PHC-1 Mid Term Exam-Final Questions With Answers-2023

Monrovia Bible College, Mabel Macomb School of Nursing
Paynesville, Liberia
MID-TERM EXAM
Name: KEY ID#:_______ Section: I Date: APRIL 28, 2023 Score:_____

Part I: FILL IN THE BLANK SPACE WITH THE CORRECT WORD(S).
1. According to WHO, dealing with this increasing burden requires health
promotion and disease prevention intervention at the community
level as well as disease management strategies within health care
systems.
2. Health for all, is justified on the Alma-Ata Declaration as a “fundamental

human right”
3. As a result, PHC approaches have evolved in different contexts to account

for disparities in resources and local priority health problems; this is
alternatively called the Selective Primary Health Care (SPHC)
approach.
4. It should also take into consideration of the acceptability of the health

care approach to both target community
5. Community- group of people living together in the same geographical

area, sharing common interests.
6. Early 1970, Integration of specialized disease control programs with basic

health services came to appear.
7. Socially acceptable methods and technology interventions should

consider the local value, culture and belief of the community.
8. International conference, organized by WHO and United Nations Children’s

Education Fund (UNICEF), was held in Alma-ata, Kazakhstan, in 1978 on
the theme of “Health for All”
9. All these decisions involve Values as well as Facts and are therefore ethical
issues.
10. Primary care ethics is the study of the everyday decisions that primary
care clinicians make.
Part II: PLEASE ANSWER ALL QUESTION ADEQUATELY AND ACCORDINGLY
1. What are the roles of a primary health care nurse?

Ans:
 Health promotion
 Illness prevention
 Antenatal and postnatal care
 Child and family health nursing
 Treatment and care of sick people
 Rehabilitation and palliation
 Community development
 Population and public health
 Education and research
 Policy development and advocacy
2. List the essential health care components of PHC consisting of at least eight
elements and the additional elements incorporated after the Alma-Ata
declaration?
Ans:
a) Health Education
b) Provision of essential drugs
c) Immunization d) MCH/FP
e) Treatment of common Diseases and injuries
f) Adequate supply of safe water and basic sanitation
g) Communicable Disease control
h) Food supply and proper nutrition
Additional elements incorporated after Alma-Ata
1. Oral Health
2. Mental Health
3. Use of traditional medicine
4. Occupational health
5. HIV/AIDS
6. ARI
3. What are the advantages of a community participation approach?

Ans:
a. It is a cost-effective way of extending a health care system to
the geographical and social periphery of a country.
b. Communities that begin to understand their health status
objectively rather than fatalistically may be moved to take a
series of preventive measures.
c. Communities that invest labor, time, money and materials in
health-promoting activities are more committed to the use and
maintenance of the things they produce, such as water
supplies.
d. Health education is most effective as part and parcel of village
activities.
e. Community health workers if they are well chosen, have the
people’s confidence. They may know the most effective
techniques for achieving commitment from their neighbors
and, at the very best, are not likely to exploit them. They come
under strong social pressure to help the community carry out
its health-promoting activities. However, they must also have
dependable supplies and support from the higher levels of the
health service.
4. What are the factors that hinder great community involvement in health
Ans:
a. Rigid professional behavior of health service provides, which
need to be tempered to allow greater community involvement
b. The professional staff generally takes decisions in health
services and there is no tradition of allowing people to be
involved in decision-making.
c. Wrong assumption by health staff that community does not
know what is good for them and that only health staff can
determine their needs
d. Lack of flexibility in health service and general unwillingness
to change.
5. What is the meaning of GOBI-FFF?

Ans:
 Growth monitoring:
 Oral rehydration therapy:
 Breastfeeding
 Immunization
 Family planning (birth spacing)
 Female education
 Food supplementation:
BONUS:
1. List the learning objective for this course
Ans:
1. Define primary health care (PHC) and describe its
concept;
2. Describe the historical development and challenges of
PHC at national and international level;
3. Describe the components, strategies and principles of
PHC
2. What is the full name of the course lecturer?

Mr. Galakpai Kolubah

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Monrovia Bible College, Mabel Macomb School of Nursing

Name: KEY ID#:___ Section: I Date: APRIL 28, 2023 Score:_

2. Health for all, is justified on the Alma-Ata Declaration as a “fundamental

3. As a result, PHC approaches have evolved in different contexts to account

4. It should also take into consideration of the acceptability of the health

5. Community- group of people living together in the same geographical

6. Early 1970, Integration of specialized disease control programs with basic

7. Socially acceptable methods and technology interventions should

8. International conference, organized by WHO and United Nations Children’s

1. What are the roles of a primary health care nurse?

3. What are the advantages of a community participation approach?

5. What is the meaning of GOBI-FFF?

2. What is the full name of the course lecturer?

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