Community Medicine Paper II A
Full Marks: 40 Time: 60 min
Answer the following questions in neat and legible handwriting. Keep a neat margin on the left side of the
answer script. Please answer different parts of the same question in the same place and same order. You can
illustrate your answer with charts and diagrams as needed.
1. Answer ANY ONE question: [1 x 10 = 10]
a) Define “Low Birth Weight (LBW)”. How are such babies classified? What are the factors responsible
for LBW children? Describe briefly the components of essential new-born care.
[1 + 2 + 3 + 4) = 10]
b) Enumerate the medical causes of neonatal mortality in India. Outline the interventions under NHM
to reduce the neonatal mortality.
[3+ 3 + 2 + 2 = 10]
c) A child aged 37 months is found to have breath count of 50 breaths per minute. Classify the illness
according to IMNCI Guidelines and outline the management. Elaborate on home management and
follow up the child specifying danger sign.
[6 + 4 = 10]
2. Answer ANY ONE question: [1 x 10 = 10]
a) Swati is a 25 years old lactating mother having a 4 months old child. Her husband is alcoholic. She
suffered from intrahepatic cholestasis of pregnancy during antenatal period.
i) What is the contraceptive of choice for this couple? Justify your answer.
ii) In which situations is the contraceptive you mentioned, absolutely contraindicated?
iii) What are the common side-effects and complications of above method of contraception?
iv) List different non-hormonal methods of contraception. [2 + 2 + 4 + 2 = 10]
b) Briefly explain the concept of demographic cycle. Explain with reference to the demographic cycle,
how is the Dependency Ratio changing in India. [5 + 5 = 10]
c) What is "Cafeteria Choice" and unmet need for family planning services? Briefly discuss the mode of action,
advantage, disadvantages of ANTARA? [ 4 + 6 = 10]
3. Comment on: [3 x 5 = 15]
a) Accessibility can't be equated with acceptability of health services.
b) Cost-effective analysis and cost benefit analysis are not synonymous.
c) The secret of national health is in the homes of the people.
d) Demographic burden is an inevitable consequence of demographic transition
e) Equating sexual health with mere reproductive health is a reductionist view.
4. Write short note on ANY ONE: [5 x 1 = 5]
a) Focus group discussion.
b) Planning cycle
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