UP NHM CHO 7 Sept 2022(shift-1st)
Community Health Nursing
Easy

Which of the following is not included in the 'SAFE strategy' for trachoma?

Appeared in: UP NHM CHO 7 Sept 2022(shift-1st)

Explanation

  • The question asks to identify the option that is not a part of the WHO's SAFE strategy for trachoma.
  • The SAFE acronym stands for Surgery, Antibiotics, Facial cleanliness, and Environmental improvement.
  • Screening, while a crucial public health activity for case finding and program planning, is not one of the four core components represented by the SAFE acronym.
  • Therefore, Screening is the correct answer as it is not explicitly included in the mnemonic.

Why Other Options Were Wrong

  • Option A: This is incorrect because Environmental improvement is the 'E' component of the SAFE strategy, focusing on improving water and sanitation to reduce disease transmission.
  • Option B: This is incorrect because Face washing is the 'F' (Facial cleanliness) component of the SAFE strategy, aimed at reducing the spread of infectious eye secretions.
  • Option D: This is incorrect because Antibiotics are the 'A' component of the SAFE strategy, used to treat active infections and reduce the bacterial load in a community.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain SAFE Strategy for Trachoma as background academic context rather than a clinical decision trigger.
  • Nurses play a vital role in implementing all aspects of the SAFE strategy, from assisting in surgical camps and administering antibiotics to educating communities on hygiene and sanitation.
  • Understanding the SAFE strategy is crucial for community health nurses working in endemic areas to plan and execute effective trachoma control programs.
  • Patient education on facial cleanliness and environmental hygiene is a primary nursing intervention to break the cycle of transmission.
How to Approach the Question
  • First, identify the core subject of the question, which is the 'SAFE strategy' for trachoma.
  • Note the negative framing of the question: 'Which of the following is not included...'. This means you are looking for the option that is the exception.
  • Recall the mnemonic 'SAFE' and what each letter stands for in the context of trachoma control.
  • S = Surgery, A = Antibiotics, F = Facial cleanliness, E = Environmental improvement.
  • Systematically evaluate each option against the components of the acronym.
  • Eliminate the options that are part of the acronym (Environmental improvement, Face washing, Antibiotics). The remaining option, 'Screening', is the correct answer.
Concept Tested & Keywords
  • Concept Tested: SAFE Strategy for Trachoma
  • Stem keywords: SAFE strategy, trachoma
  • Lead-in keywords: not included
  • Negative lead-in flag: Question asks for the component NOT included in the SAFE strategy.

Question ID

Q8JcFXU1r0gfdXPqkR4rlG

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart B (pp 202-403 of 604) p. 173-175

Practise the full UP NHM CHO 7 Sept 2022(shift-1st)

Attempt every question from this paper in a timed mock, then review the full solution for each one.

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