At what age is the first dose of the MMR vaccine typically administered to a child?

Correct Answer: C

Rationale: The correct answer is C: 12 months. The first dose of the MMR vaccine is typically administered at 12 months of age because this is when a child's immune system is more developed to respond effectively to the vaccine. Administering it earlier may not provide adequate protection. Choice A (At birth) is incorrect because newborns have maternal antibodies that can interfere with the vaccine's efficacy. Choice B (6 months) is too early as infants need time to develop their immune system. Choice D (18 months) is also incorrect as delaying the vaccine may leave the child vulnerable to diseases like measles, mumps, and rubella.

Correct Answer: C

Rationale: The primary goal of the Integrated Management of Childhood Illness (IMCI) strategy is to reduce child mortality and morbidity. This strategy focuses on providing holistic care to children, including early detection and treatment of common childhood illnesses. By improving healthcare access and quality, IMCI aims to decrease the number of children dying from preventable diseases. Explanation: A: Reducing the incidence of childhood diseases is important but not the primary goal of IMCI. The strategy is more focused on reducing mortality and morbidity. B: Improving nutritional status is essential for child health but is not the primary goal of IMCI. D: Promoting exclusive breastfeeding is a key component of child health but is not the primary goal of IMCI.

Correct Answer: D

Rationale: The correct answer is D: Integrated case management of childhood illnesses. This is a key component of the IMCI (Integrated Management of Childhood Illness) strategy, which focuses on a holistic approach to managing common childhood illnesses at the primary healthcare level. IMCI includes assessing and classifying sick children, providing appropriate treatments, counseling caregivers, and ensuring follow-up care. This strategy aims to reduce childhood morbidity and mortality by improving the quality of care provided to children. Choices A, B, and C are incorrect as they do not directly align with the key component of the IMCI strategy. Promoting hospital-based care (A) may not be feasible or sustainable in resource-limited settings where primary healthcare is crucial. Providing routine immunizations (B) is important but is not the primary focus of the IMCI strategy. Enhancing maternal nutrition (C) is essential for maternal and child health but is not a key component of the IMCI strategy, which specifically targets childhood illnesses.

Correct Answer: D

Rationale: The correct answer is D: Exclusive focus on curative care. Primary Health Care (PHC) emphasizes preventive, promotive, and rehabilitative services rather than solely focusing on curative care. Curative care is just one aspect of healthcare but not the sole focus of PHC. Community participation (A), use of appropriate technology (B), and equitable distribution of resources (C) are all essential components of PHC as they contribute to comprehensive and accessible healthcare for all.

Correct Answer: B

Rationale: The correct answer is B: To record and report public health services. FHSIS is designed to track and document various public health services provided by health facilities. It helps in monitoring disease outbreaks, health programs, and resource allocation. Choice A is incorrect as FHSIS focuses on public health services, not just hospital services. Choice C is incorrect as FHSIS does not specifically evaluate private health services. Choice D is incorrect as FHSIS does not handle health insurance claims but rather focuses on public health data collection and reporting.