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 You are managing members of a hypertensive club in a
Community-Oriented
Primary Care, Primary
Health Care and UHC
Nezer A. Soriano, MD
 A 30 year old male with elevated blood pressure from
your barangay consulted in your clinic. You noted that
your patients are mostly hypertensive so you surveyed
the population demographics and health status of your
barangay. Which is the essential element of COPC?
A. Comprehensive approach to health care
Question 2. B. Use of both epidemiologic and clinical skills
C. The integration of curative, rehabilitative,
preventive, and promotive health care
D. Inter-professional collaboration
company. What qualifies your practice as Community
Oriented Primary Care?
A. Community focuses on a group of people in a
Question 1.
geographic location
B. Appraisal of the needs and service provision is done
individually
C. Community refers to a defined population
characteristic
D. The patients have consulted with you only once
 After managing your hypertensive patient, you
communicated with the community leaders. What
highly desirable element of COPC encourages you as
the doctor or your health team to actively engage the
community in addressing their problem?
Question 3 A. Comprehensive approach
B. Multidisciplinary team
C. Mobility of team
D. Extension of community health program
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Steps in COPC Process Questions to Ask

 You are managing many hypertensive patients in the
1. Community Definition How is the community defined
community. In doing COPC, when do you as the doctor based upon geography, institutional
ask about effective and efficient interventions to affiliation, or other common
address the problem in the community? characteristics, eg use of an Internet
site?
A. During the Second Step of COPC
2. Community characterization What are the demographic and
B. During the Third Step of COPC 6 Steps in health characteristics of the
Question 4 community and what are its health
C. During the Fourth Step of COPC COPC issues?
D. During the Fifth Step of COPC 3. Prioritization What are the most important health
issues facing the community and
how should they be prioritized
based upon objective data and
perceived need?

Reference: Jones and Barret Publishers, 2010

 You have controlled the BP of your 35 year old male

patient. You wanted to make sure that you are
Steps in COPC Process Questions to Ask
managing all hypertensive patients in your community.
4. Detailed assessment of the What are the most effective and Your epidemiologic skills in the development of
selected health problem efficient interventions for addressing
the selected health problem based
Community Oriented Primary Care INCLUDES the
following:
6 Steps in upon an evidence-based
assessment? Question 5 A. Examination of a patient
COPC 5. Intervention What strategies will be used to
implement the intervention? B. Diagnosis
6. Evaluation How can the success of the C. Continuing observation
intervention be evaluated?
D. Continuing surveillance

Reference: Jones and Barret Publishers, 2010

Answer is C.

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 You are a rural health physician. You have a 5 year old

patient with AGE due to poor drinking water in the
area. What is defined as Community-based PHC
Summary of the Model?
Complementary
Function of Clinical A. Referred to as “health TO the people”
and Epidemiologic Question 6 B. The community are beneficiaries of health with
Skills in doctors having the main responsibility for health
Development of C. Active discussion, planning and decision making
COPC shared by doctor and community
D. Health is responsibility of every individual in
community

Reference: Abramson and Kark, 1983

Answer is D.

Clinic-based Community- Community – Community –  You are concerned with the increasing case of dengue
PHC oriented PHC based PHC managed in your community. In planning for the solution, you
Model Model PHC Model offered a number of options to the community and
listened to their feedback. What is community’s level of
Health TO the Health FOR Health WITH the Health BY the participation?
Primary people the people people people A. Information
Health Care Authoritarian Paternalistic Supportive
approach
Responsibility
of the people
Question 7 B. Consultation
Model Community Community as Community as Community C. Deciding together
as recipients beneficiaries partners as managers D. Acting together
of their own
health
Textbook of Family Medicine, p121

Answer is C.

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 You are the rural health physician. There is an

increasing case of Covid19 in Barangay Bida  You are the rural health physician. A 25 year old
that has a population of 5010. It already has a woman came in for pre natal services. She does
total of 118 reported cases with 38 new cases not have a Philhealth card. What principle
for September alone. What is the Cumulative would require her to be enrolled in Philhealth
Incidence of that barangay for the month of to avoid adverse selection and social inequity?
Question 8 September? Question 9 A.Universality
A.7.58 B.Equity
B.7.71 C. Care for the indigent
C. 23.55 D.Compulsory coverage
D.37.14

 You are managing a 3 year old malnourished girl. Her

father could only afford to feed her and her 2 other
siblings one meal a day. You wanted to make sure that
there will be no malnourished child in your barangay.
What Sustainable Developmental Goals are you Sustainable
contributing to?
Question 10 Developmental
A. SDG 1
Goals
B. SDG 2
C. SDG 3
D. SDG 6

 Answer is B. End hunger, achieve food security, and improved nutrition and
promote sustainable agriculture.

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 You are doctor managing several patients with fever
and cough for 2 days in your Barangay. You wanted to
do a community diagnosis by extracting information
from a subset of the population. What technique is
used in the collection of data for your community
diagnosis?
Question 11
A. Census
B. Sample Survey
C. Experiments
D. Observational study
 A 5 year old female was brought to you because of
diarrhea due to unsafe drinking water. You realized that
if the Alma Ata principles were implemented in your
area this can be prevented. The meeting in Alma Ata
was convened because of what objective?
Question 13 A. Introduce the Universal Health Care program
B. Promote the concept of Primary Health Care
C. Advocate that Health is a human right
D. Instruct the local government role in health
01/11/2020
 You are managing a 45 year old, female patient with
pneumonia. Under the UHC Law or RA 11223 there will
be two kinds of services that will be offered. What are
they?
Question 12 A. Mother and Child Services
B. Individual and Population Services
C. Primary and Secondary Services
D. Out-patient and In-patient Services
 You suggested to a patient with frozen shoulder to
consider having a complementary and alternative
medicine service. What principle in the Alma Ata would
allow Complementary and Alternative Medicine as an
important element of Primary Health Care?
Question 14 A. Shiatsu is based on tradition and does not need
scientific evidence
B. Acupuncture is a socially acceptable practice
C. Organic foods are expensive
D. Ventosa is practiced and offered only exclusively for
Indigenous People
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RA 8423
Traditional and  An Act Creating The Philippine Institute Of
Traditional And Alternative Health Care (Pitahc) To
Alternative Accelerate The Development Of Traditional And
Alternative Health Care In The Philippines,
Medicine Providing For A Traditional And Alternative Health
Care Development Fund And For Other Purposes
 As a family physician in the community, you often see
Covid19 suspects. However, you noted that because of
the community quarantine there are several health
services and programs that were stopped. You
emphasized to your LGU that PAFP recommends that
adjustments are needed to be done to continue the
delivery of other health services. You cited the
experience in Ebola which included?
Question 16 A. 46% of urban respondents stated that it was difficult
to access health care during pandemic
B. Only 70% in rural areas are able to access health care
C. Pre-natal was the most difficult service to be accessed
D. Poliomyelitis outbreak is very likely
01/11/2020
 You are an RHU doctor treating a patient with PTB.
There are growing numbers of PTB cases in your area.
You requested for recruitment and training of nurses
and midwives in your RHU. Which important key areas
of the Astana Declaration is this covered where
countries have committed to support?
Question 15 A. Sustainable Primary Health Care
B. Promote Health as a basic good
C. Reduce role of national leaders
D. Cross country partnership
 You are incorporating primary health care in your
practice as a family physician. You are addressing the
main health problems in the community providing
promotive, preventive, curative and rehabilitative
services. According to Alma Ata, which service is not
included in primary health care:
Question 17 A. Promotion of food supplies and proper nutrition
B. An adequate supply of safe water and basic
sanitation.
C. Maternal and child health care
D. Community-based strategic planning.
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 Answer is D. Primary Health Care addresses the main

health problems in the community providing  What Building blocks ensures strategic policy
promotive, preventive, curative and rehabilitative frameworks exist and are combined with effective
services which includes the following: oversight, coalition building, regulation, attention to
system-design and accountability?
Alma Ata and I. Promotion of food supplies and proper nutrition.
A. Leadership
the Main II. An adequate supply of safe water and basic
sanitation. Question 18 B. Finances
Health III. Maternal and child health care C. Information
Problems IV. Prevention and control of locally endemic diseases. D. Service delivery
V. Appropriate treatment of common diseases and
injuries.
VI. Provision of essential drugs.

 You are an RHU physician. Your community assessment

showed high incidence of soil-transmitted diseases.
You are planning a health program to reduce
parasitism. What steps in project cycle management
would you review possible constraints and obstacles in
your implementation?
Building Blocks
Question 19 A. Planning
of Health
B. Control
C. Evaluation
D. Implementation

Answer is A.
Reference: WHO Systems Framework

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Planning
• Look at situation  You are managing a case of an 18 year old male with
• Recognize problems
• Set objectives
asthma in your clinic. What statement is true?
• Review obstacles
• Integration A. Your practice is primary health care because you are
managing an individual
Program B. Your practice is primary care because your approach
Question 20 to care is population-based
Management
C. Your care is secondary care because it is beyond the
Evaluation Implementation essential, expensive, acceptable and accessible
• Determine models • Organization
• Measure • Staffing and D. Your care is part of the first contact, person focused,
performance Directing
• Remedial measures • Coordinating
and ongoing care over time

The Filipino Physician Today, p332

Answer is A.