 will take place in 1QFY07 using funds SEG FY 06. SECONDARY: o Textbooks procurement follow-up activities made by the committee. o Mathematics and science textbooks for all 5 High School have arrived on island. Books are to be distributed in 1QFY07. o Half of the English textbooks order received for 4 of 5 high schools. (KAHS to receive order in 1QFY07) o Remainder of English textbook order will continue using SEG FY-06 funds. o Continued coordination between Kwajalein Atoll High School and the Textbook Committee to ensure textbook orders are synchronized with set benchmarks for the High School curriculum that is in development and that all stakeholders take part in the process. Output Group 1.2 – Curriculum Output 1.2.1 (Secondary Education) Procedures developed and implemented for addition of courses in Music, Arts, Physical Education/Health, and Marshallese Language Arts/Traditional Skills at selected secondary and vocational schools. o o o o o o

NIHS has restarted traditional skills course. System-wide traditional skills course will require further study and development. Music program continues at MIHS as an elective activity. Application submitted for new teacher. Art classes at LHS continue to be offered. Course description is in development. Health and Physical Education courses have now been integrated at LHS. Development of course syllabi for core subjects now underway.

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o

PE courses offered at 4 high schools for SY06-07. KAHS PE program expected to be implemented in FY07.

Output 1.2.2 (Secondary Education) Design revised secondary school curriculum FY05-FY06 o o o o o

PREL contracted to facilitate the development of the curriculum. Internal review of English, Math and Science curricula completed. Second draft of English, Math and Science curricula to be completed Q1FY07. External review process to be completed in Q3FY07. Social Studies and Marshallese Language curricula are expected to be completed by Q2FY07.

Output 1.2.3 (Elementary Education) Implement new elementary curriculum Analysis of MISAT results shows improvement in most areas. (see MISAT Appendix) Plans developed for training in using English textbooks to implement curriculum scheduled for 1QFY07. Training for using Moving Into English textbooks to implement Early Childhood curriculum conducted in July. Output 1.2.4 (Secondary/Vocational Education) Continue the three-tier curriculum of the National Vocational Training Institute (NVTI) to increase the educational and skills training opportunities for youth and women in the RMI. At present, the NVTI is totally concentrating its time and resources with TIER I & II. First students to enter the program will complete TIER II following SY 06-07 and begin exploring workplace/career opportunities. NVTI continues career preparedness education so students will be ready to enter workplace following completion of the program in 3QFY07. Director of NVTI continues to serve on the Technical & Vocational Education & Training (TVET) working committee with NTC. Output 1.2.5 (Secondary Education) Create and implement curriculum for Pre-9 Pilot Program at all secondary schools Analysis and preliminary review of results of Pre-9 program suggests implementation has not been successful across the system. MOE plans to conduct further review to refine and adjust the program. Output Group 1.3 – Curriculum Standards & Training Output 1.3.1 (Elementary Education + Secondary Education) Training on the implementation of the elementary and secondary curriculum Curriculum implementation training provided to all teachers during the summer. For SY 05-06, on-site training was provided to 20 atolls expect for Alinglaplap, Utrik, Jabat and Lib. The training for teachers from Ailinglaplap, Jabat, Lib and Utrik are prioritized to take place in 1Q & 2Q FY07. Output 1.3.2 (Elementary Education) Curricula implemented for elementary education are standards based and integrated with teacher pre-service and in-service training arrangements and that formative assessment is the prime assessment focus of classroom teachers

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To help teachers develop standard-based lessons. the Mentors continued training on the three areas of the curriculum focusing on standard-based lesson planning, classroom management, and formative assessment. During the new school year of curriculum trainings, the Curriculum Trainers have created a matrix that will focus on four training tasks: Standards, Benchmarks, and Grade Level Expectations implementation, Material and Resources development and acquisition to support the standards implementation, Coaching of Teaching and Learning, and Provision of Special Education services. These tasks will be carried out during the first training visits slated to begin in October. Assessment from curriculum trainings show that MOE must undertake further work to develop and simplify materials to promote understanding of benchmarks, standards and expectations among teachers. Formative Assessment training module in use in all teacher-training sessions. Output Group 1.4 – ECE Program/Curriculum Development Output 1.4.1 (Early Childhood Education) Adapt and expand previous Head Start program to the MOE universal Kindergarten (Kindergarten Pilot project implement FY05) Moving into English materials have arrived and distributed to all Majuro, Jaluit, Arno, Ailuk, Likiep, Maloelap, Mejit, Utrik, Kwajlein, Ejit and Wotje schools. Training on new materials planned and scheduled for Q1FY07. 3 new kindergarten sites opened this quarter. 3 more scheduled to open during SY 06-07. PREL consultant completed work on kindergarten curriculum. Reviewed and identified math materials for kindergarten to implement curriculum. Purchase expected in 1QFY07. Output 1.4.2 (Early Childhood Education) Continued Monitoring of the Pilot Kindergarten Project Monitoring of kindergarten sites still continues with visits being made by Early Childhood Specialists. As result of monitoring, Delap kindergarten site came under the management of Delap Elementary School to improve and align transition of kindergarten to 1st grade. Monitoring trips expanded to include Wodmej, Wotje, Tarawa, Maloelap and Arno, Arno during the reporting period. Output Group 1.5 - Statistics and Baseline Data Output 1.5.1 (Policy/Planning) Improve information management, data collection and management information systems for curriculum development and needs at all levels of education Student data for school year 2005-2006 have been collected and inputted into the education edge database system. Statistics on curriculum, textbooks and supplies will soon be imported into the system. Personnel data will continue to be updated as and when necessary. Training on the usage of the system, which focus mainly on inputting, structuring and querying of personnel data continues as requested. No significant progress made as to the implementation of the pilot project for Ejit Elementary School but eventually the MOE want all schools on Majuro to be able to have access into the system. A team has now been established to oversee protocol in the collection, entry, analysis and dissemination of data to and from schools. Analysis of SY 05-06 completed and distributed.

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MOE Outcome 2: Improve Effectiveness of RMI Education Staff and Teachers for all Areas of Education Output Group 2.1: Staff Development and Qualifications Output 2.1.1 (All) To provide training and developmental opportunities for the Ministry of Education’s administrative staff 1 NVTI staff attended the PEC in Palau in mid July while the rest of the NVTI teachers took part in the English Institute and a MOE sponsored math workshop. 2 other staff attended summer classes at CMI. 3-budget office staff participated in the annual APIPA conference and workshops held in Pohnpei on July. 1 Principal high school English teacher attended the annual ASCD conference. 2 Principals (1 Middle School & 1 High School) and 1 high school social studies teacher attended the ASCD Professional Development Institute. 2 Assistant Secretaries attended the annual PEC in July. Planning in preparation for an On-Line computer training for 19 teachers and administrators in October to prepare for the BA program with Park University Leadership training for public school principals and administrators was held during the Principal’s Institute. Output 2.1.2 (Staff Development + Elementary Education) Continue to build skill profiles of all teachers through on-going summer school and establish “effective teaching skills programs” with a focus on improving teaching skills and instruction content 1 NVTI staff attended the PEC in Palau in mid July while the rest of the NVTI teachers took part in the English Institute and a MOE sponsored math workshop. 2 other staff attended summer classes at CMI. Output 2.1.3 (Staff Development) To assure all teachers in Majuro and Ebeye obtain at least two year degree (AA) by 2010 (World Teach) 70 teachers currently attending the College of the Marshall Islands (CMI) Output 2.1.4 (Staff Development)To assure all 2 year qualified teachers are working toward a 4 year degree qualified with 20% achieved by 2010, 40% by 2014 24 teachers and administrators attending Park University 6 teachers currently on BYUH campus. Preparation for 5 teachers to be on campus for next semester (December 2006) Articulation to secure MOU between MOE and SDSU is currently underway. Output Group 2.2: Remuneration and licensing of teachers and staff Output 2.2.1 (Staff Development) To redevelop teacher and staff remuneration arrangements to reward teachers and staff in proportion to credits obtained up to Master’s level Former Head Start staffs are yet to be determined. Analyzed potential budget impacts of proposed salary changes under the teacher certification program. Output 2.2.2 (Staff Development) Review teacher licensing arrangements to ensure that training credits are recorded and that all un-certifiable teachers are not employed after 2006 Certification task force working to implement teacher certification program by January 2007.

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Output Group 2.3 – Mentoring Output 2.3.1 (Staff Development + Elementary Education) To increase the accessibility of teacher Mentors to Majuro and Outer Island teachers through more frequent visits Visits made to Arno and Maloelap schools to conduct training to assess the implementation of the National Curriculum Standards with focus on lesson planning, classroom management and assessment. PREL sponsored math training conducted in September. 42 teachers and 10 mentors participated in the PRIME training. Output Group 2.4 – Teacher Absenteeism Output 2.4.1 (Teacher Absenteeism Team) Managing/enforcing teacher absenteeism and teacher performance Time clocks have been installed in all Majuro schools, expect for Delap kindergarten site. Purchasing in process for time clock for Delap kindergarten site. Incentive awards were included in the FY07 budget to recognize teachers who demonstrate good attendance and exemplary Performance. A TA consultancy started in August to assist the Ministry to develop personnel performance audit to include teacher absenteeism. Outer island schools PTA presidents to certify and endorse time sheets and teacher attendance for payroll purposes. Discussions started with PSC regarding sick leave reimbursement. Output Group 2.5 – Staff Recruitment Output 2.5.1 (Staff Development) To recruit the brightest and most competent High School graduates to teaching from 2005 onwards 30 substitutes have been placed in the outer island schools to replace 30 in-service teachers attending accredited institutions. Recruitment was made from high schools, CMI and the community. High school graduates will have the option to attend CMI. Output 2.5.2 (Staff Development) Reexamine the funding base for CMI from RMI to ensure that national teacher quality priorities are met 1 RMI graduate returned from the US 17 new teacher recruited from CMI Output 2.5.3 (Staff Development) Develop a national labor market plan for teachers and education staff Continued to build database and will complete plan by Q2FY07. Output Group 2.6 - Statistics and Baseline Data Output 2.6.1 (Policy/Planning) Improve information management, data collection and management information systems for teacher and education staff performance at all levels of education Student data for school year 2005-2006 have been collected and inputted into the education edge database system. Statistics on curriculum, textbooks and supplies and data on teacher certification will soon be imported into the system. Personnel data will continue to be updated as and when necessary.

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Training on the usage of the system, which focus mainly on inputting, structuring and querying of personnel data continues as requested. No significant progress made as to the implementation of the pilot project for Ejit Elementary School but eventually the MOE wants all schools on Majuro to be able to have access into the system. Additional equipments are needed and, therefore, have been budgeted for FY06-07. A team has now been established to oversee protocol in the collection, entry, analysis and dissemination of data to and from schools. MOE Outcome 3: To Improve Student performance and Learning Outcomes through Effective Program Delivery and Community Involvement Output Group: 3.1 – Community Involvement Output 3.1.1 (Community Involvement Team + PREL) Expansion of “Cluster PTA” which encourages parent/family involvement in Majuro and strengthening PTAs in other school locations. Assistance from RMI PREL Service Center Offices in overseeing program. 19 Outer island schools were trained in July 06 to replicate the Cluster Model SY: 06-07. 21 Schools receives PIRC PREL funding to implement their School Improvement Plans using the Cluster Model. Total of 69 Public Elementary Schools, 3 High Schools + NVTI are also beginning Cluster Model implementation SY: 06-07. Cluster Model TA to Ejit Elem. School staff leadership team. Training for Jabat School Staff on CM use & implementation was successful in early August. TA to WUTMI Parents As Teachers program. PREL PIRC provided TA to a WUTMI Parenting Partnership initiative with Majuro, Rongalap, Kwajalein and Kili/Ejit/Bikini Local Governments in training local parent educators to replicate Parents As Teachers parenting program. 12 Parent Educators received ECE information on: Brain development, and parenting tips for school readiness for 0-5 age children. Co-sponsor ECE Training for 8 Parent Educators trained to replicate PAT project in Ebeye sponsored by KALGov. 19 Public Schools were trained July 06 and are now developing their school Assessment profiles as baseline for transition to the Cluster Model within SY: 06-07. 19 School Improvement Teams (SIT) and Instructional Improvement Teams (IIT) are developing at the following schools: NVTI, Likiep, Melang, Jebal, Jabat, Loen, Mae, Bikarej, Lib, Buoj, Eneburr, Jang, Utrik, Imiej, Jabonoren, Arno, Delap and Ine public schools I The following schools have not attended any training therefore are the only schools in RMI not using the Cluster Model School Improvement Initiative. Ailuk Ailuk Enejelar Ailuk Ebaton Kwajalein Carlos Kwajalein Narmij Jaluit Jaluit Jaluit Output 3.1.2 (Secondary/Vocational Education) Continue publicity campaign for NVTI 75 parents showed up for the first PTA meeting on 9/22/06 for the implementation of the cluster PTA. General information, rules and regulations provided and explained during the PTA meeting. FY06 Annual Performance Report

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Revised school handbook will be provided and tabled during the 2nd cluster PTA meeting scheduled for the 2nd week of October. Output 3.1.3 (Community Involvement Team + PREL) Provide school-based training to school-community improvement partnership teams Capacity Development TA to Ejit Leadership Team & School Improvement Team Members (9) Professional Development to Ejit School Staff: Revisiting the Cluster Model and Roles of the groups in School Improvement (13) Cluster Model Training to Ejit School Improvement Team. In partnership with Curriculum and Instruction Division, MOE and WUTMI, RMI PIRC facilitated five Seminars on the Theme “Parenting for School Success” in Ebeye and Majuro. Sept. 13th / Session 1: Ebeye East Sept. 14th / Session II: Ebeye West Sept. 27th / Session III: Rita Community Sept. 28th / Session IV: DUD Community Sept. 29th / Session V: Laura Community Total of 2,978 total parents were reached regarding the newly developed School Parent Involvement Standards. Topics shared in these Seminars Essential Early Childhood school readiness parenting skills for 0-5 years. Child Abuse – What is it? What are the implications of this in our communities? Parenting Roles and School Expectations Multiple Intelligences Brain Research Professional Development to Ebeye Staff in using the clustered model as a vehicle to facilitate staff development with understanding and working more closely with the RMI National Standards. TA to WUTMI PAT Q4. Family Gathering on School Readiness Parenting skills in ages 0-5. Sixty- four families attended. Training to DES Staff on Cluster Model transition plan. 16 staff members attended including the school leadership team. Provide TA to RES on: Staff training needs assessment. TA plan is under development on the following needs Understanding & aligning Standards with lesson planning. Classroom observation / demonstration. RES MISAT results 06. Computer word processing skills Network partnership developmental activities with MOE on an on-going basis. Provide TA to “Ajri In Ibbinini” Radio show facilitated by the PAT team. Output Group 3.2 – Program Funding Prioritization Output 3.2.1 (MOE Finance) Implement SEG funding to ensure SEG funding supports the ECE/ Kindergarten program in Majuro and Ebeye as per RMI law During the last quarter of FY 2005-06, the allocated fund for the Kindergarten program under SEG was exhausted. MoE had to utilize its other sources of Fund (Compact) in order to carry out the implementation of the program. All other operations, except personnel salaries, were put on hold. This problem came about as the SEG for 2006 did not arrive as scheduled. The fund only became available in September 2006. In order to avoid the dilemma it faced in 2006, MoE, with the assistance of the

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Consultants, has already developed a plan For FY 2007 SEG, but still needs further development it to meet its needs. It is hopeful that 2007 plan will be ready for submission to DOI for final approval in early 2007. Continuing to develop and implement the 3-year rolling plan for FY 2007-2009. MOE continues to meet and review, on a monthly basis, funding usage with MOF and DOI. Output 3.2.2 (MOE Finance + MOE Grants) Communicate budget and external funding options The MoE budget office has worked with all Majuro schools Principals to equally divide up their budgets for the upcoming FY 2006-07. The budget allocations were broken down based on the schools’ enrollment. For FY 2006-07, each school will now know their total budget and how much by line item. The budget office, at the start of the FY 2006-07, will disseminate the budget breakdown to each school for information and implementation. Several schools received funding from external sources such as the Yokwe Yuk Women’s club and Mobil Micronesia, Inc. A Grant Writer post is slated to be opened to assist the Ministry identify and secure urgently needed external funding sources to effectively and efficiently carry out is operations. A Grant’s Director is currently on board, but the Office of Grants needs to be strengthened further, especially in identifying and securing grants Output 3.2.3 (MOE Finance + MOE Grants) Research alternative funding sources for MOE programs 3 proposals approved for the UNESCO participation programme. 2 RMI participants took part in a UNESCO sponsored workshop. The UNESCO Regional Director for the pacific region visited the RMI and held various consultations with top level government and private sector representatives. Agreement reached for a funding totaling $200,000 for a pilot teacher training project at Arno Atoll. Funding available for the MOE strategic plan steering committee from the PRIDE project. The Territorial and Freely Associated States Education Grant (T&FASEG) was closed out during the reporting period. All materials and supplies purchased under the grant have been distributed to approximately 120 public and private school throughout the RMI. A Grant Writer post is slated to be open, in FY 2006-07, to assist the Ministry identify and secure urgently needed external funding sources to effectively and efficiently carry out is operations. A Grants Director is currently on board, but the Office of Grants needs to be strengthened further, especially in identifying and securing grants. Output 3.2.4 (MOE Finance + MOE Procurement) Create and implement a comprehensive tracking process to monitor/follow-up on the procurement process An in-house tracking system has been established to track all Requisitions, Back-Log-Orders and Travel Authorizations. The establishment of the System has been proven to be most effective as supplies, materials and other MoE assets are tracked. A receiving report log sheet has been developed and will be consistently utilized, especially when school supplies and materials are shipped to the outer islands schools. The form requires that school head-teachers or his/her representative(s) signs off and confirms that he/she has received the goods. There are plans to customize all of the forms to be included as part of the MOE data office for accurate tracking and informational purposes. Output Group 3.3 – Testing Performance Output 3.3.1 (Policy/Planning) Implementation of testing schemes at grades 3, 6 and 8 to measure student achievement FY06 Annual Performance Report

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Report on student achievement produced. See MISAT attachment. Results support MOE efforts to build foundational skills starting in early grades, including MOE’s focus on ECE. Results entered into Management Information System. Test results discussed during Principal’s institute. Principals given test scores for each student in order to design special instruction to assist low performing students. Policy implemented for on-site trainers to share and discuss test results with teachers and principals during site visits and discuss strategies to improve achievement. Output 3.4 – Counseling Output 3.4.1 (Secondary Education) Review and increase as necessary the counseling function in all schools The MOE continues to hire school counselors for the secondary schools as needed. As of the reporting period, MOE has counselors at the following school: MIHS – 1 academic counselor, 1 female counselor JHS – 1 male counselor NIHS – 1 male counselor, 1 female counselor KAHS – 1 male counselor MMS – 1 female counselor Plans underway to implement a comprehensive counseling program in the schools. Output Group 3.5 – Student Retention and Truancy Output 3.5.1 (Policy/Planning) Continue to collect data at the elementary and secondary level to determine the exact number of students who drop out of school (by semester) and the reasoning Student data for school year 2005-2006 have been collected and inputted into the Management Information system. Training on the usage of the system, which focus mainly on inputting, structuring and querying of data continues as requested. No significant progress made as to the implementation of the pilot project for Ejit Elementary School but eventually the MOE want all schools on Majuro to be able to have access into the system. A team has now been established to oversee protocol in the collection, entry, analysis and dissemination of data to and from schools. Plans developed for survey of students who dropped out in 04-05 and 05-06 to determine causes. Output 3.5.2 (Truancy Team) Revise and enforce truancy policy at both elementary and secondary levels No significant change/progress in this output. Output Group 3.6 - School Feeding Program Output 3.6.1 (Secondary Education) To continue ongoing school feeding programs and to implement MIHS School Lunch Program model at LHS and KAHS Cluster PTAs for MIHS, LHS and KAHS continued their support in the administration of the school feeding program. With the availability of the SEG06, MIHS and LHS will continue their feeding programs that are administered by local contractors with PTAs and MOE support. KAHS has finally started its lunch program with funding from the Ebeye Special Needs monies, modeling the MIHS and LHS program. On-going develop of PTA clusters to help reduce truancy.

FY06 Annual Performance Report

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Output Group 3.7 – Transportation Output 3.7.1 (Property/ Maintenance) Purchase school buses to assure that each student is offered access to school Additional school buses have been purchased to further supplement the MOE fleet to assure that each student is offered access to school. Two (2) – 15 seat buses purchased for Ebeye Schools using the Ebeye Special Needs. Three (3) – 30 seat buses purchased for Majuro Schools using Compact and Supplemental Education Grants. All vehicles continue to have regular tune ups as per the Vehicle Maintenance System. The MOE division of Property Maintenance continues to procure needed auto parts for replacement and supplies for maintenance. Output Group 3.8 - School facilities Output 3.8.1 (Property/Maintenance + Early Childhood) Identify sites and develop plans to expand the kindergarten program 3 more sites identified for the Kindergarten program. Materials for renovation have been ordered and shipped to the new sites: Majkin Longar Ulien 1 site identified as needing materials for renovation. Materials have now been shipped to Tawara, Maloelap Atoll Output 3.8.2 (Property /Maintenance + Elementary Education) Assure all elementary and high schools have basic facility requirements The cutting and fabrication of students’ tables and chairs including fine sanding and staining of part is still on going. 190 units (2/each unit) of desk with chairs were constructed and distributed to various schools for 380 students. Distribution of school furniture (desk with chair) for the period July to September 2006 is as follow: Uliga Elementary School 20 units Delap Elementary School 30 units Wotje Elementary School 15 units Wodmej Elementary School 15 units Mae Elementary School 15 units Nallu Elementary School 10 units Ine Elementary School 10 units Tutu Elementary School 20 units Laura Elementary School 15 units Jabnoren Elementary School 20 units Imiej Elementary School 20 units Output 3.8.3 (Property/ Maintenance) Ongoing maintenance at all schools, MOE administration office, and MOE vehicles The following work requests for schools and offices was countered for the period July to September, 2006:

FY06 Annual Performance Report

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Materials ordered and shipped for school renovation projects at Namu, Loen, Majkin, Mae, Likiep, Ailuk, Tarawa, Kaven, Bouj, Mili, Nallo, Takewa, Enejet, Longar, Ine, Kilange, Ulien and Tutu. Constructing of a kitchen counter at RES Remodeling/renovating of classrooms at Assumption School, 2 classroom at the former vocation building, 4 classrooms at the cafeteria beneath the Assumption Church Remodeling computer lab at Likiep Elementary School Installed 8 window type air con units at DUD kindergarten center Installed new split type unit at Ajeltake Elementary School A/C repair at Laura High School Installed new A/C unit at the MOE office in Delap Replaced and installed new units at MIHS Fixed street lights at the MIHS campus Repaired units at Majuro Middle School Electrical wiring and fixture installation work at Uliga Elementary School Repaired and installed new A/C units at Delap Elementary School Repaired toilet and water pump at MOE main office Cut lawn around and replaced window security screens at MIHS staff housing Repaired flooring, walls, windows, doors, ceiling, roofing, rain cutters, plastering and painting work for 3 weeks at Tutu Elementary School Installing pieced furniture at Northern Islands High School for 1 week Installing pieced furniture (240 units) at Jaluit High School Uliga Elementary school renovation housed at Assumption. Output Group 3.9 - Statistics and Baseline Data Output 3.9.1 (Policy/Planning) Improve information management, data collection and management information systems for student performance at all levels of education Student data for school year 2005-2006 have been collected and inputted into the education edge database system. Statistics on curriculum, textbooks and supplies will soon be imported into the system. Personnel data will continue to be updated as and when necessary. Training on the usage of the system, which focus mainly on inputting, structuring and querying of personnel data continues as requested. No significant progress made as to the implementation of the pilot project for Ejit Elementary School but eventually the MOE want all schools on Majuro to be able to have access into the system. A team has now been established to oversee protocol in the collection, entry, analysis and dissemination of data to and from schools. F. Annual Performance Measures Annual performance measures have been developed for MOE. The table below illustrates progress made in the key annual performance areas during the 4Q FY06.

FY06 Annual Performance Report

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Performance Measure Progress Outcome 1: To Continue to Improve the Curriculum at all Levels of Education in the RMI Data Areas School age population (4 year olds) School age population (5 year olds) Total number attending school (4 year olds) Total number attending school (5 year olds) Total number (increase) 4-year olds attending school Total number (increase) 5-year olds attending school School Age Population (6-13) Total number attending school (6-13) Student attendance by semester (total student days absent) • • • • • •

FY06 1Q 1633 1516 0 1060 0

FY06 2Q 1633 1516 0 1060 0

FY06 3Q 1633 1516 0 1110 0

FY06 4Q 16332 1516 0 1085 0

FY06 TOTAL 16332 03 9184 0

107 12,452

12,452

12,452

12,452 8,825 5,0055

12,7806

1

Enrollment figures include only public school students. Note changes in Q3-Q4. Four-year olds transition to five-year olds for the new school year. 3 4 year olds to be added to kindergarten program in 4QFY07. 4 Number reflects public school enrollments with 8 schools not reporting yet. Number subject to change. 5 Approximately half of the schools failed to report daily attendance figures for this period. 6 29 schools have not reported daily attendance figures. MOE plans to hold paychecks of principals until data reports are received. 2

Performance Measure Progress Outcome 2: Improve Effectiveness of RMI Education Staff and Teachers for all Areas of Education Data Areas Test scores grade 3 Test scores grade 6 Test scores grade 8 Total days teacher absent (by semester)

FY061Q 35 56 68

FY06 2Q 35 56 68

FY06 3Q 35 56 68

FY06 4Q * * *

FY06 TOTAL * * * N/A

Performance Measure Progress Outcome 3: To Improve Student performance and Learning Outcomes through Effective Program Delivery and Community Involvement Data Areas

FY061Q

Number of school days per entire system CMI teaching graduates Participation in offshore AA/BA programs Participation in local enrichment programs (summer institutes)

43 10 3

FY06 2Q 43 10 3

FY06 3Q 43 10 3

FY06 4Q 29 0 6* 550

FY06 TOTAL 180

* Not including 46 teachers and administrators that are taking on-line courses.

Financial Performance Linked to Expected Outcomes Financial information for Outcomes 1, 2 and 3, linking financial performance to expected outcomes, is found in Table 4 at the end of this report.

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Ill.

Main Issues Confronted and Potential Resolutions

This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. Outcome 1 None in 3Q Outcome 2 None in 3Q Outcome 3 None in 3Q IV.

Major Sector Revisions and Adjustments

This section provides details regarding any major sector revisions or adjustments that came up during the quarter. Outcome 1 Total budget shows and increase of $1,007,134 because difficulties in determining whether ESN was included in the overall compact sector grant or if it was separated. In this regard, ESN was mistakenly taken out of the previous calculations, and has been added in. This is reflected in the Program Delivery. Outcome 2 Total budget shows and increase of $1,007,134 because difficulties in determining whether ESN was included in the overall compact sector grant or if it was separated. In this regard, ESN was mistakenly taken out of the previous calculations, and has been added in. This is reflected in the Program Delivery. Outcome 3 Total budget shows and increase of $1,007,134 because difficulties in determining whether ESN was included in the overall compact sector grant or if it was separated. In this regard, ESN was mistakenly taken out of the previous calculations, and has been added in. This is reflected in the Program Delivery.

FY06 Annual Performance Report

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This Page Was Intentionally Left Blank

FY06 Annual Performance Report

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V.

Financial Performance Linked to Expected Outcomes

This section provides an overview linking financial performance to expected outcomes. Table 4 below contains this information. In the portfolio budget, each outcome was broken down into Output Groups, and each Output Group consists of a series of outputs. Amounts spent for each output (through the end of the quarter) were totaled to arrive at the amount spent for each output group. This amount is compared to the total allocation for the output group. Outcomes

Output Group 1.1

Output Group 1.2

Output Group 1.3

Output Group 1.4

Outcome 1: To Continue to Improve the Curriculum at all Levels of Education in the RMI

Total through end of 4Q:

Total through end of 4Q:

Total through end of 4Q:

Total through end of 4Q:

$2,261,266/ $2,477,727

$604,379/ $662,233

$235,337/ 257,865

$1,724,728 /$1,889,828

Outcomes

Output Group 2.1

Output Group 2.2

Output Group 2.3

Output Group 2.4

Outcome 2: Improve Effectiveness of RMI Education Staff and Teachers for all Areas of Education

Total through end of 4Q:

Total through end of 4Q:

Total through end of 4Q:

Total through end of 4Q:

$2,133,606/ $2,337,846

$15,915/ $17,438

$114,208/ $125,141

$12,705/ $13,921

Outcomes

Output Group 3.1

Output Group 3.2

Output Group 3.3

Output Group 3.4

Outcome 3: To Improve Student performance and Learning Outcomes through Effective Program Delivery and Community Involvement

Total through end of 4Q:

Total through end of 4Q:

Total through end of 4Q:

Total through end of 4Q:

$9,601/ $10,520

$52,427/ $57,446

$144,826/ $158,690

$69,193/ $75,817

TOTAL

Output Group 1.5 Total through end of 4Q: $44,241/ 48,476 Output Group 2.5 Total through end of 4Q: $9,401/ $10,301 Output Group 3.5 Total through end of 4Q: $76,310/ $83,615

Output Group 2.6 Total through end of 4Q: $42,578/ $46,654 Output Group 3.6 Total through end of 4Q:

$591,694/ $648,334

Output Group 3.7 Total through end of 4Q: $82,137/ $90,000

$20,965,784/$22,972,741*REVISED

FY06 Annual Performance Report

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Output Group 3.8 Total through end of 4Q: $543,680/ $595,724

Output Group 3.9 Total through end of 4Q: $59,551/ $65,252

Program Delivery Total through end of 4Q:

$12,137,999/ $13,299,913

FY06 MOE Performance Indicator Tables Education data for annual performance measures/indicators for MOE Outcomes 1-3 are presented in Tables 123 (below). These 18 indicators areas were selected for monitoring by JEMFAC in August 2004. The indicators focus on several important areas including student populations, enrollment, student/teacher ratio, school/teacher ration student performance and dropout rate and attendance. Additional impact indicators (for each MOE Outcome) were developed by EPPSO and MOE and are included in Table 24. These indicators supplement the 18 indicator areas and also associate with the measurements included in the performance matrixes. Data is collected on a quarterly basis, and reported on cumulatively. The measures in Tables 1-23 are designed allow MOE to demonstrate performance with regard to the implementation of outputs and obtaining expected results (Outcomes). Table 1: Number of schools by Grade Level & Total Students (disaggregated by sex) (DOI 1, 9) 2004-2005 School Year 2005-2006 School Year Level Type Number # Students Boys Girls Number Elementary Public 75 8140 4326 3842 75 Private 24 2441 1187 1254 24 Secondary Public 5 1786 841 844 5 Private 14 1415 703 712 13

Table 2: Number of Primary and Secondary Schools by Area in RMI (DOI 1,10) 2004-2005 School Year 2005-2006School Year Area Primary Schools % Secondary % Primary Schools Schools Majuro 20 20% 9 50% 20 Ebeye 6 6% 6 30% 6 All others 74 74% 3 20% 74 Total 100 100% 18 100% 100

# Students 9083 2597 1938 1079

Percentage 20% 6% 74% 100%

Boys* 4692 1286 980 544

Girls* 4391 1311 958 535

Secondary Schools 9 6 3 18

Table 3: Gross Enrollment Ratios for Primary and Secondary Schools* (DOI 9) (% School Age population attending School) School Type 2000-01 2001-02 2002-03 2003-04 Primary 98.2 98.8 101.6 91.8 Secondary 50.3 48.3 51.9 43.8

2004-05 92.6 45.5

Total Primary and Secondary

74.3

84.7

81.2

84.0

73.2

% 50% 30% 20% 100%

Table 4: Dropout Rate by Grade Level and Gender (DOI 10, 12,14) (Dropout Rate by Grade Level & Gender/Completion/Graduation Rate for 8th&12th Graders) Grades 2002-03 Males 2002-03 Females 2003-04 Males 2003-04 Females 2004-05 Males 2004-05 Females 1-8* 23% 18% 23% 16% 23% 23% 9-12** 38.7% 43.3% 39.7% 40.6% 37.5% 37.1% * Over 20 % children leave the elementary schools before reaching the 8th grade. **If refusal for admission due to inadequate classroom space, less than 25% of the students enrolled in grade 1 were in a position to complete high school level education.

Table 5: Primary Grades Dropout Rate 1990, 1995-2005 (DOI 12) Year Started Grade 1 Both Sexes 1989-1990 1994-1995 1995-1996 1996-1997 1997-1998 Males 1989-1990 1994-1995 1995-1996 1996-1997 1997-1998 Females

FY06 Annual Performance Report

Year To Reach Grade 8

Number Students

Number (%) Reached Grade 8

Dropout Rate (%)

1996-1997 2001-2002 2002-2003 2003-2004 2004-2005

1,863 1,993 1,657 1,657 1,599

1,326 (71.2%) 1,556 (78%) 1,317 (79%) 1,339 (80.8%) 1,210 (75.6%)

28.8 21.9 20.5 19.2 24.3

1996-1997 2001-2002 2002-2003 2003-2004 2004-2005

972 1,034 851 851 851

633 (65%) 774 (74%) 656 (77%) 653 (68.7%) 639 (75.1%)

34.9 25.1 22.9 23.3 24.9

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Table 5: Primary Grades Dropout Rate 1990, 1995-2005 (DOI 12) Year Started Grade 1

Year To Reach Grade 8 1996-1997 2001-2002 2002-2003 2003-2004 2004-2005

1989-1990 1994-1995 1995-1996 1996-1997 1997-1998

Number Students

Number (%) Reached Grade 8 693 (77.8%) 782 (81.5%) 661 (82%) 678 (84%) 573 (76.6%)

891 959 806 806 748

Dropout Rate (%) 22.2 18.5 18.0 15.9 23.3

Table 6: Secondary Grades Dropout Rate 1990, 1998-2005 1997 (DOI 12) Year Started Grade 9 Both Sexes 1989-1990 1997-1998 1998-1999 1999-2000 2000-2001 2001-2002 Males 1989-1990 1997-1998 1998-1999 1999-2000 2000-2001 2001-2002 Females 1989-1990 1997-1998 1998-1999 1999-2000 2000-2001 2001-2002

Year To Reach Grade 12

Number Students

Number (%) Reached Grade 12

Dropout Rate (%)

1992-1993 2000-2001 2001-2002 2002-2003 2003-2004 2004-2005

711 901 963 930 968 1015

390 (54.8%) 473 (52.4%) 511 (53%) 536 (57.6%) 579 (59.8%) 636 (62.6%)

45.1 47.5 46.9 38.8 40.0 37.3

1992-1993 2000-2001 2001-2002 2002-2003 2003-2004 2004-2005

346 462 483 434 453 506

199 (57.5%) 238 (51.5%) 265 (54.8%) 266 (61.2%) 273 (60.3%) 316 (62.4%)

42.5 48.5 45.1 38.7 39.7 37.5

1992-1993 2000-2001 2001-2002 2002-2003 2003-2004 2004-2005

365 439 480 474 515 509

191 (52.3%) 235 (53.5%) 246 (51.2%) 270 (57%) 306 (59.4%) 320 (62.8%)

47.7 46.5 48.8 43.0 40.6 37.1

Table 7: Student/Teacher and Teacher/School Ratio by School Management Type (DOI 7, 6) (Teachers by Grade Level DOI 5) Type School

Grade Level Number Schools

Public Private

Primary Secondary Primary Secondary

75 5 25 13

2004-2005 Teacher/ School 7.76 18.2 7.56 9.53

Student/ Teacher 14.1 19.61 14.72 13.94

Number Schools 76 6 23 13

2005-2006 Teacher/ School 9 20.67 8.35 4.53

Student/ Teacher 13 17 14 16

Table 8: Student Teacher Ratio by Area/All Schools (DOI 7) Area

Grade Level

Student/Teacher Ratio 2003-04(All Schools)

Student/Teacher Ratio 2004-05*

Student/Teacher Ratio 2005-06

Majuro

Primary 17.8 18.3 16.5 Secondary 13.8 18.7 16.1 Ebeye Primary 18.4 21.1 15 Secondary 16.9 26.6 14.8 All others Primary 12.3 11.14 13.1 Secondary 19.4 10.5 4.46 *Because of isolated and thinly populated islands/islets all schools have multi-grade classes (8 grades in Elementary Schools), the number of students in a majority of schools varies from 5-50. The number of teachers in such schools varies from 1-5. To teach one grade only at one time is not possible. In such schools, students of 3-4 grades are combined in one class and a teacher resorts to multi-grade teaching. SY 04-05 ratios are not inclusive of private schools. The comprehensives ratios will be provided in September 2005. Table 9: Teacher/School Ratio by Area/All Schools (DOI 6) Area

Grade Level

FY06 Annual Performance Report

Teacher/School Ratio 2003-04

Teacher/School Ratio 2004-05

Teacher/School Ratio 2005-06

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Majuro

Primary Secondary Primary Secondary Primary Secondary

Ebeye All others

13.2 16.3 15.2 8.4 6.1 13

19.8 26.0 20.0 5 5.5 16.5

13.3 12.8 16.7 7.5 6.63 6.5

Table 10: Number of Teachers by Grade Level & School Management Type (DOI 6) Area

Grade Level

Number Teachers 2003-04

Number Teacher 2004-05

Number Teacher 2005-06

All Areas Outer Islands

Primary Primary

695 333

715 448

893 446

All Areas All Areas

Secondary Secondary

87 124

102 124

119 ???

Table 11: Number of staff by education level (DOI 4) Teachers Only* Degree

2004-2005

2005-2006

Female

Male

Associates

83

Bachelors HS Diploma Masters None/Blank** Total

Total 187

Female

Male

Total

270

184

79

263

25

43 293

32

22

54

18

176

198

374

157

136

6

2

1

3

96

128

224

2

4

6 5 11 457 369 299 416 715 **Former Head Start Teachers have not completely filled in data form regarding credentials/this is being corrected

826

Table 12: Per Pupil Expenditure (DOI 17) Type School

Public Private

Grade Level

2004-2005

Primary Secondary Primary Secondary

Total Public Total

Total Students 8140 1786 2561 1232 9926 13,719

2005-2006*

Total Expenditure $ $

Per Pupil Expenditure $ $

$

$

Total Students 9083 1938 2597 1079 11021 14887

Total Expenditure $15,294,401 $4,981,709

Per Pupil Expenditure $1,684.00 $2,341.00

$2,107,498

$141.57

Table 13: Public and Private Primary Schools, Teachers and Students by location: 2005-06 (DOI 2) Public Atoll Schools Ailinglaplap Ailuk Arno Aur Ebon Enewetak Jabat Jaluit Kili Kwajalein Lae Lib Likiep Majuro Maloelap

8 2 10 2 3 1 1 7 2 4 1 1 3 8 5

FY06 Annual Performance Report

Students

Teachers 49 10 49 15 23 25* 6 36 16* 84 9 6 22 191 26

Private*

Boys 293 43 282 70 99 76 20 196 105 656 69 23 78 1864 112

Girls 262 42 272 69 85 100 17 138 114 632 51 36 79 1724 91

Schools Total 555 85 554 139 184 176 37 334 219 1288 120 59 157 3588 203

1 1 1 0 0 0 0 2 0 5 0 0 0 13 0

Students

Teachers 4 4 5 0 0 0 0 8 0 66 0 0 101 0

Boys 5 27 52 N/A N/A N/A N/A 45 N/A 479 N/A N/A N/A 637 N/A

Girls 2 16 45 N/A N/A N/A N/A 52 N/A 488 N/A N/A N/A 672 N/A

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Total 7 43 97 N/A N/A N/A N/A 97 N/A 967 N/A N/A N/A 1233 N/A

Mejit Mili Namdrik Namu Ronglap Ujae Utrik Wotje Wotho

1 5 1 4 1 1 1 2 1

13 29 12 25 10* 11 10 17 7

50 128 106 107 68 66 64 101 16

52 128 78 112 59 55 92 89 14

102 256 184 219 127 121 156 190 30

0 0 0 0 0 0 0 4 0

0 0 0 0 0 0 0 1 0

N/A N/A N/A N/A N/A N/A N/A 41 N/A

N/A N/A N/A N/A N/A N/A N/A 36 N/A

N/A N/A N/A N/A N/A N/A N/A 77 N/A

Table 14: Public and Private Secondary Schools, Teachers and Students by location: 2005-06 (DOI 2) Area Ailinglaplap Jaluit Kwajalein Majuro Wotje Maloelap Total

School Public 0 1 1 3 1 0 5

Teacher

Boys

Girls

Total

Schools Private* 1

Teacher 4

Boys 13

Girls 7

Total 20

21 5 60 20

189 89 551 151

151 105 552 150

340 194 1103 301

5 7

55 50

106

980

958

1938

1 11

4 113

237 283 0 11 544

235 287 0 6 535

472 570 0 17 1,079

Table 15: Proficiency Level Pacific Islands Literacy Test (4th Grade): % Students “At Risk” (DOI 11) (Number of students achieving proficiency for selected tests DOI 11) 2002 (All 2002 Public 2002 Private 2004 (All 2006 Public Subject Schools) Schools Schools Schools) Schools English 57% 64% 34% 67% 68% Boys 61.2% Boys 53% Girls 53% Girls 60% Marshallese 49% 50% 44% 62% 57% Boys 51.8% Boys 44% Girls 45.1% Girls 53% Numeracy 73% 80% 50% 70% 75% Boys 73.8% Boys 67% Girls 72.6% Girls 68%)

2006 Private Schools 33%

37%

43%

Table 16: Number students Qualifying for High School (Passed High School Entrance Exam) (DOI 11) Year *

Number Test Takers

Number Total passed

Number Girls Passed

Number Boys Passed

2003-04 1328 733 392 341 2004-05** 767 373 177 196 2005-06 1234 502 253 249 *All students from Likiep, Woja(A), Coop, St. Thomas, Mejatto, Enejellar, St. Paul, Woja SDA and Jabnoden Elementary schools qualified whereas not a single student from 23 elementary schools qualified. Performance of private schools was relatively better. **In 2004-2005, a cut-off score of 70 was instituted for entry into regular 9th grade classes. The numbers reported reflect only those who met the cut off score. Other students who did not make the cut off score were also admitted but into a Pre9 Program also established in the same school year.

Table 17: Number enrolled/graduated in Various AA Degree Courses at CMI * (Student Enrollment in local IHE/DOI 17 & IHE Graduates/DOI 18)) Course Year Number Enrolled Accounting Business Admin. Computer Sc. Engineering/Arch Education Liberal Arts Management Nursing Office Admin. All Nine Courses

95/96-2001/02 2001/02-02/03 95/96-2001/02 96/97-2002/03 95/96-2002/03 95/96-2002/03 95/96-2001/02 95/96-2002/03 96/97-2001-02 Up to 2002-03

FY06 Annual Performance Report

Male 111 238 263 128 445 572 70 321 0 2148

Female 81 254 222 0 371 471 40 454 33 1926

Total 192 492 485 128 816 1043 110 775 33 4074

Number Graduated Male 7 18 30 19 89 49 11 25 0 248

Female 8 15 10 0 42 46 3 46 8 178

Percentage Pass Total 15 33 40 19 131 95 14 71 8 426

Male 6.3 7.6 11.4 14.8 20 8.6 15.7 7.8 0 11.5

Female 9.9 5.9 4.5 0 11.3 14.6 7.5 10.1 24.2 9.2

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Total 7.8 6.7 8.2 14.8 16.1 9.1 12.7 9.2 24.2 10.5

Table 18: Number enrolled/graduated at RMI-USP Joint Program (Preliminary & Foundation Courses)* Year 1996 1997 1998 1999 2000 2001 2002 2003

Male 39 47 48 28 28 19 37 34

Students Enrolled Female 32 31 44 26 37 30 33 38

Total 71 78 92 54 65 49 70 72

Male 23 29 28 15 16 15 30 30

Student Passed Female 13 19 13 14 20 22 28 28

Total 36 48 41 29 36 37 58 58

Male 59 62 58 54 57 79 81 88

Pass Percentage Female 41 61 30 54 54 73 85 74

Total 51 62 45 54 55 76 83 81

Table 19: Total Enrollment in Primary and Secondary Schools by Grade and Sex in RMI: 1989-90 to 2004-05 Year Primary Schools Secondary Schools 1st 2nd 3rd 4th 5th 6th 7th 8th Total 9th 10th 11th 12th Both Sexes 1990/91 1,782 1,493 1,525 1,430 1,358 1,183 1,132 1,078 10,981 673 652 459 359 1995/96 1,657 1,580 1,661 1,716 1,522 1,520 1,233 1,328 12,217 879 709 507 415 1996/97 1,657 1,578 1,658 1,715 1,519 1,516 1,292 1,326 12,261 879 713 507 415 1997/98 1,599 1,349 1,474 1,625 1,657 1,534 1,444 1,380 12,062 901 645 580 436 1998/99 1,435 1,389 1,536 1,499 1,614 1,576 1,436 1,582 12,067 963 702 504 498 1999/00 1,394 1,339 1,396 1,420 1,477 1,530 1,474 1,353 11,383 908 699 572 407 2000-01 1,433 1,241 1,273 1,389 1,420 1,478 1,439 1,430 11,103 968 787 625 473 2001-02 1,591 1,390 1,361 1,371 1,517 1,527 1,488 1,556 11,801 1,015 832 626 511 2002-03 1,504 1,287 1,286 1,242 1,039 1,244 1,322 1,317 10,241 1,032 850 704 556 2003-04 1,696 1,439 1,279 1,345 1,226 1,292 1,326 1,339 10,942 1,003 869 732 579 2004-05 1,629 1,546 1,380 1,264 1,229 1,128 1,088 1,045 10,309 981 890 729 571

Total

Grand Total

2,143 2,510 2,514 2,562 2,667 2,586 2,853 2,984 3,242 3,181 3,171

13,124 14,727 14,775 14,624 14,734 13,969 13,956 14,785 13,388 14,123 13,480

Males 1990/91 1995/96 1996/97 1997/98 1998/99 1999/00 2000-01 2001-02 2002-03 2003-04 2004-05

893 851 851 851 697 732 712 835 801 900 796

765 846 845 606 741 697 629 727 648 767 772

800 836 836 782 773 757 655 720 626 634 757

709 869 868 822 808 730 782 721 667 701 660

690 769 766 861 831 778 693 873 675 665 627

605 778 776 799 796 779 787 762 670 668 563

610 610 610 759 710 742 736 792 662 713 541

513 633 633 689 794 663 700 774 656 653 540

5,585 6,192 6,185 6,169 6,150 5,878 5,694 6,204 5,405 5,701 5,256

326 452 452 462 483 434 453 506 517 502 506

315 338 338 309 350 339 399 413 431 440 460

228 242 242 280 269 294 301 303 328 354 365

175 227 227 200 240 214 238 265 266 273 279

1,044 1,259 1,259 1,251 1,342 1,281 1,391 1,487 1,542 1,569 1,610

6,629 7,451 7,444 7,420 7,492 7,159 7,085 7,691 6,947 7,270 6,866

Females 1990/91 1995/96 1996/97 1997/98 1998/99 1999/00 2000-01 2001-02 2002-03 2003-04 2004-05

889 806 806 748 738 662 721 756 703 796 833

728 734 733 743 648 642 612 663 639 672 774

725 825 822 692 763 639 655 641 660 645 623

721 847 847 803 691 690 782 650 575 644 604

668 753 753 796 783 699 698 644 591 561 602

578 742 740 735 780 751 787 765 574 624 565

522 623 682 685 726 732 736 696 660 613 547

565 695 693 691 788 690 700 782 661 686 505

5,396 6,025 6,076 5,893 5,917 5,505 5,691 5,597 5,063 5,241 5,053

347 427 427 439 480 474 515 509 515 499 475

337 371 375 336 352 360 388 419 419 429 430

231 265 265 300 235 278 324 322 376 378 364

184 188 188 236 258 193 235 246 290 306 292

1,099 1,251 1,255 1,311 1,325 1,305 1,462 1,496 1,600 1,612 1,561

6,495 7,276 7,331 7,204 7,242 6,810 7,153 7,093 6,663 6,853 6,614

FY06 Annual Performance Report

Page 72

Table 20: School operating half-day sessions Year

Number of schools

2002 – 2003

1

2003 – 2004

1

2004 - 2005

1

Table 21: Base Population of School Age Groups* Year

Age 4

Age 5

Age 6-13

Age 14-18

2004

1,039

1,039

11,886

7,501

2005

1,039

1,039

11,886

7,501

Table 22: Number/percent of 8th grade completers going to high school (DOI 13) 8th Grade Completers/Gender To high school Not to high school Year Male Female Total # to HS % to HS # not to HS % not to HS 2004-2005 600 557 1157 905 78.20% 252 21.80% 2005-2006 540 505 1045

Table 23: Number parent involvement activities per year by school (DOI 16)* School

Cluster 1 parents

Cluster 2 Parents

Cluster 3 Parents

Total Parents

Aerok ES

42

44

30

116

Ajeltake ES

276

158

100

534

Aur ES

62

34

24

120

largest #meeting attend C1

largest #meeting attend C2

largest #meeting attend C3

146

29

42

largest #meeting School Wide

Total individual Parents attended meetings

% of parents attending

217

41% 0%

Bikarej ES 48

NA

48

48 89

4%

21

21

16%

0

0%

Ebeye ES

978

634

540

2152

Ejit ES

74

52

6

132

41

Enekoien ES

22

12

12

46

Enewa ES

54

16

2

72

23

23

32%

Imroj ES

56

54

28

138

32

32

23%

Jabwan ES

34

26

32

92

4

62 174

Jah ES Kapen ES

58

Kilinge ES

90

56

28

Lae ES

120

72

48

240

19

Laura ES

424

274

162

860

57

Kili ES

312

72

Majuro MMS

546

46

42

160

568

1114

59

6 62

100%

17

21

76

114

37%

17

30

23

89

37%

66

132

255

30%

92

92

Laura HS Majkin ES

6 62

63

48

48

30%

166

288

26%

Matolen ES

76

20

20

26%

Mejel ES

60

15

15

25%

Mejrirok ES

60

24

24

40%

Nallo ES

112

22

22

20%

69

18%

75

8%

Namdrik ES

190

118

Rairok ES

474

440

FY06 Annual Performance Report

70

378 914

31

38 75

Page 73

Table 23: Number parent involvement activities per year by school (DOI 16)* School

Cluster 1 parents

Cluster 2 Parents

Cluster 3 Parents

Rita ES

Total Parents

largest #meeting attend C1

largest #meeting attend C2

1398

65

85

largest #meeting attend C3

largest #meeting School Wide

Total individual Parents attended meetings

% of parents attending

59

209

15%

Tobal ES

60

36

34

130

0

0%

Toka ES

76

36

30

142

0

0%

Ujae ES

36 24

34

27

35

132

Ulien ES

66

36

Uliga ES

374

332

Wodmej ES

42

24

Woja ES A

160

106

64

330

50

50

15%

Woja ES M

156

104

240

500

55

55

11%

8

126

0

0%

706

0

0%

74

0

0%

Textbook Inventory information through the 2005-06 school year and textbook order information for 2006-07 school year are complete and available for discussion. Table 24 below will be revised to be presented as a table of overarching MOE performance targets and measures. This revised table will be included as part of the FY07 1Q MOE report.

Table 24: MOE Impact Indicators By Outcome (Being revised) Impacts MOE Early Childhood Education FY04 FY05 Increase in 4 year old enrollment in public 0 0 programs Increase in 5 year old enrollment in public program MOE Impact Teacher Performance/Staff FY04 FY05 Development Decrease in teacher absenteeism (day absent/ semester) Impacts MOE Student Performance FY04 FY05 Increased performance by grade (test scores)

Increase in school attendance (per semester per school) Increase student readiness for secondary school Increase student readiness for postsecondary school

MOE Impact Program Delivery Increase in average school days system wide Increase teacher qualifications

FY06 Annual Performance Report

English –11 MIHS - 9 JHS - 2 NIHS – 0 Math – 5 MIHS – 1 JHS - 4 FY04

Data Areas School age population (4 year olds) School age population (5 year olds) Number attending school (4 years) Number attending school (5 years)

Total days teacher absent Data Areas Test scores grade 3 Test scores grade 6 Test scores grade 8 School Age Population (6-18) Total attending school (6-18) Student attendance by semester (total student days absent) High School admission test scores CMI admission test scores (by credit student)/breakdown by math & English/by school

FY05 CMI Graduates 15 Offshore Programs 26 Summer Program 513

Number of school days per entire system CMI teaching graduates Participation in offshore AA/BA programs Participation in local enrichment programs (summer institutes)

Page 74

Ministry of Education Evaluation The Ministry of Education has seen a lot of recent improvements in their overall management of the PBB system. They have had a person on board coordinating the PBB system for the past year and half. Before that, this task was left to overseas volunteers, not MOE staff and once these volunteers had left after a year, MOE had to start many aspects of PBB implementation all over again. The person currently working on PBB coordination has progressed to a point that they have started training others within the ministry. This capacity building exercise has paid off since more and more can be done in-house. The ministry has also hired two new people into the fiscal section and these people are well qualified and can handle working with data and budget numbers. The significance of these new personnel additions cannot be underestimated. MOE also has areas that need some attention, one being their personnel system. There was an 2005 ADB TA that focused on the Education system in the RMI, some of the findings suggested that there are some major personnel issues within the Ministry. The final report attributed some of these problems to communication between the Ministry and PSC. There were some major disagreements concerning the ADB report, regardless of what is true or not, bottom line is that the personnel system needs attention and where needed, changes or corrections need to be made. There are serious education budget and program implications involved and if improvement is to made in the system, MOE and the government can begin to deal more effectively on some issues of quality education in the schools. In the past senior MOE officials have stated that there is documentation on many concerning many personnel issues and problems. These will need to be shared more fully and openly with PSC so that appropriate actions can be taken. Another issue is the collection and use of data and statistics. Improvements in developing timely data needs continued attention as well as monitoring of the data being collected. This also means that the various offices in the ministry need to periodically review the information in order to determine what progress is being made. Development of individual school budgets and training principals and head teachers about their budgets will need attention as well as developing more cost information on the delivery of education. Use of this data by MOE management needs to be emphasized to better monitor situations regarding the situation surrounding textbooks, school furniture, and supplies to schools on the outer islands. This will also impact in the area of teacher education and training and the associated impacts on student achievement. Teacher certification and potential improvements to the education system are also directly impacted by this activity MOE is working on the development of individual school budgets. This means however, that MOE will have to demand more from the Ministry of Finance in terms of the creation of new cost centers for individual schools for this to happen. The Ministry of Education needs to, in no uncertain terms, make sure the Ministry of Finance provide this service so performance and budget execution can be monitored down to the individual school level. This will include making sure that the Ministry of Finance perform due diligence in updating and sustaining performance budget coding. This is an on – going situation that needs attention, implementation of budget coding has had little follow through over the last two years and must become permanent. Without this budget coding activity being done, production of reports that measure performance with budgets and budget expenditure is extremely difficult and in the end undermines the implementation of performance budgeting. As with the Ministry of Health, the current levels of funding will more or less stay the same in the future, unless there is something dramatic involving local revenues and taxes. With this in mind, there must be more efficiencies found in the system so people, funds and other resources can be more effectively. Review of the personnel system and development of costs of services will be critical in this regard.

FY06 Annual Performance Report

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Recommendations Review, identify and report problems with the personnel system, then make the necessary proposals for change. Continue development of individual school budgets, along with training for principles and head teachers. More attention is needed by Assistant Secretaries to meet quarterly reporting deadlines. This has been an issue for several quarters. Work with the Ministry of Finance to fully implement establishment of performance budget coding changes and development of new cost centers where needed. This will improve MOE managerial oversight, monitoring, evaluation and reporting. Continue to review and monitor progress in developing appropriate and timely data and statistics The Secretary and Assistant Secretaries should use all available authority to identify and remove administrative barriers that are affecting the delivery of services or PBB implementation. Continue to review and develop better and appropriate performance measures to fully capture progress Future budget constraints will demand that MOE begin to look for more efficiency in their operating and management systems. The likelihood of increased levels of funding for more education services, at significant levels, is not likely. This will place more pressure on review of the personnel system and operating costs of MOE.

FY06 Annual Performance Report

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FY06 Ebeye Special Needs – Ministry of Education l.

Progress on Outcomes

MOE identified 1 Outcome consisting of 7 Output Groups for the ESN Grant. This section provides an overview of the impacts and progress to date in FY06 with regard to Outputs/Output Groups in each Outcome. ESN (MOE Outcome 6): To Supplement Ebeye Special Education Needs Output Group 6.1 – Textbook, Supplies & Materials (Output 6.1.1) Provide textbook, supplies & materials for the schools of Ebeye (Cross reference MOE Output 1.1.1) Math and Science textbooks have now arrived at KAHS. Continued coordination between Kwajlein Atoll High School and the Textbook Committee for the ordering of English textbooks for all grades using FY07 ESN funds. This is now in the ordering process. Arrangement made with the vendor to have textbook orders for KAHS shipped directly to Kwajalein. English, Math, Science textbook purchases are completed for grades K-8 and are now in use. The textbook inventory for the Ebeye public elementary school not yet available. Output Group 6.2 – Staff Development (Output 6.2.1) To provide training developmental opportunities for teachers and administrators (Cross Reference MOE Output 2.1.2) Staff development for Ebeye staff continues into quarter 4. 25 teaching staff are continuing their on-line education with Park College and the University of Maryland. The teacher trainer continues to conduct trainings on subject contents and teaching skills and draw plans for training needs. Including trainings for kindergarten teachers. 12 Staff from KAHS and Ebeye Elementary participated in the Pacific Educators Conference (PEC) held in July 06 in the Republic of Belau. CMI extending education degree practicum courses to Ebeye. Output Group 6.3 – Food Program (Output 6.3.1) To begin a food program at Kwajalein Atoll High School (Cross reference MOE Output 3.6.1) Lunch program for both the elementary and high school have resumed when school started in August. Lunch is provided to 993 elementary school students. High school enrollment figures not yet available. Plans under discussion to address shortage of funding and continue program for both the elementary and high school throughout FY07. Output Group 6.4 – Transportation (Output 6.4.1) To provide adequate transportation for Ebeye students. (Cross reference MOE Output 3.7.1) 1 of the 2 brand new school buses purchased under the Special Needs, have now arrived on Ebeye to provide transportation services for Ebeye students. Second bus awaiting transportation to Ebeye. Output Group 6.5 - Early Childhood Education (Output 6.5.1) Adapt and expand previous Head Start program to the MOE universal Kindergarten on Ebeye. (Cross reference MOE Output 1.4.1) School year 2006-2007 opened with 140 kindergarten students in Ebeye, Eniburr and Ebadon.

FY06 Annual Performance Report

Page 77

Output Group 6.6 - Equipment and Repairs (Output 6.6.1) Ongoing maintenance at all Ebeye schools and on all MOE vehicles. (Cross reference MOE Output 3.8.3) On-going minor maintenance and repair of school and office buildings and vehicles continue. (Output 6.6.2) To ensure all Ebeye schools have equipment for classroom and building needs. (Cross reference MOE Output 3.8.3) Ebeye schools continue to purchase equipment as needed. Another shipment of classroom furniture will be made before the end of the year for KAHS. Output Group 6.7 - Post Secondary (Output 6.7.1) To provide additional post secondary scholarships to Ebeye students. (Cross Reference NSB 7.3.1) The National Scholarship Office is now awaiting funds from the FY07 budget to start implementing the ESN scholarship scheme. II.

Main Issues Confronted and Potential Resolutions

This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. Outcome 6 In FY06, Ministry of Finance did not put into place a mechanism to trace ESN separately. The budgets were treated differently, but the accounting was not separated out, thus making it almost impossible account the difference between the Compact Sector Grant and the ESN. MOF has developed a specific cost center for MOE ESN for FY07 III.

Major Sector Revisions and Adjustments

This section provides details regarding any major sector revisions or adjustments that came up during the quarter. Outcome 6 In FY06, Ministry of Finance did not put into place a mechanism to trace ESN separately. The budgets were treated differently, but the accounting was not separated out, thus making it almost impossible account the difference between the Compact Sector Grant and the ESN. MOF has developed a specific cost center for MOE ESN for FY07

FY06 Annual Performance Report

Page 78

Ebeye Special Needs Evaluation – Education ESN for Education is embedded in the overall Ministry of Education evaluation. The purpose of this is to be consistent as we are concentrating more on the activities, rather than the individual funding source.

FY06 Annual Performance Report

Page 79

FY06 Ebeye Special Needs – Ministry of Health l.

Progress on Outcomes

MOH identified 1 Outcome consisting of 4 Output Groups for the ESN Grant. This section provides an overview of the impacts and progress to date in FY06 with regard to Outputs/Output Groups in each Outcome. ESN (MOH Outcome 11): To Supplement Ebeye Special Health Needs Output Group 11.1 – Normal (Routine) Hospital Medical Operations (Output 11.1.1): Provide emergency services (Cross reference Output 5.1.1) • One of our nurses who attended CMI graduated and is now assign to ER (Output 11.1.2): Provide radiology services (Cross reference Output 5.1.4) • We have received our portable X-ray machine last week of this quarter. • The vacant post at the radiology department is still not yet filled (Output 11.1.3): Provide clinical laboratory services (Cross reference Output 5.1.5) • A listing of supplies needed by the new pathologist have been ordered and once received majority of the procedures that were send off island will be done on site. (Output 11.1.4): Provide pharmacy services (Cross reference Output 5.1.6) • Pharmacy services continues • Request for additional staff has been submitted (Output 11.1.5): Provide medical material management services (Cross reference Output 5.1.7) • Plan to improve the procurement of both medical and pharmaceutical supplies is on going and hopefully by the end of the 1st quarter of fiscal year 07 the inventory system will be fully implemented. (Output 11.1.6): Provide dietary services (Cross reference Output 5.1.9) • The arrival of the dietitian/nutritionist is scheduled for the 2nd week November 2006 (Output 11.1.7): Provide nursing services (Cross reference Output 5.1.10) • Shortage of nursing staff still exists. • Recruitment is still going on Output Group 11.2: Normal (Routine) Hospital Non-Medical Operations (Output 11.2.1): Provide hospital management and administrative services (Cross reference Output 5.2.3) • All routine administrative functions continues Output Group 11.3: Staff Training and Human Resource Development (Output 11.3.1): Training for nursing staff in selected areas medical including ICU and quality assurance as determined on an annual basis by the hospital administrator and staff (Cross reference Output 6.3.1) • Ventilator for the ICU arrived. Training on the use of the Ventilator will be conducted by a respiratory therapy nurse from Majuro in November.

FY06 Annual Performance Report

Page 80

•

12 nursing staff from medical services and Public health attended a Emergency preparedness training and CPR conducted by Certified EMT/Paramedic in Ebeye hospital.

(Output 11.3.2): Expand hospital career opportunities (Cross reference Output 6.3.2) • Long distant learning through internet is now available for all staff with the installation of the PeaceSat antenna. • 1 Ebeye resident that recently graduated from the nursing school in Majuro has been hired. • 2 nursing staff are still on CME at University of Guam. • 2 nursing staff that recently graduated from the nursing school in Majuro resigned from their post in Ebeye and opted to work at Majuro hospital. (Future CME applicant will be required to sign a commitment letter to work in Ebeye prior to being approved.) • On-going collaboration between Ebeye and Majuro hospital on staff training (Output 11.3.3): Training for medical staff in selected medical areas as determined on an annual basis by the hospital administrator and staff (Cross reference Output 6.3.3) • Ongoing collaboration between Ebeye and Majuro hospital on emergency preparedness training to be conducted periodically in Ebeye and Majuro. • All Lab technicians attended in-house lab training and 2 attended training in Pohnpei. • 3 medical staff attended a CPR trainer certification program in Majuro Output Group 11.4: Preventative and Primary Health Care (Output 11.4.1): Continue Outreach Program (Cross reference Output 7.1.1) • Teen Camp was held in Guegeegue for three days. • Family Planning house to house visits • Health Talk to the community on ARI to the community • Diabetes talk to teachers • Second Generation Survey • Breastfeeding contest (baby show) • Vitamin A & deworming • Outreach to outer islands • Cancer presentation to Salvation Army church group\ • Dental Hygiene outreach to all the schools • Immunization talk to all the mothers and outreach to the outer Islands • Youth to youth role play on prevent teen pregnancy (Output 11.4.2): Continue Outpatient Clinical Service (Cross reference Output 7.1.2) • On going activities • Counseling by the health educators/referred by each programs (Output 11.4.3): Continue Immunization Program (Cross reference Output 7.1.3) • Continued with ongoing schedule on Mondays/Fridays clinic • Visits to Santo, Ebadon, Carlson and Carlos • House to house visits to bring up the coverage (Output 11.4.4): Continue to implement Maternal and Child Health Program (Cross reference Output 7.1.5) • Continue enforcing exclusive breast feeding

FY06 Annual Performance Report

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•

• • •

Continue with prenatal classes/health talk during the first visits 1. Well baby clinics 2. health talk/teen pregnancy 3. education/nutrition 4. home visits 5. maternity wards visits Referred mother to dental for dental check up/hygiene Continue with pap smear during 1st visit Encourage public through health talk/home visits every Wednesdays from 1:30 – 4:30pm

(Output 11.4.5): Continue to implement TB & Leprosy Program (Cross reference Output 7.1.6) • Continue with DOT • Case investigation • Outreach to Ebadon for screening • Monitoring and treatment • Screening of food handlers, students (Output 11.4.6): Continue Dental Program Cross reference Output 7.1.7) • School visits/health talk to schools children on good hygiene • Dental check up for diabetes patients • Dental check up for prenatal • Outreach to Santo, Ebadon, Carlos and Carlson providing the services/health talk • Referred school children to the clinic for further evaluation/treatment II.

Main Issues Confronted and Potential Resolutions

This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. Outcome 11 In FY06, Ministry of Finance did not put into place a mechanism to trace ESN separately. The budgets were treated differently, but the accounting was not separated out, thus making it almost impossible account the difference between the Compact Sector Grant and the ESN. MOF has developed a specific cost center for MOE ESN for FY07 III.

Major Sector Revisions and Adjustments

This section provides details regarding any major sector revisions or adjustments that came up during the quarter. Outcome 11 In FY06, Ministry of Finance did not put into place a mechanism to trace ESN separately. The budgets were treated differently, but the accounting was not separated out, thus making it almost impossible account the difference between the Compact Sector Grant and the ESN. MOF has developed a specific cost center for MOE ESN for FY07

FY06 Annual Performance Report

Page 82

Ebeye Special Needs Evaluation – Health ESN for Health is embedded in the overall Ministry of Health evaluation. The purpose of this is to be consistent as we are concentrating more on the activities, rather than the individual funding source.

FY06 Annual Performance Report

Page 83

FY06 National Scholarship Board l.

Progress on Outcomes

NSB identified 1 Outcome consisting of 5 Output Groups. This section provides an overview of the impacts and progress to date in FY06 with regard to Outputs/Output Groups in each Outcome. NSB (MOE OUTCOME 7): TO PROVIDE FINANCIAL ASSISTANCE EDUCATIONAL OPPORTUNITIES

TO

QUALIFIED STUDENTS

TO

PURSE

Output Group 7.1: Training (Output 7.1.1): Workshops held on a scheduled basis at schools (every year) to inform students regarding scholarship application procedures, deadlines and basic requirements for application Office staff continues to disseminate scholarship information to the public to increase awareness of the scholarship availability. Output Group 7.2: Evaluation & Investigation of Applications (Output 7.2.1): Applications assessed for accuracy and investigated to ensure that information provided is reliable Assessments of academic year 2006/07 scholarship applications were made throughout the 3 months period. 4 board meetings held. Output Group 7.3: Awarding of Scholarships (Output 7.3.1): Scholarships awarded as per allocated funds and in accordance with all applicable regulations None to report in 4Q Output Group 7.4: Monitoring (Output 7.4.1): Database containing progress of all awardees while in school and repayment information upon completion of training The MISGLB still continues to use the Microsoft program Excel to track name of scholarship recipients, amount of awards, grades and loan conversion for its database. Coordination continues between NSB and MOE information technology (IT) office to establish an Access Database to track scholarship recipients, awards, repayment, conversion, etc. Possible sanctions under review by the Board as part of the Policies and Guidelines handbook. Output Group 7.5 - Cabinet Recommendations (Output 7.5.1): List of scholarship programs recommended to Cabinet and list approved by Cabinet None to report in 4Q G. Annual Performance Measures Annual performance measures have been developed for Scholarship Board. The table below illustrates progress made in the key annual performance areas during the 4Q FY06.

FY06 Annual Performance Report

Page 84

Performance Measure Progress Outcome 7: Provide Financial Assistance to Qualified Students to Pursue Educational Opportunities Performance Measures NSB Number of applicants Number accurate applications Number completing studies Amount repayment (annual) Amount repayment (overdue) Number returning to RMI for 2 year work program

1Q FY06 2Q FY06 3Q FY06 4Q FY06 76 83 93 20 16 Pending 40 5 None 18 11 $1,359,792.49 None None 1

None

0

Financial Performance Linked to Expected Outcomes This section provides an overview linking financial performance to expected outcomes. Table 2 below contains this information. In the portfolio budget, each outcome was broken down into Output Groups, and each Output Group consists of a series of outputs. Amounts spent for each output (through the end of the quarter) were totaled to arrive at the amount spent for each output group. This amount is compared to the total allocation for the output group. Outcome Outcome 7: Provide Financial Assistance to Qualified Students to Pursue Educational Opportunities Total Outcome 7 through end of 4Q

Output Group 7.1 Total spent through end 4Q

Output Group 7.2 Total Spent through end 4Q

Output Group 7.3 Total Spent through end 4Q

$960,006/$1,15 $29,178/$35 $58,355/$70 1,575 ,000 ,000

Output Group 7.4 Total Spent through end 4Q

Output Total Group 7.5 Total Spent Total Spent through 4Q through end 4Q

$33,346/$40 $4,168/$5, 000 ,000

$1,085,053 / $1,301,575

*Note that figures reflect the usage of FY05 SEG Grant allocation

Ill.

Main Issues Confronted and Potential Resolutions

This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. Outcome 7 None in 4Q IV.

Major Sector Revisions and Adjustments

This section provides details regarding any major sector revisions or adjustments that came up during the quarter.

FY06 Annual Performance Report

Page 85

Outcome 7 None in 4Q

FY06 Annual Performance Report

Page 86

National Scholarship Board Evaluation The Scholarship Office has seen an increase in its budget for the past several years. This is indicates the government’s priority for continuing education in the post-secondary level. Even though the budget has increased, the board cannot fund every eligible Marshallese because of the lack of resources. This issue is something that the board is looking at and trying to increase their revenue base to fund deserving Marshallese who wishes to continue their education at higher learning institutions. One way to remedy this is to try going after those who received scholarships in the past, but did not finish their education; and those who did not come back to the RMI (as it is also a condition under the contract each student signed before receiving any financial aid). Coordinating with the Attorney General’s Office for these legal matters is a must and should be the first step in conducting this activity. This issue has been brought up several times, but there has been no action as of yet. This is something that the board must consider now because the higher cost of tuition will force the board to fund fewer students. More than ever, the board needs to try and recover the “lost” investments of the past to invest in the upcoming crop of aspiring college students. This may also include prioritizing the fields of study for the students that apply for scholarship. National needs in critical areas like health, education, economics/finance, engineering and technical vocational education need to be addressed by the scholarship board to ensure that the RMI is developing the human element in national economic development. This should be considered a high priority activity. On the operational side of the office, the office director has been doing a good job making sure that they follow the tasks they proposed they were going to do during the course of the fiscal year. This is evident in their reporting. Recommendations Limited funding and rising numbers of applicants, combined with the skills needed in the government and economy will mean that the Scholarship review its funding in order support fields of study and vocational training needed for the economy to further develop and reduce reliance on overseas expertise. Because of increasing need and limited funding, the Scholarship must be more aggressive developing and implementing costs recovery activities from students who have received loans or have not completed their studies. Initiating action with the Attorney General’s Office for legal recourse can do this.

FY06 Annual Performance Report

Page 87

FY06 Supplemental Education Grant– Ministry of Education l.

Progress on Outcomes

SEG (MOE Outcome 5): To Supplement Education Funding Output Group 5.1 – Instructional Materials (Output 5.1.1) Supplemental textbooks and other curriculum at the elementary schools (Cross Reference MOE Output 1.1.1) Moving into English textbooks purchased and arrived in August for grades K, 1 & 2. Moving into English materials have been distributed to all Majuro, Jaluit, Arno, Ailuk, Likiep, Maloelap, Mejit, Utrik, Kwajlein, Ejit and Wotje schools. Distribution of books and materials to remaining schools will be made pending the availability of ships to those outer islands schools. Selection and adoption of math textbooks from Houghton-Mifflin by the Ministry. A plan to purchase other textbooks is now in place. Purchase will continue to support implementation of primary school curriculum. The plan for FY- 06 (SEG) and FY-07 is as follows: o Continue to purchase Moving into English textbooks for grades 3, 4 & 5. o Four alternatives for math textbooks were developed. The textbook committee decided on one alternative based on prices, available budgets and other considerations. Purchase for math textbooks for grades K, 1, 2, 3, 6, 7, 8, will take place in 1QFY07 using SEG funds FY 06. (Output 5.1.2) Supplemental Textbooks and other curriculum at the secondary level (Cross Reference MOE Output 1.1.1, Output 1.2.1) Textbook procurement follow-up activities made by the committee. Mathematics and science textbooks for all 5 High Schools have arrived on island. Books are to be distributed in 1QFY07. Half of the English textbook order received for 4 of 5 high schools. (KAHS to receive order in 1QFY07) Remainder of English textbook order will continue using SEG FY-06 funds in Q1FY07. Continued coordination between Kwajlein Atoll High School and the Textbook Committee to ensure textbook orders are synchronized with set benchmarks for the High School curriculum that is in development and that all stakeholders take part in the process. (Output 5.1.3) Instructional Service Center (Cross Reference MOE Output 1.1.1) With the availability of the SEG 06 funding, personnel will soon be hired to oversee the newly established Instructional Service Center pending Cabinet paper creating the post. Output Group 5.2 – Early Childhood Education (Output 5.2.1) Early Childhood Education Program (Cross Reference MOE Output 1.4.1) Six (6) more kindergarten sites will be opened this school year 2006-2007 thus increasing the number of enrollment in early childhood education and reduces class size. 3 kindergarten sites opened when school resumed in August. Name of site and enrollment are as follow: Wodmej, Wotje – 11 Students Jabonworen, Jaluit – 6 Students Enewa, Alinglaplap – 10 Students

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Output Group 5.3: Supplemental Programs (Output 5.3.1) High School Music Program (Cross Reference MOE Output 1.2.1) Continued the music program at Marshall Islands High School. Planned expansion of the music program to one of the two high schools in the outer island with SEG 06 funds. Applications submitted for a full-time music teacher for MIHS. (Output 5.3.2) Close-Up Program (No Cross Reference, 100% Supplemental) Allocated funds were all used for this activity during school year 2005-2006. (Q1-Q3FY06) (Output 5.3.3) School Enrichment Program (No Cross Reference, 100% Supplemental) With the availability of funding for 2006, personnel will soon be hired to oversee this activity pending Cabinet paper creating posts. (Output 5.3.4) High School Food Program (Cross Reference MOE Output 3.6.1) With the availability of funding under the SEG06, the MOE has solicited for local contractors to administer the high school feeding program. $160,000 was earmarked for this activity, $40,000 less than last school year. Bids have been receive, contracts will be awarded and reported in 1QFY07. Output Group 5.4 Vocational and Adult Education Programs (Output 5.4.1) National Training Council (Cross Reference NTC outcome 1) Please refer to NTC 4Q Report (Output 5.4.2) National Vocational Training Institute (NVTI) (Cross Reference MOE output 1.2.4) No current traditional skills course offered this semester at NVTI. This will be implemented next school year. Traditional and vocational skill trainings are scheduled for implementation during the coming school year 20062007 At present, the NVTI is totally concentrating its time and resources with TIER I & II. Work continues to develop the TIER III program with first students to complete TIER II in 3QFY07. (Output 5.4.3) Adult Education and Literacy (Cross Reference CMI Outcome Output 10.4.1 10.5.1) A total of 170 students are enrolled in GED program for SY 06-07. The adult education program still continues under the management of the College of the Marshall Islands (CMI). Funds are used for covering wages, salaries and personnel benefits of GED staff and purchasing of supplies and materials. Output Group 5.5: Post Secondary Programs (Output 5.5.1) National Scholarship Board (Cross Reference NSB Portfolio output 7.3.1) Please refer to National Scholarship Report on MOE outcome/matrix 7. Output Group 5.6: Staff and Program Development (Output 5.6.1) Substitute Teachers (Cross Reference MOE portfolio output 2.1.3, output 2.1.4) Substitute teachers have resumed work at various schools after completing workshops attended during the summer. 5 (19) of the 23 sub-teachers have become full-time/permanent teachers. 30 new substitute teachers will replace those teachers that are in the CMI-MOE in-service program.

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(Output 5.6.2) Contractual Services for Program Development (Cross Reference MOE Portfolio output 3.3.1) With the available funding, the MOE will continue to seek consultancy services as needed. MOE negotiating with consultants to independently evaluate the MISAT. (Output 5.6.3 )WorldTeach and Dartmouth volunteer programs (Cross Reference MOE Portfolio output 2.1.3, 2.1.4) 50 new volunteers from WorldTeach and Dartmouth have now arrived and are now working in various schools in the Republic for the academic year 2006-2007. Financial Performance Linked to Expected Outcomes This section provides an overview linking financial performance to expected outcomes. Table 1 below contains this information. In the portfolio budget, each outcome was broken down into Output Groups, and each Output Group consists of a series of outputs. Amounts spent for each output (through the end of the quarter) were totaled to arrive at the amount spent for each output group. This amount is compared to the total allocation for the output group. Outcome SEG (MOE Outcome 5): To Supplement Education Funding Output Group 5.4 Spending 4Q: $995,759/$1,024,140

Output Group 5.1 Output Group 5.2 Output Group 5.3 Spending 4Q: Spending 4Q: Spending 4Q: $956,681/$971,820 $2,563,938/$2,563,938 $172,422/$172,727

Output Group 5.5 Spending 4Q: $377,122/$377,122

Output Group 5.6 Spending 4Q: $992,063/$990,253

Main Issues Confronted and Potential Resolutions This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. Outcome 5 There was over spending in only one output group, Output Group 5.6. This will be reconciled with under spending in other Output Groups IV.

Major Sector Revisions and Adjustments

This section provides details regarding any major sector revisions or adjustments that came up during the quarter. Outcome 5 Figures have been adjusted to reflect the actual breakdown of the SEG funds in the MOF system

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Supplemental Education Grant Evaluation – Education The implementation of activities under the SEG faces many difficulties because of the schizophrenic way in which the SEG funding mechanism works. Funds are approved in the second or third quarter of the fiscal year and causes many difficulties for budgets, accounting and program implementation are often adversely affected. Steps that can be taken to help reduce these problems need review and where able changes made, otherwise this will be a continuing problem. There are some problems in defining the activities that can take place under the SEG, where communication on allowable activities from agencies of the US government is different from the activities allowed under the Fiscal Procedures Agreement. This has occurred with interpretations of adult education programming in particular. The SEG is the only source of funding at the current time that is being used in some areas of remedial education and vocational training. There should be a continued commitment to use a significant portion of SEG funding to support programs for out – school and out of work youth. Adult education should also be considered for continued funding as well.

Recommendations 1. The SEG funding mechanism needs review ad changes made in order to facilitate better accountability and programming. The current system is unnecessarily troublesome. 2. A significant portion of SEG funds are made available to support programs for out of school and out of work youth, as well as adult education.

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FY06 Four Atoll Feeding Program l.

Progress on Outcomes

The Four Atoll Feeding Program is administered through the Ministry of Education. This program was started during the 1950’s under the Trust Territory Administration. This program has identified 1 Outcome consisting of 1 Output Group. This section provides an overview of the impacts and progress to date in FY06 with regard to Outputs/Output Groups in each Outcome. Feeding Program (MOE Outcome 9): Provision of foodstuffs & supplies to designated areas of Special Feeding Program Output Group 9.1: Foodstuffs provided in a timely and efficient manner (Output 9.1.1): Foodstuffs and supplies provided to designated areas 2 full-time and a part time employee under the Feeding Program, continues to work closely with local government representatives from the 4 atolls to ensure food distribution and other supplies are delivered in a timely manner. Program continues to disburse foodstuff and supplies on time. H. Annual Performance Measures Annual performance measures have been developed for Feeding Program. Table 1 provides the progress made in the annual performance areas during the 4Q FY06. Performance Measure Progress Outcome 9: Provision of Foodstuffs & Supplies to Designated Areas Output Group 1.1: Foodstuffs and supplies provided to designated areas Amount of foodstuffs supplied Number of workers employed in the program Number of recipients II.

1Q FY06

Varies 1 full time employee 2918

2Q FY06

Varies 1 full time and 1 part time employee 2918

3Q FY06

Varies 2 full time and 1 part time employee 2918

4Q FY06

Varies 2 full time and 1 part time employee 2918

Main Issues Confronted and Potential Resolutions

This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. None reported in 4Q III.

Major Sector Revisions and Adjustments

This section provides details regarding any major sector revisions or adjustments that came up during the quarter.

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None reported in 4Q IV.

Financial Performance Linked to Expected Outcomes

This section provides an overview linking financial performance to expected outcomes. Table 2 below contains this information. In the portfolio budget, each outcome was broken down into Output Groups, and each Output Group consists of a series of outputs. Amounts spent for each output (through the end of the quarter) were totaled to arrive at the amount spent for each output group. This amount is compared to the total allocation for the output group. Outcome Outcome 9: Provision of foodstuffs & supplies to designated areas of Special Feeding Program

Output Group 9.1 Total spent through end 4Q Output 1.1.1

Total Total Spent through end 4Q:

$60,054/$54,173 Total Outcome 9 through the end of 4Q

FY06 Annual Performance Report

$60,054/$54,173 $60,054/$54,173

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Four-Atoll Feeding Program Evaluation The 4-Atoll feeding program has been getting funding from the US since the mid 1950s. The amount they received in the 1950s is the same amount they receive every year since. This grant is not adjusted for inflation. Thus, every year, less and less goods are bought and distributed to the 4 – Atolls that were contaminated by the nuclear testing in the late 40s to the mid 50s. In regards to PBB, there has been no major problem in the manager implementing his objectives. More relevant data need to be identified to make sure food is being delivered efficiently.

Recommendation Inflate the grant to meet current price increases Develop performance indicators that are relevant to the program

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FY 06 Ministry of Resources and Development l.

Progress on Outcomes

R&D identified 4 Outcomes. Outcomes 1 and 2 receive compact funds, and Outcomes 3 and 4 do not receive compact funds. Outcome 1 contains 3 Output Groups; Outcome 2 contains 1 Output Groups. This section provides an overview of the impacts and progress to date in FY06 with regard to the Outputs/Output Groups in each Outcome. Outcome 1: To Increase Trade & Investment and Enterprise Development in the RMI Output Group 1.1 – Trade Promotion (Output 1.1.1): Continue to promote development of new and current Marshallese products for domestic market Training on Virgin Coconut Oil was held in July here in Majuro with 29 participants, most of them were from the private sector and women from different organizations. Resulted from the training, the participants learned to make virgin coconut oil, body/massage oil, soap and different recipes from the coconut flakes. Two other trainings took place on Mejit and Ebon on Food Processing and Virgin Coconut Oil with 111 participants (both men and women) representing youth and women organizations and as a result, participants are able to process nin juice/tea, virgin coconut products, lukiej oil, bread flour, chips – as ready products for income generation. (Output 1.1.2): Continue to promote development of new and current Marshallese products for foreign niche markets Coordinate & Facilitate the 3rd Trade Fair on Kwajalein on Monday, September 18th –more than 70 people from Majuro and Ebeye (business people and several government officials) participated to promote as well as selling Marshallese products such as handicrafts, coconut oils, nin products, local produces & crops, fish, lobsters and many other local products and as a result, most of the products were sold out and also the fact that participants learned what Kwaj people like for future fair and how to prepare them. The entire population on Kwaj and some Ebeye residents visited the booths. Some businessmen met with USAKA representatives regarding establishing businesses on Kwajalein. (Output 1.1.3): Develop and maintain Website with products info available The consultant just begun the work on the website with the assistance from the Trade & Investment staff thus information and data required will be ready for the development of the website. (Output 1.1.4): Develop and maintain printed catalogue of Marshallese handicrafts Over 50 copies were sent out to the businesses and potential buyers in New Zealand, Fiji and Honolulu thus increase the number of people aware of the Marshallese handicrafts for export. Output 1.1.5): Continue to identify training needs re: packaging and labeling for nin products and handicrafts (and other local products) A meeting with Taiwan Embassy staff took place in August thus a training on packaging and labeling of existing and new products was requested. Output Group 1.2: Investment Promotion (Output 1.2.1): Continue to promote local business investment opportunities None to report in 4Q FY06 Annual Performance Report

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(Output 1.2.2): Continue to promote foreign investment opportunities in the RMI Facilitated a workshop and consultation meetings on Trade in Services thus the people attended these meetings particularly those related to their work expanded their knowledge and understanding the Trade/Services. (Output 1.2.3): Facilitate administrative processes for investment The Investment Promotion Officer begin to review and update the RMI National Investment Policy thus a new policy will be ready and disseminated to foreign and local investors when requested. (Output 1.2.4): Development of Database for local/foreign investment The Trade/Investment Policy Officer participated in a meeting for Technical Work Groups on Fisheries held in Apia, Samoa and as a result, RMI was provided with recommendations to come back and review the Multilateral Fisheries Agreement, the implications of entering into free Trade Arrangement with EPA-Trade in Goods/PICTA (in ligh of its obligatins under the Compact, as amended and other bilateral trade agreements before considering signature. Output Group 1.3: Enterprise Development (Output 1.3.1): Review current CDE partnership and update as necessary None to report in 4Q Outcome 2: To Increase Small business and Enterprise Development in the RMI Output Group 2.1: Small Business Development (Output 2.1.1): Continued assistance to small business through the activities of the Small Business Development Center Conducted two (2) training sessions on Business Financing and Managing a Business in which 16 people participated and received information on both topics. 123 clients received business counseling on small business related issues especially the Micro Credit Loan and its requirements thus 18 loan applications were assisted and ready for review and approval. (Output 2.1.2): As per the R&D Strategic Plan, Identify business opportunities in the RMI (with a target on food processing) None to report in 4Q (Output 2.1.3): Actively network in the business community through Chamber of Commerce and other business-oriented associations None to report in 4Q I. Annual Performance Measures Annual performance measures have been developed for each R&D outcome. The table below provides progress made in the annual performance areas during the 4Q FY06.

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Performance Measures Progress for Outcome 1: Development in the RMI R&D Outcome 1 Performance Measures

To Increase Trade & Investment and Enterprise

1Q FY06

Amount/type of local exports (breakdown) A.1 Nin Juice A.2 Nin Soap Export revenues for local products (per product identified) A.1 Nin Juice A2 Nin Soap A.3 Oil of Arno Number of new foreign investors

2Q FY06

3Q FY06

4Q FY06

A1 (2,000) A2 (80) A.1 ($1,546) A.2 ($68)) A.3 (0)

2 investors contacted

Performance Measures Progress for Outcome 2: To Increase Small business and Enterprise Development in the RMI R&D Outcome 2 Performance Measures Number of counseling cases Number of Training Sessions/attendees Number of small business loans Total Loans and Equity Number of jobs created Number of jobs retained II.

1Q FY06

2Q FY06

3Q FY06

4Q FY06

20 6 trainings sessions 51 participants 2 $18,300 2 1

17 9 training sessions 162 participants 1 $2,300 1 0

57 4 training sessions 67 participants 1 $500 1 1

123 2 training sessions 64 participants 18 $67,855 44 7

Financial Performance Linked to Expected Outcomes

This section provides an overview linking financial performance to expected outcomes. Table 3 below contains this information. In the portfolio budget, each outcome was broken down into Output Groups, and each Output Group consists of a series of outputs. Amounts spent for each output (through the end of the quarter) were totaled to arrive at the amount spent for each output group. This amount is compared to the total allocation for the output group.

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Outcome

Output Group 1.1 Total spent through end 4Q

Output Group 1.2 Total Spent through end 4Q

Output Group 1.3 Total spent through end 4Q

Outcome 1: To Increase Trade & Investment and Enterprise Development in the RMI

$95,672/$96,154

$73,058/$73,426

$12,301/$12,363

Outcome Outcome 2: To Increase Small Business Development in the RMI

Output Group 2.1 Total spent through end 4Q

Total Total Spent Outcome 1 through 4Q:

$181,031/$181,943 Total Total Spent Outcome 2 through 4Q:

$92,446/$100,000

Total Outcomes 1 & 2 through the end of 4Q

$92,446/$100,000 Total Totals Outcome 1&2 $273,477/$281,943

lll.

Main Issues Confronted and Potential Resolutions

This section provides details of problems that came up during the quarter. If possible potential resolutions are discussed. Outcome 1 None in the 4Q Outcome 2 None in the 4Q IV.

Major Sector Revisions and Adjustments

This section provides details regarding any major sector revisions or adjustments that came up during the quarter. Outcome 1 None in the 4Q Outcome 2 None in the 4Q

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Ministry of Resources and Development Evaluation The Ministry of R&D is another good example of a ministry that has embraced PBB in the government. There is absolute buy-in from the upper management to the staff in the field. The level of demand on performance information is relatively high from the upper level managers. The management of the ministry has been a proponent of PBB, and uses it daily to manage the progress on their activities. Realizing the impact of each activity has given greater appreciation to the staff as they are motivated and knowing that they are contributing to something positive. Though PBB is a positive for R&D, there are areas that need to improve. Collection and usage of data still needs to be worked on. This area is the only down fall, but the Ministry is very serious about this and have started looking into their data collection and have also started looking at the type of data they’re collecting as if it is relevant for its purposes. There needs to be more engagement between EPPSO and R&D for better coordination of statistics, since the staffs at EPPSO are experts.

Recommendation Re-vamp the working relationship between EPPSO and R&D

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FY06 Ministry of Health Outcomes 1& 2 Primary Health Care l.

Progress on Outcomes 1&2

MOH identified 10 Outcomes. In this section information for Outcomes 1 and 2 is presented. Outcomes 1 and 2 consist of 2 Output Groups. This section provides an overview of the impacts and progress in the 4Q of FY06 with regard to the Outputs/Output Groups in each Outcome. Outcome 1: To Provide Effective Health Care Services Output Group 1.1 – Affordable, high quality preventive health care program (Output 1.1.1): Continue to improve the RMI National Immunization Program • • • • • • • • • • •

•

Complete coverage rate of 2 years old who are registered in the National Immunization Registry is at 79% Complete immunization coverage rate of 2 years old for Majuro is at 87%. 3 staff attended the Annual Regional Training of Trainer in Fiji sponsored by the JICA. 3 other staff attended the FSM’s Annual Immunization Conference. Ongoing routine immunization administered at the Public Health Clinic, during outreaches, and the outer islands visits and campaigns. Conduct flu shot campaigns encourage all diabetic, hypertensive and cardiac patients and those who are at high risk, all adults of 55 years and older to receive their annual flu shot; campaign still going on. New School Health Coordinator has been hired to manage the program. The populations for each atoll/islands and zones in Majuro have been re-adjusted and counted for better management of the immunization program coverage. Inventory of refrigeration installed in each atoll and islands having solar power has been done. And the plan to contract someone to install solar power has been made and ready to happen. Zone nurses continued to visit the zones for administration of vaccines for children as a routine which the coverage has been escalated. The Immunization program is shifting its focus to the outer islands communities as Majuro communities are doing quite well. Such coverage for Majuro has been maintained at 83% - 87%. Nevertheless, each of the vaccine can be further written as such: BCG (81%), OPV (97%), DPT(88%), HEP.B(97%), HIB1(69%),MMR1(95%), MMR2(59%). These are average count of each vaccine with zones. However, some of the zones did not complete their immunization. Immunization workshop was conducted at the Long Islands Restaurant to train the nurses and health workers new information and importance of immunization

(Output 1.1.2): Continue Mental Health/Alcohol and Substance Abuse Program • • • • • •

Developing of a tobacco survey targeting the youth group is in its final and editing phase. A psychiatrist has already been hired and working. More retarded patients are accessing the mental health office as a day center seeking clothing, food and other social services amenities. Salvation Army Church has been and still donating lunch means for the patients on Mondays, Wednesdays and Fridays (Ongoing) There were 7 attempted suicides during the year and 4 completed incidences. There are a total of 46 patients who are on medications: Prolixin D, H; Haldol H, D; Hithium H, Stelizine H, and Zoloft H.

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• • • • • • • • • • •

A new Mental Health Counselor has also been hired and actively working. Mental Health radio program continues to be broadcasted every Wednesday. Continuous efforts to cross-train the limited staff to better carry-out the many operational responsibilities of the Division. Various institutions and organizations have been extended for the staff to conduct presentations and lectures to different groups regarding various issues such as alcoholism, substance-abuse suicide and cancer-related issues. Patients in the outer islands continue to be monitored through the respective Health Assistants and through radio-communication. A client has been admitted to further his education at the College of the Marshall Islands. Group counseling sessions with patients also continue. Outreach to the outer islands/atolls continue to be a practice. Staff continue to attend conferences and training abroad to broaden their horizons Twelve CMI students are doing clinical training at the Mental Office every Thursdays and Fridays with our mental health clients. Plan has been in discussion to conduct a workshop with mental health clients’ parents and relatives to better educate them with many issues facing the clients.

(Output 1.1.3): Continue Maternal and Child Health Program • The infant mortality rate has reduced to 18 from 21/1,000 • The percentage of pregnant women accessing the prenatal clinic during their first trimester has increased to 32% • Coverage for pregnant women receiving 5 doses of Tatanus Toxoid at the neighborhood of 48%. • The percentage of teen pregnancy is decreasing; ages less than 19 years old. • All women accessing the Family Planning clinic are interviewed, counseled on existing interventions and referred to the STD/HIV clinic for screening. • The average total visits for FY 2006 for each quarter was 1,475 and only a total of 154 on the average came for the 1st/trimester • Three groups of Health Assistants received training on RCHS and Health Information system to be used in the outer islands • 18 women from various communities in Ebeye received training on the following topics: Reproductive System A & P, pregnancy Care, Labor and Delivery, Family Planning and Proper Nutrition. • A total of 2,068 Pap Smear performed during the 2006 in the clinic both Majuro, Ebeye and the Outer Islands. • The Reproductive Health continues to disseminated contraceptives such as Depo Provera, Pills, Condoms, patches, • Norplant and of course performed BTL. Such Contraceptives are dispensed at the clinic as well as in the Bars, Hotels and several Restaurants, Outer Islands dispensaries and Leroj Kitlang Hospital at Ebeye. On the average, 600 contraceptives are given and dispensed each quarter. However, in terms of Condoms , they are given in mass distributions about 144 pcs in a box. • We have found that about 18% of all pregnancies are attributed to those women who have had 6 or more children • A new OB/GYN was hired to manage the OB cases that are coming to the clinic. A total of 44 teen counseling on pregnancy took place at the adolescent clinic and also a total of 29 youths visited the clinics to receive their supplies of condom and other contraceptives. • A dental service is being provided at the Family Planning clinic for the pregnant mothers/women.

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•

The MCH is currently dealing with 17 children with special needs such as: Ear Problems (1), Joint/bone deformity (8); Burns (1); Cleft Lip/Palate (1); Cardiac (1); Eye Problems (1); Paralyze (2); Arthritis (1); and Bone cancer

(Output 1.1.4): Continue TB & Leprosy Program • • • • • • • • • • • • • • • • • • •

Total of 13 pulmonary smear-negative being treated by the DOT; A total of 7 new pulmonary with smear-positive. A total of 65 total registered cases during the beginning of the year. A total of 8 Extra-pulmonary cases The current number of TB cases who are under the DOT is 25: 16 MB(64%) and 9 PB(36%). Of the total TB cases, 16 have completed their treatment. The total cases who are still on treatment is 47, including new and old cases, 35 (75%) MB and 12(26%) PB. Of this number 34 cases are under DOT program. The prevalence rate is 8.1 per 10,000 for this period. The total of patients who are still managed in the wards is 8. During the year, the Leprosy program had a total of 10 cases; 5 PB and 5 MB. Of the total leprosy cases, all 10 gave had their treatment completed. The staff of the programs had one seminar during the fiscal on the following topics: Reporting Guidelines, Case Review, Program evaluation and monitoring and Progress reporting. Other activities that were done during the fiscal year are: TB contact investigating and tracing, Leprosy contact and screening, CDC training on the above topics and TB lectures in schools and villages. During the 2nd quarter, the program visited 174 households or a total of 4,852 people screened and they found only 1 suspect. 12 staff from the Ministry of health from both Ebeye and Majuro to attend the Annual Pacific islands TB Controllers Associations (PITCA) in Honolulu. RMI was awarded for excellence due to its success in the ability to collect, handle, and send/ship TB specimen to Honolulu and elsewhere. Again, during the 2nd. Quarter, the program screen 59 family members of the TB clients,; 17 of them had positive tuberculin test, however, all of them were asymptomatic. But, they are still under observation.

(Output 1.1.5): Continue Dental Program THERE WAS TOTAL OF 10,916 PATIENTS SEEN AND TREATED AT THE CLINIC DURING FISCAL YEAR 2006. A TOTAL OF 6,971 EMERGENCY SERVICES DONE. 639 TOTAL SEALANTS PERFORMED. 4,590 TOTAL EXTRACTIONS PERFORMED. 2,246 TOTAL FILLINGS. 347 TOTAL ROOT CANALS DONE. 4,209 TOTAL DMFT DONE 3,537 TOTAL DECAYED TEETH 574 TOTAL MISSING TEETH 1,351 TOTAL STUDENTS/CHILDREN EXAMINED 278 TOTAL DENTURES PERFORMED 699 CHILDREN IN LAURA WERE GIVEN FLUORIDE AND VARNISH. THE DENTAL HEALTH PROGRAM CONTINUES TO IMPROVE THE PREVENTATIVE SERVICES IN BOTH MAJURO AND EBEYE. DUE TO CERTAIN ORDEALS, THE PROGRAM WAS ABLE TO DO ONLY 4 TRIPS TO THE OUTER ISLANDS .

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THERE

WERE A TOTAL OF 396 PREGNANT MOTHERS BEING EXAMINED AND PROVIDE NECESSARY DENTAL HEALTH SERVICES DURING THEIR 1ST PRENATAL VISITS-A COLLABORATION BETWEEN THE DENTAL HEALTH PROGRAM AND THE MCH. DENTAL HEALTH PROGRAM CONTINUES TO PROVIDE XYLITOL TO THE CHILDREN IN THE KINDERGARTEN AND THE HEAD START P PROGRAM. AGAIN, DENTAL HEALTH SERVICES ALSO HAS HIRE 12 DENTAL OUTREACH WORKERS TO WORK IN THE COMMUNITIES. HOME VISIT PROGRAM FOR THE KINDERGARTEN AND YOUNG SIBLINGS HAS ALREADY IMPLEMENTED, A JOINT VENTURE BETWEEN THE MINISTRY OF HEALTH AND MINISTRY OF EDUCATION. DENTAL HEALTH PROGRAM CONTINUES TO SEND OUT STUDENTS TO BE TRAINED IN FIJI DENTAL SCHOOL THROUGH FIJI SCHOOL OF MEDICINE AS WELL AS TAIWAN DENTAL SCHOOL

(Output 1.1.6): Continue HIV Program TRAINING OF LOCAL STAFF AND CLINICIANS

ON COUNSELING, TESTING AND REFERRAL SERVICES IS AN ONGOING EFFORTS AT THE MOMENT, ALL PREGNANT WOMEN, STD CLIENTS, ALIEN WORKERS, BLOOD DONORS, AFB POSITIVE MICROSCOPY TB PATIENTS AND WALK –IN ARE REASONS PATIENTS ARE SEEN IN THE HIV CLINIC. THE SECOND GENERATION SURVEY FOR HIV IS STILL GOING ON NEARLY COMPLETED. 600 WOMEN ARE BEING TARGETED FOR THE SURVEY. THREE OF THE STAFF ATTENDED THE ANNUAL PACIFIC ISLANDS JURISDICTIONS AIDS ACTION GROUP (PIJAAC) MEETING IN HONOLULU ADDRESSING HIV PREVENTION, CARE AND TREATMENT. THERE ARE TWO HIV POSITIVE CASES IN THE MARSHALL ISLANDS. HOWEVER, THE TOTAL OF 13 ACCUMULATIVE CASES. SYPHILIS TEST – 257/1,528 POSITIVES GONORRHEA TEST – 42/687 POSITIVES CHLAMYDIA TEST – 172/731 POSITIVES. HIV TEST – 0/3,758 NO POSITIVES. THE PUBLIC HEALTH MOBILE TEAMS VISITED AND PROVIDED SCREENING AT 6 OUTER ISLAND COMMUNITIES. THEY FOUND 72/1,047 POSITIVE SYPHILIS TESTS. THESE CASES WERE TREATED WITH BACILLIN INJECTION AND FOLLOWED UP BY THE HEALTH ASSISTANTS. THE STD TEAM CONTINUES TO DO OUTREACH AND SCREEN VOLUNTARY WALK-IN PATIENTS. DURING THE LAST QUARTER, SEVEN (7) NEONATAL INFANTS WERE DIAGNOSED AT THE MATERNITY WARD AND IMMEDIATELY GIVEN BACILLIN INJECTION DAILY FOR A TOTAL OF TEN DAYS. THEY WERE THEN REFERRED TO THE STD CLINIC WITH THEIR MOTHERS FOR FURTHER TREATMENT. AS FAR AS SYPHILIS, 64 OUR OF 85 TOTAL POSITIVES HAVE COMPLETED THEIR TREATMENT, 21 OF OUR OF THAT NUMBER STILL UNDERGO TREATMENT FURTHER, 207 OUT OF 238 TOTAL TESTS SHOW THAT THEY HAVE HAD SEX WITHOUT USING CONDOMS OTHER FINDINGS: 73 TRICHOMONAS INFECTION; 8 BACTERIAL VAGINOSIS; 23 MIX INFECTIONS; AND 1 HEPATITIS B INFECTION

Output Group 1.2: Health Education (Output 1.2.1): Continue Health Education and Health Promotion THE DPCP AND HEALTH PROMOTION & HEALTH EDUCATION

HAVE BEEN DOING GOING OUT TO THE COMMUNITIES TO PROVIDE HEALTH INFORMATION TO THE PEOPLE IN THE COMMUNITIES AND EVEN IN SCHOOLS. FEW OF THE STAFF OF THE DIABETES PREVENTION AND CONTROL PROGRAM HAVE BEEN PARTICIPATING WITH THE DIABETIC WELLNESS CENTER PROVIDED UNDER THE CANVAS MISSION. THE HEALTH PROMOTION & EDUCATION TEAM ALSO ADOPTS THE CURRICULUM AS FAR AS DIETS AND EXERCISES.

FY06 Annual Performance Report

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THE STATISTICS SHOW THAT THE PROGRAM HAS BEEN SEEING AND TREATING MORE PEOPLE COMPARED TO THE PREVIOUS. Outcome 2: To Provide Effective Outer Islands Health Center System (OIHCS) Output Group 2.1 –Human Resources (Output 2.1.1): Continue Human Resource Development CONTINUE TO PROVIDE BOTH MEDICAL AND PRIMARY HEALTH CARE FOR THE COMMUNITIES IN THE OUTER ISLANDS. CONTINUE TO RENOVATE CERTAIN HEALTH CARE CENTERS. TWO NEW HEALTH CARE CENTERS HAVE BEEN BUILT. THE CONTRACT TO INSTALL SOLAR POWER IN THE OUTER ISLANDS CENTERS HAS BEEN SIGNED AND READY TO START. CONTINUE TO RENOVATE THE SUPER DISPENSARY ON JALUIT ATOLL. TOTAL NUMBER OF BIRTH IN THE OUTER ISLANDS: 169 9 OUTSTANDING DISEASES FOUND IN THE OUTER ISLANDS: -Influenza: 4,091 -Acute Respiratory:: 2,023 -Headache: 1,879 -Diabetes Mellitus: 2,219 -Hypertension: 731 -Toothache: 1,425 -Pneumonia: 506 -Non-Infectious Diarrhea: 2,010 -Scabies: 640 TOTAL PRENATAL VISITS: 1,207 WELL-BABY EXAMINATION: 299 TOTAL 1ST TRIMESTER VISITS: 163 TOTAL # OF PATIENTS: 20,074 THE OICH PROVIDE MOST OF ITS PRIMARY HEALTH CARE SERVICES TEAMS WHEN THEY VISITED THE OUTER ISLANDS.

THROUGH THE PUBLIC HEALTH MOBILE

Output Group 2.2 – Transport and Infrastructure (Output 2.2.1): Using the report from BECA on infrastructure to construct and repair outer island health centers as targeted. NONE TO REPORT IN 4Q (Output 2.2.2): Improve outer island communication network NONE TO REPORT IN 4Q Status of Annual Performance Measures Outcomes 1 and 2 Annual performance measures have been developed for each MOH outcome. Tables 1 and Table 2 below provide progress made in the annual performance areas during the 4Q in FY06. ]

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Annual Measures Outcome 1: To Provide Effective Health Care Services Data Areas/Primary Health

FY06 1Q

FY06 2Q

FY06 3Q

Number children immunized for preventable diseases (doses given)

2039

1,999

2,591

Majuro Immunization (Rate Overall)

70%

81%

74%

Suicides attempted/suicides completed

2/1

0

3/1

Total first prenatal visits

139

159

261

18/1000

19.7/1000

19.7/1000

New TB cases

29

35

31

Participants in DOTS (2004 to be base)

34

72

13

Number new leprosy cases

7

12

14

Tooth fillings/# patients for fillings

248

712

696

Tooth extractions

712

1,418

1,445

Total Number of dental patients (all services)

2535

2581

2,799

Data Areas/Health Education

FY06 1Q

Infant Mortality (live births/total births)

School/community outreach (number programs/number attendees)

2 campaigns – 1000 attendees, All schools visited

FY06 2Q 1 lecture 1 survey 4 comoutreaches 109 participants

Data Areas Number children immunized for preventable diseases (doses given) Majuro Immunization (Rate Overall) Suicides attempted/suicides completed Total first prenatal visits Infant Mortality (live births/total births) New TB cases Participants in DOTS (2004 to be base) FY06 Annual Performance Report

FY06 3Q

FY06 4Q

FY06 TOTAL

FY06 4Q

FY06 TOTAL

Report not available due to change

FY 04 11,109

FY05 21,622

NA 61/34 712 NA 61 22.5 avg

61.8% 1,171 21/1,000 52 18.5 avg Page 105

Number new leprosy cases Tooth fillings/# patients for fillings Tooth extractions Total Number of dental patients (all services) Output Group 1.2: Health Education School/community outreach (number programs/number attendees)

32 1,610 3,444 8,813

58 2,962 6,704 11,506

76/2,689

148IEC; 12 Outreaches; 1,120 attendees

Outcome 2: To Provide Effective Outer Islands Health Center System (OIHCS) Data Areas

FY06 1Q

Health staff in outer islands

58

Health staff in training

13

Outer islands population with access to trained staff

17,000+

Outer islands health service needs

17,000+

Outer islands infrastructure

55

Outer islands communication equipment

24

# Health Centers providing prenatal visits

All 55

Percentage of immunization by atoll Utilization rate contraceptives by Health Center # of households visits

FY06 2Q

FY06 3Q

FY06 4Q

FY06 TOTAL

>20% -

OIHCS Data Areas FY 04 FY05 Health staff in outer islands 59 58 Health staff in training 14 18 Outer islands population with access to trained staff NA 17,000 Outer islands health service needs NA Outer islands infrastructure 45 55 Outer islands communication equipment 20 39 # Health Centers providing prenatal visits NA 55 Percentage of immunization by atoll NA 867 Utilization rate contraceptives by Health Center NA # of households visits NA II.

Financial Performance Linked to Expected Outcomes 1 and 2

Financial information for Outcomes 1 and 2, linking financial performance to expected outcomes, is found in Table 11 at the end of this report.

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III.

Main Issues Confronted and Potential Resolutions for MOH Outcomes 1&2

This section provides details of problems that came up during the quarter. Where relevant, possible potential resolutions are presented. Outcome 1 None reported in 4Q Outcome 2 None reported in 4Q Major Sector Revisions and Adjustments for Outcomes 1&2 This section provides details regarding any major sector revisions or adjustments for the quarter. Outcome 1 • None to report in 4Q Outcome 2 • None to report in 4Q

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FY 06 Ministry of Health Outcomes 3 & 4 Majuro Hospital Services V.

Progress on Outcome 3 A.

Status of Outcomes 3 and 4, Progress through end of the 4Q

MOH identified 10 Outcomes. In this section information for Outcomes 3 & 4 are presented. Outcome 3 consists of 3 Output Groups; Outcome 4 consists of 8 Output Groups. This section provides an overview of the impacts and progress to date in FY06 with regard to the Outputs/Output Groups in each Outcome. Outcome 3: To Provide Normal Hospital Operations (Day-to-Day Management) Output Group 3.1 –Normal (Routine) Hospital Medical Operations (Output 3.1.1) To provide emergency services: •

Normal hospital operation was effectively attained with the effective dispatched of the ambulance 216 times and the treatment of 2002 patients at the ER. The effective delivery of normal operation at ER improved survival rate for these patients.

(Output 3.1.2): The effective registration of outpatient and inpatient •

Normal hospital operation was accomplished with the effective registration of 994 patients admitted and 13,006 patients treated at the Outpatient Clinic. Effective registration of these patients improved accuracy of records and knowledge of the number and types of services performed.

(Output 3.1.3): Provide medical records services •

Normal hospital operation was attained with the updating of records of 994 admitted, 13,006 patients seen at Outpatient, and 2002 patients treated at ER. The impact of this improves access to updated records, increased efficiency and effectiveness, and improved diagnosis due to more information available.

(Output 3.1.4) To provide radiology services: •

Normal hospital operation was attained with the effective performance of 4307 radiology diagnostic tests.

(Output 3.1.5) Provide Clinical Laboratory Services: •

Normal hospital operation was attained with the performance of 50,847 laboratory diagnostic tests this 4th quarter.

(Output 3.1.6) Provide Pharmacy Services: •

Normal hospital operation was attained with the filling and dispensing of 41,444 prescriptions this 4th quarter. This results in improved recovery for patients due to availability of medications resulting from improved inventory management.

(Output 3.1.7) Provide Medical Material Management Services: •

Medical supplies were purchased, dispensed to appropriate departments, and the inventory was generally managed well. Although still lacking in a computerized system to be able to quantitatively measure performance, material management services did provide reduction in waiting time thus maintain the average length of stay for this quarter.

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(Output 3.1.8) Provide Biomedical Service: •

The continuing service of an on-site Biomedical Engineer has allowed Majuro Hospital to serve more patients with the effective functioning of equipment. This in turn reduced downtime. This resulted in effective normal operation of the hospital. Among the 319 equipment maintained by the Biomedical services, only 6 were not function mostly due to being old and no parts.

(Output 3.1.9) Provide Dietary Services: •

Normal hospital operation was attained with the excellent performance of the Dietary services in providing 23,674 meals this past quarter. The impact of this provided the necessary nutrients and correct diet for faster recovery.

(Output 3.1.10) Provide Nursing Services: •

Majuro Hospital was able to provide normal hospital operation with the continuing employment of 115 nurses who provided nursing care to the 324 operations performed, 994 patients admitted, 13,006 patients seen at the Outpatient clinics, and 2002 patients treated at the ER. The availability of nurses provided appropriate care to patients with specific needs thus impacting their lives.

(Output 3.1.11) Provide Medical Services: None to report in 4Q (Output 3.1.12) Provide surgical operating services: •

Normal hospital operation was effectively attained during the 4th quarter with the effective performance of 324 surgeries in areas of general surgery, obstetrics, ophthalmology, urology, and otorhinolaryncology. This obviously impacted positively the lives of the patients involved.

(Output 3.1.13) Provide anesthesia/respiratory care services: •

Normal hospital operation was attained with the performance of 323 anesthesia services at the OR. This resulted in patient comfort and satisfaction in the OR.

(Output 3.1.14) Provide rehabilitation services: •

Normal hospital operation was attained due to the performance of 1568 rehabilitation treatments and completion of 9 prosthetics. This resulted in reduction of off-island referrals due to the availability of the service on Majuro.

(Output 3.1.15) Provide mortuary mortuary/autopsy services •

Although not yet able to maintain proper records of services, Mortuary services effectively maintain normal hospital operation with the continuing embalming services.

Output Group 3.2: Normal (Routine) Hospital Non-Medical Operations (Output 3.2.1): Provide security services •

Normal hospital operation were accomplished with the continuing employment and services of 9 security officers performing numerous security tasks and providing driving services to the ambulances. This resulted in secured buildings and patients throughout the 4th quarter.

(Output 3.2.2): Provide building and ground maintenance services •

Normal hospital was attained in the 4th quarter with the continuing structural and air-conditioning maintenance support of 5 staff, and the housekeeping services of 11 staff. The structural repairs by contracted firms also provided normal maintenance of services. All these resulted in a clean well maintained facility to improve patient recovery.

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(Output 3.2.3): Provide hospital management and administrative services •

Majuro Hospital also attained normal hospital operation with the continuing central management and administrative support of administrators, and administrative secretaries. This resulted in overall effective functioning of all services leading to reduction in patient complaints, improve patient care and satisfaction.

Output Group 3.3: Other Hospital Operations (Output 3.3.1): Oversee all additional medical and non medical needs of the hospital •

A Local Company was contracted for the construction of a facility away from the hospital for storing and housing the incinerator. Incineration of medical wastes is now conducted at a location away from densely populated communities and at a location where the wind blows out directly to open ocean.

Outcome 4: To Improve the Effectiveness of Hospital Services Output Group 4.1– Staff Recruitment and Retention (Output 4.1.1): Recruitment of staff based on identified needs of hospital administrator and staff • Improvement in the effective operation of the hospital was attained with the hiring of another Family Practitioner, a Physical Therapist, and an Embalming Technologist. This increased the number of family practitioners servicing predominantly family practice cases, thus improving patient care. Improvement also in rehabilitation resulted in the hiring of a Physical Therapist. Embalming services also was impacted with the permanent replacement of a retired staff with another permanent embalming technologist. Output Group 4.2- Purchase and Maintenance of Equipment (Output 4.2.1): Needs analysis for equipment • Improvement in the effective hospital of the hospital was attained with the eventual submission of needed equipment to the Administrator for purchase. (Output 4.2.2): Purchase and/or upgrade medical equipment and systems and establish maintenance plan for equipment as determined on an annual basis by the hospital administrator and staff • Improvement in the effective operation of the hospital will eventually be attained with the completed purchase of the following equipment: Actus Dental Chairs, Hematology Analyzer, Ultrasound, operating lights for OR, incinerator, sterilizer, mastoidectomy drill, audiometry analyzer, microlaryngoscopy set, exam chair, esophagoscope, laryngoscope, bronchoscope, fetal monitors, laboratory microscopes, laboratory incubator, phototherapy machine, skin graft machine, nasopharungolaryngoscope, emergency carts, portable pulse oxymeter, anesthesia machine, defibrillators, Dinemapp Pro 400, Cauterization machine, multihead microscope, ventilators, autoclaves, and exam tables. These equipment will certainly impact positively by continually reducing off-island referrals and reduce malfunction of equipment due to availability of new functional equipment. (Output 4.2.3): Purchase and/or upgrade medical support equipment and establish maintenance plan for equipment as determined on an annual basis by the hospital administrator and staff • Improvement in effective operation of the hospital was attained with the purchased of laboratory microscopes and hematology (CBC) analyzer. This will certainly reduce off-island referrals, reduce costs of off-island care, and decreased downtime due to availability of new functional equipment.

FY06 Annual Performance Report

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(Output 4.2.4): Purchase and/or upgrade rehabilitation equipment and establish maintenance plan for equipment as determined on an annual basis by the hospital administrator and staff • Deferred due to no submission of bids from any company after release of bid proposals in the media. . (Output 4.2.5): Purchase and/or upgrade non-medial support equipment and establish maintenance plan for equipment as determined on an annual basis by the hospital administrator and staff • Deferred because more clinically important equipment were prioritized to be purchased. Output Group 4.3– Staff Training and Human Resources Development (Output 4.3.1): Training for nursing staff in selected areas medical including midwifery, ICU and quality assurance as determined on an annual basis by the hospital administrator and staff • No specific overseas training occurred for the nursing department as anticipated. Training for foot ulcer and pressure sores, Nurse Practitioner, and neonatal care have been deferred due to funding and inability to locate training source. However, Five Nurses were locally trained in CPR/AED. One nurse also attended ICU training in Taiwan. 147 nurses attended continuing education sessions offered locally in July, 53 nurses attended in August, and 21 nurses attended CE courses in September. Continuing education sessions are consistently offered every month to continue to update staff on current health-related developments. (Output 4.3.2): Training for medical staff in selected medical areas including Pharmacy, Laboratory, Radiology, Rehabilitation and Biomedical Maintenance as determined on an annual basis by the hospital administrator and staff • Improvement in the effective operation of the hospital were attained with accomplishment of the following training: ICD-10 training, Radiology staff trained in Cat-Scan operation, First Responder training, and Emergency Field Exercise. The other trainings were deferred due to lack of source of training sites. The attained improved local capacity thus improving operation of the hospital.4 doctors attended CPR/AED training. (Output 4.3.3): Training for all staff in selected non-medical areas as determined on an annual basis by the hospital administrator and staff • 1 Radiology staff attended AED/CPR course conducted by CDC. A staff of the Medical Records department attended ICD-10 training in Australia. Over 142 staff attended CE courses offered by the Ministry this past quarter. Output Group 4.4- Hospital Infrastructure Improvement (Output 4.4.1): Improve hospital infrastructure through repair and refurbishment of targeted areas as determined on an annual basis by the hospital administrator and staff • Most of the proposed repair and reconstruction have been deferred after such plans couldn’t happen due to a fire that broke out at the hospital. (Output 4.4.2): Continue Redevelopment Plan for new hospital complex • A Redevelopment plan was completed with the completion of a Conceptual Design, which acts as a framework for Government’s consideration for financial assistance.

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Output Group 4.5 – Hospital Management Improvement (Output 4.5.1): As determined by the hospital administrator and staff create offices, positions and services • Improvement in the effectiveness of Hospital services was attained with the creation of an organizational chart and the filling of management positions. This resulted in better management of all departments. Output Group 4.6 – Hospital Systems Improvement (Output 4.6.1): Coordinate with Health Planning regarding Health Information System • Improvement in effective hospital services will soon realized after the completion of the computer network and the complete installation of the HIS software. The software company made its initial formulation of the software with its initial trip to Majuro to understand the environment of data management at the Ministry. Therefore as expected, hardware and software have been identified and purchased, and HIS design has started. Training and implementation will follow. All these will improve data management for effective management of the hospital. (Output 4.6.2): Review, organize and rewrite hospital policies for staff and patients • Formulation of policies and patient booklet still ongoing and will be deferred to next year. (Output 4.6.3): Establish a total quality management program • Improvement of effective hospital services will soon take place with continuing implementation of quality management programs that has already started this past year. This has begun to improve quality of care, improve management of services, and improve system of management. (Output 4.6.4): Review options for a change in the Blood Banking System The start of a new blood donation system has been established however its has started slow with slow administrative assistance to locate volunteers. It is a very promising adventure and will continue to be implemented in the coming years.

•

(Output 4.6.5): Review options to improve revenue • Deferred to FY07 Output Group 4.7 – Implement Other Development Plans (Output 4.7.1): Establish Hospital Emergency Preparedness management plan To improve readiness the following equipment were purchased under the Preparedness Program: hematology analyzer, sterilizer, microscopes, incubator, HF communication system, Health Information software, OR lights, Anesthesia Machine, Fetal Monitor, Emergency carts, oxymeter, defibrillators, and ventilators. These accomplishments have improved the hospital readiness. A First Responder training was conducted

•

Output Group 4.8: Other Hospital Operations Oversee all additional medical and non-medical needs of the hospital No additional requirements yet

•

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B.

Annual Performance Measures Outcomes 3 & 4

Annual performance measures have been developed for each MOH outcome. Tables 3 and 4 below provide progress made in the annual performance areas during the 4Q FY06. Annual Measures Outcome 3: To Provide Normal Hospital Operations (Day-to-Day Management) Data Areas Output 3a

FY06 1Q

FY06 2Q

FY06 3Q

FY06 4Q

FY06 TOTAL

Number of in-patients (admissions)

1175

930

869

994

3968

Number of out-patient encounters

12,832

12,101

12,585

13,006

50,524

Number of surgical operations (and type)

314

329

334

General surgery

202

170

196

Orthopedic surgery

15

22

27

Obstetrical surgery

78

87

55

Ophthalmic surgery

16

33

48

324 195 0 84 26 15 4

1301 763 64 304 123 43 14

Urological surgery

3

13

12

Otolaryncology surgery

0

4

6

Number of diagnostic tests (radiology and clinical)

2165

2,472

2,816

X-ray tests

1439

1,682

1904

Ultrasound tests

352

331

351

374

459

554

4307 2824 0 1367 106 10

11,760 7,849 1034 2754 113 10

1.

1. 2.

3. 4. 5.

EKG tests Cat-Scan

7

Mammography

Number of rehabilitation treatments performed

1465

1233

1,721

1568

5,987

Number of prosthesis completed

1

2

6

9

18

Number of prescriptions dispensed

37,667

33,484

32,257

41,444

144,852

Number of meals served

24,709

21,709

21,845

23,674

91,937

Number of emergency patient encounters

1683

1,551

1,217

2002

6,453

Number of emergency ambulance dispatches

254

149

280

216

899

Average patient stay

8

6

7

7

7

FY06 Annual Performance Report

Page 113

Total lab tests (by type)

45,946

52,569

41,500

190,862

21,005 0

67,724 16

5531 12,535

21,337 67,799

1.

Biochemistry

12,176

17,580

16,963

2.

Immunology

16

0

0

Serology

3,174

5,470

7,162

4.

Hematology

23,595

21,684

9,985

5.

Blood Bank

1,512

987

1,150

Microbiology

5,221

6,612

5,919

2551 8,463

6,200 26,215

252

236

457

762

1,707

3.

6.

7.

Cytology

MOH Performance Data Areas Number of in-patients (admissions) Number of out-patient encounters Number & type of surgical operations 1. General surgery Orthopedic surgery Obstetrical surgery Ophthalmic surgery Urological surgery Otolaryncology surgery Number of radiology and clinical diagnostic tests X-ray tests Ultrasound tests EKG tests Number of rehabilitation treatments performed Number of prosthesis completed Number of prescriptions dispensed Number of meals served Number of emergency patient encounters Number of emergency ambulance dispatches Average patient stay Total lab tests (by type) Biochemistry Immunology Serology Hematology Blood Bank Microbiology Cytology

FY06 Annual Performance Report

50,847

FY 04 4,251 44,132 1,292 677 124 294 121 43 31 8,497 5,865 989 1,643 5,933 30 132,285 85,087 NA NA NA NA

FY05 3,913 37,274 1,142 673 67 276 80 34 12 7,586 5,434 1,055 1,097 6,298 25 121,703 88,676 5,849 889 7.5 178,485 44,622 331 19,055 75,807 10,924 27,833 1,333

Page 114

Annual Measures Outcome 4: To Provide Effective Hospital Service (Service Improvement) Data/Information

FY06 1Q

FY06 2Q

FY06 3Q

FY06 4Q

FY06 Total

Staff hired

8

6

5

3

22

Equipment purchased

0

0

0

34

34

Number of staff trained with new skills

2

12

576

12

28

$7,637.13

0

$15,500

0

$23,137.13

Number of management projects completed

0

1

0

1

2

Number of new systems implemented

1

0

2

1

4

Value of repair projects completed

Data/Information Output Group Staff hired Equipment purchased Number of staff trained with new skills Value of repair projects completed Number of management projects completed Number of new systems implemented VI.

FY05 Total 9 23 2,308 $ 431,570 7 6

Financial Performance Linked to Expected Outcomes 3 & 4

Financial information for Outcomes 3 & 4, linking financial performance to expected outcomes, is found in Table 11 at the end of this report. VII.

Main Issues Confronted and Potential Resolutions for MOH Outcomes 3 & 4

This section provides details of problems that came up during the quarter. Where relevant, possible potential resolutions are presented. Outcome 3 None to report in 4Q. Outcome 4 None to report in 4Q VIII. Major Sector Revisions and Adjustments Outcomes 3 & 4 This section provides details regarding any major sector revisions or adjustments for the quarter. Outcome 3 A supplemental Health Fund Budget for $810,208 was received in the third quarter. This increased the following Output Group to: Output Group 3.1 – Normal (Routine) Hospital Medical Operations

- $605,104

Outcome 4 None to report in 4Q

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FY06 Annual Performance Report

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FY06 MOH Outcomes 5, 6 & 7 Kwajalein Atoll Health Care Services and Management IX.

Progress on Outcomes 5, 6 & 7

MOH identified 10 Outcomes. In this section information for Outcomes 5, 6 & 7 are presented. Outcome 5 consists of 3 Output Groups; Outcome 6 consists of 8 Output Groups; and Outcome 7 consists of 1 Output Group. This section provides an overview of the impacts and progress to date in FY06 with regard to the Outputs/Output Groups in each Outcome. Outcome 5: To Provide Normal Hospital Operations for Kwajalein Atoll (Daily Operations) Output Group 5.1 – Normal (Routine) Hospital Medical Operations (Output 5.1.1) Provide emergency services: •

One of our nurses who attended CMI graduated and is now assign to ER

(Output 5.1.2): The effective registration of outpatient and inpatient services •

Continue to implement the process without any problem. Plan to include the outer islands dispensaries will begin 2nd quarter of this new fiscal year.

(Output 5.1.3): Provide medical records services: •

The temporary shelves are almost ready to be installed.

(Output 5.1.4): Provide radiology services •

We have received our portable X-ray machine last week of this quarter.

•

The vacant post at the radiology department is still not yet filled

(Output 5.1.5): Provide clinical laboratory services •

A listing of supplies needed by the new pathologist have been ordered and once received majority of the procedures that were send off island will be done on site.

(Output 5.1.6): Provide pharmacy services • •

Pharmacy services continues Request for additional staff has been submitted

(Output 5.1.7): Provide medical material management services •

Plan to improve the procurement of both medical and pharmaceutical supplies is on going and hopefully by the end of the 1st quarter of fiscal year 07 the inventory system will be fully implemented.

(Output 5.1.8): Provide biomedical service FY06 Annual Performance Report

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•

AIC has been given the go signal from RMI Public Works (BECA) to start repairing our medical equipment.

(Output 5.1.8): Provide biomedical service •

Still on going

(Output 5.1.9): Provide dietary services The arrival of the dietitian/nutritionist is scheduled for the 2nd week November 2006 (Output 5.1.10): Provide nursing services • •

Shortage of nursing staff still exists. Recruitment is still going on

(Output 5.1.11): Provide medical services Services provided continues (Output 5.1.12): Provide operating services • •

OR services still continue without any problem Anestheologist is expected to arrive in a month period

(Output 5.1.13): Provide nursery services •

Services are being provided without any problem

Output Group 5.2: Normal (Routine) Hospital Non-Medical Operations (Output 5.2.1): Provide security services •

Additional staff is very much needed. We have tried every way possible not requesting for additional staff but it is impossible if we are to provide safety/security to hospital facilities and patients. Additional of 2 staffs is a must.

(Output 5.2.2): Provide building and ground maintenance services Routine housekeeping services, security and maintenance services continue. (Output 5.2.3): Provide hospital management and administrative services •

All routine administrative functions continues

(Output 5.2.4): Improve Revenue Collection •

Continue maintaining daily patient revenue collection activities.

Output Group 5.3: Other Hospital Operations (Output 5.3.1): Oversee all additional medical and non-medical needs of the hospital •

Network committee to report findings and make recommendation to administration by December 2006

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OUTCOME 6: TO IMPROVE THE EFFECTIVENESS OF HOSPITAL SERVICE FOR KWAJALEIN ATOLL Output Group 6.1 – Staff Recruitment and Retention (Output 6.1.1): Recruitment of staff based on identified needs of hospital administrator and staff •

None to report in 4Q

(Output 6.1.2): Effective utilization of physicians at Outpatient Clinics •

Utilizing staff physician in the Public Health program is a routine protocol

Output Group 6.2: Purchase and Maintenance of Equipment (Output 6.2.1): Needs analysis for Equipment upgrade • • •

95% of all orders have been received. Remaining orders through Eye Medical Equipment and TransPacific Medical have not been processed due to Finance failure to remit 50% deposit required by the Vendors. Water ambulance (Boat) will be completed and delivered by 1Q FY07.

(Output 6.2.2): Purchase and/or upgrade medical equipment and systems and establish maintenance plan for equipment as determined on an annual basis by the hospital administrator and staff • • • • •

Hospital maintenance Engineer’s travel documents have been completed and hs’s schedule to arrive end of October. 2 cardiac monitors were purchased and expected to arrive end of October. Facility maintenance is ongoing by AIC. Monthly consultation between AIC and the Administration is ongoing. AIC has received order to proceed with coordination on finalizing biomedical installation with seller. Completion of biomedical equipment installation is projected for December or 1Q FY07.

Output Group 6.3 – Staff Training and Human Resource Development (Output 6.3.1): Training for nursing staff in selected areas medical including ICU and quality assurance as determined on an annual basis by the hospital administrator and staff • •

Ventilator for the ICU arrived. Training on the use of the Ventilator will be conducted by a respiratory therapy nurse from Majuro in November. 12 nursing staff from medical services and Public health attended a Emergency preparedness training and CPR conducted by Certified EMT/Paramedic in Ebeye hospital.

(Output 6.3.2): Expand hospital career opportunities • • •

Long distant learning through internet is now available for all staff with the installation of the PeaceSat antenna. 1 Ebeye resident that recently graduated from the nursing school in Majuro has been hired. 2 nursing staff are still on CME at University of Guam.

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• •

2 nursing staff that recently graduated from the nursing school in Majuro resigned from their post in Ebeye and opted to work at Majuro hospital. (Future CME applicant will be required to sign a commitment letter to work in Ebeye prior to being approved.) On-going collaboration between Ebeye and Majuro hospital on staff training

(Output 6.3.3): Training for medical staff in selected medical areas as determined on an annual basis by the hospital administrator and staff • • •

Ongoing collaboration between Ebeye and Majuro hospital on emergency preparedness training to be conducted periodically in Ebeye and Majuro. All Lab technicians attended in-house lab training and 2 attended training in Pohnpei. 3 medical staff attended a CPR trainer certification program in Majuro

Output Group 6.4 – Hospital Infrastructure Improvement (Output 6.4.1): Improve hospital infrastructure through repair and refurbishment of targeted areas as determined on an annual basis by the hospital administrator and staff •

Process still ongoing

Output Group 6.5 – Hospital Management Improvement (Not needed to coordinate with Majuro) (Output 6.5.1): Improve Management of Outpatient Services •

Still ongoing

Output Group 6.6-- Hospital Systems Improvement (Not needed to coordinate with Majuro) (Output 6.6.1): Continue to update Hospital Information Booklet •

Revised version completed and printed for distribution.

(Output 6.6.2): Establish electronic clinical system in the wards as part of the HIS •

Still ongoing

(Output 6.6.3): Review obstetrics services •

None to report

(Output 6.6.4): Review options for a change in the Blood Banking System Process is ongoing (Output 6.6.5): Improve overall materials management at the hospital •

It is anticipated that the inventory system will be up and running in 1Q FY07 and will enable the bureau to conduct bulk orders, and at the same time, be more effective in getting the needed supplies

(Output 6.6.6): Establish Technological Tele-health capacity • • •

PeaceSat is now activated and operational Telemedicine is now possible but cannot be fully implemented until island power is restored. Telemedicine consultation scheduled with overseas doctors to be finalized in 1Q FY07.

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Output Group 6.7—Implement Other Development Plans (Output 6.7.1): In coordination with Majuro Hospital establish Hospital Emergency Preparedness management plan •

HazMat training scheduled for September has been postponed until problem.

November due to Ebeye power

Output Group 6.8—Other Hospital Operations (Output 6.8.1): Oversee all additional medical and non medical needs of the hospital •

Still ongoing

OUTCOME 7: TO PROVIDE KWAJALEIN ATOLL WITH EFFICIENT PRIMARY AND PREVENTIVE HEALTH CARE SERVICES AND MANAGEMENT Output Group 7.1: Preventive and Primary Health Care (Output 7.1.1): Continue Outreach Program (CHC funds) • • • • • • • • • • • •

Teen Camp was held in Guegeegue for three days. Family Planning house to house visits Health Talk to the community on ARI to the community Diabetes talk to teachers Second Generation Survey Breastfeeding contest (baby show) Vitamin A & deworming Outreach to outer islands Cancer presentation to Salvation Army church group\ Dental Hygiene outreach to all the schools Immunization talk to all the mothers and outreach to the outer Islands Youth to youth role play on prevent teen pregnancy

(Output 7.1.2): Continue Outpatient Clinical Service (CHC Funding) • •

On going activities Counseling by the health educators/referred by each programs

(Output 7.1.3): Continue Immunization Program • • •

Continued with ongoing schedule on Mondays/Fridays clinic Visits to Santo, Ebadon, Carlson and Carlos House to house visits to bring up the coverage

(Output 7.1.4): Continue Mental Health/Alcohol and Substance Abuse Program • • •

Counseling w/mothers & fathers in maternity & pediatric wards Outer islands visit Ebadon & Mejjato Health Talk (church group)

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• • • •

Women survey (HIV) ongoing Home visit to parents/family of mentally ill patients. Schools visits (2 schools) Counseling w/depressed patients./ in patients wards

(Output 7.1.5): Continue to implement Maternal and Child Health Program • •

• • •

Continue enforcing exclusive breast feeding Continue with prenatal classes/health talk during the first visits 1. Well baby clinics 2. health talk/teen pregnancy 3. education/nutrition 4. home visits 5. maternity wards visits Referred mother to dental for dental check up/hygiene Continue with pap smear during 1st visit Encourage public through health talk/home visits every Wednesdays from 1:30 – 4:30pm

(Output 7.1.6): Continue to implement TB & Leprosy Program • • • • •

Continue with DOT Case investigation Outreach to Ebadon for screening Monitoring and treatment Screening of food handlers, students

(Output 7.1.7): Continue Dental Program • • • • •

School visits/health talk to schools children on good hygiene Dental check up for diabetes patients Dental check up for prenatal Outreach to Santo, Ebadon, Carlos and Carlson providing the services/health talk Referred school children to the clinic for further evaluation/treatment

(Output 7.1.8): Continue school program • • • • • •

• •

Participated in checking and monitoring of babies’ health who will participated in the baby show on breast feeding week ceremony Vitamin A & Deworming to all the schools Health Education on ARI to PTA’s Participated in Teen Camp Coordinate the diabetic program to all schools for the health education talk about Continued with ongoing activities in the schools 1. student physical exams 2. counseling 3. update immunization records Preparing the Action Plan for 2006-2007. Preparing all the required form, documents, new date entry, new students medical forms, refilling the medical supply

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B.

Annual Performance Measures Outcomes 5, 6 & 7

Annual performance measures have been developed for each MOH outcome. Table 5 below illustrates progress made in the annual performance areas during the 4Q FY06 for Outcomes 5, 6 & 7.

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