DRPH 2009/2010 (SEM I) PLANNING AND EVALUATION By giving example, discuss how you can identify the health

h problem in your area/district Using an example, discuss how you plan for health program in your area Describe 3 types of evaluation and its indicators As a healthcare manager, describe the steps of planning for health facilities and equipments in your hospital Discuss the type of data needed for health promotion program for pregnant women in your district Discuss different types of healthcare cost Discuss the activities involved in human resource management Discuss on PERT analysis and its usage in program planning HEALTH MANAGEMENT INFORMATION SYSTEM Define medical audit, discuss four reason why medical audit is important Why are standards important in developing HIS. Give one example of standards and discuss its importance What is Referral System? Discuss how you can improve 2-way communication in referral system Discuss how can registry helps to reduce mortality and morbidity OSH RISK ASSESSMENT AND MANAGEMENT Biological hazards o List 4 types of viruses exposed to healthcare workers in hospital o Discuss how would you assess the risk o Discuss how would you manage the risk Discuss in detail on how to derive exposure rating while doing CHRA Psychosocial hazard o List 4 types of psychosocial hazards at the workplace o Discuss how would you manage this problem at the workplace Discuss how to assess and manage physical hazards in the workplace Write short notes on o Acceptability of risk o Adequacy of control measures o Risk calculators in risk management

POPULATION DYNAMICS Write short notes on o Demographic transition and its cause o Total and cohort fertility rate o Direct and indirect standardization o Dependency and ageing population Fertility problems o List biological and sociological factors affecting fertility o Discuss how higher educated women affects fertility Mortality issues o Describe the cause of death problem/pattern in developed and developing countries o Discuss real and artificial change of causes of death in developed countries Migration o What is selectivity in migration o Discuss the effect of gender and health status on migration and its impact to the donor country Sex ratio o Discuss the usual change in sex ratio o How fertility, death and migration affect sex ratio o China has the highest sex ration at birth compared to other region. Discuss the possible reason of the phenomenon Family planning o List the advantage and the disadvantage single vs multiple method (cafeteria) of family planning program o How would you assess and evaluate the success of usage of family planning program HEALTH COMMUNICATION Discuss 4 most common communication mistake done by health manager while managing cardiovascular diseases (CVD) Bad communication message can give rise to negative impact o Beside no change of knowledge, list 3 other negative impact of bad communication message o Discuss how can you improve bad communication Discuss five common issues that you would like to highlight in the content of a message intended for elderly health with CVD Communication method o Discuss most appropriate media to be used for a health education program of CVD for the elderly o Discuss the most appropriate session to be used for a health education program of CVD for the elderly Communication among health staff is important o List 3 system that can be used for communication between the health staff beside chain of command o Give the strength and weakness of the above mentioned method

Communication challenges o Discuss the main communication challenges for CVD issues today o How would you overcome this problem nationally DRPH 2009/2010 (SEM II)

PATIENT EDUCATION Communication of patient education can be assessed using various method and technique o List 4 variables of communication to assess staff performance in managing quit smoking clinic o Choose 1 variable and discuss how this could facilitate patient in quit smoking clinic If we want to improve the communication support system. Discuss what are the best strategy that can be used to improve doctor patient relationship Behavior change o List 4 desired behavior expected from patient with diabetes mellitus o Choose 1 behavior and discuss how patient education can improve or able to achieve the desired behavior ICT is a common method used today. Describe a macro approach to develop and used for improving patient education Opportunities in patient with multiple comorbidites o List 4 opportunities that can be used in patient with multiple comorbidities o How opportunities can be used to improve patient education Cancer cannot advanced to terminal stage. Discuss the statement from the perspective of patient education HOSPITAL MANAGEMENT As a hospital director you are facing the problem of staff shortage. What would you do to overcome the problem Quality assurance program o List 2 types of benchmarking available o Discuss 3 factors that determines the success of benchmarking Explain the quality dimensions in hospital accreditation program Discuss the advantages and disadvantages of private healthcare system in Malaysia CPG and Clinical Pathway o What do you understand about CPG and Clinical Pathway o Discuss the advantages and differences between 2 of them Case mix o What are the advantages of case mix system o Discuss 3 factors that determines the success of case mix implementations Health technology assessment (HTA) o What is the purpose of HTA o Discuss the steps involved in preparing HTA Customer satisfaction

o o

What is customer satisfaction Discuss how can you assess customer satisfaction in specialist clinic services

HEALTH ECONOMICS Discuss and explain briefly on o Opportunity cost o Supplier induced demand o Micro costing Health insurance o What is social health insurance o Discuss the strength and weakness of the scheme Provider payment mechanism o List the type of payment to the providers o Choose 1 and discuss its strengths and weaknesses Discuss the purpose of assessing health status in medical research By using one example, discuss how to conduct a cost effectiveness analyses Discuss the problem of costing in a hospital

DRPH 2009/2010 COMPREHENSIVE EXAM PART I (GENERAL) 1. The health of women is provided through maternal and child health clinics (MCH). Many of women aged 15-55 years old are having reproductive health problem and poses a significant burden of disease a. Critically analyze the issue of women reproductive health and its function b. Using the planning process, discuss how you can improve the reproductive health problem in your country 2. Occupational and environmental health is indeed an important issue in a workplace a. List 4 types of asbestos b. State 4 health effect arising from exposure to asbestos c. Discuss what are the requirements needed for medical surveillance program of asbestos exposure d. Discuss Schedule Waste Regulations and how asbestos was disposed according to the regulation 3. You have just graduated from DRPH program and posted as district health officer in Klang. The dengue infection was endemic in your area. You are assigned to conduct a study to look for predisposing factors and protective risk factors for dengue infection. a. State the design of your study and give reasons for choosing the design b. What are the confounders in this study and how do you control for confounders c. Based on the table, state the null hypothesis House screened House unscreened Dengue positive 40 160 Dengue negative 80 120

d. Calculate the appropriate risk e. Interpret the result The Klang municipal authority receive a lot of complain regarding dengue control in their area f. Discuss what are the indirect factors that makes the local authority failed to reduce the incidence of dengue g. From health promotion point of view, discuss measures that could be taken to improve the situation

DRPH 2009/2010 COMPREHENSIVE EXAM PART II (HEALTH MANAGEMENT) 1. Program evaluation is very important a. Describe types of program evaluation b. State the indicators for each type of evaluation c. What are the problem encountered when doing evaluation 2. Discuss the step need to be taken by manager in decision making process 3. HMIS a. Discuss how HIS helps in future healthcare planning b. Discuss the problem of HIS implementation in public health c. Explain how would you develop HIS 4. Hospital performance evaluation a. List 2 types of hospital performance evaluation methods b. Discuss why we need to conduct hospital evaluation c. By using of the method, explain how to do hospital performance evaluation 5. Organizational development a. Discuss the importance of organizational development (OD) b. Explain the common technique used in OD c. Discuss how the environment affect the OD 6. Cost analysis soalan ni kena buat calculation and fill up the table