M5 Flashcards

1
Q

It is a vital element of any health system.
It is a fundamental input to population health status, along with other factors, including social determinants of health.

A

service delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Key Characteristics of Quality Healthcare Services

Range of health services is provided, appropriate to the needs of the target population, including preventative, curative, palliative and rehabilitative services and health promotion activities.

A

Comprehensiveness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Key Characteristics of Quality Healthcare Services

Services are directly and permanently accessible with no undue barriers of cost, language, culture, or geography. Health services are close to the people, with a routine point of entry to the service network at primary care level (not at the specialist or hospital level).

A

Accessibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Key Characteristics of Quality Healthcare Services

Service delivery is designed so that all people in a defined target population are covered, i.e. the sick and the healthy, all income groups and all social groups

A

Coverage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Key Characteristics of Quality Healthcare Services

  • Service delivery is organized to provide an individual with continuity of care across the network of services, health conditions, levels of care, and over the life cycle.
A

Continuity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Key Characteristics of Quality Healthcare Services

Health services are of high quality, i.e. they are effective, safe, centred on the patient’s needs and given in a timely fashion.

A

Quality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Key Characteristics of Quality Healthcare Services

Services are organized around the person, not the disease or the financing. Users perceive health services to be responsive and acceptable to them. There is participation from the target population in service delivery design and assessment. People are partners in their own health care.

A

Person-Centered

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Key Characteristics of Quality Healthcare Services

Local area health service networks are actively coordinated, across types of provider, types of care, levels of service delivery, and for both routine and emergency preparedness. The patient’s primary care provider facilitates the route through the needed services, and works in collaboration with other levels and types of provider. Coordination also takes place with other sectors (e.g. social services) and partners (e.g. community organizations).

A

Coordination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Key Characteristics of Quality Healthcare Services

Health services are well managed so as to achieve the core elements described above with a minimum wastage of resources. Managers are allocated the necessary authority to achieve planned objectives and held accountable for overall performance and results. Assessment includes appropriate mechanisms for the participation of the target population and civil society.

A

Accountability and Efficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The ____________ of women and children is vital to creating a healthy world. Despite great progress, there are still too many mothers and children dying—mostly from causes that could have been prevented.

A

Health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

1.

Every day, approximately (1) ________ women die from preventable causes related to pregnancy and childbirth. 99% of these deaths occur in developing countries. In 2012, (2) ________ children died before age 5. (3)________ of them in the first year of life.

a. 800
b. 6.6 million
c. 5 million

A

a. 800

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

2.

Every day, approximately (1) ________ women die from preventable causes related to pregnancy and childbirth. 99% of these deaths occur in developing countries. In 2012, (2) ________ children died before age 5. (3)________ of them in the first year of life.

a. 800
b. 6.6 million
c. 5 million

A

b. 6.6 million

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

3.

Every day, approximately (1) ________ women die from preventable causes related to pregnancy and childbirth. 99% of these deaths occur in developing countries. In 2012, (2) ________ children died before age 5. (3)________ of them in the first year of life.

a. 800
b. 6.6 million
c. 5 million

A

c. 5 million

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

All are Roles of Healthcare Workers in Maternal Care and Child Care EXCEPT:
1. Prenatal care
2. Screening in infancy, childhood, and adolescence
3. Encouragement of breastfeeding
4. Immunization
5. Prevention of childhood diseases
6. Neonatal care
7. none of the above

A
  1. Neonatal care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

TRUE OR FALSE

The high number of maternal deaths in some areas of the world reflects inequalities in access to quality health services and highlights the gap between rich and poor.

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

TRUE OR FALSE

The MMR (Maternal Mortality Rate) in low income countries in 2017 is 462 per 100 000 live births versus 11 per 100 000 live births in high income countries.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

TRUE OR FALSE

In 2017, according to the Fragile States Index, 15 countries were considered to be “very high alert” or “high alert” being a fragile state (South Sudan, Somalia, Central African Republic, Yemen, Syria, Sudan, the Democratic Republic of the Congo, Chad, Afghanistan, Iraq, Haiti, Guinea, Zimbabwe, Nigeria and Ethiopia), and these 15 countries had MMRs in 2017 ranging from 31 (Syria) to 1150 (South Sudan).

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

TRUE OR FALSE

The risk of maternal mortality is lowest for adolescent girls under 15 years old and complications in pregnancy and childbirth are higher among adolescent girls age 10-19 (compared to women aged 20-24) (2,3).

A

False ; The risk of maternal mortality is highest for adolescent girls under 15 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

TRUE OR FALSE

Women in less developed countries have, on average, many more pregnancies than women in developed countries, and their lifetime risk of death due to pregnancy is higher. A woman’s lifetime risk of maternal death is the probability that a 15 year old woman will eventually die from a maternal cause. In high income countries, this is 1 in 5400, versus 1 in 45 in low-income countries.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The main factors that prevent women from receiving or seeking care during pregnancy and childbirth are the following, EXCEPT:
1. Poverty
2. Distance to facilities
3. Lack of information
4. Inadequate and poor quality services
5. High-end facilities
6. Cultural beliefs and practices
7. none of the above

A

High-end facilities

21
Q

The following are Common Laboratory Tests for Pregnant Women, EXCEPT;
1. Complete Blood Count (CBC)
2. Blood type with Rh Typing
3. VDRL/RPR
4. Hepatitis B
5. HIV
6. OGTT
7. Urinalysis
8. none of the above

A

none of the above

22
Q

The following are Common Laboratory Test for Newborn, EXCEPT:
1. Newborn Screening (NBS)
2. Expanded Newborn Screening (ENBS)
3. VDRL/RPR
4. none of the above

A

VDRL/RPR

23
Q

NBS or ENBS?

Congenital hypothyroidism (CH), congenital adrenal hyperplasia (CAH), phenylketonuria (PKU), glucose-6- phosphate dehydrogenase (G6PD) deficiency, galactosemia (GAL) and maple syrup urine disease (MSUD).

A

NBS

24
Q

NBS or ENBS

The expanded screening will include 22 more disorders such as hemoglobinopathies and additional metabolic disorders, namely, organic acid, fatty acid oxidation, and amino acid disorders. The latter are included in the standard care across the globe.

A

ENBS

25
Q

what is the disorder being screened

Effect screened: Severe Mental Retardation
Effect if screened and treated: Normal
Choices:
a. CH (Congenital Hypothyroidism
b. CAH (Congenital Adrenal Hyperplasia)
c. GAL (Galactosemia)
d. KU (Phenylketonuria)
e. G6PD

A

CH (Congenital Hypothyroidism

26
Q

what is the disorder being screened

Effect screened: Death
Effect if screened and treated: Alive and Normal
Choices:
a. CH (Congenital Hypothyroidism
b. CAH (Congenital Adrenal Hyperplasia)
c. GAL (Galactosemia)
d. KU (Phenylketonuria)
e. G6PD

A

CAH (Congenital Adrenal Hyperplasia)

27
Q

what is the disorder being screened

Effect screened: Death of Cataracts
Effect if screened and treated: Alive and Normal
Choices:
a. CH (Congenital Hypothyroidism
b. CAH (Congenital Adrenal Hyperplasia)
c. GAL (Galactosemia)
d. KU (Phenylketonuria)
e. G6PD

A

GAL (Galactosemia)

28
Q

what is the disorder being screened

Effect screened: Severe Mental Retardation
Effect if screened and treated: Normal
Choices:
a. CH (Congenital Hypothyroidism
b. CAH (Congenital Adrenal Hyperplasia)
c. GAL (Galactosemia)
d. KU (Phenylketonuria)
e. G6PD

A

KU (Phenylketonuria)

29
Q

what is the disorder being screened

Effect screened: Severe Anemia, Kernicterus
Effect if screened and treated: Normal
Choices:
a. CH (Congenital Hypothyroidism
b. CAH (Congenital Adrenal Hyperplasia)
c. GAL (Galactosemia)
d. KU (Phenylketonuria)
e. G6PD

A

G6PD

30
Q

What is the Modern Method of Contraception stated?

  • Commonly called “The pills”
  • Contains two hormones - Estrogen and Progesterone
  • Prevents the release of eggs from the ovaries (ovulation)
A

Combined Oral Contraceptives

31
Q

What is the Modern Method of Contraception stated?

  • Commonly called “Mini pills”
  • Progesterone only
  • Thickens cervical mucous to block sperm and egg from meeting and prevents ovulation
A

Progesterone Pills

32
Q

What is the Modern Method of Contraception stated?

  • Contains Progesterone
  • Small, flexible rods or capsule placed under the skin of the upper arm or injected to muscle of the skin every two to three months
  • Thickens cervical mucous to block sperm and egg from meeting and prevents ovulation
A

Implants and Injectables

33
Q

What is the Modern Method of Contraception stated?

  • Hormones directly applied to skin
  • Prevents the release of eggs from the ovaries
A

Patch and Combined Contraceptive Ring

34
Q

What is the Modern Method of Contraception stated?

  • A plastic device containing copper inserted into the uterus
A

Intrauterine Device Copper (IUD

35
Q

What is the Modern Method of Contraception stated?

  • Sheath or covering that fits the penis and vagina
  • Forms a barrier to prevent the sperm and egg cell from meeting
A

Male and Female Condom

36
Q

What is the Modern Method of Contraception stated?

  • Male sterilization
  • Blocks or cuts the vas deferens tubes that carry the sperm from the testicles
  • Keeps the sperm out of ejaculated semen
A

Vasectomy

37
Q

What is the Modern Method of Contraception stated?

  • Female sterilization
  • Blocks or cuts the fallopian tubes
  • Eggs are blocked from meeting the sperm
A

Tubal Ligation

38
Q

What is the Modern Method of Contraception stated?

  • Temporary contraception for new mothers whose monthly bleeding has not returned
  • Requires exclusive or full breastfeeding day and night of an infant less than 6 months old
  • Prevents the release of eggs from the ovaries (ovulation)
A

Lactational Amenorrhea Method (LAM)

39
Q

What is the Modern Method of Contraception stated?

  • Commonly referred to as Plan B
  • Commercial names - Ulipristal acetate 30 mg or Levonorgestrel 1.5 mg
  • Pills taken to prevent pregnancy up to 5 days after unprotected sex
  • Delays ovulation
A

Emergency Contraception Pills

40
Q

What is the Modern Method of Contraception stated?

  • Women track their fertile periods
  • Fertile periods are usually 8-19 of each 26-32 day cycle
  • Use cycle beads or other tools
A

Standard Days Method

41
Q

What is the Modern Method of Contraception stated?

  • Women track their body temperature at a set time every morning before getting out of bed
  • Observe for an increase of 0.2-0.5°C
A

Basal Body Temperature

42
Q

What is the Modern Method of Contraception stated?

  • Women track their fertile periods by observing presence of cervical mucus
A

Two-Day Method

43
Q

What is the Modern Method of Contraception stated?

  • Women track their fertile periods by observing changes in the cervical mucus, body temperature and consistency of the cervix
A

Sympthothermal Method

44
Q

What is the sign of fertility indicated?

Clear Texture
choices:
a) Cervical Mucus
b) Body Temperature
c) Consistency of the Cervix

A

Cervical Mucus

45
Q

What is the sign of fertility indicated?

Slight Increase
choices:
a) Cervical Mucus
b) Body Temperature
c) Consistency of the Cervix

A

Body Temperature

46
Q

What is the sign of fertility indicated?

Softening
choices:
a) Cervical Mucus
b) Body Temperature
c) Consistency of the Cervix

A

Consistency of the Cervix

47
Q

What is the Traditional Method of Contraception stated?

  • Women monitor their pattern of menstrual cycle over 6 months
  • Sutract 18 from the shortest cycle length and;
  • Subtract 11 from the longest cycle length
  • The couple prevents pregnancy by avoiding unprotected vaginal sex during the first and last estimated fertile days, by abstaining or using a condom.
A

Calendar Method or Rhythm Method

48
Q

What is the Traditional Method of Contraception stated?

  • Man withdraws his penis from from his partner’s vagina, and ejaculates outside the vagina, keeping semen away from her external genitalia.
  • Aims to keep sperm out of the woman’s body to prevent fertilization.
A

Coitus Interruptus or Withdrawal