JARAMOGI OGINGA ODINGA UNIVERSITY OF SCIENCE AND TECHNOLOGY 
UNIVERSITY EXAMINATION 2011
FIRST YEAR SECOND SEMESTER EXAMINATION FOR THE DEGREE OF MASTER OF EPIDEMIOLOGY AND BIOSTATISTICS
KISUMU LEARNING CENTRE
COURSE CODE: HMP 5111
TITLE: PRINCIPLES OF PUBLIC HEALTH
DATE: 18/12/2016 TIME: 8.00-11.00AM
DURATION: 3  HOURS
INSTRUCTIONS
1. This paper contains SIX (6) questions
2. Answer question 1 and ANY other 3 Questions
3. Write all answers in the booklet provided

1. The Kenya demographic health surveys of 1999 found out that there are higher
mortality related to preventable diseases among the under five year old children
from different parts of the country, as the community health care director in Homa
Bay county, outline the measures you would take to control the out break of
disease associated with diarrhea and high fever among the children in the area (20
marks).
2. Discuss in details how the organizational policies of ministries of public health
and medical services impact on health care deliveries, the quality of care and staff
motivation community (20 marks).
3. You are the public health administrator of the ultra modern Jaramogi Oginga
Odinga Teaching and referral Hospital (JOOTRH), develop standard procedures
for hospital waste disposal to minimize environmental pollution and health risks
for doctors, nurses, cleaners and the general population (20 marks).
4. Describe how social demographics and political governance affect primary health
care delivery in your county (20 marks).
5. Cancer is emerging as a health burden in developing countries. Outline details
how you would initiate community-based prevention and control of this dreaded
disease of modern civilization (20 marks).
6. Boda Boda and moto -vehicle accidents in Kenya are posing public health risks
and household burden resulting in DALYs (disability adjusted life years) combine
the number of life years lost (YLL) due to premature deaths and the number of
future years lived with disability (YLD), Discuss in details failures in public
health laws which has contributed to the high number of cases reported daily (20
marks).