Public Health Administration — MCQs

Public Health Administration Indian Medical PG Practice Questions and MCQs

Question 281: Schedule-3 of MCI includes –

A. DNB degree
B. Diploma of CPS (Correct Answer)
C. MBBS degree of Indian universities
D. MBBS degree of foreign universities

Explanation: ***Diploma of CPS*** - Schedule-3 of the Indian Medical Council Act primarily lists **recognized medical qualifications granted by institutions outside India**, as well as certain specialized diplomas like the **Diploma of College of Physicians and Surgeons (CPS)**. - The inclusion of the Diploma of CPS in Schedule-3 allows its holders to be registered as medical practitioners in India for specific purposes. *DNB degree* - The **Diplomate of National Board (DNB)** is a postgraduate medical qualification awarded by the National Board of Examinations (NBE) in India. - DNB degrees are typically listed under **Schedule-1** or **Schedule-2** of the Indian Medical Council Act, not Schedule-3, as they are granted by an Indian authority. *MBBS degree of Indian universities* - **MBBS degrees awarded by universities in India** are recognized under **Schedule-1** of the Indian Medical Council Act. - Schedule-1 specifically lists all medical qualifications granted by universities or medical institutions in India. *MBBS degree of foreign universities* - While MBBS degrees from foreign universities are recognized, their recognition is usually governed by **Schedule-2** of the Indian Medical Council Act, which lists medical qualifications granted by institutions outside India and recognized by the Indian Medical Council after fulfilling certain conditions. - Schedule-3 primarily includes a different set of foreign or specialized qualifications, not the general MBBS degree from foreign universities.

Question 282: NPCDCS covers all except:

A. Depression (Correct Answer)
B. Diabetes
C. Hypertension
D. Stroke

Explanation: ***Depression*** - The **National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)** specifically focuses on the prevention and control of non-communicable diseases such as **cancer, diabetes, cardiovascular diseases (including hypertension and myocardial infarction), and stroke**. - While depression is a significant non-communicable disease, it is not explicitly covered under the primary scope of the NPCDCS, which has a distinct focus on the four mentioned disease groups. *Diabetes* - **Diabetes** is one of the foundational non-communicable diseases directly addressed by the NPCDCS, with specific initiatives for its prevention, early detection, and management. - The program aims to reduce the burden of diabetes through various health promotion and healthcare delivery strategies. *Hypertension* - **Hypertension** is a major risk factor for cardiovascular diseases and stroke, and its control is a key component of the NPCDCS. - The program includes screening, diagnosis, and management protocols for hypertension as part of its strategy to reduce cardiovascular morbidity and mortality. *Stroke* - **Stroke** is explicitly part of the NPCDCS mandate, as indicated by its inclusion in the program's full name. - The program addresses stroke through prevention initiatives, early recognition campaigns, and strengthening healthcare services for acute and rehabilitation care.

Question 283: Which of the following is a set point for plans but is something that cannot be quantified or measured?

A. Target
B. Objective
C. Mission (Correct Answer)
D. Goal

Explanation: ***Mission*** - A **mission statement** defines an organization's fundamental purpose and values, guiding its actions and decisions. - It describes **why an organization exists** and what it aims to achieve, but it is typically a broad, qualitative statement that cannot be directly measured. *Target* - A **target** is a specific, measurable result that an organization aims to achieve within a defined timeframe. - Targets are quantifiable and used to track progress toward objectives and goals. *Objective* - An **objective** is a specific aim or desired outcome that an individual or organization plans to achieve. - Objectives are typically quantifiable, time-bound, and measurable, providing clear criteria for success. *Goal* - A **goal** is a desired result or outcome that a person or system envisions, plans, and commits to achieve. - While generally broader than objectives, goals are still typically **quantifiable** or at least verifiable, meaning their attainment can be assessed.

Question 284: The eye condition for which the World bank assistance was provided to the National Programme for Control of Blindness:

A. Vitamin A deficiency
B. Trachoma
C. Cataract (Correct Answer)
D. Onchocerciasis

Explanation: ***Cataract*** - The **National Programme for Control of Blindness (NPCB)**, with World Bank assistance, has focused heavily on **cataract surgeries** due to cataract being the leading cause of preventable blindness in India. - The program's aim was to provide accessible and affordable surgical interventions to clear the clouded lens, thereby restoring vision. *Vitamin A deficiency* - While vitamin A deficiency can lead to severe eye conditions like **xerophthalmia** and blindness, it's primarily addressed through nutritional programs and supplementary interventions, not the main focus of World Bank-assisted surgical initiatives within the NPCB. - Its prevention is mainly based on dietary changes and distribution of **vitamin A supplements**, especially in children. *Trachoma* - Trachoma is a bacterial eye infection that can cause blindness, particularly prevalent in regions with poor hygiene. - Although it's part of global blindness prevention efforts, the World Bank's assistance to the NPCB primarily targeted conditions requiring surgical intervention on a large scale, with **trachoma control** often involving antibiotic treatment and hygiene improvement rather than extensive surgical campaigns. *Onchocerciasis* - Onchocerciasis, or **river blindness**, is a parasitic disease primarily prevalent in sub-Saharan Africa. - It is not a major cause of blindness in India, thus not a primary focus of the **National Programme for Control of Blindness** or its World Bank-supported initiatives.

Question 285: Social physician concept was mooted by -

A. Chadha committee
B. Bhore committee (Correct Answer)
C. Shrivastava committee
D. Kartar Singh committee

Explanation: ***Bhore committee*** - The **Bhore Committee**, formed in 1943, recommended a comprehensive re-evaluation of medical education and public health services in India. - This committee introduced the concept of the "social physician," emphasizing a doctor's role extending beyond clinical care to include **preventive, promotive, and rehabilitative aspects** of health within the community. *Kaar Singh committee* - The **Kartar Singh Committee (1973)** focused on the integration of various health workers and the establishment of a **multi-purpose health worker scheme**. - Its recommendations were primarily administrative and structural, rather than conceptualizing the role of the physician. *Chadah committee* - The **Chadha Committee (1963)** focused on the **National Malaria Eradication Programme (NMEP)** and developing a maintenance phase following the eradication effort. - This committee's mandate was specific to a disease control program and did not address the broader philosophy of medical practice. *Shrivastava committee* - The **Shrivastava Committee (1975)** reviewed medical education and suggested measures for making it more relevant to national health needs, including the **Medical and Health Education Commission**. - While it influenced medical education reforms, it did not originate the concept of the "social physician" as initially defined by earlier committees.

Question 286: A systematic observation and recording of activities of one or more individuals at random intervals is done in –

A. Input-output analysis
B. Work sampling (Correct Answer)
C. System analysis
D. Network analysis

Explanation: ***Work sampling*** - **Work sampling**, also known as activity sampling, involves making a large number of instantaneous observations at random intervals over a period to estimate the proportion of time a person or machine spends on different activities. - This method is particularly useful for studying activities that are **irregular or non-repetitive**, providing a statistically valid estimate without continuous observation. *Input-output analysis* - **Input-output analysis** is an economic technique that describes the interdependencies between different sectors of an economy. - It focuses on how the output of one industry becomes the input for another, rather than observing individual activities. *System analysis* - **System analysis** is a problem-solving technique that breaks down a system into its component pieces to study how these parts interact and work together. - It is used for understanding and improving overall system function, not for random observation of individual activities. *Network analysis* - **Network analysis** involves studying the structure and flow within a network, such as social networks, computer networks, or project management networks. - It focuses on relationships and connections between entities, not on the random sampling of individual activities.

Question 287: Community health centre covers a population of

A. 40000
B. 20000
C. 60000
D. 80000 (Correct Answer)

Explanation: ***80000*** - A **Community Health Centre (CHC)** typically covers a population of **80,000 to 120,000** in normal areas, and 80,000 for hilly/tribal areas. - CHCs serve as a **referral center** for 4 Primary Health Centres (PHCs) and provide specialist services. *40000* - This population coverage is too small for a Community Health Centre. - A **Primary Health Centre (PHC)** is designed to cover a population of 30,000 in plain areas and 20,000 in hilly/tribal areas. *20000* - This population is too small for a Community Health Centre. - A **Sub-Centre** typically covers a population of 5,000 in plain areas and 3,000 in hilly/tribal areas. *60000* - While closer, this population is still below the recommended coverage for a Community Health Centre in plain areas. - The standard for a CHC is generally **80,000 to 120,000** in plain areas.

Question 288: Which one of the following is NOT a Voluntary Health Agency?

A. Ford Foundation
B. Indian Council for Child Welfare
C. National Institute of Nutrition (Correct Answer)
D. Family Planning Association of India

Explanation: ***National Institute of Nutrition*** - The **National Institute of Nutrition (NIN)** is a **government-funded research institute** and is therefore not classified as a voluntary health agency. - NIN is primarily involved in **nutrition research**, policy recommendations, and public health initiatives under the aegis of the Indian Council of Medical Research (ICMR). *Ford Foundation* - The **Ford Foundation** is a global private foundation and, similar to voluntary health agencies, operates with a **philanthropic mission** to promote human welfare. - It provides **grants and support** to various organizations, including those focused on health and social development. *Indian Council for child Welfare* - The **Indian Council for Child Welfare (ICCW)** is a non-governmental organization dedicated to the **welfare of children** in India. - It is a **voluntary health agency** that works on programs related to child health, education, and protection. *Family planning Association of India* - The **Family Planning Association of India (FPAI)** is a well-known **voluntary health agency** that focuses on sexual and reproductive health. - It provides **family planning services**, education, and advocacy, operating on a non-profit and voluntary basis.

Question 289: The concept of multipurpose workers was given by:

A. Srivastava committee
B. Mudaliar committee
C. Kartar Singh committee (Correct Answer)
D. Mukherjee committee

Explanation: ***Kartar Singh committee*** - The **Kartar Singh Committee** (1973) recommended the concept of **multipurpose workers** (MPWs) for health care delivery. - This committee aimed to integrate various health programs and streamline health services by having a single health worker provide a range of services. *Srivastava committee* - The Srivastava Committee (1975) focused on the **medical education system** and suggested reforms for its restructuring. - It did not primarily deal with the concept of multipurpose health workers but rather with the training of medical professionals. *Mudaliar committee* - The Mudaliar Committee (1962), also known as the Health Survey and Planning Committee, reviewed the progress made in health since the Bhore Committee. - While it made recommendations on health infrastructure and services, it did not introduce the concept of multipurpose workers. *Mukherjee committee* - The Mukherjee Committee (1966) addressed issues related to the **basic health services** and the integration of various disease control programs. - While it proposed integrating staff from different programs, the specific term and comprehensive recommendation for "multipurpose workers" came from the Kartar Singh Committee.

Question 290: Which committee is responsible for making a plan for village health under NHM

A. Village Health Sanitation and Nutrition Committee (Correct Answer)
B. Village Health planning and management committee
C. Rogi kalyan samiti
D. Panchayat Health Committee

Explanation: ***Village health sanitation and Nutrition committee*** - The **Village Health, Sanitation and Nutrition Committee (VHSNC)** is the designated body under the National Health Mission (NHM) responsible for local health planning and resource management at the village level. - Its primary role is to promote community participation, address **local health needs**, and facilitate the implementation of health and nutrition programs. *Village Health planning and management committee* - This is not the officially recognized or structured committee name under the **National Health Mission (NHM)** for village-level health planning. - While reflecting similar functions, the specific nomenclature and mandate belong to the **VHSNC**. *Panchayat Health Committee.* - While panchayats play a crucial role in local governance and health initiatives, the dedicated committee for health planning under NHM is the **VHSNC**, not a general "Panchayat Health Committee." - The **VHSNC** is specifically constituted for health, sanitation, and nutrition, often with broader representation than just the panchayat members. *Rogi kalyan samiti* - **Rogi Kalyan Samitis** (Patient Welfare Committees) primarily operate at the **facility level** (e.g., district hospitals, Community Health Centers) to improve basic amenities and services for patients. - They are not responsible for comprehensive **village-level health planning** as described in the question.

Practice by Chapter

Health Administration Structures

Practice Questions

National Health Programs

Practice Questions

District Health System

Practice Questions

Community Health Centers

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Primary Health Centers

Practice Questions

Sub-Centers

Practice Questions

Public Health Legislation

Practice Questions

Health Information Systems

Practice Questions

Health Management Information System

Practice Questions

Health Workforce Planning

Practice Questions

Public Health Ethics

Practice Questions

Intersectoral Coordination

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