Which factor is most critical for the sustainability of health programs?

Correct Answer: A

Rationale: The correct answer is A: Continuous community involvement. This is because sustainability in health programs relies on community ownership, participation, and engagement. Community involvement ensures program relevance, cultural appropriateness, and long-term commitment. Support from local government (B) is important but may fluctuate based on political changes. Availability of funding (C) is crucial but not sustainable if community support is lacking. Regular program evaluation (D) is essential for monitoring progress but doesn't guarantee sustainability without ongoing community engagement.

Correct Answer: A

Rationale: Primary prevention aims to prevent the occurrence of a disease or health condition before it happens. Providing prenatal education classes falls under primary prevention as it educates expecting mothers on healthy behaviors during pregnancy to prevent complications. This empowers them with knowledge and skills to promote their own and their baby's wellbeing. Screening for gestational diabetes (B) is a form of secondary prevention, as it detects a condition early to prevent its progression. Providing postpartum support groups (C) and offering breastfeeding support (D) are important interventions for promoting maternal and newborn health, but they are considered more as supportive or tertiary prevention measures rather than primary prevention.

Correct Answer: A

Rationale: The correct answer is A because directly asking the client about their reading level allows for self-assessment, which is crucial in understanding their actual ability. This approach respects client autonomy and provides an opportunity for open communication. Option B is incorrect as it focuses on health literacy rather than overall reading level. Option C is incorrect because completed years of education may not necessarily reflect reading ability accurately. Option D is incorrect as it assumes a standardized literacy tool can accurately capture an individual's reading level without considering personal context.

Correct Answer: C

Rationale: The correct answer is C because by encouraging active participation and sharing personal examples, the facilitator helps attendees engage with the material, apply concepts to real-life situations, and deepen their understanding through experiential learning. This approach fosters a more interactive and dynamic learning environment, enhancing retention and application of knowledge. A is incorrect because the facilitator's aim is to enhance learning, not avoid preparation. B is incorrect as the primary focus is on facilitating learning, not just making participants feel appreciated. D is incorrect as while the facilitator may align with Freire's principles, the main rationale is to promote active participation and learning by doing.

Correct Answer: A

Rationale: The correct answer is A because the Ask, Advise, Assess, Assist, and Arrange approach is evidence-based and widely recognized for behavior change. Asking about behavior, advising to change, assessing readiness, assisting in making changes, and arranging follow-ups are key steps in effective behavior change interventions. Encouraging interaction with others (B) may help, but not as structured as A. Guilt-tripping (C) can lead to resistance and harm the therapeutic relationship. Subtle rewards (D) may provide short-term motivation but lack the systematic approach of A.