Federated States of Micronesia, Northern Marianas & Palau

Region 3

The Federated States of Micronesia, Northern Marianas, and Palua are island nations in the Northwestern sector of the Sea Mercy target zones. We believe the health care needs of these three island nations are evenly balanced. Their location is such that one floating clinic would be able to cover the more neglected "remote islands" needs in a one year time period.

Federated States of Micronesia

The Federated States of Micronesia (FSM) is an independent, sovereign island nation, made up of four states from west to east: Yap, Chuuk, Pohnpei and Kosrae. It comprises approximately 607 islands, 270 sq miles of area in the Western Pacific Ocean spread over almost 1,678 square miles. The capital is Palikir, located on Pohnpei Island, the largest city being Weno, located in the Chuuk Atoll. Each of its four states is centered around one or more main high islands, and all but Kosrae include numerous outlying atolls.

Capital: Palikir
Population: 111,487 (2012) United Nations
Land Area: 270 sq miles
Number of islands: 4 island and 607 remote islands
GDP/capita (US$): 3,270
Currency: US dollar
Official language: English

The United States will provide about $100 million annually in assistance to the FSM until 2023. A Joint Economic Management Committee (JEMCO), consisting of representatives of both nations, is responsible for ensuring that assistance funds are spent effectively, with the aim of fostering good governance and economic self-reliance. The basic relationship of free association continues indefinitely.

Health Workforce:
Physicians: 1.8/10,000 people
Nurses & Midwives: 33/10,000
Dentistry: 1/10,000

The immunization rates for children under one were as follows: diphtheria, pertussis, and tetanus, 84%; polio, 83%; measles, 92%

Coomonwealth of the Northern Marianas Islands (CNMI)

Located just north of Guam, the CNMI is a three-hundred mile archipelago consisting of 14 islands, with a total land area of 183.5 square miles. The principal inhabited islands are Saipan, Rota and Tinian. The northern, largely uninhabited islands are Farallon de Medinilla, Anatahan, Sariguan, Gudgeon, Alamagan, Pagan, Agrihan, Asuncion, Maug Islands, and Farallon de Pajaro.

Capital: Saipan
Population: 86,616 (2012) United Nations
Land Area: 464 sq kilometers
Number of islands: 14 islands
GDP/capita (US$): 12,500 (2000 estimate)
Currency: US dollar
Official language: English

Health Workforce:
Physicians: No data available
Nurses & Midwives: No data available
Dentistry: No data available

The immunization rates for children under one were as follows: diphtheria, pertussis, and tetanus, 84%; polio, 83%; measles, 92%

Republic of Palau

The Republic of Palau consists of eight principal islands and more than 250 smaller ones lying roughly 500 miles southeast of the Philippines. The islands of Palau constitute part of the Caroline Islands chain. About 64% of Palauans live in Koror State's capital city, Koror.

Capital: Melekeok
Population: 20,000 (2012) United Nations
Land Area: 190 sq miles
Number of islands: 8 main islands and 250 remote islands
GDP/capita (US$): 8,941
Currency: US dollar
Official language: English

Under the terms of the Compact of Free Association with the United States, Palau received more than $800 million in direct assistance over 15 years and exercised its prerogative to participate in a wide range of federal programs. In early September 2010, the United States and Palau concluded a 15-year comprehensive review of the Compact. A wide range of federal programs will continue for the next 15 years. By the end of 2010, the value of a trust fund set up under the Compact was approximately $160 million.

Health Workforce:
Physicians: 13/10,000 people
Nurses & Midwives: 57/10,000
Dentistry: 3/10,000

The immunization rates for children under one were as follows: diphtheria, pertussis, and tetanus, 84%; polio, 98%; measles, 83%

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