Set-1 2077 BS Federal

Time: 3hrs

Second Paper 100 Marks

Federal Loksewa Examination (PHO 2077-10-19)

Section ‘A’

1. What do you mean by national health policy? Describe briefly the areas addressed by National health policy 1991 and the national policy 2015.
   (2+8=10)
2. Explain in role of Nepal Health Professional Council (NHPC) to improve the quality of health services in Nepal.
   (10)
3. What do you mean by decentralization? What is the role of local government in effective health services delivery? Describe in present context.
   (10)

Section ‘B’

4. Critically analyze the performance and status of primary health care out-reach clinic (PHC-ORC) in remote rural setting of Nepal. What are the major challenges and how could the challenges be overcome?
   (5+5=10)
5. What is a Logistic Management Information System (LMIS)? How this information system contributes to dynamics of overall health care system? Explain.
   (10)
6. Describe the Tuberculosis National health program and critically review the current status of this program.
   (10)

Section ‘C’

7. What are the major nutritional disorders among the under five children in Nepal? Describe in brief that the difference efforts being launched to correct those disorders by Government of Nepal. How could the problem of over nutrition be overcome?
   (3+3+4=10)
8. Explain the different types of training needed to organize in a district to manage the district health programs smoothly.
   (10)

Section ‘D’

9. Critically analyze the existing HRH planning in National Health System of Nepal. How could the restructuring of HRH be done to address the transit to federalism in Nepal?
   (10)
10. What is supervision? how supervision can be differentiate with monitoring? Describe the role of supervision in improving health care system in a country?
    (2+4+4=10)