Reproductive Health Programmes & Adolescent Health — MDC LICENSE Viva & Clinical Scenarios (Maternal and Child Health Programmes)

Exam-style reproductive health programmes & adolescent health viva scenarios with examiner probes and model answers for Community Health and Public Health…

Scenarios covered

• SCENARIO 1: A 16-year-old high school student presents to your primary care clinic requesting contraception. She is sexually active with a single partner and has no significant past medical history. Her mother is unaware of the visit. Outline the ethical, legal, and clinical steps you will follow to manage this consultation, including your evaluation using the WHO Medical Eligibility Criteria and the characteristics of an Adolescent-Friendly Health Service.
• SCENARIO 2: A 28-year-old woman, parity 3+0, who is 6 weeks postpartum and exclusively breastfeeding, visits the family planning clinic. She has a history of well-controlled hypertension on methyldopa with current blood pressure 130/84 mmHg. Critically analyze three modern contraceptive options for this patient, classifying each according to the WHO Medical Eligibility Criteria, and formulate a counseling plan.
• SCENARIO 3: A 22-year-old male presents to the outpatient clinic with a 3-day history of purulent urethral discharge and severe dysuria. Outline the syndromic management approach for this patient, detailing the clinical differential diagnosis, empirical antimicrobial therapy according to national standard treatment guidelines, patient education, and partner management protocols.
• SCENARIO 4: You are appointed as the District Public Health Officer in a district reporting high rates of teenage pregnancy (28% of all antenatal registrations) and low modern contraceptive prevalence among young people (9%). Design a comprehensive 12-month District Adolescent Sexual and Reproductive Health Strategic Plan to address these issues.