PH Lecture 14

Question 0

Limited English proficiency (LEP) and healthcare

Answer 0

Less access to medical care
Less insurance coverage
Less likely to adhere (don’t understand directions)

Question 1

Interpreter vs translator

Answer 1

Interpreter - spoken word

Translator - written documents

Question 2

What are ad hoc interpreters?

Answer 2

Child or family member brought in as an interpreter

Question 3

What phone interpretation system was discussed in class?

Answer 3

MARS line

Question 4

Cons to using ad hoc interpreters

Answer 4

Pt not likely to say everything
Lack of medical knowledge
No confidentiality
Interpreter has personal agenda

Question 5

Triadic interview

Answer 5

Interpreter sits next to patient

Care giver looks at patient

Question 6

What CAN the interpreter do (outside of interpreting)?

Answer 6

Give care giver cultural insight

Question 7

LEARN technique - when do you use it, and what does it stand for?

Answer 7

In cross cultural interview setting

Listen
Explain (your understanding of the situation)
Acknowledge (diff in understanding)
Recommend (a plan)
Negotiate

Question 8

Diff between illness and disease

Answer 8

Illness has a psychological component

Question 9

Teach back / show me method

Answer 9

Have pt repeat instructions or show you what they should do

Question 10

How do interpreters get certified?

Answer 10

Step 1: CCHI Associate Healthcare Interpreter (basics of interpreting)
Step 2: CCHI Certification Exam (language proficiency)

CCHI = Certification Committee for Healthcare Interpreters

Question 11

How is interpreting for the deaf different than interpreting for people with limited English proficiency?

Answer 11

Interpreter can’t be sitting next to patient because patient must see interpreter’s hands

Question 12

What law requires you to give patients an interpreter when needed?

Answer 12

Title VI of Civil Rights Act

Question 13

Diseases can travel from one country to another very quickly because of…

Answer 13

Air travel

Question 14

Where in the world are the lowest income and most hungry?

Answer 14

Sub Saharan Africa

Asia

Question 15

What is a growing problem in the world?

Answer 15

Global water crisis

Question 16

Leading causes of child mortality

Answer 16

Respiratory infections
Diarrhea
Malaria

Question 17

What accounts for 34% of deaths in children under 5? (Associated with…?)

Answer 17

Malnutrition

Question 18

Why do some countries not follow the normal life expectancy vs GDP curve?

Answer 18

HIV/AIDS decreases life expectancy more than expected

Question 19

1 risk factor in leading deaths in 2000

Answer 19

High BP

Question 20

What change in Zimbabwe greatly decreased child mortality?

Answer 20

Bore holes to get safe water

Question 21

What are the life saving public health priorities?

Answer 21

Expanded program on immunizations (EPI) - vaccines

Tetanus toxoid - prevent neonatal tetanus

Vitamin A supplementation - diarrhea and measles especially

Breast feeding

Treated bed nets - malaria

Anti-malarials - to take when high fever

Oral rehydration - diarrhea

Question 22

What is GOBI-FFF acronym for, and what does it stand for?

Answer 22

Maternal child health care interventions

Growth monitoring
Oral rehydration therapy
Breast feeding
Immunizations

Family planning
Female education
Food supplementation

Question 23

What is DOTS?

Answer 23

Directly Observed Treatment, Short course

Watch people take TB med to make sure they comply

Question 24

3 tiers of primary health care

Answer 24

Community health workers Mid level providers Physicians

Question 25

3 As of essential drug lists

Answer 25

Availability Accessibility Affordability

Question 26

What are 2 major players in international health and development?

Answer 26

NGOs (non governmental organizations) WHO

Question 27

3 types of female mutilation

Answer 27

Type 1: prepuce / clitoral tip Type 2: excision Type 3: infibulation

Question 28

Malthusian school of thought on sustainability

Answer 28

Food supply not enough to sustain population

Question 29

Neo-classical school of thought on sustainability

Answer 29

Optimistic

Question 30

Distributionist school of thought on sustainability

Answer 30

Sharing is solution to poverty

Question 31

Synthesized view on sustainability

Answer 31

Outcome depends on how humans cope with challenges

Question 32

Is population growth mostly coming from more or less developed countries?

Answer 32

Less developed

Question 33

When did population start rising drastically?

Answer 33

Turn of 20th century

Question 34

Age structure of developed and undeveloped countries

Answer 34

Developed - even age distribution | Undeveloped - pyramid (excess kids)

Question 35

Demographic transition

Answer 35

Phase 1: undeveloped (high birth and death rate) Phase 2: developing (high birth rate, lower death rate, has demographic trap) Phase 3: developed (low birth and death rate)

Question 36

Phases of Ecological Transition

Answer 36

Phase 1: sustainable (humans in balance with environment) Phase 2: questionable sustainability (overpopulation stressed environment, leading to degradation) Phase 3: unsustainable (overpopulation with environmental destruction)

Question 37

What leads to demographic entrapment?

Answer 37

Too many people Can't migrate Can't export or import

Question 38

What happens when food decreases and population increases?

Answer 38

Genocide