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Hsmu 137:Epidemiology And Demography Question Paper

Hsmu 137:Epidemiology And Demography

Course:Health Systems Management

Institution: Kenya Methodist University question papers

Exam Year:2013

KENYA METHODIST UNIVERSITY

END OF 3''RD ''TRIMESTER 2013 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : HEATH SYSTEMS MANAGEMENT
UNIT CODE : HSMU 137
UNIT TITLE : EPIDEMIOLOGY AND DEMOGRAPHY
FOR HEALTH SYSTEMS MANAGEMENT
TIME : 2 HOURS

INSTRUCTIONS : Answer ALL Questions in Section A and ONLY TWO in Section B

SECTION A

Question One

Outline THREE ways in which disease mortality can be measured.

(6marks)

Differentiate between incidence and prevalence and explain how incidence of a disease influence its prevalence.

(4marks)

Question Two
Identify the population dynamics and discuss the role they play in health care financing. (10marks)

Question Three
At what stage can Kenya be placed in population transition cycle? Explain and illustrate. (10marks)

Question Four

Define the following terms as used in epidemiology for health systems:

Confounding

(2marks)

Relative risk.

(2marks)

Attributable risk.

(2marks)

Briefly describe the attributes used to evaluate a screening test in relation to test issues.

(4marks)

SECTION B

Question Five
Discuss malaria under the following subheadings and how knowledge of the same would be used to better manage the health systems. (30marks)

Infectious agent
Mode of transmission
Environmental and host factors that favour transmission
Prevention measures.

Question Six
Outline the design of a case control study and a cohort study to examine the association of smoking with lung cancer their merits and demerits and requirements of each of the study in relation to health care financing and health commodities. (30marks)

Question Seven

Using the data presented on table 1 calculate the following:-

The age specific fertility rate.

(7marks)

The total fertility rate.

(3marks)

Table 1: Showing total number of live births for different age-groups of women in Nakuru, 1990

Age-group No. of women No. of live births
"000" "000"
15 - 19 412 532
20 - 24 313 912
25 - 29 321 934
30 - 34 242 541
35 - 39 145 284
40 - 44 171 123
45 - 49 134 42

Describe the relevance of age data in health systems management.

(10marks)

Describe the strengths and limitation of vital statistics as a source of demographic data.

(10marks)

Hsmu 137:Epidemiology And Demography Question Paper

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