June 25, 2007 5th year Final Exam Time allowed:Two Hours

Cairo University Faculty of Medicine Community Medicine Department

Community Medicine

I-Answer the Following Questions:

Give the definitions of three impact indicators used for evaluation of the effectiveness of each of the following health programs in achieving their goals:

Maternal health care program

II-MCQ

1-The following are outcome indicators used for evaluation of maternal care services at the community level except one:

(A) Percent of births whose mothers received post natal care

(B) Percent of births within the catchement area of the clinic whose mothers received ANC in the same clinic

(C) Percent of births whose mothers received tetanus toxoid vaccination

(D) Percent of births assisted by medical personnel

2-During the postpartum home visits to a mother who just have stillbirth, the nurse health education message include except one:

(a)Ensure proper inter-pregnancy care including counseling

(b)Ensure following breast feeding for two years

(c) Ensure compliance to iron supplemetation for the last 3-6 months

(d)Ensure adequate nutrition to re-build nutrient stores

III-Cross Match the statements in the two columns

Use the following causes of maternal mortality and fill in the spaces

(a)Hemorrhage

(b)Pregnancy induced hypertension

(c)congenital Heart diseases

(d)Genital sepsis

3-( )is one of the indirect causes of maternal mortality

4- ( )is one of the indirect causes of maternal mortality

5-( ) is the first cause of maternal mortality in Egypt

6-( ) is one of the preventable causes of maternal mortality