Department of Community Medicine
Course Contents
According to new curriculum 2012
A.First Term Examination
Card 01: Concept of Public Health, Community Medicine, Health and Disease
Item No.
Name of the Item Marks
01.
Definition: Community, Community Medicine, Public Health, Comprehensive health care, Hygiene, Health, Disease, Preventive Medicine, Social Medicine, Family Medicine. Concept of Health Team.
Difference between Community medicine & Clinical medicine.
10
02.
Concept of health: Changing concept of Health, Dimensions of Health and Spectrum of Health, Social factors related to health.
Concept of Public Health: Changing concept of Public Health.
10
03.
Determinants and Indicators of Health. 10
04.
Concept of Disease: Spectrum of disease, Concept of disease causation, Agents, Host factors & environmental factors for causation of disease, Epidemiological triad, Multi-factorial causation of disease, Natural history of disease, Disease Cycle, Iceberg of disease.
10
05.
Levels of Prevention and Intervention for diseases.
Community diagnosis & Community treatment.
10
06.
Characteristics of Ideal Health Care.
Common Health & Social Problems in Bangladesh.
10
Total 60
Card 02: Behavioural Science, Immunity & Immunization, Disinfection & Sterilization
Item No.
Name of the Item Marks
01.
Definition: Behaviour, Behavioural Science, Anthropology, Psychology, Sociology, Society, Family, Culture, Motive, Motivation, Personality, Intelligence, IQ. Components of Behavioural Science. Elements of Medical Psychology.
10
02.
Concepts of perception, cognition, learning, motivation, emotion, attitude. Social, Cultural and Psychological Factors In Health and Illness.
10
03.
Social Change In Health and Disease. Effects of culture and custom factors on health. Impact of urbanization on health and disease. Behaviour Change Communication (BCC).
10
04.
Concept of Society and Family, Types of family. Role of family in health and illness.
10
05.
Concept of Leadership: Leadership styles, different types of leadership and characteristics of an ideal leader.
Doctor-patient relationship: Importance of doctor-patient relationship for effective health care services.
10
06.
Definition & classification of immunity, Immunizing agents, Immunization schedule, Adverse effects following immunization, Herd immunity.
10
07.
EPI, Left out & drop out in EPI, NID, Cold chain: Definition, equipments, importance of maintaining cold chain at different levels.
10
08.
Disinfection and sterilization 10
Total 80
Card 03: Health For All (HFA), Primary Health Care
(PHC), MDGs & SDGs
Item No.
Name of the Item Marks
01.
History of HFA & PHC, Definition of HFA & PHC, Goals & indicators of HFA by the year 2000 AD, Principles & components of PHC, Components of ESP
10
02.
Health related MDGs. SDGs. Concept, purpose, scope, evolution of diseases under International Health Regulation (IHR) 2005.
10
03.
National health programmes. Mission, vision and components of existing national health programmes. Activities of different national health programmes. National health organizations.
10
04.
Health care delivery system of Bangladesh.
Organizational structure of health care delivery in Bangladesh.
10
05.
Activities of UHC, UHFWC, FWC, Community Clinic. Activities of GP/Traditional healer in the context of PHC.
10
06.
Health care referral system in Bangladesh
Charter duties of different health personnel: Civil Surgeon, UHFPO, RMO, Health Inspector, Sanitary Inspector, Statistician, FWV, FWA, HA, CHCP, CSBA.
10
07.
National and International NGOs. 10
08.
International Health Organizations: WHO, UNICEF, RED CRESENT, ICDDR,B, CARE.
10
Total 80
Card 04: Biostatistics & Research Methodology
Item No.
Name of the Item Marks
01.
Statistics: Definition, Branches. Definition of Bio-statistics & Vital statistics.
Use of Bio-statistics.
10
02.
Data: Definition, Classification, Methods of data collection, Tools of data collection, Methods of data presentation, Interpretation of data.
10
03.
Variable: Definition, Classification, Scales of measurement. 10
04.Definition: Population, Study population, Target population, Sampling
frame, Sampling unit, Sampling, Sample, Sample size. Sampling Techniques.
Normal distribution curve.
10
05.
Central Tendency: Mean Median, Mode, and Percentile. 10
06.
Dispersion: Range, Mean deviation, Variance, Standard deviation (SD), Coefficient of variation (CV).
10
07.
Research Methodology: Definition and classification of research, Basic concepts & contents of a scientific research. Steps of a research, Developing a research protocol, Research instruments, Criteria of an ideal questionnaire, Writing a research report, Survey.
10
08.
Characteristics of different types of studies (descriptive, analytical, experimental). Difference between cross-sectional and longitudinal study.
Difference between cohort & case-control study.
10
Total 80
Card 05: Demography and Family Planning
Item No.
Name of the Item Marks
01. Definition of Demography, Demographic processes, Stages of demographic cycle/demographic transition and indices. Population pyramid: Definition, drawing & labeling, parts, interpretation, difference between developed &
developing countries.
10
02. Census: Definition, Types, Uses, Data collected by census.
Fertility: Definition and influencing factors. Factors responsible for high growth rate in Bangladesh.
10
03. Fertility statistics: CBR, CDR, Population growth rate (GR), Population explosion, Doubling Time, GFR, TFR & NRR. Life expectancy at birth, Dependency rate, Literacy rate, Density of population, Land man ratio, Male female ratio.
10
04. Concept of birth control & family planning. Aims & objectives of FP. Scopes of FP. Eligible couple, Target couple, Cafeteria approach, CPR, MCH based FP.
10
05. Classification of Contraceptive methods. Condom, Contraceptive oral pill, IUCD, Injectable methods, Implants.
10
06. Tubectomy, Vesectomy (NSV), MR, Abortion, Safe period. Identifying the candidates appropriate for different contraceptive methods.
10
Total 60
Card 06: Maternal & Child Health
Item No.
Name of the Item Marks
01. Concept of MCH: Definition, objective, target population, components.
Stages of human life cycle, Maternity cycle. Mother & Child is considered as one unit-why? MCH problems of developing & developed countries.
10
02. Antenatal care: Definition, objectives, antenatal visits, activities during antenatal visits, antenatal investigations with reasons, antenatal advices.
10
03. Risk approach, High risk mother and at risk child. 10
04. Intranatal & Postnatal care. Domiciliary & institutional delivery, EMONC. 10 05. Maternal death, Causes of maternal death, MMR, Measures for reducing
MMR in Bangladesh.
10
06. Causes of infant death, IMR, Measures for reducing IMR in Bangladesh.
LBW. Care of under 5 children
10
07. Infant & Young Child Feeding (IYCF): What is IYCF, present situation- global & national, recommended feeding practices in IYCF, Exclusive breast feeding, Advantages of BF, Disadvantages of formula feeding, Composition of colostrums & mature human milk, Barriers of IYCF practices.
10
08.
Complementary feeding: What is complementary feeding, Weaning, Why CF is necessary, Guideline for CF, BFHI 10 steps-special emphasis on mother support group.
10
09. Recommended feeding practices in IYCF: Composition of food, frequency, amount, density, who provide help, responsive feeding, refusal of food, CF & ongoing BF.
10
Total 90
Card 07: Medical Entomology, School Health Services &
Occupational Health
Item No.
Name of the Item Marks
01. Definition of Medical Entomology, Classification of Arthropods of Medical importance. Arthropods/vector borne diseases. Classification of vector borne transmission of diseases.
10
02. Morphology and lifecycle (metamorphosis) of important arthropods.
Principles of Vector/Arthropod control measures. Use of specific insecticides. Identification of models/photo of arthropods including larva
& eggs.
10
03. School Health Service: Concept of school health services in Bangladesh, Objectives, Aspects/components of school health service. Criteria of healthful school environment. Task of School Health Medical Officer, Common health problems of school children. School health emergencies, Activities of school health clinic. School desks. Mid-day school meal.
10
04. Occupational health: Definition, objectives, occupational environment, occupational health hazards, Principles of prevention of occupational diseases.
10
05. Locally prevailing common occupational diseases with preventive strategies of Pneumoconiosis, Occupational cancer, Anthrax, Occupational dermatoses.
10
06. Occupational hazards and general measures of health protection in different occupations- Physician, Surgeon, Agricultural worker, Garments worker. Health care facilities and safety measures for industries. Offensive trades. Employees’ benefits.
10
Total 60
Card 08: Principles of Epidemiology
Item Name of the Item Marks
No.
01. Epidemiology: Concept, Components, Aims & uses, Approaches, Measurements & tools, Epidemiological triad, Methods of epidemiological studies, Epidemic, Types of epidemic & its investigation.
10
02. Definitions of epidemiological terms & conditions: Communicable diseases, Non-communicable diseases, Infection, Infestation, Contamination, Infectious diseases, Contagious diseases, period of communicability, Incubation period.
10
03. Definitions of epidemiological terms & conditions: Endemic, Epidemic, Pandemic, Sporadic, Zoonotic diseases, Prevention of diseases, Control of diseases, Elimination, Eradication, Isolation, Quarantine.
10
04. Screening: definition, classification, screening tests, specificity, sensitivity, validity, reliability & predictive value of a screening test, Monitoring, Surveillance.
10
05. Source of infection, Reservoir of infection, Agent, Host, Susceptible host, Host defense mechanism, Dynamics of transmission of communicable diseases: modes of disease transmission.
10
06. Principles of prevention & control of communicable diseases. Interruption of modes of disease transmission, Steps for controlling the reservoir of infectious diseases. Measures for protection of host.
10
Total 60
B. Second Term Examination
Card 09: Health Communication & Health Education, Public Health Administration & Management
Item No.
Name of the Item Marks
01. Communication: Definition, Classification, Functions, Elements, Methods &
media for communication, Communication skills, Barriers of communication.
10
02. Health Education: Definition, Objectives, Contents, Principles, Approaches, Stages of adoption of new ideas & practices.
10
03. Management & Administration: Definition, Functions, Principles of Management & Administration. Difference between management &
administration.
10
04. Planning: Definition, Indication, Process of planning, Planning cycle
Definition: Policy, Resource, Needs, Demands, Objective, Target, Goal, Monitoring, Evaluation.
10
Total 40
Card 10: Environment and Health
Item No.
Name of the Item Marks
01. Introduction: Definition & classification of environment, components of environments, Role of environment in causation of disease. Sanitation.
10
02. Water: Sources, uses, daily requirement of water. Types of impurities in water. Criteria of safe & wholesome water. Principles and methods of purification of water. Water quality standards for drinking water. Water borne diseases.
10
03. Air: Composition of air, air pollutants and their sources, indicators of air pollution, effects of air pollution on health, methods of prevention &
control of air pollution.
10
04. Ventilation: Definition & classification of ventilation, effects of ill ventilation on health. Climate change & green house effect.
10
05. Light: Criteria of good lighting, Measurements of light, Effects of improper lighting on health.
10
06. Noise: Sources & properties of noise, Acceptable noise level, Effects of noise exposure, Control measures for noise.
10
07. Radiation: Sources & types of radiation, Effects of radiation on health, Measures of protection from radiation.
10
08. Housing: Criteria of healthful housing, Housing standards, Effects of poor housing.
10
09. Disposal of solid waste: Solid waste & its sources, Definition of refuse, Health hazards of solid wastes, Methods of solid waste disposal & medical biotechnology, Garbage: definition, sources and hazards, Medical waste management.
10
10. Excreta disposal: Definition of sewage & sullage, Methods of excreta disposal, Water carriage system, Sanitation barrier, Diseases borne by human excreta.
10
Total 100
Card 11: Public Health Nutrition
Item No.
Name of the Item Marks
01. Definition: Nutrition, Nutrient, Food, Diet, Meal. Classification of food, 10
Sources of food. Balanced diet. Protein Energy Malnutrition (PEM).
02. Vitamins and their deficiency disorders, Minerals & Trace elements. 10 03. Assessment of nutritional status: Collection, recording and interpretation of
data on Road to Health Card (Growth Chart), Estimation of BMI. Normal values & range of indices used for growth monitoring, nutritional status &
grading of PEM.
10
04. Calorie requirements of different groups: Infant, Under five children, Pregnant & lactating women, Heavy, moderate & sedentary worker.
Assessment of the prevalence & type of malnutrition in the community by different methods: Dietary survey, Anthropometry, Clinical Examination.
10
05. Food borne, milk borne diseases, food intoxication. Methods of purification of milk (specially pasteurization). Humanization of cow’s milk.
10
06. Food adulteration, food additives & food fortification. 10
Total 60
Card 12: Epidemiology of Communicable & Non- Communicable Diseases
Item No.
Name of the Item Marks
01. Epidemiological determinants (agent, host & environmental factors) and preventive measures of common diseases: EPI diseases, Diarrhoeal
10
diseases, Enteric fever.
02. Epidemiological determinants (agent, host & environmental factors) and preventive measures of common diseases: Malaria, Kala-azar, Filaria, Helminthiasis, Tuberculosis, Leprosy.
10
03. Epidemiological determinants (agent, host & environmental factors) and preventive measures of common diseases: Viral hepatitis, Dengue, ARI, SARS, Bird flu, Rabies, Chicken pox, Mumps, Rubella, Yellow fever, STDs.
10
04. Emerging & Re-emerging diseases. Preventive measures of common health problems in the community.
10
05. Concept of risk factors & multi-factorial causation. Classification of risk factors of NCDs. Tobacco as a risk factor for NCDs. Substance abuse.
10
06. Epidemiology & prevention of common non-communicable diseases: HTN, IHD, Stroke, Rheumatic fever, RHD, Cancer, Diabetes, Obesity.
10
07. Geriatrics: Definition, Aim, Epidemiology, Health problems of old aged people, Life style & healthy aging, Special attention in the care of old aged people.
10
08. Arsenicosis: Definition, Epidemiology, Acceptable level of arsenic in water, Clinical manifestation, Complications, Management, Measures for prevention.
10
09. Disaster: Definition, Classification, Effects, Epidemiology of disaster in Bangladesh, Disaster management. Mass Casualty Management (MCM).
10
10. Accidents: Definition, Classification, Risk factors, Prevention. Classification, Risk factors & Prevention of RTA, Domestic accidents, Industrial accidents.
10
Total 100
(Update by Dr. Mohammad Kamruzzaman Khan, on 10.09.2017)
The End
