COMMED EVALS 6 (November 17, 2010)
COMMED EVALS 6 (November 17, 2010)
Topics Covered: Topics Covered:
HHealth Education Dr.ealth Education Dr.HHipolipol
The Philippine Cancer Control Program ISP; Dr. CarnatThe Philippine Cancer Control Program ISP; Dr. Carnat ee
The Philippine CVD Prevention and Control Program ISP; Dr. CarnateThe Philippine CVD Prevention and Control Program ISP; Dr. Carnate PublicPublicHHealth Administration 3 Dr. Carnateealth Administration 3 Dr. Carnate
Set A:
Set A: Identify the sIdentify the strategies whictrategies which could be h could be used in used in the following the following objectives/conditioobjectives/conditions:ns: A. Lecture A. Lecture B. Media B. Media C. Demonstration C. Demonstration D. Individual Instructions D. Individual Instructions 1.
1. TTo increase the awareness of mothers all over the Philippines regarding the importance of immunization.o increase the awareness of mothers all over the Philippines regarding the importance of immunization. B
B- Media- Media
2.
2. TTo improve the reading skills of 10 grade o improve the reading skills of 10 grade 2 children with varied le2 children with varied levels of intelligence.vels of intelligence. D Individual Instructions
D Individual Instructions
3.
3. TTo improve the skills of BHWs in determining the vital signs.o improve the skills of BHWs in determining the vital signs. C Demonstration C Demonstration Set SetBB.. A. Programmed learning A. Programmed learning B. Mass Media B. Mass Media C. Audio-visual C. Audio-visual D. A and B D. A and B 4.
4. When content is of confidential or embarrassing natureWhen content is of confidential or embarrassing nature A Programmed Learning
A Programmed Learning Programmed Learning Programmed Learning
-- Brought about by means of teaching machines, programmed tests and computers programmed to present materialsBrought about by means of teaching machines, programmed tests and computers programmed to present materials
in a carefully organized sequential system in a carefully organized sequential system
-- Teacher not needed Teacher not needed
-- Appropriate when the subject matter is relatively unambiguous, repetitive and straightforwardAppropriate when the subject matter is relatively unambiguous, repetitive and straightforward
-- W W hen content is of confidential or embarrassing naturehen content is of confidential or embarrassing nature
Demonstration (with a small group) Demonstration (with a small group)
-- Participants can be active andParticipants can be active and learn by doinglearn by doing
-- Convinces the audience that things can easily be doneConvinces the audience that things can easily be done
Individual Instruction Individual Instruction
-- OOne-on-onene-on-one
-- Most personalizedMost personalized
-- Inefficient from the PInefficient from the POVOVof the teacher; Efficient for the learnerof the teacher; Efficient for the learner
-- LLearners progress at their own ratesearners progress at their own rates
-- Best useBest use when the range of individual differences within the target group is great when the range of individual differences within the target group is great
Mass Media (TV, Radio, Newspaper, Outdoor and
Mass Media (TV, Radio, Newspaper, Outdoor and Transit Ads, Direct Mail)Transit Ads, Direct Mail)
-- LLarge number of people can be reached arge number of people can be reached
-- Message has to be simpleMessage has to be simple
This is best because your target group is mothers all over the Philippines. This is best because your target group is mothers all over the Philippines.
5
5.. Intended only to supplement and reinforce other educational methodsIntended only to supplement and reinforce other educational methods C Audio-Visual
C Audio-Visual
For Sets C & D; # 6-11: For Sets C & D; # 6-11:
STAGES OF C
STAGES OF CHHANGE MODELANGE MODEL
STAGE
STAGE DEFINITIDEFINITION ON POTENTIAL POTENTIAL STAGE STAGE STRATEGIESSTRATEGIES PRE-CONTEMPLATION
PRE-CONTEMPLATION -- unawareunaware oror under awareunder aware of their problemof their problem
-- no intentionno intention to take action/change behavior in 6mosto take action/change behavior in 6mos
- increase awareness of need for change - increase awareness of need for change
-- personalize personalize informationinformation about risks and benefitsabout risks and benefits CONTEMPLATION
CONTEMPLATION
-- awareaware that problem existsthat problem exists
-- intendsintends to take action into take action in 6 mos6 mos; seriously thinking; seriously thinking about overcoming it
about overcoming it
-- no commitment no commitment made to take actionmade to take action
- motivate - motivate - encourage
- encourage making specific plansmaking specific plans
PREPARATION / PREPARATION /
DECISION DECISION
- combines intention and behavioral criteria - combines intention and behavioral criteria -- intendsintends to take action into take action in 30 days30 days
- committed
- committed to take actionto take action -- no action takenno action taken in the past yearin the past year
- assist with
- assist with developing and implementing concretedeveloping and implementing concrete action plans
action plans - help
- help set set gradual goalsgradual goals
ACTION ACTION
- modify their behavior, experiences, or environment in - modify their behavior, experiences, or environment in order to overcome their problems
order to overcome their problems
- involves the most overt behavioral changes - involves the most overt behavioral changes - requires commitment of time and energy - requires commitment of time and energy - has
- has changed behavior changed behavior forfor less than 6mosless than 6mos
- assist with
- assist with feedback, problem solving, social feedback, problem solving, social support, reinforcement
support, reinforcement
MAINTENANCE
MAINTENANCE -- prevent relapse prevent relapse and consolidate the gains attainedand consolidate the gains attained - has changed behavior for
- has changed behavior for more than 6 mosmore than 6 mos
-- assist assist withwith coping, reminders, finding alternatives,coping, reminders, finding alternatives, avoiding slips/relapses
avoiding slips/relapses In
Inshort,short,
STAGE
STAGE AWARENESS AWARENESS INTENTINTENTION ION COMMITMENT COMMITMENT ACTIONACTION PRE-CONTEMPLATION PRE-CONTEMPLATION CONTEMPLATION CONTEMPLATION PREPARATION PREPARATION ACTION ACTION Set
Set C C (#6-8): (#6-8): Identify Identify the the stage stage of of change change being being described described below:below: A. Pre-contemplation A. Pre-contemplation B. Contemplation B. Contemplation C. Decision C. Decision D. Action D. Action E. Maintenance E. Maintenance Set D
Set D (#9-11): (#9-11): Identify the Identify the potential potential change schange strategy ftrategy for the or the following:following: A. Personalize information about risks and benefi
A. Personalize information about risks and benefi tsts B. Encourage making specific plans
B. Encourage making specific plans C. Help set gradual goals
C. Help set gradual goals
D. Assist with feedback and reinforcements D. Assist with feedback and reinforcements E. Assist with coping, reminders, avoid relapses E. Assist with coping, reminders, avoid relapses 6.
6. (&(&9.)9.)
Fatty, 34-year-old female attended a short lecture on how to become more fit. Although she has started with her Fatty, 34-year-old female attended a short lecture on how to become more fit. Although she has started with her exercise regimen last week, she felt she still needed to attend the said lecture.
exercise regimen last week, she felt she still needed to attend the said lecture. D Action Assist with feedba
D Action Assist with feedback and reinforcementsck and reinforcements
7.
7. (&(&10).10).
Marta is a 34-year-old employee who one week ago has been diagnosed to be suffering from hypertension. Marta is a 34-year-old employee who one week ago has been diagnosed to be suffering from hypertension. Yesterday, she went back to her doctor because her doctor told her that she needed to diet and exercise.
Yesterday, she went back to her doctor because her doctor told her that she needed to diet and exercise.BB B
B Contemplation Encourage making specific plans Contemplation Encourage making specific plans
T
Though it wasnt specifically mentioned that she already has the intention to take action, I guess the answer is B because havinghough it wasnt specifically mentioned that she already has the intention to take action, I guess the answer is B because having
been diagnosed, she is already
been diagnosed, she is already awareaware of her condition, thus putting her past the Pre-contemplation stage.of her condition, thus putting her past the Pre-contemplation stage. She has started with her exercise regiment last week =
She has started with her exercise regiment last week = (+(+) action, changed behavior for) action, changed behavior for less than 6 mosless than 6 mos.. Audio-Visual
Audio-Visual
-- Compared to mass media, audience reached isCompared to mass media, audience reached is more limited more limited
-- Intended only to supplement and reinforce other educational methodsIntended only tosupplement and reinforce other educational methods
8
8.. (&(&11).11).
Sarah, while jogging inside the campus, felt some knee pains. Her friend said that most likely she is suffering from Sarah, while jogging inside the campus, felt some knee pains. Her friend said that most likely she is suffering from some kind of arthritis which she was not aware of.
some kind of arthritis which she was not aware of.
A Pre-contempation Personalize information about risks and benefits A Pre-contempation Personalize information about risks and benefits
12.
12. In developing a session plan, the percentage of timIn developing a session plan, the percentage of tim e which should be allotted for introduction should be:e which should be allotted for introduction should be: a. a. 20%20% b. b. 15%15% c. c. 10%10% d. d. 55%% 13.
13. TThe main difference between a session plan from a curriculum is:he main difference between a session plan from a curriculum is: a.
a. OObjectivesbjectives b.
b. TTeaching methodseaching methods c.
c. Assessment methodAssessment method d.
d. Duration of teachingDuration of teaching
CURRICULUM
CURRICULUM SESSION SESSION PLANPLAN
written description of written description of
what happens throughout the duration of the course what happens throughout the duration of the course
a
a small curriculumsmall curriculum a tool to organize a
a tool to organize a shorter period of teachingshorter period of teaching
INCLUDES: INCLUDES:
of the course
of the course ObjectivesObjectives of the sessionof the session general
general Teaching MethodsTeaching Methods in detail in detail Time/Place
Time/Place where students will learnwhere students will learn Methods of assessment Methods of assessment 14.
14. What should be the best arrangement of the following essentials of a session plan when tabulated from the first toWhat should be the best arrangement of the following essentials of a session plan when tabulated from the first to the last column:
the last column: a.
a. Learning objectives, content, teaching method, resources, time, evaluationLearning objectives, content, teaching method, resources, time, evaluation b.
b. Learning objectives, content, resources, teaching method, time, evaluationLearning objectives, content, resources, teaching method, time, evaluation c.
c. Learning objectives, content, resources, teaching method, evaluation, timeLearning objectives, content, resources, teaching method, evaluation, time d.
d. Learning objectives, teaching method, content, resources, time, evaluationLearning objectives, teaching method, content, resources, time, evaluation SESSION PLAN
SESSION PLAN Session Title / Topic:
Session Title / Topic: Participants:
Participants: Venue of Learning: Venue of Learning: Time and Time
Time and Time Allotment:Allotment: LEARNING
LEARNING O
OBJBJECTIVESECTIVES CONTENTCONTENT
TEAC TEACHHINGING
MET
METHHODOD RESOURCES RESOURCES TIME TIME EVALUATIONEVALUATION
1
155.. TTo determine if there would be more mothers who would bring their child for immunization would fall under:o determine if there would be more mothers who would bring their child for immunization would fall under: a. a. OOutcomeutcome b. b. ImpactImpact c. c. ProcessProcess d. d. A,BA,B e. e. A, B,CA, B,C SESSION PLAN SESSION PLAN Introduction (15%
Introduction (15% of class timeof class time))
-- Provide an overview of the sessionProvide an overview of the session((Agenda)Agenda) -- Link to previous sessionLink to previous session
-- What is your main point?What is your main point? -- Why is it important?Why is it important?
B
Body (70%)ody (70%)
-- Break up into segments/different activitiesBreak up into segments/different activities((that help you make your main point)that help you make your main point) -- Cue students that you are moving from one segment to the nextCue students that you are moving from one segment to the next
-- Be clear with instructionsBe clear with instructions Conclusion (15%)
Conclusion (15%)
-- RRestate your main pointestate your main point
-- Show the links between the main point and what you have done in classShow the links between the main point and what you have done in class -- Link to next sessionLink to next session
Clue: which she was not aware of Clue: which she was not aware of
16.
16. TTo determine whether the resources were enough after a health education activity would fall undero determine whether the resources were enough after a health education activity would fall under a. a. OOutcomeutcome b. b. ImpactImpact c. c. ProcessProcess d. d. A,BA,B e. e. A,B,CA,B,C For # 17-2
For # 17-20: 0: Identify the theory wIdentify the theory which was used hich was used / or could be appl/ or could be applied by the program ied by the program implementor.implementor. A. Community Mobilization
A. Community MobilizationTTheoryheory B. Social Learning
B. Social LearningTTheoryheory C. Health Belief Model C. Health Belief Model D. Stages of Change Model D. Stages of Change Model E. B,C
E. B,C
17.
17. At the end of the program, health workers of the community should be able to plan a program to alleviate theAt the end of the program, health workers of the community should be able to plan a program to alleviate the problem of malnutrition in the area.
problem of malnutrition in the area. A Community Mobilization Theory A Community Mobilization Theory 1
188.. Each of the patients was shown their laboratory examination results and were made aware of their risk of having aEach of the patients was shown their laboratory examination results and were made aware of their risk of having a heart disease.
heart disease.
E Social Learning Theory &
E Social Learning Theory &HHealthealthBBelief Modelelief Model 19.
19. Patients with increased blood sugar levels were shown that they could do something about their problem, thatPatients with increased blood sugar levels were shown that they could do something about their problem, that they were capable of lowering their blood sugar levels.
they were capable of lowering their blood sugar levels. E Social Learning Theory &
E Social Learning Theory &HHealthealthBBelief Modelelief Model 20.
20. TThe lecture which was prepared was enough for them to realize that there are several factors which interact tohe lecture which was prepared was enough for them to realize that there are several factors which interact to have caused the disease.
have caused the disease. B
B Social Learning Theory Social Learning Theory COMMUNITY MO
COMMUNITY MOBBILIZATION TILIZATION THHEORYEORY
-- Community members assess health risks, take actionCommunity members assess health risks, take action
-- Encourages empowerment, building on cultural strengths, and involving disenfranchised groupsEncourages empowerment, building on cultural strengths, and involving disenfranchised groups
-- Emphasizes active Emphasizesactive participparticipationation and development of the communities that can better evaluate and solve health andand development of the communities that can better evaluate and solve health and social problems
social problems SOCIAL LEARNING T SOCIAL LEARNING THHEORYEORY
-- Explains behavior via a three-way, dynamic reciprocal theory in whichExplains behavior via a three-way, dynamic reciprocal theory in which personal personal factors,factors, environmental environmental influences andinfluences and behavior
behavior continually interactcontinually interact
H
HEALTEALTHH BBELIEF MODELELIEF MODEL
-- Assesses persons perception of the threat of a health problem and the appraisal of recommended behaviorAssesses persons perception of the threat of a health problem and the appraisal of recommended behavior((s) fors) for preventing or managing the problem
preventing or managing the problem
For # 15 & 16 For # 15 & 16 TYPES OF EVALUATION TYPES OF EVALUATION Process Process
-- measures the strategiesmeasures the strategies andand activitiesactivities of the project,of the project, project quality project quality including quality of resources, andincluding quality of resources, and whomwhom it isit is reaching
reaching -- 11ststlevellevel Impact
Impact
-- measures the immediatemeasures theimmediate effectseffects of the project and whether theof the project and whether theobjectivesobjectivesare being met are being met -- conducted after Process Evaluationconducted after Process Evaluation
Outcome Outcome
-- measures the long-term effectsmeasures thelong-term effects and whether the project isand whether the project is achievinachieving g itsitsggoal oal
-- Done after Impact EvaluationDone after Impact Evaluation
1
155. It is an. It is anImpImpact act evaluation because it measures theevaluation because it measures the immediateimmediate effect of the project, which is whether more mothers wouldeffect of the project, which is whether more mothers would bring their child for immunization
bring their child for immunization 16.
For #
For # 21-25: 21-25: Which level Which level of health serof health service delivery vice delivery is responsible is responsible for the imfor the implementation of plementation of the CVD the CVD ProgramProgram activities listed below?
activities listed below? A. Central
A. CentralOOfficeffice B.
B.RRegional Hospitalegional Hospital C. Provincial Health
C. Provincial HealthOOfficeffice D. Municipal Health
D. Municipal Health OOfficeffice E. None of the above E. None of the above
21.
21. Conducts case finding activitiesConducts case finding activities D Municipal
D MunicipalHHealth Officeealth Office 22.
22. Formulates and issues policies and guidelines for program implementationFormulates and issues policies and guidelines for program implementation A Central Office
A Central Office 23.
23. Provides all possible cardiology services except cardiac surgeryProvides all possible cardiology services except cardiac surgery B
B Regional RegionalHHospitalospital 24.
24. Develops treatment guidelines and standards of care for cardiovascular patientsDevelops treatment guidelines and standards of care for cardiovascular patients A Central Office
A Central Office 2
255.. Provides training for Barangay Health WorkersProvides training for Barangay Health Workers D Municipal
D MunicipalHHealth Officeealth Office 26.
26. TThe risk factor for Che risk factor for CVVD which has the highest prevalence in the population:D which has the highest prevalence in the population: a.
a. High cholesterol levelHigh cholesterol level b.
b. HypertensionHypertension c.
c. SmokingSmoking d.
d. Family history of hypertensionFamily history of hypertension e.
e. AgeAge
For # 21-25: For # 21-25:
RESPONSI
RESPONSIBBILITY OF EACILITY OF EACHHLEVEL OFLEVEL OFHHEALTEALTHHSERVICE DELIVERY IN PROGRAM IMPLEMENTATIONSERVICE DELIVERY IN PROGRAM IMPLEMENTATION
Central Office Central Office
-- Formulates issues/policies/guidelines for program implementationFormulates issues/policies/guidelines for program implementation
-- Develops/issues relevant treatment guidelines/standards for care of cardiovascular patientsDevelops/issues relevant treatment guidelines/standards for care of cardiovascular patients
-- Provides technical assistance to Centers for Health Development and other stakeholders on matters pertaining to CProvides technical assistance to Centers for Health Development and other stakeholders on matters pertaining to CVV
prevention and control programs prevention and control programs
-- Provides strategic logistic support for program implementationProvides strategic logistic support for program implementation Centers for
Centers forHHealth Developmentealth Development
-- Provides technical assistance to LGUs in matters pertinent to implementationProvides technical assistance to LGUs in matters pertinent to implementation -- Monitors/evaluates the implementationMonitors/evaluates the implementation
-- Provides strategic logistic support for implementationProvides strategic logistic support for implementation Regional
RegionalHHospital / Medical Centersospital / Medical Centers
-- Provides all possible cardiology services except cardiac surgeryProvides all possible cardiology services except cardiac surgery -- Provides training on cardiology for lower level hospitalsProvides training on cardiology for lower level hospitals
Provincial
ProvincialHHealth Officeealth Office
-- Convenes the Provincial Inter-sectoral CConvenes the Provincial Inter-sectoral CVVDDTTask Force composed of various stakeholders based on the province whichask Force composed of various stakeholders based on the province which
would be tasked to: would be tasked to:
y
y Plan and oversee the implementation of the CPlan and oversee the implementation of the CVVD program in the provinceD program in the province y
y Network with other stakeholders on matters pertaining to the programNetwork with other stakeholders on matters pertaining to the program y
y Supervision, monitoring and evaluation of the programSupervision, monitoring and evaluation of the program y
y Conducts training on matters pertaining to the programConducts training on matters pertaining to the program y
y Provides logistical support to program implementationProvides logistical support to program implementation
Provincial
ProvincialHHospitalospital
-- Serves as referral center for the province on CServes as referral center for the province on CVVD managementD management
Municipal
MunicipalHHealth Officeealth Office
-- Plan/implement CPlan/implement CVVD program for the municipalityD program for the municipality
-- Conduct ca se-findiConduct case-finding activitiesng activities -- Manage patients properlyManage patients properly -- RRefer patients properlyefer patients properly
-- Do health education, advocacy and patient educationDo health education, advocacy and patient education -- TrainTrainBHBHWs on programWs on program
27.
27. DDOOH AdministrativeH Administrative OOrder 2010-0013 which proposes the labeling of cigarette packs with graphic pictures of therder 2010-0013 which proposes the labeling of cigarette packs with graphic pictures of the ((ill) health effects of smoking will serve the purposes of this program of the Cill) health effects of smoking will serve the purposes of this program of the CVVD Program:D Program:
a.
a. TTrainingraining b.
b. RResearchesearch c.
c. Environmental Support System DevelopmentEnvironmental Support System Development d.
d. Public information and educationPublic information and education e.
e. LegislationLegislation
2
288.. Creation of policies and guidelines regarding labeling of canned, boxed and packaged foods and food products toCreation of policies and guidelines regarding labeling of canned, boxed and packaged foods and food products to include information like caloric content are examples of the activities of this C
include information like caloric content are examples of the activities of this CVVD Program Sub-program:D Program Sub-program: a.
a. Public Information and Public Information and EducationEducation b.
b. TTrainingraining c.
c. LegislationLegislation d.
d. Environmental Support System DevelopmentEnvironmental Support System Development e.
e. None of the AboveNone of the Above
For #
For # 29-33: 29-33: Choose from Choose from the following the following cancer typescancer types/sites:/sites: A. Breast A. Breast B. Lung B. Lung C. Colon C. Colon D. Leukemia D. Leukemia E. Cervix E. Cervix T
The cancer type/site has the highest:he cancer type/site has the highest:((according to the materials distributed in class)according to the materials distributed in class) 29.
29. RRate of occurrence amongate of occurrence amongchildrechildrenn D LeukemiaD Leukemia 30.
30. RRate of occurrence amongate of occurrence among f f eemmalesales A A BBreastreast 31.
31. RRate of occurrence whenate of occurrence whenboth sexesboth sexesare taken into considerationare taken into consideration BB Lung Lung 32.
32. 5-year observed survival rate among5-year observed survival rate amongmmalesales C - ColonC - Colon 33.
33. 5-year observed survival rate when5-year observed survival rate whenboth sexesboth sexesare taken into considerationare taken into consideration A -A -BBreastreast
T
These are facts. Digest.hese are facts. Digest. T
Thehe Environmental Support System Development ProgramEnvironmental Support System Development Program aims to:aims to:
-- Institute support for proper nutrition and diet patternsInstitute support for proper nutrition and diet patterns
-- Develop an environment conducive to non-smoking and smoking cessationDevelop an environment conducive to non-smoking and smoking cessation The given strategy addresses the first objective.
The given strategy addresses the first objective.
For # 27-28
For # 27-28 , , the exact strategies are mentioned in the handoutthe exact strategies are mentioned in the handout The Philippine CVD Prevention and Control ProgramThe Philippine CVD Prevention and Control Program given bygiven by Dra. Carnate.
Dra. Carnate.TTheres a Lheres a LOONG list of specific strategies/activities listed under each program, if youre up to studying it @_@NG list of specific strategies/activities listed under each program, if youre up to studying it @_@
T
Thehe Legislative ProgramLegislative Program aims to:aims to:
-- Enact laws and ordinances, and to useEnact laws and ordinances, and to use ad ad mmi i nnistrative ordersistrative ordersto:to:
y
y Promote healthy lifestylesPromote healthy lifestyles y
y Control CControl CVVD risk factorsD risk factors
-- OOppose pro-tobacco legislation and other similar effortsppose pro-tobacco legislation and other similar efforts
-- RRepel laws obstructing the achievement of the vision of the programepel laws obstructing the achievement of the vision of the program
*
*TThe legislative agenda is the responsibility of thehe legislative agenda is the responsibility of the Department of Department of HHealthealth..
The given strategy addresses the first objective. The given strategy addresses the first objective. Smoking
Smoking 46% 46% (of (of population)population)
H
Hypertension ypertension 22% 22% (of (of populationpopulation))
High
High cholesterol cholesterol 37%37%((of hypertensive patients)of hypertensive patients) Family hx of HPN
Family hx of HPN
A
For # 34-37: For # 34-37:
CANCER PREVENTION AND EARLY DETECTION CANCER PREVENTION AND EARLY DETECTION CANCER
CANCER SITE SITE PRIMARY PRIMARY PREVENTION PREVENTION SECONDARY SECONDARY PREVENTIONPREVENTION LUNG
LUNG Do Do not not smoke smoke NNOONENE
CERVIX
CERVIX Having one sexual partnerHaving one sexual partner Clean, safe sex
Clean, safe sex RRegular pap smearegular pap smear LIVER
LIVER
V
Vaccination vs. Hepatitis Baccination vs. Hepatitis B
Minimal alcohol intake Minimal alcohol intake Avoid moldy food Avoid moldy food
N NOONENE
COLON & RECTUM
COLON & RECTUM Diet of high fiber, low fatDiet of high fiber, low fat
R
Regular medical check-upegular medical check-up O
Occult blood testccult blood test
D DRREE Sigmoidoscopy Sigmoidoscopy MOUT MOUTHH
Avoid smoking tobacco Avoid smoking tobacco Avoid betel nut chewing Avoid betel nut chewing Modify alcohol consumption Modify alcohol consumption Dental hygiene
Dental hygiene
T
Thorough dental check-uphorough dental check-up
B
BREASTREAST NNOONENE
Self Breast Exam Self Breast Exam
Breast Exam by physician Breast Exam by physician Mammography
Mammography SKIN
SKIN Avoid Avoid excessive excessive sun sun exposure exposure Skin Skin self self examexam PROSTATE
PROSTATE NNOONE NE DDRREE
34.
34. TThe main strategy recommended by the Lung Cancer Control Program of the Philippines for secondary preventionhe main strategy recommended by the Lung Cancer Control Program of the Philippines for secondary prevention of lung cancer includes:
of lung cancer includes: a.
a. Diagnostic chest x-ray every 3 years starting age 40Diagnostic chest x-ray every 3 years starting age 40 b.
b. Diagnostic chest x-ray annually for smokersDiagnostic chest x-ray annually for smokers c.
c. Anti-smoking campaign: public information, health education and legislative measureAnti-smoking campaign: public information, health education and legislative measure ss d.
d. A and B onlyA and B only e.
e. None of the aboveNone of the above
3
355.. TThe main strategy recommended by the Breast Cancer Control Program of the Philippines for the control of breasthe main strategy recommended by the Breast Cancer Control Program of the Philippines for the control of breast cancer is:
cancer is: a.
a. Primary preventionPrimary prevention b.
b. Secondary preventionSecondary prevention c.
c. TTertiary preventionertiary prevention d.
d. A and B onlyA and B only
36.
36. TThe primary prevention measures recommended by the Philippine Cancer Control Program to control liver cancerhe primary prevention measures recommended by the Philippine Cancer Control Program to control liver cancer include:
include: a.
a. Vaccination against hepatitisVaccination against hepatitisBB b.
b. Avoidance of multiple syringe useAvoidance of multiple syringe use c.
c. Proper screening of the blood for tProper screening of the blood for transfusionransfusion d.
d. A and B onlyA and B only e.
e. All of the aboveAll of the above 37.
37. TThe Philippine Cancer Control Program recommends the following for primary prevention of colorectal cancer:he Philippine Cancer Control Program recommends the following for primary prevention of colorectal cancer: a.
a. SigmoidoscopySigmoidoscopy b.
b. Fecal occult blood testFecal occult blood test c.
c. HHigh fiber dietigh fiber diet d.
d. DigitalDigitalRRectal Examectal Exam e.
e. All of the aboveAll of the above Secondary Prevention of
Secondary Prevention of BBreast Cancerreast Cancer
-- Self Breast ExamSelf Breast Exam
-- Breast Exam by physicianBreast Exam by physician -- MammographyMammography
T
There is Nhere is NOOPPRRIMAIMARRY PY PRREEVVENENTTIIOON MEASUN MEASURRE forE for breast cancer.breast cancer. T
There is Nhere is NOOSECSECOONDANDARRY PY PRREEVVENENTTIIOON MEASUN MEASURRE forE for lung cancerlung cancer..
R
Remember,emember,
PR
PRIMAIMARY RY PREVENT PREVENT IOION N is for is for risk reductiorisk reductionn
S
3
388.. TThe Philippine Cancer Control Program recommends regular pap smears:he Philippine Cancer Control Program recommends regular pap smears: a.
a. Starting age 3Starting age 355 b.
b. Starting age 2Starting age 255untiluntil5500 c.
c. Starting with sexual activity until 65 yearsStarting with sexual activity until 65 years d.
d. Starting age 1Starting age 155to 6to 655
For # 39-43:
For # 39-43: Suppose a non-government organization, Maunlad Health Development FoundationSuppose a non-government organization, Maunlad Health Development Foundation ((MHDF), working inMHDF), working in Barangay Maunlad identified the priority problem in the barangay to be the high mortality rate due to rabies. Several Barangay Maunlad identified the priority problem in the barangay to be the high mortality rate due to rabies. Several factors were found to contribute to the problem:
factors were found to contribute to the problem:
y
y High proportion of households have unleashed dogsHigh proportion of households have unleashed dogs y
y Low proportion of vaccinated dogsLow proportion of vaccinated dogs y
y Limited supply of free anti-rabies vaccines for dogsLimited supply of free anti-rabies vaccines for dogs y
y High cost of the dog vaccine that is available from the local drugstoreHigh cost of the dog vaccine that is available from the local drugstore y
y TThehe RRural Health Unityural Health Unity ((RRHU) has inadequate therapeutic capability: anti-rabies vaccines are not available andHU) has inadequate therapeutic capability: anti-rabies vaccines are not available and
the midwives do not know the early management of dog bites the midwives do not know the early management of dog bites
y
y 90% of the population believe that a dog that has bitten a person should be killed90% of the population believe that a dog that has bitten a person should be killed
All the above factors were deemed to be amenable to change. All the above factors were deemed to be amenable to change. T
The MHDF formulated the objectives below. Che MHDF formulated the objectives below. C lassify them into the following types of objectives:lassify them into the following types of objectives: A. Health Status
A. Health Status B.
B.RRiskiskRReductioneduction
C. Service and Protection C. Service and Protection D. Problem Investigation D. Problem Investigation E. Session
E. Session
39.
39. TTo increase the proportion of households which practice responsible pet ownership in Barangay Maunlado increase the proportion of households which practice responsible pet ownership in Barangay Maunlad B
B Risk Reduction Risk Reduction ((population engaging in healty behavior = responsible pet ownership)population engaging in healty behavior = responsible pet ownership) 40.
40. TTo be able to describe the pathophysiology of rabies in Barangay Maunlado be able to describe the pathophysiology of rabies in Barangay Maunlad E Session
E Session ((TThis would be part of the project implementation itself)his would be part of the project implementation itself) 41.
41. TTo reduce the number of deaths from ro reduce the number of deaths from r abies in Barangay Maunladabies in Barangay Maunlad A
A HHealth Statusealth Status((mortality rates)mortality rates) 42.
42. TTo determine the proportion of household which have vaccinated dogso determine the proportion of household which have vaccinated dogs D Problem Investigation
D Problem Investigation 43.
43. TTo increase the number of midwives capable of giving early management of dog bites in Baragngay Maunlado increase the number of midwives capable of giving early management of dog bites in Baragngay Maunlad C Service and Protection
C Service and Protection((services; health human resource)services; health human resource)
For # 39 43: For # 39 43:
H
HEALTEALTHHSTATUS ObjectivesSTATUS Objectives
Pertains to
Pertains to changes inchanges inss p peci eci f f ic health coic health connditioditionnss
-- mortality ratesmortality rates -- morbidity ratesmorbidity rates -- prevalence ratesprevalence rates
SERVICE AND PROTECTION Objectives SERVICE AND PROTECTION Objectives Pertains to
Pertains to changes in thechanges in thehealth sector health sector
-- servicesservices
-- health human resourcehealth human resource -- facilitiesfacilities
RISK REDUCTION Objectives RISK REDUCTION Objectives Pertains to
Pertains to changes inchanges inbehavior abehavior annd k d k nnowled owled ggee
-- population engaging in healthy behaviorpopulation engaging in healthy behavior -- population with appropriate knowledgepopulation with appropriate knowledge
T
The Philippine Cervical Cancer Control Program recommends regular pap smears for all women who are or have beenhe Philippine Cervical Cancer Control Program recommends regular pap smears for all women who are or have been
sexually active and who have a cervix.
sexually active and who have a cervix. RRegular testing can be discontinued after age 6egular testing can be discontinued after age 655in women who have had regularin women who have had regular
previous screening in which smears have been consistently normal. previous screening in which smears have been consistently normal.
44.
44. TThe above objectives satisfy the following criteria for formulation of good objectives:he above objectives satisfy the following criteria for formulation of good objectives: a. a. SpecificSpecific b. b. MeasurableMeasurable c. c. TTime-boundime-bound d.
d. All of the aboveAll of the above e.
e. A andA andBBonlyonly
4
455.. If MHDF decides to conduct a program in BarangIf MHDF decides to conduct a program in Barang ay Maunlad, this is the appropriate objective:ay Maunlad, this is the appropriate objective: a.
a. TTo increase the proportion of households which practice responsible pet ownership in Bgy. Maulado increase the proportion of households which practice responsible pet ownership in Bgy. Maulad b.
b. TTo be able to describe the pathophysiology of rabies in Bgy. Maunlado be able to describe the pathophysiology of rabies in Bgy. Maunlad c.
c. To reduce the number of deaths from rabies inTo reduce the number of deaths from rabies in BBgy. Maunladgy. Maunlad d.
d. TTo determine the proportion of households which have vaccinated dogso determine the proportion of households which have vaccinated dogs e.
e. TTo increase the number of midwives capable of giving early management for dog bites in Bgy. Maunlado increase the number of midwives capable of giving early management for dog bites in Bgy. Maunlad 46.
46. TThe people of Bgy. Maunlad prefer to conduct all activities within the confines of the barangay.he people of Bgy. Maunlad prefer to conduct all activities within the confines of the barangay. TThis informationhis information will be needed when prioritizing strategies for their:
will be needed when prioritizing strategies for their: a.
a. Potential impactPotential impact b.
b. Potential scopePotential scope c.
c. Social concernSocial concern d.
d. FeasibilityFeasibility e.
e. Social acceptabilitySocial acceptability
For # 47-49:
For # 47-49: MHDF decided to work on the objective of increasing the number of midwives capable of providing earlyMHDF decided to work on the objective of increasing the number of midwives capable of providing early management for dog bites.
management for dog bites.TThe suggested strategies to attain the objective were as follows:he suggested strategies to attain the objective were as follows: Strategy
Strategy 1: 1: Sending Sending one one of of the the midwives midwives to to thethe RResearch Institute onesearch Institute on TTropical Medicineropical Medicine ((RRIITTM) in Manila forM) in Manila for training. She will then conduct echo seminars with the other m
training. She will then conduct echo seminars with the other m idwives.idwives. Strategy
Strategy 2: 2: Sending Sending all all 3 3 midwives midwives to to thetheRRIITTM for 1 week to be trained.M for 1 week to be trained. Strategy
Strategy 3: 3: Sending Sending for for a a doctor doctor fromfromRRIITTM to teach the 3 miM to teach the 3 mi dwives in Barangay Maunlad.dwives in Barangay Maunlad.
47.
47. TThis strategy will have the lowest priority score in terms of potential impacthis strategy will have the lowest priority score in terms of potential impact a. a. Strategy 1Strategy 1 b. b. Strategy 2Strategy 2 c. c. Strategy 3Strategy 3 d.
d. Strategies 1 and 2Strategies 1 and 2 e.
e. Strategies 2 and 3Strategies 2 and 3 4
488.. Strategies 2 and 3 will have the same priority scores in terms of:Strategies 2 and 3 will have the same priority scores in terms of: a.
a. Potential impactPotential impact b.
b. Potential scopePotential scope c.
c. Social concernSocial concern d.
d. FeasibilityFeasibility e.
e. Social acceptabilitySocial acceptability 49.
49. Strategy 2 will have a lower priority score than Strategy 3 in terms of:Strategy 2 will have a lower priority score than Strategy 3 in terms of: a.
a. Potential impactPotential impact b.
b. Potential scopePotential scope c.
c. Social concernSocial concern d.
d. FeasibilityFeasibility e.
e. Social acceptabilitySocial acceptability Because of # 46.
Because of # 46.
Good objectives have to be SMA
For # 50-53:
For # 50-53: TThe MHDF decided to request thehe MHDF decided to request theRRIITTM to send a doctor to Bgy. Maunlad to train the 3 midwives for 1M to send a doctor to Bgy. Maunlad to train the 3 midwives for 1 week. Some of the expected expenses are the following:
week. Some of the expected expenses are the following: Honorarium
Honorarium for for the the doctor doctor PhP PhP 1155,000,000 Boat fare
Boat fare((2-way 2-way trip) trip) for for the the doctor doctor 10,00010,000 Hotel accommodation for the doctor
Hotel accommodation for the doctor 55,000,000
Computer,
Computer, LCD LCD 2255,000,000
O
Office supplies, ffice supplies, communication communication expenses, expenses, 30,00030,000 expenses for printing of training materials
expenses for printing of training materials 5
50.0. TThis amount represents personnel cost:his amount represents personnel cost: a. a. 55,000,000 b. b. 10,00010,000 c. c. 15,00015,000 d. d. 2255,000,000 e. e. 30,00030,000 5
51.1. TThis amount represents operating expenses:his amount represents operating expenses: a. a. 55,000,000 b. b. 10,00010,000 c. c. 1155,000,000 d. d. 2255,000,000 e. e. 30,00030,000 5
52.2. TThis amount represents capital outlay:his amount represents capital outlay: a. a. 55,000,000 b. b. 10,00010,000 c. c. 1155,000,000 d. d. 25,00025,000 e. e. 30,00030,000 5
53.3. TThe MHDF formulated a figure that detailed the listing of activities and included the date of accomplishment.he MHDF formulated a figure that detailed the listing of activities and included the date of accomplishment. TThehe figure is called:
figure is called: a.
a. ActivityActivityTTableable b.
b. Gantt ChartGantt Chart c.
c. OOrganizational Chartrganizational Chart d.
d. Activity ChartActivity Chart Capital Outlay
Capital Outlay
-- Major repairMajor repair -- RRenovationenovation -- ConstructionConstruction Equipment Outlay Equipment Outlay -- RReplaceeplace -- RRepairepair -- AcquireAcquire
Maintenance and Operating Expenses (MOOE) Maintenance and Operating Expenses (MOOE)
-- CommunicationCommunication -- Water and powerWater and power -- RRentent
-- TTravel expensesravel expenses
-- Maintenance of vehicles, equipment, facilitiesMaintenance of vehicles, equipment, facilities -- Materials and suppliesMaterials and supplies
IIn this case,n this case, O
Office supplies, Communication expenses, Expenses for printing of the training materials = PhP 30,000ffice supplies, Communication expenses, Expenses for printing of the training materials = PhP 30,000
Personnel Cost Personnel Cost
-- Salaries/honorariesSalaries/honoraries -- AllowancesAllowances
IIn this case,n this case,
Honorarium for the doctor = PhP 1 Honorarium for the doctor = PhP 155,000,000
For # 54-58
For # 54-58: : MHDF set MHDF set the following the following indicators for indicators for evaluation of evaluation of the project:the project: A.
A.TThe number of midwives capable of providing initial dog bite managementhe number of midwives capable of providing initial dog bite management B.
B.TThe number of training kits printedhe number of training kits printed C.
C.TThe decrease in the number of new casehe decrease in the number of new case s of rabiess of rabies D. All of the above
D. All of the above E. A and B only E. A and B only 5
54.4. IndicatorIndicator((s) that measures) that measure((s) the effect of the projects) the effect of the project
A The number of midwives capable of providing initial dog bite management A The number of midwives capable of providing initial dog bite management 55
55.. IndicatorIndicator((s) that measures) that measure((s) the impact of the projects) the impact of the project C The decrease in the number of new cases of rabies C The decrease in the number of new cases of rabies 5
56.6. Process indicatorProcess indicator((s)s) B
B The number of The number of training kits printedtraining kits printed 5
57.7. If MHDF will evaluate the projects efficiency, If MHDF will evaluate the projects efficiency, this information will be needed:this information will be needed: a.
a. Planned and actual dates of accomplishment of activitiesPlanned and actual dates of accomplishment of activities b.
b. Planned and actual cost of activitiesPlanned and actual cost of activities c.
c. Number of midwives capable of giving initial dog bite managementNumber of midwives capable of giving initial dog bite management d.
d. Decrease in the number of rabies mortalityDecrease in the number of rabies mortality e.
e. A and B onlyA and B only
5
588.. TThis will be an evaluation indicator if MHDF will do a formative evaluation of the project:his will be an evaluation indicator if MHDF will do a formative evaluation of the project: a.
a. Dates of accomplishment of activitiesDates of accomplishment of activities b.
b. Cost of activitiesCost of activities c.
c. Number of midwives capable of giving initial dog bit managementNumber of midwives capable of giving initial dog bit management d.
d. Decrease in the number of rabies mortalityDecrease in the number of rabies mortality e.
e. A andA andBBonlyonly
IIn the above case, efficiency is evaluated.n the above case, efficiency is evaluated.SSee # 57.ee # 57.
Formative Evaluation Formative Evaluation -- ProgressProgress -- EfficiencyEfficiency Summative Evaluation Summative Evaluation -- EffectEffect -- ImpactImpact R Recall ecall :: EFFICIENCY
EFFICIENCY is concerned with the relationship between theis concerned with the relationship between the results attained results attained and theand the efforts (in terms of money, humanefforts (in terms of money, human resource, equipment and time) expended.
resource, equipment and time) expended. It isIt is getting the work done with thegetting the work done with the mmi i nni i mmuummoo f f f f i i nnaanncial i cial i npnputsutsand and as quickly asas quickly as
p possible.ossible.
