Question

multiple choice

1-The leading cause of death in PUBHland in 15 years is likely to be:

		Heart disease
		Road injuries
		Malaria 2-In 5 years, PUBHland will face increased rates of NCDs because: Fewer people will die of communicable diseases and risk factors for NCDs will have grown 80% of the population will be consuming tobacco The majority of PUBHland's population will be over 55 3- If present economic and social trends continue, how will the burden of disease in PUBHland be distributed 10 years from now? 20% Group I, 70% Group II, 10% Group III 50% Group I, 40% Group II, 10% Group III 60% Group I, 30% Group II, 10% Group III 4-The epidemiological transition is: The shift from high rates of communicable diseases to high rates of non- communicable diseases The shift from high rates of non-communicable diseases to high rates of communicable diseases The shift from low rates of non-communicable diseases to high rates of communicable diseases 5-Which are likely to be among the key health system problems in PUBHland? Insufficient health staff and poorly-distributed health staff Insufficient health staff and task shifting Poor distribution of health staff and overly high salaries for health staff

Answer 1

PUBHland is in Southeastern Africa. It has 30 million people. PUBHland is a very low-income country by World Bank criteria. The adult literacy rate is about 35%. Only about 25% of the people have access to safe water. Only about 20% have access to sanitary disposal of human waste.

Communicable diseases (Group 1) represent approximately 40% of all deaths; Non-communicable diseases (Group 2) represent approximately 52% of all deaths and injuries (Group 3) represent approximately 8% of all deaths in PUBHl and. HIV prevalence is 9%. Malaria is rampant in the plains. About 25% of the population is infected with TB.

1. The leading cause of death in PUBHland in 15 years is likely to be:

ANS: C. Malaria

2. In 5 years, PUBHland will face increased rates of NCDs because:

ANS: A. Fewer people will die of communicable diseases and risk factors for NCDs will have grown.

3. If present economic and social trends continue, how will the burden of disease in PUBHland be distributed 10 years from now?

ANS: A. 20% Group I, 70% Group II, 10% Group III

4. The epidemiological transition is:

ANS: B. The shift from high rates of non-communicable diseases to high rates of communicable diseases.

5. Which are likely to be among the key health system problems in PUBHland?

ANS: B. Insufficient health staff and task shifting