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Health Services Management And Economics Question Paper

Health Services Management And Economics 

Course:Bachelor Of Science In Nursing And Public Health

Institution: Kenyatta University question papers

Exam Year:2009



KENYATTA UNIVERSITY
FIRST SEMESTER EXAMINATIONS 2009/2010
UNIVERSITY EXAMINATIONS FOR DEGREE OF BACHELOR OF SCIENCE
(NURSING AND PUBLIC HEALTH)

HNS 404: HEALTH SERVICES MANAGEMENT AND ECONOMICS


DATE:
Monday 28th December 2009
TIME: 2.00pm - 4.00pm


INSTRUCTIONS:
This Paper Consists Three Sections
Section A-MCQ: Circle the Correct Response.
Section B- Short Answer Questions. Answer in the booklet provided. Each Answer
should start on a new page.
Section C- Long Answer Questions. Answer in the booklet provided, each answer to start
on a new page.

SECTION A: MCQ
Circle the Correct
1.
Human Resource Management refers to:

a)
The strategy that provides the framework that guides human resource
planning.

b)
Its the process of orientation, inservice training and continuing education


to promote development of personel.

c)
Its the policies and practice involved in carrying out the human resource


aspect of management position.

d)
Its any individual employed by an organization.


Page 1 of 6


2.
In management process, controlling involves

a)
Energizing, directing & persuading others to achieve the organizational
goals.

b)
Comparing actual performance to a standard and revising the original plan


to achieve organizational goals.

c)
Setting goals and identifying ways to meet them.

d)
Assigning work to the right people to achieve organizational goals.

3.
The cost sharing funds in the health institutions:

a)
Are meant to substitute government spending in the health sector

b)
Are generated through cash and NHIF collections.

c)
Are supposed to be submitted to the health sector headquarters for
effective
allocation.

d)
Are meant to supplement and compliment government resources in the
private
and
government
hospitals.


4.
The following are performance appraisal methods EXCEPT
a)
Critical
incidents

b)
Management by objectives
c)
Graphology
d)
3600 feedback

5.
In staff development;
a)
Orientation
involves
introducing the professional staffs only in the
organization.

b)
Inservice education refers to learning experiences provided in the work


setting to assist staff in performance.

c)
Inservice education refers to educational programmes that built on
previously
acquired
knowledge.

d)
Continuing education refers to learning experiences provided in the work


setting to assist staff.
Page 2 of 6


6.
Programme management refers to:

a)
Process of managing multiple ongoing projects

b)
Process of planning, organizing, coordinating the personnel involved in
the
programme.

c)
Process of allocating resources to various projects.

d)
Process of planning and evaluating projects.

7.
The Kenya government budgetary process proceeds in the following stages

a)
Budget execution and formulation, budget approval, budget evaluation
and
monitoring.


b)
Budget planning and formulation, budget approval, budget

implementation
and
evaluation


c)
Budget planning, budget implementation and approval

d)
Budget planning and execution, implementation and approval.

8.
The Kenya essential package for health:

a)
Is limited to the definition of target groups in terms of life cycles.

b)
Emphasis promotion of health in the various life cycles.

c)
Emphasis fragmentation of care to improve efficiency in care delivery.

d)
Emphasize a shift from promotive services to curative services.

For question 9 & 10 indicate true or false (1/2 mark)
9.
i)
________the Kenya government controls more than 90% of health
facilities
in
Kenya.

ii)
_________Kenya has followed a strategy of pluralism in the health
sector.

10.
i)
_________The private sector comprises of agents who are largely within


the control of the government.

ii)
__________The health sector role is mainly regulatory.

Page 3 of 6



11.
The public Health Act:

a)
Empowers the Municipal Council to regulate the training of health
personnel

b)
Empowers the Municipal Council to inspect nursing homes and hospitals
in
the
country.

c)
Empowers the Minister for health to regulate all hospitals in Kenya.

d)
Empowers the Municipal Council to provide health care in hospitals.

12.
In health Economics Equity means:

a)
Available resources are sufficient to satisfy all wants and needs.

b)
Equal access to utilization of care according to need.

c)
Equal access to available resources in the community.

d)
Equal opportunity to access health care in all health facilities.

13.
The strategic and operational inefficiencies in health care includes the following
except:

a)
Accessibility and utilization.

b)
Poorly functioning referral system.

c)
Poor systems and financial planning.

d)
Inefficient low quality public health services.

14.
An operational budget accounts for:

a)
The purchase of minor and major equipments.

b)
Construction and renovation.

c)
Income and expenses associated with daily activity.

d)
Application of new technology.







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