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Hsmu 131:Epidemiology And Demography Question Paper

Hsmu 131:Epidemiology And Demography

Course:Health Systems

Institution: Kenya Methodist University question papers

Exam Year:2013

KENYA METHODIST UNIVERSITY

END OF 1''ST ''TRIMESTER 2013 (EVENING) EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : HEALTH SYSTEMS MANAGEMENT
UNIT CODE : HSMU 131
UNIT TITLE : EPIDEMIOLOGY AND DEMOGRAPHY FOR HEALTH SYSTMES MANAGEMENT
TIME : 2 HOURS

Instructions:

SECTION A: Answer all the questions.

Question One

What is epidemiology?

(2mks)

Briefly describe four uses of epidemiology in health care financing. (8mks)

Question Two

Measurements in epidemiology and demography for health systems require using clear criteria for classification of persons in the population as cases (diseases) or non-cases (non-disease) in relation to this define

Reliability
Validity
Sensitivity
Specificity

Predictive value of a measure.

(10mks)

Question Three

List five uses of surveillance in health systems management.

(5mks)

List five objectives of measuring population vital statistics and morbidity in health systems.

(5mks)

Question Four

Giving examples compare and contrast:

Field trials and community trials.
Retrospective and prospective epidemiologic studies.

Descriptive and analytic epidemiologic studies.

(10mks)

SECTION B: Answer any two questions.

Question Five

Giving clear illustrations, describe the factors that influence disease occurrence in a population.

(15mks)

As a health systems researcher in charge of TKT hospital you have observed that there is an increase in the prevalence of abortions. You have chosen to investigate, and in so doing have come up with the following findings:
Monthly incidence of abortions of women exposed to a drug XY is 16 women-month per 1000 pregnant women.
Monthly incidence of abortions of women not exposed to the drug XY is 3 women per 1000 pregnant women.
The relative risk of abortion among the exposed women against the unexposed is 5.
The attributable risk of the above is 0.013

Using the above information

Interpret the results of (i-iv) above and explain the difference between results i and ii

In relation to health systems functions, explain what has failed and the solutions to the above problem in relation to (a) above.

(10mks)

Question Six
The prevalence of Malaria in XYZ County is on a steady increase. Using the knowledge gained in epidemiology, discuss the interventions to be adopted and how the decisions made are going to affect health systems management in XYZ. (30mks)

Question Seven

Giving examples, describe how rates and ratios of vital indices can be used to monitor health programs.

(15mks)

The following table presents the age specific fertility rates of Naija county

Age specify fertility rates – Naija county
Age Group 1990 2000
Years 15 – 19
20 -24
25 – 29
30 – 34
35 – 39
40 – 44
45 – 49
Total fertility 276.1
220.0
191.3
117.0
66.8
30.6
12.1
3.6 290.4
232.9
220.1
167.7
102.5
44.0
19.6
4.5

Using the information in the above table, highlight the trends and explain the measures that could be adopted in planning for interventions. (10mks)

Describe five sources of demographic data in relation to health systems management.

(5mks)

Hsmu 131:Epidemiology And Demography Question Paper

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