1. The major goal of Focused Antenatal Care (FANC) is to help women maintain normal pregnancies through:
A. Routine antenatal visits and proper abdominal examination
B. Individualized care to help maintain a normal pregnancy
C. Through assessment of diet/nutrition status
D. Through assessment of fetal wellbeing
E. Provision of adequate nutrition

2. The following is one of the step involved in closing a session:
A. Collect appropriate teaching aids
B. Linking to another activity
C. Discuss subject matter
D. Arrange next sessions
E. Introduce topic

3. One of the following is the component of Reproductive and Child Health (RCH) services:
A. Prevention and management of RTI/STIs and PMTCT
B. Management of obstetric emergencies
C. Dental services for pregnant women
D. Blood transfusion services
E. Cervical cancer screening



4. One of the following is among the Safe motherhood intervention.
A. Antenatal Care (ANC) checkup
B. (Tetanus Toxoid) TT immunization
C. Provision of women friendly care
D. Safe delivery anemia control
E. C and D

5. The following are the steps to be followed when conducting health education:
A. Ask for permission, prepare environment, Conduct evaluation, and conduct
B. Ask for permission, prepare session, prepare incentives and conduct session
C. Prepare session, prepare environment, conduct session and evaluate session
D. Prepare incentives, prepare beverages, prepare session and conduct session
E. Prepares session, prepare beverages and conduct session

6. The following is among the major causes of perinatal mortality:
A. Congenital anomalies
B. Congenital anemia
C. Congenital malaria
D. Meconium plug
E. Neonatal sepsis

7. The major goal of Focused Antenatal Care (FANC) is to help women maintain normal
pregnancies through:
A. Routine antenatal visits and proper abdominal examination
B. Individualized care to help maintain a normal pregnancy
C. Through assessment of diet/nutrition status
D. Through assessment of fetal wellbeing
E. Provision of adequate nutrition

8. What would you advice a woman who forgets to take one contraceptive pill more than 12
A. Stop using the contraceptive and plan to start the next month
B. Continue taking pill normally and use backup such as condom
C. Take two pills at once with food
D. Take two pills plus condom
E. Change to Depo-Provera

9. Dr John attended Rehema Ndimbo as a new client of family planning services. He
inserted implant as the client’s method of choose after counselling. Basing on
reproductive and child health (RCH) card flow, which card should he supposed to fill the
family planning information?
A. Reproductive and child health (RCH) card number 5
B. Reproductive and child health (RCH) card number 4
C. Reproductive and child health (RCH) card number 1
D. Reproductive and child health (RCH) card number 3
E. Reproductive and child health (RCH) card number 6

10. The following are the risk factors contributing to perinatal mortality, this risk factor the
community should know and work on solving:
A. Poor maternal health and low socio-economic status
B. Multiple pregnancy and antepartum hemorrhage
C. Low birth weight and intrauterine hypoxia
D. Congenital anomalies and birth asphyxia
E. Intracranial injury and birth asphyxia

11. Madam Beatha is a city college matron; she delivered a 3.6kg male baby three weeks ago. During
antenatal period, the baby received the antibody against rubella from her mother through the
placenta and therefore the child is now immune against rubella. What type of immunization is this
A. Passive natural
B. Passive artificial
C. Active artificial
D. Active natural
E. Herd immunity

12.In providing preventive therapies in rape survivor, the following are the best options
A. Administer the first dose of PEP as early as possible
B. Offer PEP promptly, preferably within 2 hours but not later than 72 hours after the
survivor was raped
C. Rape survivors presenting later than 72 hours after being raped should not be offered
D. Determine HIV status before administering PEP in order to prevent the potential for
developing drug resistance
E. Refer the person to an HIV care and treatment center for enrollment and further

13. Ibugulu was involved in a fight and sustained foot injury by a sharp object. In one of the
management of his wound, the doctor ordered him to be injected with tetanus toxoid (TT) to
prevent tetany. What type of immunity did Ibugulu develop following administration of TT?
A. Passive natural
B. Passive artificial
C. Active artificial
D. Active natural
E. Herd immunity

14. Dr. Mabula went back to his village while suffering from mump viral infection. And the disease
is highly contagious; however he wondered as to why no any other person suffered the same
diseases in that village. Later during his stay at the village he realized that, the society was
immune against that disease. What type of immunity was this?
A. Passive natural
B. Passive artificial
C. Active artificial
D. Active natural
E. Herd immunity

15. Magdalena is university student in Dar es Salaam but she comes from village where she was
exposed to different antigens i.e. bacteria, virus, fungi and different pollens and therefore she had
suffered different infections during childhood. These exposure/infections have made her to be
immune to different diseases in the city of Dar es salaam. This immune of Magdalena can be
explained by what type of immunity?
A. Passive natural
B. Passive artificial
C. Active artificial
D. Active natural
E. Herd immunity

16. One of the following is a killed vaccine
A. Rotavirus
B. Pentavalent vaccine
C. Measles vaccine
D. Oral polio vaccine
E. BCG vaccine


17. The mother has a 21 day old female baby following home delivery. She attends the first visit at
RCH clinic. Which of the following vaccines will be given
E. Pentavalent-1

18. After performing an assessment on a 2 years and six month old male child, the information of this
child should be recorded on which card?
A. RCH 1
B. RCH 2
C. RCH 3
D. RCH 4
E. RCH 5

19. One of the important services offered postnatal is family planning. If you are a health care
provider at RCH, on which card you would record the family planning services
A. RCH 1
B. RCH 2
C. RCH 3
D. RCH 4
E. RCH 5

20. The screening tool for gender based violence contains a total number of how many questions?
A. Four
B. Five
C. One
D. Two
E. Three

21. The following are the types of violence which are covered in the Abuse Assessment Screening
A. Neglect, VAC and economic violence
B. Physical, sexual violence and safety of the survivor.
C. Emotional, physical, and sexual violence
D. Physical, economic and neglect violence
E. Sexual, emotional and neglect violence

22. The direct cause of maternal mortality include
A. Malaria
B. Anaemia
D. Hemorrhage
E. Gestational diabetes

23. Child survival and safe motherhood (CSSM) is defined as
A. Intergrated reproductive health services with focus to reduce infant mortality and
B. Maternal morbidity and mortality reduction oriented actions to improve women’s
reproductive health
C. Reproductive and child health with focuses to reduce child survival and maternal
morbidity and mortality
D. Any action that might improve women’s reproductive health with focus on increasing of
maternal morbidity and mortality
E. It include kangaroo mother care and skin to skin contact between the mother and child


24. Maternal mortality ratio: Number of pregnancy associated deaths per 100,000 live births.
According to Tanzania demographic health survey 2015/16, the current maternal mortality ratio
A. 556 deaths per 100,000 live births
B. 556deaths per 1000 live births
C. 67 deaths per 1,000 live births
D. 43 deaths per 1,000 live births
E. 25 deaths per 1,000 live births


25. Perinatal mortality is defined as death of the fetus after
A. 42 days of life per 1000 live births in a given time period
B. 28 weeks of gestation up to the end of 4 weeks of extra uterine life
C. 28 weeks of gestation up to the end of first week of extra uterine life
D. First 28 completed days of life per 1,000 live births in a given year or time period
E. 8 to 28 days of life per 1000 live births in a given year or time period
26. One of the following contraceptives method is not safe during breastfeeding


A. Implants
B. Depo-provera
C. Intrauterine device
D. Progestin-only pills
E. Combined oral contraceptives


27. The non-hormonal contraceptives methods includes
A. Depo-provera
B. Progestin-only pills
C. Combined oral contraceptives
D. Emergency contraceptive methods pills
E. Copper T380A intrauterine device


28. Characteristic of family planning counselling include
A. Time limit
B. Client centered
C. Provider centered
D. Formal lesson plan
E. Conducted in a group


29. A 36 years woman para 3 living 5 comes with her partner to the RCH clinic for family planning
counselling. They tell you that they are satisfied with the number of children they have. The best
family planning method you would you would counsel them to use is
A. Implants
B. Depo-provera
C. Calendar method
D. Combined oral contraceptives
E. Voluntary surgical contraception


30. The difference between comprehensive emergency obstetric care and basic emergency obstetric
care is
A. Administration of IV antibiotics
B. Administration of parenteral oxytocin
C. Administration of blood transfusion
D. Performing manual removal of placenta
E. Performing assisted vaginal delivery by vaccine extractor


31. According to World Health Organization, the recommended antenatal visits is
A. 1
B. 2
C. 3
D. 4
E. 5


32. Intermittent prevent therapy prophylaxis (IPTp) is normally given during
A. The fifth visit
B. The fourth visit
C. The third visit
D. The second visit
E. The first visit


33. In an otherwise normal pregnancy, the fourth visit should take place at which gestation age
A. 28 weeks
B. 42 weeks
C. 32 weeks
D. 34 weeks
E. 36 weeks


34. A fifth visit is arranged if the woman
A. Remains undelivered at GA of 40weeks
B. Develop pregnancy complication at GA 36 weeks
C. Develop puerperal sepsis
D. Has no lochia
E. Postpartum psychosis


35. The following is a method used to screen for cervical cancer in Tanzania.
A. Pap smear
B. Mammography
C. Abdominal Ultrasound
D. Transvaginal Ultrasound
E. HPV serology


36. The information of a pregnant woman during antenatal visits is recorded in RCH card number
A. 1
B. 3
C. 4
D. 6
E. 8


37. The information of 24 year old female P3L3 who come for Progestin only pills is recorded on
which RCH card Number?
A. 3
B. 1
C. 2
D. 5
E. 4


38. The information of 7 month old attending postnatal clinic is recorded on which RCH card
A. 5
B. 4
C. 3
D. 2
E. 1

39. Components of safe motherhood initiative include:
A. Planning
B. Clean and safe delivery
C. Equity for women
E. Essential obstetric care

40. Perinatal mortality is mainly due to the following factor:
A. Intra-uterine hypoxia
B. Multiple pregnancy
C. Poverty
D. Inadequate trained staff
E. Poor infrastructure

41. One of the most common side effects copper IUCD is:
A. Amenorrhea
B. Prolonged and heavy bleeding
C. Anemia
D. Vaginal infections
E. Pelvic inflammatory disease
42. A contraceptive method which has an effect on breast milk is:
A. Microval
B. Depoprrovera
C. Implanon
D. Micrognon
E. Single rod implant

43. One of the following contraceptive methods delay the return of fertility when it is stopped

44. According to the World Health Organization (WHO) adolescence covers which age
A. 9 to 15 years
B. 12 to 26 years
C. 12 – 29 years
D. 15 to 20 years
E. 10 to 19 years

45. The optimum temperature for Bacillus Calmette-Guérin (BCG), vaccine after
reconstitutions is:
A. +3oC to + 9oC
B. +4oC to + 6oC
C. +2oC to + 8oC
D. +2oC to + 10oC
E. +5oC to + 10oC

46. Post natal care involves:
A. Provision of health education on family planning
B. Provision of Antiretroviral therapy to all women
C. Promoting too frequent pregnancies
D. Balanced diet and encourage sleep
E. Allay anxiety and encourage sleep

47. According to Multi-Dose Vial Policy (MDVP), an opened vial can be used in subsequent
sessions for up to a maximum of …………………weeks,
A. 3 weeks
B. 2 weeks
C. 4 weeks
D. 6 weeks
E. 5 weeks

48. The purpose of data collection in monitoring and evaluation of vaccination Programme is
A. Determine progress of vaccination and program
B. Monitor progress
C. Identify a benefit populations or groups
D. Identify under five
E. Monitor the injections

49. All abandoned infants judged to be in their first 72 hours of life should be given NVP
(Nevirapine) as soon as possible and then daily for ………………, or until rapid testing
of the mother or infant confirms the absence of HIV exposure.
A. 6 months
B. 4weeks
C. 6 weeks
D. 10 weeks?
E. 5 months

50. A three-dose course of tetanus toxoid (TT) provides protection against maternal and
neonatal tetanus for at least
A. 5 years
B. 7 years
C. 10 years
D. 20 years
E. 25 years

51. One of the following is the components of immunization service:
A. Service plan
B. Logistics
C. Vaccine supply and quality
D. Disease surveillance
E. Advocacy and communication

52. ……………. Vaccine which originate from killed organisms
A. Hepatitis B vaccine (HepB)
B. Oral polio vaccine – (OPV)
C. Rotarix
D. Pentavalent
E. Measles

53. ………………occurs naturally when a person get infection
A. Body Immunity
B. Active immunization
C. Passive immunization
D. Artificial active immunity
E. Artificial passive immunity


1. About eligibility criteria for female voluntary surgical contraception:
A. ………………..Breastfeeding women
B. ………………..Do not have husbands permission
C. ………………..Couples have finished childbearing
D. ………………..Client’s request after proper counseling
E. ……………… Women with three prior caesarean deliveries

2. In conducting outreach services the following are the key issues to be considered:
A ………………………. The health status of mothers and children to be visited
B. ……………………..Who need service but cannot come to Reproductive and
Child Health (RCH) clinics
C. ……………………….The proximity of satellite clinic to the target clinic
D. ………………………… Poor infrastructures of the targeted places
E. ……………………….There is endemic disease

3. Events which occurred in previous pregnancies that have influence on the management of the
current pregnancy include:
A. ……………….Emesis gravidarum in previous pregnancy
B. ……………….Fever during labor in previous pregnancy
C. ……………….Hypoglycemia and fever in previous pregnancy
D. ……………….Breech delivery and malaria in previous pregnancy
E. ……………….History of antepartum and postpartum hemorrhage

4. In provision of Focused Antenatal services the following principles should be observed:
A. ……………Population size
B. ……………Children rights
C. ……………Individualization
D. ……………Cultural awareness
E. ……………Integration of services

5. The following are barriers for follow up of reproductive services in adolescents
A. High cost of services
B. Unwelcoming environment
C. Gender barriers
D. Cultural barriers
E. Convenient location of services

6. The following are Characteristics of Adolescent-Friendly Health Services
A. Health Care Providers
B. Physical or logistical restrictions
C. Point of Delivery
D. Policies and Procedures in Place
E. Outreach to Adolescents

7. The following vaccines are live attenuated
A. Diphtheria
B. Yellow fever
C. Tetanus toxoid
D. Oral polio vaccine
E. Bacillus Calmette Guerin

8. In trying to collect evidence to link the alleged perpetrators to the assault, examples include the
A. Perpetrator’s new clothes
B. Used condoms
C. Grass and blood stains
D. Scratches and bite marks on the perpetrator
E. Bruises, tears, and cuts around the genitalia/anus

9. Regarding expanded programme on immunization
A. Measles vaccine is given at 6 month of age
B. Pentavalent-1, PCV-1 and Rota-1 start at 6 weeks after delivery
C. If BCG scar does not appear repeat injection within 3 months
D. If a baby misses OPV0, should not be given until after 14 days of delivery
E. BCG is given after birth or if not should be given any time during the first visit

10. Listed below are subunit/conjugate vaccines
A. Hepatitis A
B. Hepatitis B
C. Hemophilus influenza type b (Hib)
D. Pneumococcal
E. Human papilloma virus

11. The following are examples of medical neglect in violence against children
A. Failure to provide necessary medical or mental health treatment
B. Failure to provide psychological care
C. Refusal of health care for a child
D. permitting the child to use alcohol or other drugs
E. Delay in seeking/providing health care for a child

12. Values are a measure of one’s inner worth or one’s judgment of what is important in one’s life and
tend to develop while growing up, and influenced by the following
A. Family
B. Environment
C. Hospital
D. Religion
E. Hostels


13. The component of safe motherhood includes.
A. ………..Pre conception
B. ………..Antenatal care
C. ………..Intrapartum care
D. ………. 42 weeks following delivery
E. ………..Post abortion care


14. Family planning is a multi-dimension aspect defined by an individual or couple makes voluntary and
informed decision on
A. ……….When to start having children,
B. ……….How long to space between one sexual act and another,
C. ……….When to have sex and the number of coitus
D. ……….How many children to have and
E. ……….When to stop having children


15. The rationale for safe motherhood initiatives are
A. ……….It is very expensive
B. ….……Most maternal deaths have the same cause
C. …….…Safe motherhood is beneficial to the mother
D. ……….High maternal and perinatal morbidity and mortality rate
E. …...….. Most of complications during pregnancy are not preventable


16. Reproductive and child health services offered at any other health facility in Tanzania includes all of
the following.
A. …….…Child survival and unsafe motherhood (CSUM)
B. ……….Family planning
C. ……….Prevention and management of RTI/STIs and AIDS
D. ……….Prevention of Mother to Child Transmission
E. ……….Prevention and management of acute malnutrition during pregnancy


17. The following are the services given in the first antenatal visit
A. ……….Screen for risk factors in the index pregnancy
B. ……….Laboratory studies to Detect and treat conditions such as anemia, HIV, TB,
malaria and syphilis
C. ……….Provide individualized birth plan
D. ……….Give 2nd dose tetanus toxoid (TT) if appropriate
E. ……….Start iron and folic acid


18. Morbidity is defined as any symptom or condition resulting from or made worse by pregnancy. The
following are examples of morbidity
A. ……….Puerperal sepsis
B. ……….Eclampsia
C. ……….Vesico-vaginal fistula (VVF)
D. ……….Obstetric neuropathy
E. ……….Foot drop

19. Regarding the use of female condoms
A. ……….Can be inserted ahead of time
B. ……….Does not dull the sensation like male condom
C. ……….Texture feels more natural than male condom
D. ……….Needs to be removed immediately after ejaculation
E. ……….It does not protect against STI’s

20. The correct statement regarding implants as a method of family planning are
A. …….…They suppress ovulation
B. …….…Interfere with tubal motility
C. ……….They thicken cervical mucus
D. ……….Interfere with milk production
E. …….…Delays return of fertility after removal

21. The following are methods of supervision in immunization services:
A. ……………….Direct observation
B. ……………….Direct to mobile clinic
C. ……………….Review of health records
D. ……………….Interview with the client
E. ……………….Interview with health care provider

22. The following are the factors which can spoil vaccines
A. ……………….High temperatures
B. ……………….Freezing temperatures
C. ……………… Fridge Tag
D. ………………Vaccine Vial Monitor (VVM)
E. ……………… Light

23. …………. Are the important data needed to forecast vaccines
A. …………...Target area
B. ……………Vaccine storage rate
C. ……………Immunization coverage target
D. ……………Number of doses per child
E. ……..……..Number of staffs

24. Content of an Emergency Kit includes
A. ………………..Adrenaline
B. ………………..Hydrocortisone
C. ………………..oxytocin
D. ………………..Normal saline
E. ………………..IV catheter and tubing
F. ………………..antibiotics

25. Regarding cold chain:
A ………...... All vaccines are stored at the same temperature
B. ………....... Rota virus vaccine is not stored in the cold chain
C. ………...... Some of the refrigerators are powered by Kerosene
D. ………........Vaccines carriers are used when the refrigerators is out of order
E. ………........Was designed to increase immunization coverage to above 80%








………………..First Visit:


Give single dose of mebendazole


……………….Second Visit:


Takes place at 16-20 weeks


………………Third Visit:

is arranged if the woman remains
undelivered at the 40th week



……………….Fourth Visit:


Takes place at 20-24 weeks


……………….Fifth Visit:


Give services provided during the first
visit and continuation of those
provided in second visit


Advice on the importance of using
ITNs and give the ITN voucher




Confirm whether the woman has
receives all services in previous visits




Give 2nd dose of IPT between 36 to 40
weeks of gestation









………….. Indirect Maternal death


Death that occurs after 72 hour after


………….. Maternal mortality


A condition resulting from or made
worse by pregnancy.


………….. Direct maternal death


Death of fetus after 28 weeks
gestation up to the end of first weeks of


………….. Maternal Mortality ratio


Number of death in the first 28
completed days of life per 1,000 live


………….. Maternal morbidity


Death of a woman while pregnancy or
within 42 day of termination of


Death resulting from obstetric




Death resulting from worsens of the
existing medical condition during
pregnancy or delivery




Number of pregnancy associated death
per 100,000 live birth.




Match the family planning benefits in column B with their corresponding family planning methods in
column A

COLUMN A: FP method

COLUMN B: FP benefits

1. ……….Combined oral

A. Dual protection

2. ……….Progesterone only pills

B. Effective after 3 months of procedure

3. ……….Intrauterine device

C. Highly effective when taken daily but should not be
used in breast feeding less than 6 weeks postpartum

4. ……….Bilateral tubal ligation

D. Long acting method with protection up to 5 years

5. ……….Condoms

E. Long acting method inserted into the uterus

F. Permanent method and highly effective


G. Permanent method but not as effective as IUD


H. Safe for breastfeeding women after infant is 6 weeks




Matching the family planning methods in Column B with their corresponding classification in column A



1. …………..Permanent FP method for
female G

A. Coitus interrupts

2. …………..Fertility awareness FP
method E

B. Implanon

3. …………..Temporary natural FP
method H

C. Female condom

4. …………..Traditional FP method A

D. Sino-implant II

5. …………..Temporary non hormonal
containing FP method C

E. Basal temperature method

F. Vasectomy


G. Oviduct ligation


H. Locational amenorrhea method


Match the following definitions in column B with the terms applied in gender based violence and violence
against children in column A



1. Victim/survivor F

A. Any actual or attempted abuse of a
position of vulnerability, differential
power, or trust, for sexual purposes

2. Economic abuse C

B. Unwelcomed sexual advances,
requests for sexual favors, and other
verbal or physical conduct of a sexual

3. Psychological abuse H

C. Denying a woman access to and
control over basic resources

4. Child neglect…..G

D. Is the physical, sexual, economic or
emotional abuse by a current or former
spouse or partner constitutes intimate
partner violence

5. Sexual harassment….. B

E. Person/woman/man who has
perpetrated violence

F.….. Person/woman/man who has
experienced violence


G.….. Refers to failure by the
parent/caregiver to provide needed
age-appropriate care although
financially able to do so or offered
financial or other means to do so


H.…. Any act or omission that damages the
self-esteem, identity or development
of an individual





Match the description of tools for GBV and VAC data collection in column B with the tools in column A



1. Registe….. C

A. This form is used by the police force to
request medical examinations for a
GBV or VAC survivor

2. Tally sheet…….. H

B. This is a data collection tool used by
service providers to document
survivors’ permission to conduct
medical examination, to collect
evidence, and to provide evidence and
medical information to the police and
law courts concerning the GBV or
VAC case

3. Pictogram form……. E

C. This is a data collection tool for
documenting groups of survivors’ data,
namely, bio-data, type of violence,
violence reporting and violence

4. Police Form No 3….. A

D. Is a presumptive identification of
unrecognized disease or defect by the
application of tests, examinations, or
other procedures which can be applied

5. Examination documentation form….F

E. This is a data collection tool for
documenting the anatomical sites that
were involved, traumatized, or injured
during the violence

F.…… This form is used for documenting key
biodata information; the incident,
obstetrics/gynecology history,
examinations made, type of GBV
encountered and emergency treatment.


G.…….. This tool has five questions asking
about emotional, physical, and sexual
violence and one question that assesses
the safety of the survivor


H.………. This is a data collection tool for
documenting survivor’s GBV or VAC
reported incidences and service
provided data by age groups




Match the following definitions in column B with the terms in column A as applied in forensic evidence
collection in GBV and VAC



1. Evidence ………E

A. A person who sees an event take place or
gives sworn testimony to a court of law or
the police

2. Crime……….. G

B. Process of obtaining, processing, and
conveying evidence whereby movement of
evidence is traceable

3. Witness………… A

C. Linking the suspect to the crime (or de-link
the suspect from the crime), to ascertain
that violence occurred, and to help in
collection of data on the perpetrator of

4. Forensic evidence…….. H

D. Is the process of meeting a person’s
emotional, social, mental, and spiritual
needs that are essential elements of positive
human development

5. Chain of evidence ……….B

E. A piece of information indicating whether
a belief is true or valid to establish facts in
legal investigation or admissible as
testimony in a court of law

F.……. This may be indicated if there is evidence
that a survivor may have been sedated for
the purpose of a sexual assault.


G. ……..An act or omission that constitutes a
serious offense against an individual or the
state and is punishable by law


H. …………..Evidence collected during a medical
examination using scientific methods
which can be used in court to link the
suspect to the crime









………….. Growth


Forms stable relationships


………….. Cognition


Conflicts over control


………….. Family


Seeks affiliation to counter instability


………….. Peer groups


Sense of all- powerfulness


………….. Sexuality


Perceives long-range


Transposition of
child-parent relationship to adult




Recedes in favor of individual




Physical maturity









………….. Disease surveillance


Strategy for the Reduction of Maternal,
Newborn and Child Deaths


………….. Service delivery


Aim to increase incentive packages to
national level


...……… Advocacy and


Comprises forecasting vaccine needs,
utilization and safety


….……… Logistics


It ensures increase in financial support
from the government


…….…… Vaccine supply and quality


Includes monitoring of disease
incidence, laboratory testing, record
keeping, and outbreak investigations


Includes delivery of vaccines to the
place of use and management of cold




Comprises social mobilization,
education on immunization and
programme promotion




Is exercised with pre-determined





1. What are the five (5) Challenges you can encounter during Counseling of Adolescents (5


2. What are five (5) barriers to adolescents obtaining sexual and reproductive health
information and services (5 MARKS)

3. Mention three (3) values governing decision making in provision of gender based
violence (GBV) and violence against children (VAC) services (3 MARKS)

4. Mention six (6) recommended laboratory investigations to be done to GBV (gender based
violence) and VAC (violence against children) survivors (6 MARKS)

5. Identify six (6) routine post-natal services for mother and infant (6 MARKS)

6. Mention five (5) guiding principles on immunization services (5 MARKS)

7. Mention five (5) essential qualities of a supervisor (5 MARKS)

8. Identify five (5) Risk Factors for Mother to Child Transmission (MTCT) of HIV (5

9. Regarding adolescent reproductive health services
A. Define the following terms








B. List two primary sexual characteristics in female during adolescence


10. Gender based violence and violence against children is a common problem in Tanzanian children.
Outline five causes of GBV/VAC in Tanzania


11. The Ministry of Health in collaboration with UNFPA, UNICEF and WHO, has developed a
framework for country programming for adolescent health. The framework spells out the twin
goals of programming which include Promoting healthy development in adolescents and
Preventing and responding to health problems if and when they arise.

A. Outline four interventions which need to be delivered as a package in order to meet the
above goals
B. “Not all adolescents are equally vulnerable” what is the meaning of this statement?
12. List five target diseases which were mainly targeted by the Expanded Program on Immunization


13. List five forensic materials to be collected to GBV or VAC survivors


14. Enumerate five target groups for immunization in Tanzania


15. As clinical assistant on call, a 15 years old female is brought to the casualty suspected to have
been raped for the past 15 hours. Outline five basic investigations you will order for this client


16. Mention five tools used in vaccination in different health facilities in Tanzania


17. Mention five child rights as outlined by “The Law of the Child Act (LCA), 2009”


18. Mention one adverse effect of each of the following vaccines


Oral polio vaccine …
BCG vaccine
Hepatitis B vaccine
Rota vaccine

v. DPT vaccine


19. The Constitution of the United Republic of Tanzania (1977) contains a bill of rights which,
among other things, decrees against discrimination on the basis of sex and acknowledges every
citizen’s right to own property. Enumerate five GBV National Laws and Policies as outlined in
the constitution.



20. A 7 month old female child is brought to the RCH clinic for growth and development monitoring
and promotion services. The child is found to have bilateral pitting edema, swollen abdomen and
there is change in hair texture. Answer the following questions
A. What is development?
B. Mention two tools for growth and development monitoring and promotion
C. If the child weight for age (WFA) is below -3SD, what is your comment?
D. In the RCH the child’s length for weight (LFW) is found to be -2SD, what is your
interpretation for this finding?


21. Outline five contributing factors for gender based violence and violence against children


22. With regards to new-born and child health services, answer the following questions
A. What is developmental milestone?
B. In your clinical exam in reproductive and child health, you find a child who sits
unsupported, watches small moving objects, can say Da, Ba and Ka and try to feed by
putting objects in mouth. What is the age of this child?
C. Outline three factors affecting growth and development

23. The terms "gender-based violence" (GBV) and "violence against women" (VAW) are often used
interchangeably, since most gender-based violence is perpetrated by men against women
A. What is gender based violence?
B. List four types of gender based violence


24. After you have done fully assessment and treatment on GBV and VAC survivor, enumerate five tools that you will document the survivor’s services


25. List at least five contributing factors to morbidity in mothers

26. Mention five contributing factors to morbidity in child health

27. Outline five ways of preventing malaria during pregnancy
28. List five elements of FANC

29. Define the following terms
i. Mortality


Reproductive health
Counseling for informed choice
Focused Antenatal Care
Intimate partner violence


30. Enumerate five conditions in which combined oral contraceptives are contraindicated

31. Mention five advantages of emergency contraceptives pills

32. Highlight five situations under which you can prescribe emergency contraceptive pills (ECPs

33. Outline five services given by a health facility with basic obstetric emergency care

34. As a clinical assistant officer at Nanjilinji dispensary, highlight five preventive interventions that you may offer to all pregnant women attending the Antenatal clinic

35. Shortlist five laboratory investigations which you would investigate to a pregnant women in the first antenatal visit

36. Write down five signs of effective breastfeeding

37. Outline five reasons for poor weight gain in 5 month child.

38. List five risk factors that facilitate maternal to child transmission of HIV infection

39. Enumerate five laboratory investigations that should be done before initiating HAART to a HIV infected pregnant woman

40. Mention five major causes of perinatal mortality: (5 Marks)

41. List down five preventive interventions provided for all pregnant women in Tanzania: (5

42. What are the five major goals of Focused Antenatal Clinic: (5 Marks)

43. Mention five recommended laboratory investigations to be done during pregnancy: (5

44. Identify five steps during assessment of an antenatal care (ANC) client: (5 Marks)

45. Outline five (5) underlying principles of provision FANC (Focus – Antenatal care) (5

46. What are the contraindications of using copper intrauterine device (IUCD)? (5 marks

47. What are the purposes of family planning counseling? (5 marks)



1. Among the Millennium goal is to reduce maternal mortality for 75% by 2015. These goals
can be achieved by implementing Safe motherhood (SM) interventions. Pertaining to the
above statement.
A. List the components of SM initiative (05 MARKS)
B. Discuss the component SM initiative (10 MARKS)


2. Mwasoka is a clinical officer at Malekela District hospital. Yesterday he received one
couple which came for family planning counseling, so he planned to counsel them using
GETHER technique. Pertaining to the above statement. Explain the steps which Mwasoka
will go through in counseling clients using GETHER technique (15 MARKS


3. Describe the classification of family planning methods according to duration of action

4. Maternal mortality is still a major problem in the reproductive and child health in Tanzania.
Discuss the major six causes of maternal mortality in Tanzania

5. Discuss the major contributing factors to neonatal and perinatal mortalities in Tanzania mainland

6. Discuss the non-contraceptive benefits (six of them) of family planning services offered in
reproductive and child health services clinic in Tanzania

7. You are a clinical officer in-charge at Mikwambe dispensary and you deliver a mother who is a 36 years old, Para 5 with seven living children. Discuss how you would approach the mother for
counseling for family planning services

8. Discuss how you can explaining the different family planning methods available at your health
facility to the mother above

9. Describe the natural family planning methods in not more than two A4 pages

10. Hormone containing contraceptives are the commonly used family planning methods. Discuss the short acting hormone containing family planning methods

11. Oral contraceptives are the pills containing methods. Discuss the oral contraceptive family
planning methods

12. Mr. and Mrs. Pilipili comes to your consultation room seeking for family planning methods as they are satisfied with the number of children they have. Describe the family planning method you would recommend for the couple.

13. Family planning coverage in Tanzania is still a major reproductive health concern. Give six
reasons to support the statement

14. Explaining the rationale for safe motherhood initiatives

15. Describe the four pillars of safe motherhood interventions


16. Essential obstetric care is one of the pillars of safe motherhood initiatives. Discuss this pillar

17. Discuss the risk factors for pregnancy related complications

18. Gender-based violence (GBV) is a major global public health concern and is a risk factor for
adverse health outcomes. Discuss the impacts of on women’s health and pregnant women

19. Cancer screening (CS) and maternal and reproductive health has been included among the main issues pertinent to women’s health. Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death among women worldwide. Cervical cancer is the second most commonly diagnosed cancer and it is still the third-leading cause of cancer death in less developed countries including Tanzania. Explain the risk factors for developing breast and cervical cancer. Give at least six factors to each cancer.


20. Discuss the four visit ANC model outlined in WHO clinical guidelines

21. Breastfeeding is beneficial to the mother and child. Discuss these benefits

22. Describe how to use a female condom

23. Describe risk factors for mother to child transmission of HIV infection

24. Describe the core elements for provision of comprehensive PMTCT services

25. Theresa and Rodriguez are twin sister and brother and they are approaching the adolescence
period. Describe to them, the physiological changes they are likely to undergo during adolescence.

26. “The causes and contributing factors for gender based violence and violence against children can be explained by the ecological model” Discuss.
27. Adolescence is period during growth and development which is said to be a vulnerable period in young generation affecting a large group of adolescents. Discuss the major eight problems encountered by adolescents in Tanzania.

28. Reaching every adolescent and providing reproductive health services is a major target of
Tanzania health ministry in order to combat the major health problems affecting this generation.
Explain at least six reasons which hinder adolescents to obtain the adolescent friendly reproductive health services

29. Gender based violence and violence against children is a problem of public health concern.
Explain eight consequences of GBV and VAC.

30. Expanded program of immunization (EPI) was established worldwide in order to combat diseases of public concern, discuss the targeted diseases, target groups and their vaccines.

31. Explain six tools used in vaccination

32. You are clinical officer in-charge, describe how would you manage vaccine according to cold
chain protocol

33. What is growth and development, discuss how you would monitor growth and development in Tanzanian children.

34. Describe the adverse effects of pentavalent, OPV and BCG vaccines

35. Describe national policy and laws and their relation in GBV and VAC.

36. Explain eight sexual and reproductive health rights in relation to GBV and VAC

37. The primary aim of the Expanded Programme on Immunization (EPI) is to protect
children from immunizable killer diseases with the goal of contributing to the overall
reduction of infant and child mortality rates. The target groups are infants from
birth to 11 months and women of child bearing age (15-49 years).
A. State the main goal of Tanzania Expanded Programme on Immunization
B. Describe the objectives for the Expanded Programme on Immunization in
Tanzania from 2010 to 2014 (12 Marks)
38. With a vivid example, explain Challenges facing gender based violence (GBV)
survivors and violence against children (VAC) survivors for talking about GBV and
VAC (15 marks) 

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