(K.I.H.S.

R)

KAFUE INSTITUTE OF HEALTH SCIENCES,EDUCATION AND RESEARCH

LTD.
END OF SEMISTER EXAMINATION

DIPLOMA IN ENVIRONMENTAL HEALTH TECHNOLOGY

COMMUNITY HEALTH (COH 120)

Date: 15 November 2018

Time allowed: 3 hours. 14:00-17:00.

Candidate’s Examination Number………………………………………………………………………

Candidate’s NRC Number…………………………………………………………………………………..

Examination Centre: Kafue Institute of Health Sciences, Education and Research

INSTRUCTIONS TO CANDIDATE

1. Time allowed is 3 hours

2. Indicate examination number, NRC number and Examination centre above
3. Do not start writing before you are told
4. Read questions carefully before attempting to answer
5. There are 5 sections in this paper A, B, C ,D and E
6. Cell phones and programmed calculators are not allowed in the
Examination room
7. Do not turn this page until you are told to do so by the invigilator

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SECTION A: MULTIPLECHOICE QUESTIONS (20 MARKS) ANSWER ALL
QUESTIONS IN THIS SECTION. Insert an X in the Answer sheet provided.

1. Which one of the following is an example of EQUITY in PHC?

A. Distribution of medical equipment country-wide
B. Distribution of health resources based on needs
C. Use of Insecticide Treated Net by chronic patients
D. None of the above
2. Primary Health Care seeks to:
A. View people as assets and liabilities for health improvements
B. Be affordability of all health services
C. Promote universal accessibility of health care and services
D. Promote social mobilization
3. The following are elements of PHC, EXCEPT
A. Health education and Research
B. Sanitation and water supply
C. Ess+ential drugs and medical equipment
D. Community participation and Equity
4. One of the philosophies of Primary Health Care is ……..
A. Social justice
B. Partnership
C. Democracy
D. All the above
5. Which one of the following is the biggest barriers to the delivery of Health Education?
A. Timing
B. Lack of financial resources
C. Attitude
D. Lack of information
6. Gender-based Violence (GBV):
A. Is a problem of rural areas
B. Is an emerging health issue
C. Only applies to households where there are drunkard husbands
D. Is widespread as there is no law to punish perpetrators
7. One of the following is a significant finding of the Lalaonde report (1974)
A. Women health is essential
B. Climate change is a threat to global health
C. Radical approach to issues of lifestyle
D. Advocacy as a solution to all health problems
8. All of the following are qualities of Community health workers: EXCEPT,
A. Honesty
B. Respectful
C. Hard working

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 D. Treat minor illnesss
9. Which one of the following is a major principle of Primary Health Care?
A. Social mobilization
B. Health Education and Promotion
C. Political commitment
D. Community participation
10. Which of the following is not a principle of PHC?
A. Sanitation in the Community
B. Equitable distribution of Health care services
C. Community participation in CLTS
D. Political commitment by leaders
11. Which one of the following is CORRECT about PHC?
A. PHC is high technological methods which require highly skilled man power to
function
B. PHC should be affordable to rural areas only
C. PHC should be available and accessible to all
D. PHC should be available to the urban areas only
12. The core of the definition of the concept ‘Health Promotion’ focuses on:
A. Influence
B. Empathy
C. Research
D. Control
13. Which one of the following is the main objective of School Health is?
A. To promote safe water supply and good sanitation in school
B. To promote Immunization in school
C. To promote good health and prevent diseases among learners and teachers
D. To screen communicable diseases among pupils
14. Which of th00e following is a critical role of the team leader?
A. Create a vision
B. Show indecisiveness
C. Shoot down members ideas
D. Inflexible approach
15. Which one of the following is an advantage of community participation in PHC?
A. It encourages self-centered ideology
B. It brings about separation of powers
C. It promotes leadership qualities
D. None of the above
16. Health Education:
A Supports a bottom-up approach to health.
B Has a proactive approach to health
C Is associated with evidenced based practice
D Encourages victim-blaming
17 Which of the following is CORRECT about Health promotion in Zambia
A. It only covers nutrition and life style
B. Growth monitoring and selective PHC
C. Done by CHWs and CHAs
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 D. None of the above
18. All the following are strategies in carrying out Health Promotion work, EXCEPT?
A. Mediation
B. Enabling
C. Problem posing
D. Advocacy
19. Stakeholders:
A. Own shares in the corporation like Zambia Sugar
B. Are the beneficiaries of the health projects
C. Are organizations or people interested in the health activity
D. Are funders of a health activity
20. Which of the following is not a determinant of Health?
A. Shelter
B. Income
C. Education
D. Transport

SECTION B: TRUE/FALSE QUESTIONS (10 MARKS) ANSWER ALL QUESTIONS IN

THIS SECTION. INSERT ‘T’ FOR TRUE OR ‘F’ FOR FALSE IN THE SPACES
PROVIDED.
NO. STATEMENT T or F
1 The vision of the ministry of health in Zambia is to provide equity health care for all Zambians

2 Stress is an emerging issue in Zambia

3 PHC seek to address main health problems in the community by providing health promotion
activities

4 The use of social media in Zambia is a big threat to health promotion practice

5 The international conference on primary health care in Alma Ata was held on 12 th September
1978
6 The main objective of school health services in Zambia is to provide TT immunization to girls

7 Having good education by individuals is a prerequisite for health

8 The health promotor is a leader whose role is to influence the public on health matters

9 Red cross is a good example of social marketing NGO in Zambia

10 Comprehensive model of PHC focuses on Health through specific disease of medical

interventions

Page 4 of 8
 SECTION C (10 MARKS). ANSWER ALL QUESTIONS IN THIS SECTION.
MATCHING TERMS 1-10 WITH SAME MEANING AS LETTERS A-J IN THE SPACE
PROVIDED

TERMS MEANING MATCHING

1 Sustainability A Socially sensitive 1
2 Community participation B Local adaptable materials/tools 2
3 Accessibility C Mult disciplinary 3
4 Equity D Continuity 4
5 Appropriateness E Political will 5
6 Holistic F Human capital engagement 6
7 Affordability G Availability 7
8 Networking H Distribution based on needs 8
9 Acceptability I Cost-Effectiveness 9
10 Accountability J Comprehensiveness 10
11 Self-reliance K Capability 11 K

SECTION D (30 MARKS). ANSWER 6 QUESTIONS IN THIS SECTION. EACH

QUESTION CARRIES 5 MARKS

Write short notes on each of the following (at least 5 sentences):

1. Use of Appropriate Technology in Primary Health Care

2. Reasons why community participation is essential to attainment of PHC
3. Importance of Health Promotion in Public Health
4. What is the essence of Primary Health Care
5. The components of School Health Services in Zambia
6. The steps in carryout the community diagnosis
7. Briefly describe the ‘health field concept’
8. Describe the health concept from WHO perspective

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SECTION E (30 MARKS). ANSWER 3 QUESTIONS FROM THIS SECTION. EACH
QUESTION CARRIES 10 MARKS

1. The Zambian government has been implementing PHC with emphasis on the provision of
quality health care in a clean environment by competence qualified personnel. Outline 5
components of Primary Health Care in Zambia (10 marks)

2. Discuss the concept of Gender under the following:

a. The concept Gender (3 marks)
b. Differences between Sex and Gender (4 marks)
c. Advantages of Gender equality in Zambia (3 marks)

3. a. Describe the term ‘Leader’ (2 marks)

b. Outline four (4) qualities of a leader (4 marks)
c. Briefly, discuss role of servant leadership in a health team (4 marks)

4. By way of chart, draw a well labelled project life cycle of your choice showing the
activities/functions at each level (10 marks)

5. a. Define the term NGO (2 marks)

b. Giving examples, explain the types of NGOs that promote health and human
development in Zambia (4 marks)
c. Discuss the importance (activities) of NGOs in promoting health (4 marks)

End of the Examination

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 (K.I.H.S.R)

KAFUE INSTITUTE OF HEALTH SCIENCES, EDUCATION AND RESEARCH

COMMUNITY HEALTH (COH 120)-END OF SEMISTER EXAMINATION
MCQ ANSWERSHEET
TH
DATE: 15 NOVEMBER 2018 ID
NUMBER
NRC # EXAM CENTRER

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