MPH COMPRREEHENSIVE EXAMINATION 2016

RECALL QUESTIONS

Case: Province of San _________ (23 pages by Dr. Antonio)

HPAD201
Using the WHO Framework, Complete the table below based from the case scenario. For
the evidence, write the exact page number where it is located.
Evidence Rationale
Six Building Problem (magnitude and (Why is it a
Blocks nature of the problem?)
problem)

Service Delivery

Information and
Research

Health workforce

Health care
financing

Medical products,
vaccines,
technologies

Leadership and
Governance

HPAD202
Based from the case:
1) State three weaknesses and 3 opportunities
2) Give the purpose of your project (There is a statement here which pertains to
increase equity for health service delivery among the population amidst low health
budget. The province, however, can only subsidize 6% of the PHilhealth
 contributions among the indigent population. Partnership of the provincial
government and private and civic organizations is being considered.)
3) Suppose you use LFA for project plan, and your result is this (Civic organizations
are committed in contributing to the project):
Give two objectively verifiable Indicators and means of verification for each

Environmental & Occupational Health

1. Case: Diarrhea & Intestinal Infections
Give four strategies for prevention and control considering the available means of
the province.
2. Based from the present industries in the province, complete the following table:

Industry Hazard Hazard Nature of

Classification Hazard

Nutrition
1. Is there a double burden of malnutrition in the province? Justify your answer.
2. Give two ecological factors for each type.
3. Give one short term and one long term strategy for prevention and control for
each type.
4. Give one indicator for each short and long term strategy that you have
mentioned for each type.
Parasitology
1. Based form the case, give two vector borne diseases.
2. Give two parasites (not mentioned in the case) that may cause infection based
from the scenario.
3. Give two or three? environmental factors that cause the transmission of vector
borne disease you have mentioned.
4. Give prevention and control strategy for each vector borne disease you have
mentioned.
(Give government programs/strategies being implemented to address for the
prevention and control of each vector borne disease you have mentioned.)
Microbiology
***Considering the goal of the province to be TB-DOTS accredited… Why do you
think there is still high prevalence of TB:

1. Give three characteristics of the (a) agent (b) host and (c) environment that
cause the transmission of TB.
2. Give three elements/factors needed for the successful transmission of dengue
3. Aside from the above mentioned infections lifted from the case, give one
infectious disease that may be present in the province. Justify your answer
(give the page number where you based your answer)

PHPE210
***Case: high prevalence of home based deliveries:
You are to make a project plan:
1. Give your goal/general objective for your project.
2. Give two (a) predisposing factors (b) enabling factors and (c) reinforcing factors
that may affect your project.
3. ***Case: association of CVD and increase salt intake in the diet
Give two strategies to achieve your objective. Justify your given strategies.

Biostat206
***Case: utilization of measles vaccination?
A. Prevalence of infants aged 9-11 months who received measles vaccination in
2015:

1. What is the outcome variable? State the operational definition of your

outcome variable.
2. Give categories for you outcome variable and the operational definition of
each category.
3. Give your objective for your research proposal.
4. Given the following:
Expected percentage?
Reliability ____
Limit error +/- 2
Compute for the minimum sample size requirement.
 B. Factors that affect utilization of measles vaccination:
1. Suppose, the objective of your research that the _______ suggested is “To
increase the utilization of measles vaccination…” Is it correct or incorrect?
Justify your answer.
2. Who is your target population?

C. Relationship of educational attainment of the head of the family to utilization of

measles vaccination.
**The ____ concluded that there is an association of educational attainment of
the head of the family to utilization of measles vaccination. Given this statistical
output using epi-info:
1. Is the conclusion of the ____ correct or incorrect?
2. Justify your answer. State what is the test statistic result/value that you have
used to come up with your conclusion.

Biostat 201
1. Employment Status: type of variable and level of measurement used
2. In the case, budget is in ratio. How to make it in ordinal scale?
3. Given the table:
Table 7. ???
Municipality Total number of Number of
indigent households household
covered by
PHilhealth

What information can you add such that the government will be able to determine
which municipality needs more financing to increase its PHilhealth coverage?

4. Given the table on budget: what is the appropriate graph to use

5. What is the vital health indicator to use to know the top 10 causes of mortality?
Give the numerator and denominator.
6. ***Estimation of the Population Proportion
 6.a. Given an epi-info output, interpret the population proportion at 95% confidence
interval
6.b. Is there adequate sample size? Justify your answer.
7. Hypothesis testing for one proportion
8. Hypothesis testing (some items would show stata/epi-info output)
Give statistical decision and conclusion
9. Interpret the confidence interval of epi-info output (test of proportion)
10. Given frequency table, what is the median? Interpret.
11. Is the distribution normal, skewed to the left or to the right? Justify your answer.
Given are: Statistical output showing the mean
Frequency table where you will find the median and mode
12. Sampling: ***Case about PhilHealth membership and utilization of services
incorporated in the Philhealth benefit package. The governor wants to know how
many households were actually utilizing Philhealth benefit package in the province.
You will also use a tool that will be answered by the household head.
Give the sampling design, sampling units, sampling frame/s (if there is/are), and
elementary unit

13. ***Case about

12.a. Statistical output using chi-square test of homogeneity. Is it correct to use
chi-square instead of linear regression? Justify you answer.
12.b. Is there adequate sample size using chi-square? Justify your answer.

Epi201
1. ***You want to determine if the measles immunization status of a child is
associated to the mother’s knowledge on measles vaccination.
Answer using the table format below:

Variable Method of Data Potential error in Ways to control

Collection measuring the the error
variable
Exposure
Outcome

2. Case: AGE due to eating noodle soup

Suppose you are to conduct an outbreak investigation:
2.a. Define who will be your cases
2.b. What study design will you use?
2.c. Could you compute for the virulence of the disease agent? (Given: number of
cases who had AGE after eating the noodle soup, total number of those who ate
 the noodle soup, number of cases who had AGE among those who did not eat the
noodle soup, and total number of those who did not eat noodle soup). If yes, show
computation. If no, what should be the numerator and denominator.
2.d. Level of prevention appropriate for this scenario
3. Case: the PHO concluded that since the mortality rate due to heart diseases
increased from 2013 to 2014, it follows that the incident rate of heart diseases also
increased from 2014 to 2014.
If age specific death rate or age-sex composition did not change, is the assumption
of the PHO valid? Justify your answer.
4. Is it appropriate to reduce the budget for surveillance if the prevalence of
schistosomiasis decreased from year __ to __? Justify your answer.