Please enter data and material here concerning what you have found concerning the personal health practices and the use of the health services in the Federated States of Micronesia (FSM) of the people in the country. Be sure to define what personal health practices are and how you measure use of health services, so others reading this will understand the material also.

Class Handout
Health Behaviors

Bridget Anderson, Ingrid Castro, Domonique DeWild, Melissa Jones, Billy Utter

Personal health practices

Utilization of services:
- “Only go in if we have a stomach ache or tooth ache” – Senator Dion
- People go into the doctor too late, when things have gotten bad.
- Babies are born in hospitals with midwives and not at home.
- Older people do not trust modern medicine. Younger generations more readily trust and use modern medicine.
- Micronesians still use local/herbal medicine.
- Most of dental service is extractions. There is no fluoride in water.
- Kids have weaker teeth, mostly due to diet, while adults have stronger teeth because their traditional diet.
- We found inconsistencies in finding information about regular check ups and dentist appointments.
- Abortion is illegal, due to cultural beleifs.

What services are they using:
- Contraceptives are put them in the bathrooms in Pohnpei to give privacy, but all are gone within an hour.
- 76.1% of youth are sexually active in Micronesia. Over 50% of youth in Micronesia have never used protection against STIs.
- Condoms are at hospitals and stores but people don’t want to buy openly.
- There is no sex education in schools.
- Mental health patients are treated in the jail. There are daytime observations but most end up on streets.
- Emergency services are severely lacking.
- Midwives and hospitals are more frequently used for birthing.
- There are no nursing homes available for care of the elderly.

Do they exercise/pay attention to diet:
- No parks, possibly due to lack of land and resources.
- Chores and gardening are their exercise, these activities have decreased due to western influences.
- Expired food in stores.
- Some people walk. Difficulties arise with muddy and narrow roads. Along with fending off dogs.
- People used to canoe. But not as much anymore with motorboats and not knowing how to build canoes.
- Most Micronesians do not swim.
- They don’t climb trees for coconuts or fruit as much any more.
- Basketball is played by youth here and there.
- The University of Micronesia in Pohnpei has basketball, bad mitten and volleyball. (no track, soccer, tennis – lack of land and equipment)
- Diet: new addition of rice and processed foods. Examples include, black label spam, sugary drinks, and chips.
- There is no snacking. Three big meals a day, according to family feast in Pohnpei.
- Eat lots and lots of rice.
- Making sakau and performing traditional dances, this can be a form of exercise.
- In Pohnpei people rarely eat local foods, and rely on imports.

- Beetle nut is frequently chewed all day long by both men and women.
- Sakau- workout to make it. Common at traditional feasts.
- Smoking, cigarettes remain a prominent habit.
- Marijuana is smoked locally on both islands.
- Drinking alcohol is not common in Kosrae but is drank more frequently in Pohnpei.
- Bucket showers are used along with river bathing. There is little sanitary water.
- Youths sneak off to have unprotected sex in the forest.

What is missing:
- Mental health facilities and care.
- Oncologists.
- Sufficient transportation to the hospitals.
- Parks and after school programs.
- Health and nutritional education in schools.
- Optometrists, especially a need because of the vitamin A deficiency.
- Sex education.

Personal Conclusions
-We may see that they are missing things but from their perspective they may not know what is “missing”. They may not know the options that are available and may be content with what they have.

Jungle Lovin’ Check-up Game Questions:

1. What is the most common procedure performed by the dentist in Kosrae?
2. Where are babies most commonly born in Pohnpei?
3. What age group utilizes modern medicine most often?
4. True or False: Most Micronesians go to the doctor for regular check-ups?
5. True or False: Abortion is illegal.
6. What disease statistics does Pohnpei keep a close record of?
7. What preventative measures are teenagers in Micronesia not practicing?
8. Where are mental health patients sometimes sent in Pohnpei?
9. Which medical professionals assist mothers during birth?
10. True or False: Nursing homes are a common service provided for the elderly.
11. What used to be Micronesian’s primary forms of exercise?
12. True or False: Most of the pop in Micronesia is not expired.
13. What form of exercise is currently the most common in Micronesia?
14. What are the two most common foods consumed in Micronesia?
15. What cultural tradition provides a good source of exercise?
16. What negative effects do poor diet and exercise have?
17. What is common practice with placentas after babies are born?
18. What recently imported habit runs rampant through the jungles of Micronesia?
19. What is the largest meal of the day in Micronesia?
20. What is the most common location for youth to engage in sexual activities?
21. What is the most common way of bathing?
22. What is the most common vitamin deficiency in Micronesia?
23. What is a commonly seen side effect of that deficiency?
24. What is the biggest problem with people not getting to the hospital in good time?
25. What form of health and sex education is present in schools?
26. How many oncologists are on the island of Pohnpei?

Final Question:
According to Francisco, what Four A’s affect health behavior?