0013 UNIVERSITY OF ZAMBIA AFFILIATION & EXAMINATIONS UNIT OF HEALTH SCIENCES FINAL EXAMINATIONS FOR DIPLOMA IN ENVIRONMENTAL SCIENCES, FOR ENVIRONMENTAL HEALTH T IEALTH MANAGEMENT INFORMATION SYSTEM. Time allowed: 3 hours from 09:0ohrs ~ 12:00hrs Date: August 2020 Candidate's Examination Number Candidate's NRC Number Examination Centre TO CANDIDATES . Check that you have the correct examination paper in front of you. . There are FOUR (4) sections in this paper, ONE, TWO, THREE and FOUR . Read the instructions very carefully in each section before attempting to answer. “All questions must be answered on the examination answer booklet provided only. ” Write down the number of the questions that you have answered on the cover of the examination answer booklet. 6. No books, files or mechanical aids are permitted in the examination room, 7. There are shall be no form of communication between students during the examination. Any student caught doing this will be disqualified CELLPHONES & PROGRAMMABLE CALCU LATORS ARE NOT ALLOWED IN THE EXAMINATION ROOM \ DO NOT TURN THIS PAGE UNTIL YOU ARE TOLD TO DO SO BY THE NVIGILATOR SECTION ONE: MULTIPLE CHOICE QUESTIONS 1 AEUHS 2020There are forty (40) questions in this section, Answer ALL questions £ Tick the best answer in the examination answer booklet provided Total marks = 40 1. Which of the following is not a tool used at ‘Use of Information’ stage in the Information Cycle? A. Budgeting B. Planning C. Monitoring and Evaluation D. Program Management E. None of the above Who is answerable when the Health Facility has problems with data? A. The Health Centre Incharge B. The Clinical Officer C. The Environmental Health Technologist D. The Data Entry Clerk E. Allof the above 3. Inthe Health ctor, there is a lot of data that is generated in various departments. Itis therefore cardinal that data is kept secure so that it is easily retrieved for future use. Which of the following can cause damage to softcopy data? A. Viruses B. Moisture C. Insects D. Fire All of the above 4. It is important that an Environmental Health Personnel conducts a community Diagnosis in his or her area of jurisdiction. What is the first thing one has to do when conducting a Community Diagnosis? Situation Analysis Knowing the catchment area Community examination Taking samples E. None of the above 5. Which of the following tools is NOT used during Use of Information Stage of the Information Cycle? A. Research B, Ask Question C. Explore D. Indicator formulation E. All of the above 6. Which of the following tools is NOT used at stage one of the information cycle? 2 AEUHS 2020 vorPA. Under five Register B. Graph C, Tally sheets D. Activity sheets OPD Register 7. Which of the following data presentation tools can best be used if one wants to measure progress against targets set for a year ? A. Cumulative coverage graphs B. Pie Charts C. Population pyramids D. Tables E. Bar graph 8. Suppose Zambezi District has a total Population of 40,000. In the year 2017 they recorded a total number of 200 cases of malaria. What is the incidence rate per 100,000? A. 5/1,000 B. 0.5/1,000 C. 0.05/1,000 D. 50/1,000 E. None of the above 9. Data Processing involves a variety of activ ities. Which of the following activities is NOT conducted manually? A. Data collation B. Data quality checks C. Data Validation D. Data verification E. None of the above 10. You are an EHT ata named District. The District has decided to set up Health Posts in your catchment area in areas that are under served. Suppose the Health Post Population ratio is 1:5000 and the under serviced population is 37000. How many Health Posts would you recommend to be built? A7 B. 7-4 c. 8 D9 E. None of the above 11, What is the recommend frequency for conducting monitoring? ‘A. Monthly B. Quarterly C. Yearly D. Periodically E. All the time ‘AEUHS 202012. Which of th following, Data Pre eMtAON tools is used t « rt } hole A. Pie chart B. Line graph ph ¢ Table D. Bar Graph E. Cumulative coverag ! ‘overage graph Which of the fol! wing is a definition of an indig ator? \. Variable that help to measure change directly or indirect B. Indicate mea: ure of an event ‘ondition (Variables that show a given situation and can be used to measure change D. All of the above E. None of the above 14. Itis important to ensure that client information f kept confidential at all time How can a health worker ensure that client information is kept confidential? \. By ensuring that individual files are locked and secured 5. By ensuring that other workers do not tell other people what is in a elient file ©. By ensuring that information about elients is not told to people who do not need to know D. By nsuring that client consent E. All of the above medical details are not discussed without their 15, Data collection tools can either be used to collect quantit ative or qualitative data Of the following data collection tools Which one collects ONLY quantitative d A. Tally sheet and Tick sheet B. Register and Tick sheet C. Client record card and Register D. Client record card and tally sheet EB. None of the above 16. The Information Cycle has various stages which involve conducting various activities, Which stage of the information eyele requires one to conduct data quality checks? A. Data Collection B. Data Presentation C, Data Proce D. Data Analysis E. Data Interpretation ing { AEUHS 2020os 17, You are responsible of managing a Malaria Program at your health center. National Malaria Elimination Centre (NMEC) invites you for meeting to review the performance of Indoor Residual Spraying (IRS) for the past 5 years. You are required to show how the trends of malaria have been over the period. Which of the following data presentation tools can you use to show the trends over time? A. Pie chart i B. Table C. Line graph Bar graph E, None of the above 18. Mr. Nchimunya is an EHT at clerk and discovers that the adolescent. He decides to adolescents are the most afi carrying out this activity?0013 (a) Usage of drugs (b) How to handle data (©) Staff workload (a) Quality of health service provision 22. Who is responsible for collection of quality data at a health facility like a General Hospital? (a) The Hospital Administrator (b) Health workers working in the wards (c) Ward Matron (d) All the above 23. Which one of the following is a good example of a single use plan? (a) Cash budget (b) Performance based budget (c) Project (a) Operational plan 24.Which of the following is the main reason for the Administrator to assign roles in SmartCare? (a) To prevent data from being damaged (b) To prevent the unauthorized staff - have access to certain health information (©) To ensure that data is captured into the right tools (A) All the above. 19g, Which of the following statements clearly states the reason health workers need to measure coverage? k (a) To find out if there are any sub-p (b) To determine if targets are reache {) To determine ifone target is reached more effectively than another (d)All the above : 26 Which acronym below is used to guide health workers on what type of data should be collected? (a) EDS (b) RAVES ilations that are under served(b) Stage 2 (c) Stage 1 (d) Stage 4 way of showing relationships and 29, is a more reliable and effective comparing data, (a) Tabular (b) graphical (c) Textual (d) All the above yo. Which ofthe following statements elealy states the reason health workers need to measure coverage? {a) To find out if there are any sub-populations th (b) To determine if targets are reached (c) To determine if one target is reache¢ (a) All the above ‘at are under served .d more effectively than another 431. Data processing activities involves all the following except (a) Validation of data using established systems () Modification of figures from tally and/or activity sheets (c) Aggregation of data from all service points (a) Checking of errors from tally sheets Chipata HC with a population of 90 000 recorded 80 cholera cases of 100 population? 32. Suppose at was the case fatality rate per 101 which 5% were deaths. Wh: {a) 1 per1000 (b) 0.03 per 1000 (c) 30 per 100 (d) None of the above 43. Which of the following does not give precise example of an output indicator? (a) Number of ITNs distributed (b) Number of health workers trained in ‘Smart Care. (c) Number of people who slept in a LLIN last night (a) Total number of condoms distributed terpretation in HMIS is to: yrogramme is on track ‘ogramme coverage Jf what it means 34. The purpose of int (a) Know if your p' (b) Compare targets and actual pr (c) look at the information and asking yourse! (d)all the above gg-At what Jevel is the child mortality rate used as a measure of health status of a community? (a) District ‘AEUHS 2020(b) Provincial (c) National (d) International e all the following 36.The purpose of the fourth stage in the planning cycle include except? (a) Formulation of an operational Plan (b) Assessing the impact of an intervention. (c) Monitor service coverages (d) Inform stakeholders on how activities are being implemented 37. Which one below can provide a comprare data on cor ity diagnosis: (a) OPD register i (b) Routine health records (© Environmental Health diary0013 SECTION B: TRUE OR F + Ther re ten (10) questions in this section. Answer ALL questions in this section + Each question carries one (1) mark + Indicate the best answer of your choice either answer booklet (Total marks = 10 marks) Technical Monitoring involves considering factors external to the project/program that may affeet the success or failure of the project/program TRUE/FALSE, 2 Indicators calculated as ratios have numerato! TRUE/FALSE 3 The best way of presenting data is by use of rs independent of the denominator a bar graph. TRUE/FALSE 4 The planning Cycle measures progress will the information cycle measures process. TRUE/FALSE To increase the IRS Coverage from 3000 to 4000 households by December | 2021” is a SMART Indicator. TRUE/FALS .d to find out as to whether or not activities need 6 Process evaluation can be use ‘an intervention in order to improve adjustments during the implementation of desired outcomes. TRUE/FALSE Most of the data from health facilities are numerical in nature and therefore qualitative indicators are usually used. TRUE/FALSE a 8 LQAS provides information on whether a target is met or not. TRUE/FALSE. 4g. The acronym CRISP is used as one of the rules for yalidation of quality data. | ‘TRUE/FALSE, : 10 The difference between data and information is minor since both can be used for planning and budgeting purposes. TRUE/FALSE peuns220 «|SECTION THR ‘There are six (6) questions in this section Answer all questions in this section Fach question carries 5 marks each Total marks = 30 1 For one to know if the data being collected is ideal, the data needs to meet the °6 W’s of data’. Briefly discuss the 6 W's of data. tie 2 For data to be used for decision making, it is important that the data is of good quality. Briefly discuss what gonstituteg is quality data. Give a brief discussion on the relation, ee the Information Cycle and the Planning Cycle. 4. (a) Tabulate the two main semen stage 3 and 5 in the information cycle. (a) List any three principles used by 5. Formulate five classical enidemiclog gical q controlling ‘Typhoid fever in border town lke Nd 6. State any five examples of Envirot Ministry of Health at Rural Health f iSECTION FOUR: ES AY QUESTIO! There are FOUR a R (4) questions in this section. a er two (2) questions only Each questi ries 10 mark Total marks 6 0 na ation project in Kasanka in monitoring and and the evaluation of 1 Chimwemwe neat Chimwemwe water project is running 2 Water and Sanit village. The Project Manager notices that there is © weakne: evalation. You are engaged as a consultant to monitoring the projects outcomes. ‘A. Whatis the different monitoring and evaluation? (3 Marks) B. Outline 2 types of monitoring ane * rypes of Bi aluations? (2 Marks) ©. Why is Monitoring and Evaluation important in any project? (5 Marks) ‘The Health Sector is on a pathway to digitalis the seci0® One of the ways is through the introduction of SMART CARE ‘A. What is Smart Car 2 (2 Mark) B. Discuss the importance ‘of Smart Care Marks) Discuss the challenges of implen to the Health Sector in Zambia (4 nenting Smart Care in Zambia (4Ma be the most important. tage number four is said to plied tools: of following commonly PI 3. In the information cyel Highlighting the function i, Table ii, Pie chart Line graph and iv. Bar graph piscuss the role of data presentation when handling health center data. for the prevention and control of @ highly infectious COVED 19, you decide to use ND tools in handling your 4. As an EHT responsible ting quality data to the next level (Notifiable) disease such a Geta. Explain the implications of mot report End of Examination n ‘AEUHS 2020 aExam No Exam Centre HMIS 322 MCQ ANSWER SHEET Insert with an (X), single best answer a Grp] © | SINT AT BIC = ] 26 = | 7 3 - "" | 38 =o 5 30 % i au coer i a = = = - “35 o : 36 7 BKPRACTICAL EXAMINATION HEALTH MANAGEMENT INFORMATION SYSTEM Question 1 a. Name Item ‘A’. (1 Mark) b. Briefly discuss how the item named above is used in the health sector. (2 Marks) c. What are the advantages and disadvantages of using the item stated in question 1 (a) above? (2 Marks) Question 2 a. Name Item ‘B’. (1 Mark) b. Study the information in Item ‘B’. Using the Graph provided, draw a graph depicting the highest cause of morbidity. (6 Marks) Question 3 a. What type of tool is Item ‘C’? (1 Mark) b. At which stage of the information cycle is Item ‘C’ used? (2 Marks) c. What are the limitations of using this tool? (2 Marks) d. List the outliers you are able to identify. (3 Marks)I tem #: A L OPD First Attendance Tally Sheet | Under 1 1 to Under 5 5 Years and DIAGNOSES Year Years Over. Code Total Total Total NOTIFIABLE DISEASES mul Acute flaccid paralysis 00000 00000 00000 NTFOS (suspected poliomyelitis) | “99900 00000 00000 a Cholera 00000 00000 00000 NTFIO Dysentery 00000 00000 00000 NTFIS Measles 00000 00000 00000 NTF20 Meningitis 00000 00000 00000 NTF25 Neonatal tetanus 00000 TZ Plague 00000 00000 00000 NTF35 Rabies 00000 00000 00000 NTF40 Typhoid fever 00000 00000 00000 NTF45 Yellow fever 00000 00000 00000 NTF501D oo1 jan-20 | W.R 5/12 | F loody Diarrheal ie —_02-an-20 | TT 2[M Malaria 10K 003| 03-Jan-20 K.S | F Malaria XXX 004 03-Jan-20 | 7.0 45|[M Non-Bloody Diarrheal_| X00 005| 03-Jan-20 [ZH 12/M Non-Bloody Diarrhea _| XXX 006| 03-Jan-20 E.0 21M TB XX Z| __03-Jan-20 | P.S 8[F Chicken Pox XXX 008| 04-Jan-20 | SY 19 | F TB XXX or 04-Jan-20 | AJ 21|M Non-Bloody Diarrheal_| XXX 0: 04-Jan-20 | U.E 20 | F Chicken Pox XXX 05-Jan-20 | 1.D 231M Measles. XXX ; 06-Jan-20 | K.D. i7/F Non-Bloody Diarrheal_| XXX 3 06-Jan-20 | K.P 12|F Measles. XxX je 06-Jan-20 | U.W S|F Pneumonia XxX ta 07-Jan-20 | Y.C o[M Bilharzia XXX Ki 08-Jan-20 | O.M 10[M Chicken Pox XxX 3 08-Jan-20 | P.N 23|M Non-Bloody Diarrheal_| XXX 3 08-Jan-20 | LE 43 [F Non-Bloody Diarrhea _| XXX i 08-Jan-20 | U.T Al Non-Bloody Diarrhea _| XXX 09-Jan-20 | G.C 61|M Scabies XXX 10-Jan-20 | T.G 12[F 1B XXX 10-Jan-20 | D.S 4[M Chicken Pox XxX 11-Jan-20 | S.E TE Chicken Pox XxX 13-Jan-20 | S.T 12[F Scabies XXX 13-Jan-20 | K.L 7|M Non-Bloody Diarrheal_| XXX 13-Jan-20 | J.C 3|M Conjunctivitis XK 14-Jan-20 | V.G 29 | F Non-Bloody Diarrhea _| XXX 14-Jan-20 | B.C aga Measles: XXX 15-Jan-20 | S.F 35 | F Non-Bloody Diarrheal_| XXX 17-Jan-20 | E.D 23 | F Non-Bloody Diarrhea_| XXXItem #: ce +14 year old girls Hpv coverage so) Apr-ig | May"9 - Health centre *For Examiners use only Required Items 1 2 3. 4 » Item A:Blank Tai ~ Item B: Filleg Register + Item C: Filled Table . Graph Paper ly Sheets