Second, national health reform will not dismantle IHS. American Indians and Alaska Natives will continue to have access to their Indian health service facilities.

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The committee was also briefed on a consultation on Shared Services, a policy that included the concentration of "back office" facilities for the health service in a small number of locations.

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Along those lines, last year the National Business Group on Health and food service facilities and management provider Sodexho U.S.A. launched a toolkit to help employers create healthier eating environments and provide nutritious, affordable choices.

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They also predicted an increase in demand for bilingual facilities in education, local authorities and the health service.

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The health service also has supplies of emergency breathing equipment, protective equipment and decontamination facilities for staff.

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In addition, health service providers face difficulties in recruiting women with appropriate qualifications to fill midwifery positions in health facilities located in remote and insecure areas.

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