Biology
Biology, 04.03.2020 03:12, abdirisak33

Sangala is in Eastern Africa, with a population of 30 million people. The country has a plains region, a hill region, and a region with high mountains. It has a number of ecosystems. The plains are dry for much of the year, there is some rainforest, and the rest of the country includes both hills and mountains. There are two seasons of heavy rainfall. Sangala has a pluralistic health system that is made up of public and private institutions, publicly financed providers, licensed private providers, unlicensed medical practitioners, and traditional healers. There is no health insurance, except for some free services for the poor in the few publicly financed hospitals, which the better off people do not attend. The health system is not very effective or efficient and is generally of low quality. The HIV, TB, and malaria programs are not effective or efficient and they are just beginning to adopt paradigms for services that follow global best practices. If you were interested in investing in maternal and child health using a results-based financing scheme, which program is the most appropriate?A. Invest in training more skilled birth attendants in a village. B. A plan to give the local clinic in the village a grant after the clinic demonstrates that its efforts have led after two years to lower under-5 child mortality. C. Provide all pregnant women in the village with a full course of antenatal vitamins. In Sangala today, approximately what proportion of the burden of disease, measured in DALYs, is likely to be Group I-related?A. 45%B. 35%C. 60%In Sangala, life expectancy fell in the 1990s, which can be attributed to:.A. MalariaB. HIVC. PneumoniaIn Sangala, the cost for treating severe diarrhea in young children is $18 for community-based care and $20 for clinic-based care. The cure rate for community-based care is 60%. The cure rate for clinic-based care is 90%. Which approach is the most cost-effective?A. Community-based careB. Clinic-based careC. They are equally cost-effectiveIn Sangala, what are likely to be three of the five leading causes of death of under-5 children, besides perinatal causes?A. TB, diarrhea, pneumoniaB. Malaria, diarrhea, measlesC. Diarrhea, malaria, pneumonia

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