1.

Regarding the ZEPI discuss the following

a. Poliomyelitis eradication
b. Measles surveillance

2. Harare is currently experiencing an outbreak of typhoid

a. Define an outbreak
b. Discuss the measures you would put in place as the director of city health (Harare) to
minimize childhood morbidity and mortality from typhoid

3. Define under 5 mortality rates.

a. What is the under 5s mortality rate in Zimbabwe?
b. Discuss how achieving MDG 6 would impact on under 5 mortality

4. Discuss strategies you would put in place to

a. Increase PMTCT uptake in your district
b. Increase the number of children who need HAART who are put on antiretroviral therapy

5. Define neonatal mortality

a. What is the current neonatal mortality rate in Zimbabwe?
b. List 3 main causes of neonatal mortality in Zimbabwe
c. You are the Provincial Medical Director of Manicaland and you have notices on upsurge
of neonatal deaths in your province
i. Outline the main strategies you will implement in your province to try to reduce
the problem of neonatal mortality

6. You are the district medical officer in charge of Harare Eastern District. You have noticed an
unprecedented rise of diarrheal cases in your area
Using the prevent, protect and treat strategy briefly discuss the strategies necessary to address
this problem

7. Malnutrition
a. Discuss the risk factors for severe malnutrition
b. Discuss the interventions you would institute to reduce the level of malnutrition in your
district

8. What are the Aetiological causes of Mental Retardation in Zimbabwe.

a. Describe briefly the prevention strategies for Mental Retardation in Zimbabwe
9. Define neglected tropical diseases
a. List the neglected tropical diseases the ministry of health and child care in Zimbabwe
has choses to eliminate
b. Give reasons why these were chosen
c. Describe the strategy that the MOHCC program is using to address these NTDs

10. List the components of Focused antenatal care in Zimbabwe

a. Discuss the possible impact of FAnC on health of both mothers and infants

11. For each of the vaccines currently used in Zimbabwe Immunization schedule describe the
following
a. The type of antigen used
b. Recommend age if administration, site of vaccination or route of administration
c. Contraindications of each vaccine

12. List the predisposing factors for non-accidental injury in children

a. Describe the clinical features if non-accidental injury in children
b. Describe your management of a 4-year-old child whom you suspect to have experienced
physical abuse

13. Describe the features if the child health card introduced in 2018
a. Discuss how the additional features impact on Child survival

14. Describe the components of newborn care

a. At delivery
b. Up to 6 weeks of age

15. Define infant and the under 5s mortality rates

a. What is the current Zimbabwe infant and under 5s mortality rates?
b. What strategies would you advocate for to help reduce under 5s mortality

16. What are the causes of nutritional anemia in children?

a. What measures would you take to prevent these anemias
17. There is an outbreak of a measles like rash among preschool children in your district
a. Investigate the outbreak to confirm it is a measles outbreak
b. What interventions would you put in place?

18. Using an integrated approach, discuss the common interventions for the reduction of both
childhood pneumonia and diarrhoea

19. List the key family practices in the community component of Integrated Management of
Childhood Illness.

a. Discuss the disease prevention practices highlighting their importance in reducing

morbidity in children under 5years

20. Discuss the low-cost high impact interventions that can reduce neonatal mortality in a
developing country like Zimbabwe

21. Discuss the approach and strategies you would undertake to eliminate Schistosomiasis in a
district in Zimbabwe as a District Medical Officer

22. List common causes of acute diarrhoea in preschool children

a. Discuss prevention of diarrhoea in this age group

23. What do you understand by the term MDG?

a. Zimbabwe failed to achieve MDG 4. Discuss possible reasons behind this failure

24. Define perinatal mortality rate? What steps would you take to reduce the perinatal mortality
rate in Zimbabwe