Health system in India, health care delivery system, health planning in India.
Time: 15:00
Which of the following represents the correct hierarchy of the public health infrastructure in rural India, from the most peripheral level upwards?
[a] District Hospital, Community Health Centre (CHC), Primary Health Centre (PHC)
[b] Primary Health Centre (PHC), Sub-Centre, Community Health Centre (CHC)
[c] Sub-Centre, Primary Health Centre (PHC), Community Health Centre (CHC)
[d] Community Health Centre (CHC), Sub-Centre, District Hospital
The foundational Health Survey and Development Committee, which laid the blueprint for India's Primary Health Centre model in 1946, is popularly known as the:
[a] Mudaliar Committee
[b] Shrivastav Committee
[c] Kartar Singh Committee
[d] Bhore Committee
Who is the frontline community-based health activist that acts as a bridge between the community and the public health system under the National Health Mission?
[a] Medical Officer
[b] Accredited Social Health Activist (ASHA)
[c] District Health Officer
[d] Auxiliary Nurse Midwife (ANM)
Which institution serves as a tertiary care, super-specialty, and medical education hub in India's public health system?
[a] Sub-Centre
[b] Primary Health Centre (PHC)
[c] All India Institute of Medical Sciences (AIIMS)
[d] Community Health Centre (CHC)
The National Health Mission (NHM) is a flagship program of the Government of India with two main sub-missions. What are they?
[a] National Disease Control Program and National Nutrition Mission
[b] National AIDS Control Organization and National Tuberculosis Elimination Program
[c] National Program for Control of Blindness and National Mental Health Program
[d] National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM)
What was the primary mechanism for health planning in India from 1951 until 2014?
[a] Annual Health Policies
[b] Five-Year Plans
[c] World Health Organization Directives
[d] State-level Health Mandates
The current body responsible for formulating national development strategies, including health, which replaced the Planning Commission, is known as:
[a] The Ministry of Finance
[b] The National Development Council
[c] NITI Aayog (National Institution for Transforming India)
[d] The Central Council for Health and Family Welfare
In the Indian health care delivery system, which sector is the dominant provider of curative and outpatient services, especially in urban areas?
[a] The private sector
[b] The public (government) sector
[c] The non-governmental organization (NGO) sector
[d] The indigenous systems of medicine (AYUSH)
A Primary Health Centre (PHC) in plain areas is designed to cover a population of approximately:
[a] 5,000
[b] 10,000
[c] 30,000
[d] 1,00,000
According to the Constitution of India, "Public health and sanitation; hospitals and dispensaries" is a subject listed in the:
[a] Union List (Central Government responsibility)
[b] State List (State Government responsibility)
[c] Concurrent List (Joint responsibility)
[d] It is not mentioned in any list.
One of the major goals of the National Health Policy, 2017, is to:
[a] Privatize all government hospitals.
[b] Focus exclusively on curative health care.
[c] Achieve universal health coverage and deliver quality health care services at affordable costs.
[d] Promote medical tourism as the primary focus of the health system.
The Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PM-JAY) component primarily aims to provide:
[a] Free medicines at all pharmacies.
[b] Free primary health care services at Sub-Centres.
[c] Health insurance coverage for secondary and tertiary care hospitalization for vulnerable families.
[d] A cash incentive for every hospital visit.
A Community Health Centre (CHC) is expected to function as a First Referral Unit (FRU) and should ideally have specialists from which core disciplines?
[a] Cardiology, Neurology, Nephrology, and Oncology
[b] Dentistry, Dermatology, and Psychiatry
[c] Only General Duty Medical Officers
[d] Surgery, Medicine, Obstetrics & Gynaecology, and Paediatrics
The primary health worker responsible for maternal and child health services and immunizations at the Sub-Centre level is the:
[a] Lady Health Visitor (LHV)
[b] ASHA worker
[c] Anganwadi Worker (AWW)
[d] Auxiliary Nurse Midwife (ANM)
The first component of Ayushman Bharat involves the creation of 1,50,000 Health and Wellness Centres (HWCs). What is the main objective of these HWCs?
[a] To function as super-speciality surgery centres.
[b] To upgrade existing Sub-Centres and PHCs to provide comprehensive primary health care.
[c] To act solely as data collection points for the government.
[d] To provide health insurance enrollment exclusively.
The Integrated Child Development Services (ICDS) scheme delivers a package of services including supplementary nutrition, health check-ups, and pre-school education through a network of:
[a] Primary Health Centres
[b] Private schools
[c] Anganwadi Centres
[d] District Hospitals
The Health Survey and Planning Committee, appointed to review the progress made since the Bhore Committee report, was chaired by Dr. A. L. Mudaliar. This is known as the:
[a] Bajaj Committee
[b] Shrivastav Committee
[c] Mudaliar Committee
[d] Kartar Singh Committee
Which body is the principal technical advisory organization to the Union Ministry of Health and Family Welfare in India?
[a] NITI Aayog
[b] Indian Council of Medical Research (ICMR)
[c] Directorate General of Health Services (DGHS)
[d] National Medical Commission (NMC)
What is a major challenge in India's health care delivery system that health planning continuously tries to address?
[a] An oversupply of doctors in rural areas.
[b] A significant urban-rural disparity in infrastructure and human resources.
[c] Extremely low out-of-pocket expenditure on health by citizens.
[d] The underutilization of the private healthcare sector.
The Central Council of Health and Family Welfare is an apex advisory body. What is its primary function?
[a] To directly manage all hospitals in the country.
[b] To conduct medical research and clinical trials.
[c] To regulate the prices of all medicines and medical devices.
[d] To promote Centre-State cooperation and recommend broad lines of policy for health.
The health system in India is best described as:
[a] A completely centralized and government-controlled system.
[b] A system exclusively run by the private sector.
[c] A mixed system with a large public sector, a dominant private sector, and non-profit organizations.
[d] A system fully managed and funded by international aid agencies.
Health planning in India formally began with the inception of the:
[a] National Health Policy in 1983.
[b] The Bhore Committee in 1943.
[c] The First Five-Year Plan in 1951.
[d] The National Rural Health Mission in 2005.
The population norm for a Sub-Centre in hilly or tribal areas is:
[a] 3,000
[b] 5,000
[c] 10,000
[d] 20,000
Secondary level health care in the public system typically refers to services provided at:
[a] Sub-Centres and PHCs.
[b] Community Health Centres (CHCs) and District Hospitals.
[c] AIIMS and other super-speciality hospitals.
[d] The village level by ASHA workers.
A key objective of health planning is to ensure 'equity'. In the Indian context, this primarily means:
[a] Providing the same amount of funding to every state, regardless of its population.
[b] Ensuring all doctors have the same salary.
[c] Building an equal number of hospitals in every district.
[d] Reducing disparities in health access and outcomes between different geographic areas and social groups.
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