Nta l5 Assessment Plan - Semester II New 18.7.17

THE UNITED REPUBLIC OF TANZANIA
Ministry of Health, Community Development,

Gender, Elderly and Children
Assessment Plans for Technician Certificate in Clinical Medicine
(NTA Level 5)
Semester II
Department of Human Resource Development,

University of Dodoma,
Faculty of Arts and Social Sciences,
P.O.Box 743,
Block number 11
DODOMA.
July, 2017
Published by the Ministry of Health, Community Development, Gender, Elderly and
Children, Department of Human Resource Development
Copyright © 2017 Ministry of Health, Community Development, Gender, Elderly and

Children
ISBN: 978 – 9987 – 737 – 41 – 3
All rights reserved. No part of this publication may be reproduced or transmitted in any
form or by any means, electronically, including photocopying, recording or any information
storage or retrieval system, without either prior permission in writing from the publisher.
Permission may be sought directly from the Ministry of Health, Community Development,
Gender, Elderly and Children, Department of Human Resource Development, University of
Dodoma, Faculty of Arts and Social Sciences, P.O. Box 743, Block number 11, Dodoma-
Tanzania.
Notice: The advice and information in this book are believed to be true and accurate at the
date going to press, but neither the authors nor the publisher can accept any legal
responsibility or liability for any errors or omissions.
Assessment Plans for Technician Certificate in Clinical Medicine NTA LEVEL 5 Semester II
i
TABLE OF CONTENTS
LIST OF ABBREVIATIONS .................................................................................................... iii
ACKNOWLEDGEMENT .......................................................................................................... v
EXECUTIVE SUMMARY ....................................................................................................... vi
MODULE
CMT 05206: Counselling ........................................................................................................... 1
CMT 05207: Reproductive and Child Health ............................................................................. 7
CMT 05208: Obstetrics and Gynaecology II ............................................................................ 17
CMT 05209: Surgery ................................................................................................................ 23
CMT 05210: Internal Medicine ................................................................................................ 29
CMT 05211: Paediatrics and Child Health II ........................................................................... 39
ii
LIST OF ABBREVIATIONS
AIDS - Acquired Immunodeficiency Syndrome

AMOTC - Assistant Medical Officers Training Centre
ANC - Antenatal Care
ART - Anti-retroviral therapy
ASRHS - Adolescent Sexual and Reproductive Health Services
CA - Continuous Assessment
CATC - Clinical Assistant Training Centre
CHS - College of Health Sciences
CM - Clinical Medicine
CMT - Clinical Medicine Technician
COC - Combined Oral Contraceptives
COHAS - College of Health and Allied Science

COTC - Clinical Officers Training Centre
EIMC - Early Infant Male Circumcision
FANC - Focused Ante-natal Care
GBV - Gender Based Violence
HIV - Human Immunodeficiency Virus

I-TECH - International Training and Education Centre for health
IUCD - Intrauterine Device
KMC - Kangaroo Mother Care
MOHCDGEC- Ministry of Health, Community development, Gender, Elderly and

Children
MRDT - Malaria Rapid Diagnostic Test
MUHAS - Muhimbili University of Health and Allied Sciences

NACTE - National Council for Technical Education
NTA - National Technical Awards
NTC - Nursing Training Centre
PITC - Provider Initiated Testing and Counseling
PLHIV - People Living with HIV
PMTCT - Prevention of Mother to Child Transmission
iii
POP - Progesterone Only Pill
PWIDs - People Who Inject Drugs
PWUD - People Who Use Drugs
RCH - Reproductive and Child Health
SAMIHAS - St. Augustine Muheza Institute of Health Allied Sciences

SE - Semester Examination
STI - Sexually Transmitted Infections
SZHRC - Southern Zone Health Resource Centre
TB - Tuberculosis
VAC - Violence Against Children
VCT - Voluntary Counseling and Testing
VMMC - Voluntary Male Medical Circumcision
WHO - World Health Organization
iv
ACKNOWLEDGEMENT
The development of these Assessment Plans for the Basic Technician Certificate in Clinical
Medicine (NTA level 4) programme is an outcome of collaborative efforts of the Ministry of
Health, Community development, Gender, Elderly and Children (MOHCDGEC, International
Training and Education Centre for Health (I-TECH), under the support of the Health
Resources and Services Administration (HRSA) of the U.S. Department of Health and
Human Services (HHS) under Cooperative Agreement No.U91HA06801; and tutors and
lecturers from various from Health Training Institutions.
I would like to appreciate in particular, the hard work of Dr. Violet Kiango, Dr. Ndimila
Mabula, Mr. Innocent Chinguile and Mr. Dennis Busuguli, the Training Coordinators, Allied
Health Sciences, for their collaboration in thought and process to organize, coordinate and
guide the development of these assessment plans.
The MoHCDGEC is also grateful to Dr. Fabian P. Mghanga of SZHRC, Mtwara; Dr. Juma
Mkamba of Mafinga COTC; and Ms. Mary A. Lyimo, nurse tutor, Bagamoyo NTC, for their
excellent work in editing and fine tuning this work, and to Dr. Amos Mwakigonja, Senior
Lecturer and Consultant Pathologist, MUHAS; Dr. Aubrey Maonga, tutor, SAMIHAS,
Muheza; Dr. Cosmas Chacha, tutor, Mbeya AMOTC; Dr. Emmanuel P. Mwilonga, tutor,
Sumbawanga COTC; Dr. George Martin, tutor, Kolandoto CHS; Dr. Joseph M. Mapunda,
tutor, Songea CATC; Dr. John P. Kaswija, tutor, Bugando AMOTC, Mwanza; Dr. Peter M.
Karoli, tutor, Kilosa COTC; Dr. Robert Rweyemamu, tutor, Mbeya AMOTC; Dr. Saitore L.
Laizer, Director, Machame Health Institute; Dr. Yohana Masumbuko, tutor, Mafinga COTC;
Mr. John Mpiluka, Principal, School of Medical Laboratory Sciences – Mvumi; Ms. Lukresia
A. Issara, tutor, COHAS – Kibaha; Ms. Pamela H. Meena, tutor and nutritionist, Tumbi
Special Hospital, Kibaha; and Mr. Ramadhani Chibwana, Information Technology Officer
and tutor, Mtwara COTC; Dr. Fadhili Lyimo, principal Kilosa COTC; Dr. Joseph Mwabusila,
principal Masasi COTC; Dr. Hangwa E. Hangwa, tutor Mafinga COTC, Dr. Keneth
Lihokolelo, tutor Mafinga COTC, Dr. Lucheri Kweka, principal AMOTC-Tanga; Dr. Erick
Kimbe, tutor Kilosa COTC, Ms. Ruth N. Alex, tutor KAM College; Dr. Melkzedeck Mansi,
principal Kigoma COTC and Dr. Bernard Mutayoba, tutor PHCI-Iringa for their
commendable work towards development of these assessment plans.
I also wish to acknowledge the contributions of Dr. Andrew Makoi and Mr. Octavian
Leonard of I-TECH - Tanzania for their commitment and technical support during the
development of these assessment plans.
Dr. Otilia F. Gowele

Director of Human Resources Development
v
EXECUTIVE SUMMARY
The assessment plans, included in this document, have been prepared by the Ministry of
Health, Community Development, Gender, the Elderly and Children in collaboration with
International Training and Education Centre for Health (I-TECH) to assist and guide the
implementation of the curriculum for Technician Certificate in Clinical Medicine, a
competency-based curriculum approved by NACTE.
Specifically, the assessment plans were developed to guide assessment of learners on

Competencies specified in the curriculum. The assessors are advised to use the assessment
Plan relevant for each module to assess learning outcomes stipulated within the NTA 5
Technician Certificate in Clinical Medicine curriculum flexibly based on the student’s ability
to show competence involving application of knowledge, skills, understanding and wider
attributes in a range of activities some of which are non-routine and be able to assume
operational responsibilities
This document contains assessment plans for six (6) modules of semester II which were
developed in July, 2017 to be implemented from the academic year 2017/2018 until the next
review of the curriculum.
vi
Module Code and Name: CMT 05206 Counselling
QUALIFICATION: NTA Level 5 – Technician Certificate in Clinical Medicine
1.0 INTRODUCTION
This assessment plan has been prepared by the Ministry of Health, Community Development,
Gender, Elderly and Children (MOHCDGEC) under the guidance of National Council for
Technical Education (NACTE) in collaboration with the International Training and Education
Centre for Health (I-TECH-Tanzania) for the module CMT 05206 Counselling.
The assessment plan is one of the tools for implementing competence-based education and
training (CBET) curricula. The assessor therefore, should assess learning outcomes stipulated
within the NTA level 5 curriculum flexibly based on the student’s ability to show competence
involving application of skills and knowledge in a broad range of clinical practice in
medicine some of which are non-routine and be able to assume operational responsibilities.
This assessment plan was developed in July 2017 from an NTA level 5 curriculum which was
revised in May 2017 to align with the emerged changes of the revised curriculum. It has two
components of the module to be assessed. These components are continuous assessment (CA)
which will carry 40% of the module weight; and semester examination (SE) which will carry
the remaining 60% of the module weight.
This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in
both continuous assessment (CA) and semester examination (SE). A tick (√) which appears in
either CA or SE column indicates, the time when the task shall be assessed. Where a tick (√)
appears in both CA and SE columns, the task shall be assessed in both. Tasks requiring long
term accomplishment shall be assessed during the continuous assessment (CA). Other tasks
require short time to accomplish; therefore, they shall be assessed during the semester
examination (SE). Some tasks, which are common and cover daily clinical practice of the
clinical assistant/clinical officer after completion of this module, shall be assessed in both CA
and SE. The assessor shall focus on those core areas of competences as stipulated in the
curriculum.
2.0 ENABLING AND SUB-ENABLING OUTCOMES
Enabling Outcomes (Ability to……..) Sub-Enabling Outcomes (Ability to……………)
2.3 Apply effective counseling skills in 2.3.1 Describe effective counselling

managing clients 2.3.2 Describe various types of HIV
counselling to general and Key
Population
2.3.3 Demonstrate counselling skills in providing health
care services to HIV clients
2.3.4 Demonstrate HIV counselling and testing skills
2.3.5 Provide counselling to patients with other chronic
illnesses
2.3.6 Provide counselling to PWUD and PWIDs
1
3.0 SPECIFICATION OF COMPETENCES
The following table will clarify how the sub-enabling outcomes and their related tasks will be
assessed in both continuous and semester examinations.
Competence to
be Assessed
No. of tasks provided
Understanding
Knowledge
under Continuous
attributes
Wider
Skills
S/N Sub-enabling Outcomes and Associated Assessment and
Task Semester Exams
2.3 Sub-Enabling Outcome CA SE

2.3.1 Describe effective counselling
42 39
Related Tasks TH CL TH CL
a) Define terms used in counseling √ √
b) Identify types of counseling √ √ √
c) Identify guiding principles used in counseling √ √ √
d) Explain Characteristics of a good counselor √ √ √
e) State general approach to counseling √ √ √
f) Explain barriers to counseling √ √ √
g) Explain stages of counseling √ √ √
h) Explain the two types of communication √ √ √
i) Recognize and interpret non-verbal √ √ √
communication
Sub-Enabling Outcome
2.3.2 Describe various types of HIV counselling
to general and Key Population
Related Tasks
a) Describe voluntary counseling and testing √ √ √
(VCT)
b) Describe provider initiated testing and √ √ √
counseling (PITC)
c) Describe family counseling √ √ √
d) Describe couples counseling √ √ √
e) Describe crisis counseling √ √ √
2.3.3 Demonstrate counselling skills in providing
health care services to HIV clients
Related Tasks
a) Prepare environment for counseling √ √ √
b) Establish rapport for counseling √ √ √
c) Assess client’s knowledge on HIV, STI and √ √ √
TB
d) Identify risk behaviours √ √ √ √ √
e) Describe risk reduction plan √ √ √ √ √
f) Assess knowledge of clients on HIV testing √ √ √
process
g) Explain HIV test, possible outcomes and √ √ √ √ √
interventions
2
Competence to
be Assessed
Understanding
Knowledge
under Continuous
attributes
Wider
Skills
Task Semester Exams
2.3.4 Demonstrate HIV counseling and testing skills
Related Tasks
a) Identify equipment and supplies required for √ √ √ √ √
HIV testing
b) Perform HIV testing procedure √ √ √ √ √
c) Provide post-testing counseling √ √ √ √ √
d) Share the HIV results √ √ √
e) Provide health education to a client (Nutrition, √ √ √ √ √
drug adherence, disclosure, positive living)
f) Refer the client accordingly √ √ √
g) Conduct follow up √ √ √
2.3.5 Provide counselling to patients with other
chronic illnesses
Related Tasks
a) Identify other common chronic illnesses √ √ √
b) Outline services that can be offered to patients √ √ √
with other chronic illnesses
c) Prepare conducive environment √ √ √
d) Establish rapport √ √ √
e) Identify client’s needs and collect relevant √ √ √
information from the client
f) Assess knowledge of the client √ √ √
g) Assist the client to set and reach the goal √ √ √
h) Provide supportive information and possible √ √ √
care (drug adherence, nutrition, life style
modification, side effects of drugs)
i) Refer the client accordingly √ √ √
2.3.6 Provide counselling to PWUD and PWIDs
Related Tasks
a) Define drug abuse and substance use √ √
b) List drugs commonly abused by PWIDs and √ √
PWUDs
c) Explain WHO assessment tool (ASSIST V3.0) √ √ √
d) Assess the client using the ASSIST V.3.0 tool √ √ √ √ √
e) Counsel the client to stop drugs abuse or √ √ √
substance use
f) Refer accordingly √ √ √
KEY:
CA Continuous Assessment
SE Semester Examination
TH Theory
CL Clinical
3
4.0 EXAMINATION INSTRUCTIONS/RUBRIC
This rubric describes number of examinations in a module for both CA and SE, duration,
number of questions, marks distribution and sections for each component of assessment.
This rubric will consist of two assessments; Continuous Assessment and Semester
Examination. Continuous assessment will be conducted throughout the semester and shall
contribute 40% of the module weight and Semester Examination will be conducted at the end
of a module and shall contribute 60% of the module weight.
4.1 Continuous Assessment

4.1.1 Module weight
The continuous assessment shall contribute 40% of the total module weight. There shall be
three (3) components of continuous assessments, namely;
a) Written tests shall contribute 10% of the CA weight
b) Clinical examination shall contribute 25% of the CA weight, and
c) Written Assignment Reports shall contribute 5% of the CA weight
4.1.2 Duration of assessments

The duration of each written test shall be 2 hours, and 60 minutes for clinical examination for
each candidate.
4.1.3 Number of questions, marks distributions and sections

a) Written tests
There shall be NOT less than two written examinations. The continuous written assessment
examination shall have five sections; A, B, C, D and E
i. Section A will comprise of ten (10) Multiple Choice Questions each having 5 options
with a total of 10 marks (1 mark for each question)
ii. Section B will comprise of four (4) Multiple True/False Questions each having 5
statements with a total of 10 marks (0.5 marks for each statement)
iii. Section C will comprise of two (2) Matching Item Questions each with 5 premises and 8
responses with a total of 10 marks (5 marks for each question)
iv. Section D will comprise of six to eight (6-8) Short Answer Questions with a total of 40
marks (maximum score for each question shall not exceed 7 marks)
v. Section E will comprise of two (2) Essay Questions with a total of 30 marks (15 marks
for each question)
In all sections candidates shall be required to answer ALL questions.
b) Clinical test
There shall be AT LEAST one clinical test. Each student shall be assessed for 60 minutes.
The first 50 minutes shall be for counseling session with the client, 10 minutes for evaluation
and feedback. The examination shall be conducted in the hospital setting or any other health
care facility setting
c) Assignments
Students shall be required to submit at least two individual assignments.
4.2 Semester Examination

4.2.1 Module weight
The semester examination shall contribute 60% of the total weight of the module. There shall
be two (2) components of Semester examination;
a) Written examination which shall contribute 20% of the SE weight
b) Clinical examination which shall contribute 40% of the SE weight
4
The duration of each written examination shall be 2 hours and for Clinical examination shall
be 60 minutes.

a) Written examination
Semester Examination shall have five sections; A, B, C, D and E
for each question)
b) Clinical examination
The first 50 minutes shall be for counseling session with the client, 10 minutes for
evaluation and feedback. The examination shall be conducted in the hospital setting or
any other health care facility setting
5
MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY
AND CHILDREN
TANGANYIKA MEDICAL TRAINING BOARD
TECHNICIAN CERTIFICATE IN CLINICAL MEDICINE
(NTA LEVEL 5)
END OF SEMESTER I EXAMINATION
MODULE CODE: CMT 05206
MODULE NAME: COUNSELLING
JULY, 2017
TIME: 2: 00 HOURS DATE……………………….
GENERAL INSTRUCTIONS:
1. Read all instructions carefully.
2. Write your examination number on each page of the answer sheet you use.
3. Attempt all questions.
4. Cellular phones are NOT allowed in the examination room.
5. Each essay question to be answered on not more than 3 hand written papers.
6. This paper consists of five (5) sections.
7. The table below is for OFFICIAL USE ONLY
SECTION TYPE OF QUESTIONS MARKS SCORED INITIAL INITIAL

ALLOCATION MARKS SIGNATURE OF SIGNATURE OF
EXAMINATION EXAMINATION
MARKER VERIFIER
A MULTIPLE CHOICE 10
B MULTIPLE TRUE/FALSE 10
C MATCHING 10
D SHORT ANSWER 40
E GUIDED ESSAY 30
TOTAL 100
6
Module Code and Name: CMT 05207Reproductive and Child Health
1.0 INTRODUCTION
Centre for Health (I-TECH-Tanzania) for the module CMT 05207 Reproductive and Child
Health.
curriculum.
7
3.1 Apply basic principles of public health 3.1.1 Describe RCH services in the health facility
to promote reproductive health 3.1.2 Describe the concept of safe motherhood initiatives
3.1.3 Provide focused ante-natal care (FANC)
3.1.4 Provide postpartum care to mother and infant
3.1.5 Provide family planning services
3.1.6 Provide Comprehensive Prevention of Mother to
Child Transmission (PMTCT) of HIV services
3.1.7 Provide Adolescent Sexual and
Reproductive Health Services (ASRHS)
3.1.8 Provide immunization and vaccination services at
primary health care level
3.2 Apply basic principles of public health 3.2.2 Provide new-born and child health services
to promote gender, newborn and child 3.2.3 Describe Gender Based Violence and Violence
health Against Children (GBV and VAC)
3.2.4 Describe management of GBV and VAC survivors
3.2.5 Describe policy, laws and human rights of public
health concern for GBV and VAC
8
Competence To
Be Assessed
Wider attributes
Understanding
under Continuous
Knowledge
Skills
Task Semester Exams

3.1.1 Describe RCH services in the health facility 86 71
Related tasks TH CL TH CL
a) Identify RCH services to be provided √ √
b) Explain requirements for RCH services √ √ √
c) Outline RCH services flow pattern √ √ √
d) List indicators for reproductive and child √ √
health
3.1.2 Describe the concept of safe motherhood
initiatives
Related Tasks
a) Define safe motherhood √ √
b) Explain the rationale for safe motherhood √ √ √
initiative
c) Describe components of safe motherhood √ √ √
Sub Enabling Outcome
3.1.3 Provide focused ante-natal care (FANC)
Related Tasks
a) Define Focused ante-natal care √ √
b) List elements of FANC √ √
c) Take history of pregnant woman √ √ √
d) Perform physical examination to a pregnant √ √ √
woman
e) Identify risk factors for pregnancy related √ √ √ √ √
complication
f) Perform investigations related to pregnancy √ √ √ √ √
(Haemoglobin level , Urine for albumin and
sugar, MRDT/BS for malaria, syphilis, HIV
and TB screening)
g) Screen for GBV and other violence to √ √ √ √ √
pregnant woman
h) Screen for breast and cervical cancer √ √ √ √ √
i) Provide preventive treatment √ √ √ √ √
j) Treat minor illnesses associated with pregnancy √ √ √ √ √
k) Record and interpret findings on RCH card no √ √ √
4 (ANC card)
l) Refer as appropriate √ √ √ √ √
9
3.1.4 Provide postpartum care to mother and
infant
Related Tasks
a) Define post-partum care √ √
b) Outline routine post-partum services for √ √ √
mother and infant according to guideline
c) Perform clinical assessment to mother and √ √ √
infants
d) Assess infant for correct breast feeding √ √ √
positioning and attachment
e) Counsel on importance of postpartum care, √ √ √
family planning, hygiene and nutrition
f) Counsel on newborn care √ √ √
g) Provide routine health promotion services to √ √ √
mother and infant (supplements, HIV
preventive services, immunization, infant
growth and development monitoring &
promotion)
h) Educate on danger signs to mother and infant √ √ √
i) Provide follow-up care for mother and infant √ √ √
j) Document findings on appropriate tool(s) √ √ √
3.1.5 Provide family planning services
Related Tasks
a) Define Family Planning and related terms √ √
b) Explain methods of Family Planning √ √ √
c) Provide family planning counseling for √ √ √
informed choice
d) Identify possible side effects and √ √ √
complications of Family Planning methods
e) Provide oral contraceptive (POP and COC) √ √ √
f) Provide and demonstrate condom use √ √ √
g) Administer injectable contraceptive (Depo- √ √ √
Provera)
h) Insert and remove implant contraceptive √ √ √
i) Counsel for natural family planning methods √ √ √
j) Insert and remove IUCD √ √ √
k) Fill in and interpret RCH card no 5 √ √ √
l) Refer clients with complication √ √ √
m) Refer clients for permanent contraception √ √ √
3.1.6 Provide Comprehensive Prevention of
Mother to Child Transmission (PMTCT) of
HIV services
Related Tasks
a) Describe risk factors for MTCT and the core √ √ √
elements for provision of comprehensive
PMTCT services
b) Provide HIV testing and counseling to √ √ √
pregnant and breast feeding mother
10
c) Screen for Tuberculosis to HIV positive √ √ √
pregnant woman
d) Provide ART to HIV positive pregnant and √ √ √
breast feeding mother
e) Provide counseling to HIV positive mother √ √ √
on care& treatment, family planning and
nutrition
f) Conduct follow up services to HIV positive √ √ √
mother and exposed infant
g) Identify and report adverse medicine reactions √ √ √
h) Register HIV positive pregnant woman and √ √
breast feeding mother in PMTCT care using
HIV Recording & Reporting tools
i) Refer patients with complications √ √ √
3.1.7 Provide Adolescent Sexual and Reproductive
Health Services (ASRHS)
Related Tasks
a) Define adolescence and youth √ √
b) Describe physiological changes in adolescents √ √ √
c) Explain the key standards for provision of quality √ √ √
adolescent reproductive health in Tanzania
d) Identify sexual and reproductive health √ √ √
services for adolescent and youth
e) Recognise sexual and reproductive health √ √ √
problems in adolescents and youths
f) Identify rights, laws and policy that support √ √ √
provision of reproductive health services to
adolescent
g) Provide contraceptive, screen and treat STI √ √ √
(including HIV) and screen for substance abuse
h) Conduct follow up, counselling and √ √
continuum of care for linkage to appropriate
services
3.1.8 Provide immunization and vaccination
services at primary health care level
Related Tasks
a) Describe key terms used in vaccination and √ √ √
immunization
b) Describe adverse effects of vaccines √ √ √
c) Outline target diseases for vaccination √ √
d) Identify target group for vaccination √ √
e) Identify tools used in vaccination √ √
f) Manage vaccines according to cold chain √ √ √ √ √
protocol
g) Determine requirements for vaccines √ √ √
h) Administer vaccines according to national √ √ √
guideline
i) Maintain records of vaccines √ √
3.2 Sub –Enabling Outcome
3.2.2 Provide new-born and child health services
Related Tasks
a) Define child growth and development √ √
b) Identify service(s) to be provided √ √ √
11
c) Explain child growth and development √ √ √
monitoring and promotion
d) Identify tools for monitoring newborn and √ √
child growth and development
e) Take and interpret anthropometric √ √ √
measurements
f) Fill and interpret Child health Chart √ √ √
booklet/RCH card No.1
g) Perform clinical assessment √ √ √
h) Refer as appropriate √ √ √
i) Link for continuum of care √ √ √
3.2.3 Describe Gender Based Violence and
Violence Against Children (GBV and VAC)
Related Tasks
a) Define common terms related to GBV and √ √
VAC
b) Explain types of GBV √ √ √
c) Explain types of VAC √ √ √
d) Identify causes of GBV and VAC √ √ √
e) Identify contributing factors for GBV and VAC √ √ √
f) Explain consequences of GBV and VAC √ √ √
g) Explain values governing decision making in √ √ √
provision of GBV and VAC services
3.2.4 Describe management of GBV and VAC
survivors
Related Tasks
a) Describe screening tool to identify GBV and √ √ √
VAC survivors
b) Take GBV and VAC history √ √ √
c) Describe assessment of GBV and VAC survivor √ √ √
d) Identify basic investigations √ √ √
e) Identify treatment to survivors of GBV and VAC √ √ √
f) Identify preventive treatment according to √ √ √
condition
g) Describe trauma counseling and preservation √ √ √
of forensic evidence
h) Explain safety plan according to condition √ √ √
i) Describe continuum of care for GBV and √ √ √
VAC survivors including clear referral and
networking flow pattern
j) Identify tools used in documentation of GBV √ √ √
and VAC services
12
3.2.5 Describe policy, laws and human rights of
public health concern for GBV and VAC
Related Tasks
a) Describe national and international policy and √ √ √
laws and their relation in GBV and VAC
b) Describe human rights in relation to GBV and √ √ √
VAC
c) Explain sexual and reproductive health rights √ √ √
in relation to GBV and VAC
d) Explain GBV and VAC as public health √ √ √
concern
KEY:
TH Theory
CL Clinical
13

4.1.1 Module weight

each candidate.

a) Written tests
for each question)
b) Clinical test
The first 40 minutes shall be for clerking and examining the client, 10 minutes for
presentation of the case and 10 minutes for discussion. The examination shall be conducted in
the hospital setting or any other health care facility setting.
c) Assignments

4.2.1 Module weight
14
be 60 minutes.

for each question)
Each clinical examination shall take 60 minutes. The first 40 minutes shall be for clerking
and examining the client, 10 minutes for presentation of the case and 10 minutes for
discussion. The examination shall be conducted in the hospital setting or any other health
care facility setting.
15
AND CHILDREN
(NTA LEVEL 5)
MODULE NAME: REPRODUCTIVE AND CHILD HEALTH
JULY, 2017

MARKER VERIFIER
C MATCHING 10
D SHORT ANSWER 40
E GUIDED ESSAY 30
TOTAL 100
16
Module Code and Name: CMT 05208 Obstetrics and Gynaecology II
1.0 INTRODUCTION
Centre for Health (I-TECH-Tanzania) for the module CMT 05208 Obstetrics and
Gynaecology II.
curriculum.
1.2 Apply knowledge and skills of Clinical 1.2.4 Manage patients with obstetric
Medicine to manage patients with emergencies
emergency conditions 1.2.5 Manage patients with gynaecological emergencies
1.5 Apply knowledge and skills of Clinical 1.5.3 Manage patients with gynaecological conditions
Medicine to manage patients with non-
emergency conditions
17
SPECIFICATION OF COMPETENCES
Competence To
Be Assessed
Understanding
under Continuous
Knowledge
attributes
Wider
Skills
Task Semester Exams

1.2.4 Manage patients with obstetric emergencies 34 30
TH CL TH CL
Related Tasks
a) Define obstetric emergencies  
b) Identify risk factors/causes of emergency   
obstetric conditions
c) Describe pathogenesis of obstetric   
emergencies
d) Describe clinical features and complications   
of emergency obstetric conditions
e) Explain differential diagnoses of emergency   
f) Perform rapid/quick patient assessment   
g) Provide life saving measures and treatment to    
a patient with emergency obstetric condition
h) Perform assessment of the patient after initial    
stabilization
i) Establish provisional and differential     
diagnoses
j) Treat the patient according to guidelines     
k) Describe preventive measures for emergency     
l) Refer as appropriate     
Diseases to be studied are:
 [Antepartum Haemorrhage (APH), Pre-eclampsia/Eclampsia, Postpartum haemorrhage (PPH),
Obstructed labour, Shoulder dystocia, Puerperal psychosis, Cord prolapse, Fetal distress,
Ruptured uterus, Chorioamnionitis, Premature Rupture of Membrane (PROM), Pre-term
Premature Repture of Membrane (PPROM) Retained placenta]
1.2.5 Manage patients with gynaecological
emergencies
Related Tasks
a) Define gynaecological emergencies   
b) Identify risk factors/causes of emergency   
gynaecological conditions
c) Describe pathogenesis of gynaecological   
emergencies
of emergency gynaecological conditions
18
Competence To
Be Assessed
Understanding
under Continuous
Knowledge
attributes
Wider
Skills
Task Semester Exams
e) Explain differential diagnoses of emergency     

g) Provide life saving measures and treatment to    
a patients with emergency gynaecological
conditions
h) Perform assessment of the patient after initial   
stabilization
i) Establish provisional and differential diagnoses     
j) Perform Manual Vacuum Aspiration (MVA)  
k) Treat the patient according to guidelines     
l) Describe preventive measures for emergency     
m) Refer as appropriate     
 [Ectopic pregnancy, Molar pregnancy, Abortion, twisted ovarian cyst, ovarian torsion]
1.5.3 Manage patients with gynaecological conditions
Related Tasks
a) Define gynecological conditions  
b) Outline gynecological conditions  
c) Explain epidemiology and risk factors of   
gynecological conditions
d) Describe pathogenesis of gynaecological   
conditions
e) Explain clinical features of gynecological   
conditions
f) Explain complications of gynecological     
conditions
g) Establish diagnosis of gynecological conditions     
h) Manage gynecological conditions     
i) Refer as appropriate     
j) Provide measures to prevent and control of     
gynecological conditions
 Menstrual disorders, Pelvic Inflammatory Disease, Pelvic Mass
KEY:
TH Theory
CL Clinical
19

4.1.1 Module weight

each candidate.

a) Written tests
for each question)
b) Clinical test
presentation of the case and 10 minutes for discussion and feedback. The examination shall
be conducted in the hospital setting or any other health care facility setting.
c) Assignments
Students shall be required to submit at least two individual written assignment reports.

4.2.1 Module weight
20
be 60 minutes.

for each question)
discussion and feedback. The examination shall be conducted in the hospital setting or any
other health care facility setting.
21
AND CHILDREN
(NTA LEVEL 5)
MODULE NAME: OBSTETRICS AND GYNAECOLOGY II
JULY, 2017

MARKER VERIFIER
C MATCHING 10
D SHORT ANSWER 40
E GUIDED ESSAY 30
TOTAL 100
22
Module Code and Name: CMT 05209 Surgery
1.0 INTRODUCTION
Centre for Health (I-TECH-Tanzania) for the module CMT 05209 Surgery.
curriculum.
2.1 Apply knowledge and skills of Clinical 2.1.4 Assess patients with surgical conditions
Medicine to diagnose patients and
provide medical care
1.2 Apply knowledge and skills of Clinical 1.2.3 Manage patients with surgical emergencies
Medicine to manage patients with
1.5 Apply knowledge and skills of Clinical 1.5.6 Manage patients with surgical conditions
Medicine to manage patients with non-
2.2 Apply knowledge and skills of Clinical 2.2.4 Perform clinical surgical procedures
Medicine to perform clinical
procedures in managing clients
23
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Tasks Semester Exams
1.2 Sub Enabling Outcome CA SE

2.1.4 Assess patients with surgical conditions 46 44
TH CL TH CL
Related Tasks
a) Establish good rapport √ √ √
b) Observe privacy √ √ √
c) Obtain a thorough history √ √ √
d) Perform physical examination systematically √ √ √
e) Record patient’s history and findings √ √ √
systematically
f) Present patient’s history and findings √ √ √
systematically
g) Interpret clinical features √ √ √ √ √
h) Summarize patient’s history and physical √ √ √
examination findings
i) Make provisional and differential diagnoses √ √ √ √ √
1.2.3 Manage patients with Surgical emergencies
Related Tasks
a) Define Surgical emergencies √ √
b) Identify risk factors/causes of emergency √ √ √
surgical conditions
c) Describe pathogenesis of surgical emergencies √ √ √
d) Describe clinical features and complications √ √ √
of emergency surgical conditions
e) Explain differential diagnoses of emergency √ √ √
surgical conditions
f) Perform rapid/quick patient assessment √ √ √
g) Provide life saving measures and treatment to √ √ √ √ √
a patient with emergency surgical condition
h) Perform assessment of the patient after initial √ √ √
stabilization
i) Establish provisional and differential diagnoses √ √ √ √ √
j) Treat the patient according to guidelines √ √ √ √ √
k) Refer as appropriate √ √ √ √ √
l) Describe preventive measures for emergency √ √ √ √ √
surgical conditions
 [Tension Pneumothorax, burn, acute abdomen (intestinal obstruction, acute appendicitis,
acute urine retention, peritonitis, testicular torsion), fracture and disloctations, airway
obstruction, acute blood loss, acute pacreatitis]
24
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Tasks Semester Exams
1.5 Sub-Enabling Outcome

1.5.6 Manage patients with surgical conditions
Related Tasks
a) Define surgical conditions √ √
b) Explain epidemiology, aetiology, and risk √ √ √
factors of surgical conditions
c) Describe pathogenesis of surgical conditions √ √ √
d) Explain clinical features of surgical conditions √ √ √
e) Make differential diagnosis √ √ √ √ √
f) Order investigations √ √ √ √ √
g) Treat the patient √ √ √ √ √
h) Explain complications of surgical conditions √ √ √ √ √
i) Provide pre-referral treatment and refer √ √ √ √ √
j) Provide measures to prevent and control of √ √ √ √ √
surgical conditions
 Simple Wounds and Hemorrhage, Simple Burns, Animal bites and stings, dental abscess, acute
parotitis, lymphadenitis, salpingitis, epidydimoorchitis, breast abscess, paronychia, cellulitis,
simple ulcers, tropical ulcers, carbuncles, Rectal prolapse and hernias]
2.2.4 Perform clinical Surgical procedures
Related Task
a) Perform social toilet √ √ √
b) Perform surgical toilet √ √ √
c) Suture wound √ √ √ √ √
d) Perform wound dressing √ √ √
e) Immobilize fracture √ √ √ √ √
f) Incise and drain an abscess √ √ √
g) Stabilize the neck √ √ √
h) Administer local anaesthesia √ √ √
i) Perform enema √ √ √
j) Change colostomy bag √ √ √
k) Perform suprapubic puncture √ √ √
l) Perform male circumcision √ √ √
m) Insert and remove nasogastric tube √ √ √
n) Insert and remove urethral catheter √ √ √
KEY:
TH Theory
CL Clinical
25

4.1.1 Module weight

each candidate.

a) Written tests
for each question)
b) Clinical test
be conducted in the hospital setting or any other health care facility setting.
c) Assignments
Students shall be required to submit at least two individual written assignment reports.

4.2.1 Module weight
26
be 60 minutes.

for each question)
other health care facility setting.
27
AND CHILDREN
(NTA LEVEL 5)
MODULE NAME: SURGERY
JULY, 2017

MARKER VERIFIER
C MATCHING 10
D SHORT ANSWER 40
E GUIDED ESSAY 30
TOTAL 100
28
Module Code and Name: CMT 05210 Internal Medicine
1.0 INTRODUCTION
Centre for Health (I-TECH-Tanzania) for the module CMT 05210 Internal Medicine.
curriculum.
29
2.1 Apply knowledge and skills of Clinical 2.1.1 Assess patients with medical conditions
1.2 Apply knowledge and skills of Clinical 1.2.1 Manage patients with medical emergencies
1.5 Apply knowledge and skills of Clinical 1.5.4 Manage patients with non-communicable diseases
non-emergency conditions
1.6 Apply knowledge and skills of Clinical 1.6.1 Manage patients with Tuberculosis
Medicine to manage TB, HIV and 1.6.2 Describe WHO clinical staging of patients with HIV
TB/HIV and AIDS
1.6.3 Provide Anti-retroviral therapy to patient with HIV
and AIDS
1.6.4 Manage opportunistic infections in a patient with HIV
and AIDS
1.6.5 Manage patients with TB/HIV co-infection
1.6.6 Describe concepts of stigma in managing HIV
clients
1.6.7 Apply different strategies to prevent HIV and
TB infections
30
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Task Semester Exams

2.1.1 Assess patients with medical conditions 93 85
TH CL TH CL
Related Tasks
a) Establish good rapport √ √ √
b) Observe privacy √ √ √
c) Obtain a thorough history √ √ √
d) Perform physical examination systematically √ √ √
e) Record patient’s history and findings √ √ √
systematically
f) Assess clients for high risk behaviors √ √ √
g) Present patient’s history and findings √ √ √
systematically
h) Interpret clinical features √ √ √ √ √
i) Summarize patient’s history and physical √ √ √
j) Make provisional and differential diagnoses √ √ √ √ √
1.2.1 Manage patients with medical emergencies
Related Tasks
a) Define medical emergencies √ √
b) Identify risk factors/causes of emergency √ √ √ √
medical conditions
c) Describe pathogenesis of medical √ √ √
emergencies
d) Describe clinical features and complications √ √ √
of emergency medical conditions
e) Describe differential diagnoses of emergency √ √ √
medical conditions
f) Perform rapid/quick patient assessment √ √ √
g) Provide life saving measures and treatment to √ √ √
a patient with emergency medical condition
h) Perform assessment of the patient after initial √ √ √
stabilization
i) Re-establish provisional and differential √ √ √ √ √
diagnoses
j) Treat the patient according to guidelines √ √ √ √ √
l) Describe preventive measures for different √ √ √ √ √
medical emergency conditions
31
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Task Semester Exams

 Diabetic ketoacidosis, hypoglacaemia, status epilepticus, status asthmaticus, shock, poisoning,
acute psychosis, pulmonary oedema, Cerebral Vascular Accident, coma]
1.5.4 Manage patients with non-communicable
diseases
Related Tasks
a) Define non-communicable medical conditions √ √
b) Outline non-communicable medical √ √ √
conditions
c) Explain epidemiology and risk factors for √ √ √
non-communicable medical conditions
d) Describe pathogenesis of non-communicable √ √ √
diseases
e) Explain clinical features of non- √ √ √
communicable medical conditions
f) Explain complications of non-communicable √ √ √
medical conditions
g) Establish diagnosis of non-communicable √ √ √ √ √
medical conditions
h) Manage non-communicable medical √ √ √
conditions
i) Refer as appropriate √ √ √ √ √
j) Provide measures to prevent and control of √ √ √ √ √
non-communicable medical conditions
 Diabetes mellitus, Hypertension, Heart failure, Epilepsy, Lung abscess, Bronchitis, Pleurisy,
Bronchiectasis, Oesophagitis, Gastritis, Peptic Ulcer Disease, Portal hypertension,
Anaemias, Urinary Tract Infection, Bronchial Asthma
1.6.1 Manage patients with Tuberculosis
Related Task
a) Define Tuberculosis √ √
b) Explain epidemiology of Tuberculosis √ √ √
c) Explain causes and risk factors of √ √ √
Tuberculosis
d) Explain types of Tuberculosis √ √ √
e) Describe mode of transmission of √ √ √
Tuberculosis
f) Describe pathogenesis of TB √ √ √
g) Describe clinical features of Tuberculosis √ √ √
h) Determine diagnosis of Tuberculosis in √ √ √ √ √
according to guideline
i) Treat Tuberculosis in children and adult √ √ √ √ √
according to guideline
32
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Task Semester Exams
j) Identify tools for recording and reporting √ √ √

tuberculosis care and treatment data
k) Provide measures to prevent and control √ √ √ √ √
Tuberculosis infection
l) Refer patients with complications √ √ √ √ √
1.6.2 Perform WHO clinical staging of patients
with HIV and AIDS
Related Tasks
a) Define HIV and AIDS √ √
b) Explain epidemiology of HIV and AIDS in √ √ √
general and key population
c) Describe mode of transmission of HIV √ √ √
d) Describe natural history of HIV infection. √ √ √
e) Describe pathogenesis of HIV √ √ √
f) Describe four WHO HIV clinical stages √ √ √
g) Stage a patient with HIV and AIDS according √ √ √ √ √
to WHO HIV clinical staging
1.6.3 Provide Anti-retroviral therapy to patient
with HIV and AIDS
Related Tasks
a) Provide HIV counseling and testing according √ √ √ √
to guideline
b) Perform relevant investigations √ √ √ √ √
c) Assess eligibility for ART initiation √ √ √ √ √
d) Describe the ARTs regime used in Tanzania √ √ √
e) Identify adverse reaction of ARVs and √ √ √ √ √
interactions with other medicines
f) Provide treatment (antiretroviral and other √ √ √ √ √
relevant treatment)
g) Utilize tools to record and report HIV care and √ √ √
treatment data
h) Provide counseling on preventive, health √ √ √ √ √
promotion and control measures
i) Explain the continuum of care (drug √ √ √ √ √
adherence, nutrition, follow-up)
j) Refer as appropriate √ √ √ √ √
1.6.4 Manage opportunistic infections in a patient
with HIV and AIDS
Related Tasks
a) Define opportunistic infections. √ √
b) Explain causes of opportunistic infection √ √ √
33
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Task Semester Exams
c) Explain mode of transmission of opportunistic √ √ √

infection
d) Explain Clinical features of opportunistic √ √ √
infection
e) Explain preventive measures and control of √ √ √ √ √
opportunistic infection
f) Treat opportunistic infections √ √ √ √ √
1.6.5 Manage patients with TB/HIV co-infection
Related Tasks
a) Explain TB/HIV co-infection √ √ √
b) Explain epidemiology of TB/HIV co-infection √ √ √
c) Explain clinical features of TB/HIV co- √ √ √
infection
d) Outline predisposing factors of TB/HIV co- √ √ √
infection
e) Establish provisional and differential √ √ √ √ √
diagnosis for TB/HIV co-infection
f) Perform relevant investigations √ √ √ √ √
g) Treat patient with TB/HIV co-infection √ √ √ √
h) Record and report findings √ √ √
i) Provide counselling to patients with TB/HIV √ √ √ √ √
co-infection
j) Provide preventive and control measures √ √ √ √ √
l) Conduct follow up to patient with TB/HIV co- √ √ √
infection
1.6.6 Describe concepts of stigma in managing
HIV clients
Related Tasks
a) Define stigma and discrimination √ √
b) Define Key Population √ √
c) Identify different groups in Key Population √ √ √
(Sex Workers (SW), People who use drugs
(PWUDs), People who inject drugs (PWIDs),
prisoners
d) Explain stigma and discrimination in PLHIV √ √ √
and Key population
e) Explain strategies of dealing with stigma and √ √ √
discrimination in PLHIV and key population
f) Identify institutions dealing with PLHIV and √ √
Key Population
34
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Task Semester Exams
g) Explain steps of linking PLHIV and Key √ √ √

Population to programs and institutions and
activities dealing with socio-economic
services
1.6.7 Apply different strategies to prevent HIV
and TB infections
Related Tasks
a) Identify different strategies to prevent HIV √ √ √
and TB
b) Provide health education to enhance √ √ √
behaviour change in transmission of HIV/TB
c) Provide prophylactic treatment to prevent √ √ √
mother to child transmission of HIV
d) Provide post exposure prophylactic treatment √ √ √
for HIV eligible people
e) Describe EIMC strategy √ √ √
f) Describe VMMC strategy √ √ √
KEY:
TH Theory
CL Clinical
35

4.1.1 Module weight

each candidate.

a) Written tests
for each question)
b) Clinical test
be conducted in the hospital setting or any other health care facility setting
c) Assignments

4.2.1 Module weight
36
be 60 minutes.

for each question)
other health care facility setting
37
AND CHILDREN
(NTA LEVEL 5)
MODULE NAME: INTERNAL MEDICINE
JULY, 2017

MARKER VERIFIER
C MATCHING 10
D SHORT ANSWER 40
E GUIDED ESSAY 30
TOTAL 100
38
Module Code and Name: CMT 05211 Paediatrics and Child Health II
1.0 INTRODUCTION
Centre for Health (I-TECH-Tanzania) for the module CMT 05211 Paediatrics and Child
curriculum.
39
2.1 Apply knowledge and skills of Clinical 2.1.2 Assess children with paediatric conditions
1.2 Apply knowledge and skills of Clinical 1.2.2 Manage children with pediatric emergencies
1.3 Apply knowledge and skills of Clinical 1.3.4 Describe clinical staging of a child with HIV and
Medicine to manage children with AIDS
paediatric conditions 1.3.5 Manage HIV exposed child and a child with HIV
infection
1.3.6 Manage opportunistic infections in a child with HIV
and AIDS
1.4 Apply knowledge and skills of Clinical 1.4.1 Perform new-born screening
Medicine to manage newborn babies 1.4.2 Perform resuscitation to a newborn
1.4.3 Manage a sick newborn
1.4.4 Coach a mother to provide Kangaroo Mother Care
(KMC)
1.5 Apply knowledge and skills of Clinical 1.5.5 Manage children with non communicable paediatric
Medicine to manage patients with conditions
non-emergency conditions
40
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Task Semester Exams

2.1.2 Assess children with paediatric conditions 90 82
TH CL TH CL
Related Tasks
a) Establish good rapport   
b) Observe privacy   
c) Obtain a thorough Paediatric history   
d) Perform physical examination systematically   
e) Record child’s history and findings   
systematically
f) Present child ’s history and findings   
systematically
g) Interpret clinical features     
h) Summarize child ’s history and physical   
i) Make provisional and differential diagnoses     
1.2.2 Manage children with paediatric emergencies
Related Tasks
a) Define emergency paediatric conditions  
b) Identify risk factors/causes of emergency     
paediatric conditions
c) Describe pathogenesis paediatric emergencies   
of emergency paediatric conditions
e) Explain differential diagnoses of emergency   
g) Provide life saving measures and treatment to     
a child with emergency condition
h) Perform assessment of the child after initial     
stabilization
i) Establish provisional and differential     
diagnoses
j) Treat the child according to guidelines     
k) Describe preventive measures for emergency     
41
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Task Semester Exams

 [Obstructed breathing, shock, convulsions, coma, severe dehydration, hypoglycemia,
hyperthermia, hypothermia, animal bite, status epilepticus, status asthmaticus, poisoning,
burn, diabetic ketoacidosis, acute abdomen, sickle cell crisis and priapism, hypersentivity
reactions (Steven Johnson’s syndrome , insect stings) anaphylaxis, angioedema, urticaria]
1.3.4 Describe clinical staging of a child with HIV
and AIDS
Related Tasks
a) Define HIV and paediatric AIDS  
b) Explain epidemiology of HIV and AIDS in   
children
c) Describe mode of transmission of HIV in   
children
d) Describe natural history of HIV infection in   
children
e) Describe pathogenesis of HIV in children   
f) Describe WHO HIV clinical stages in   
children
g) Stage a child with HIV and AIDS according     
to WHO HIV clinical staging
1.3.5 Manage HIV exposed child and a child with
HIV infection
Related Tasks
a) Describe HIV exposed child   
b) Describe a child with HIV infection   
c) Provide HIV counseling and testing  
according to guidelines
d) Perform relevant investigations (DBS,  
Serological tests)
e) Perform clinical assessment to exposed child   
and child with HIV infection
f) Describe the ARTs regime used in Tanzania   
g) Identify adverse reaction of ARVs and   
interactions with other medicines
h) Provide treatment (antiretroviral and other     
relevant treatment) to HIV exposed child and
child with HIV infection according to
guidelines
i) Utilize tools to record and report HIV care  
and treatment data
j) Provide counseling on preventive, health  
promotion and control measures
42
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Task Semester Exams
k) Explain the continuum of care (drug   

adherence, nutrition, follow-up)
1.3.6 Manage opportunistic infections in a child
with HIV and AIDS
Related Tasks
a) Identify common opportunistic infections   
related to HIV and AIDS
b) Explain causes of opportunistic infection   
c) Explain mode of transmission of   
d) Explain Clinical features of opportunistic   
infection
e) Explain preventive measures and control of   
f) Treat opportunistic infections     
1.4.1 Perform new-born screening
Related Task
a) Define newborn screening  
b) Outline importance of newborn screening   
c) Identify tools used for newborn screening    
d) Perform newborn screening    
e) Refer as appropriate     
f) Conduct follow up  
Sub –Enabling Outcome
1.4.2 Perform resuscitation to a newborn
Related Task
a) Define newborn resuscitation  
b) Explain “golden minute’’ concept   
c) Identify conditions in which newborn   
resuscitation is anticipated
d) Identify equipment for resuscitation     
e) Identify steps for resuscitation    
f) Perform newborn resuscitation    
g) Refer as appropriate     
h) Conduct follow-up  
1.4.3 Manage a sick new-born
Related Tasks
a) Define common newborn conditions √ √
b) Describe epidemiology and risk factors   
/causes of common newborn conditions
43
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Task Semester Exams
c) Describe pathogenesis of conditions of   

newborn
of common newborn conditions
e) Identify differential diagnoses of common   
newborn conditions
f) Identify treatment and prevention of common   
newborn conditions
g) Establish provisional and differential     
diagnosis
h) Perform investigations     
i) Treat sick newborn     
j) Refer as appropriate     
k) Provide counseling , preventive and control     
measures
l) Conduct follow up services     
Conditions to be studied are:
 [Infections: Septicemia, Pneumonia, Impetigo, Diarrhoea, Bacterial conjuctivitis
 Birth asphyxia: Jaundice, Hemolytic Disease of the Newborn, Hemorrhagic Disease of the Newborn,
Premature and Low Birth Weight infants including Respiratory Distress Syndrome, Hypoglycemia
Hypothermia, Convulsions, Meconium ileus, Cord granuloma, Anaemia, Birth injuries,
Cephalohematoma, Subconjuctival Hemorrhage]
1.4.4 Coach a mother to provide Kangaroo
Mother Care (KMC
Related Tasks
a) Describe Kangaroo Mother Care (KMC)     
b) Assess low birth weight newborns in need of     
KMC
c) Provide counseling for KMC     
d) Initiate and monitor KMC and refer as     
appropriate
e) Discharge and conduct follow up     
1.5 Sub Enabling Outcome
1.5.5 Manage children with non communicable
Related Tasks
a) Define paediatric conditions  
b) Outline paediatric conditions   
c) Explain epidemiology/aetiology/risk factors of   
d) Describe pathogenesis of paediatric conditions   
e) Explain clinical features of paediatric   
conditions
44
Competence To
Be Assessed
Wider attributes
Understanding
Knowledge
under Continuous
Skills
Task Semester Exams
f) Describe investigations & differential   

diagnosis and treatment
g) Explain complications of Paediatric conditions   
h) Establish diagnosis of paediatric conditions     
i) Manage paediatric conditions     
j) Refer as appropriate     
k) Provide measures to prevent and control of     
 Diabetes mellitus, Heart failure, rheumatic heart disease, Anaemia, Sickle cell disease, Burkitt’s
lymphoma, Acute glomerulonephritis, Intra-abdominal masses, jaundice, impetigo, Cerebral palsy,
mental retardation and Epilepsy
KEY:
TH Theory
CL Clinical
45

4.1.1 Module weight

each candidate.

a) Written tests
for each question)
b) Clinical test
be conducted in the hospital setting or any other health care facility setting
c) Assignments

4.2.1 Module weight
46
be 60 minutes.

for each question)
other health care facility setting
47
AND CHILDREN
(NTA LEVEL 5)
MODULE NAME: PAEDIATRICS AND CHILD HEALTH II
JULY, 2017

MARKER VERIFIER
C MATCHING 10
D SHORT ANSWER 40
E GUIDED ESSAY 30
TOTAL 100
48
The development of these Assessment Plans was supported with technical and financial
assistance by the International Training and Education Centre for Health (I-TECH), under the
support of the Health Resources and Services Administration (HRSA) of the U.S. Department
of Health and Human Services (HHS) under Cooperative Agreement No.U91HA06801,
International AIDS Education & Training Center. The information and conclusions are those
of the author(s) and should not be construed as the official position or policy of, nor should
any endorsements be inferred by HRSA, HHS or the U.S. Government.
49

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THE UNITED REPUBLIC OF TANZANIA

Ministry of Health, Community Development,

Assessment Plans for Technician Certificate in Clinical Medicine

Department of Human Resource Development,

Copyright © 2017 Ministry of Health, Community Development, Gender, Elderly and

ISBN: 978 – 9987 – 737 – 41 – 3

AIDS - Acquired Immunodeficiency Syndrome

COHAS - College of Health and Allied Science

FANC - Focused Ante-natal Care

GBV - Gender Based Violence

HIV - Human Immunodeficiency Virus

KMC - Kangaroo Mother Care

MOHCDGEC- Ministry of Health, Community development, Gender, Elderly and

MUHAS - Muhimbili University of Health and Allied Sciences

PLHIV - People Living with HIV

PMTCT - Prevention of Mother to Child Transmission

PWIDs - People Who Inject Drugs

PWUD - People Who Use Drugs

RCH - Reproductive and Child Health

SAMIHAS - St. Augustine Muheza Institute of Health Allied Sciences

SZHRC - Southern Zone Health Resource Centre

VAC - Violence Against Children

VCT - Voluntary Counseling and Testing

VMMC - Voluntary Male Medical Circumcision

WHO - World Health Organization

Dr. Otilia F. Gowele

Specifically, the assessment plans were developed to guide assessment of learners on

QUALIFICATION: NTA Level 5 – Technician Certificate in Clinical Medicine

2.0 ENABLING AND SUB-ENABLING OUTCOMES

Enabling Outcomes (Ability to……..) Sub-Enabling Outcomes (Ability to……………)

2.3 Apply effective counseling skills in 2.3.1 Describe effective counselling

2.3 Sub-Enabling Outcome CA SE

4.1 Continuous Assessment

4.1.2 Duration of assessments

4.1.3 Number of questions, marks distributions and sections

4.2 Semester Examination

4.2.3 Number of questions, marks distributions and sections

TANGANYIKA MEDICAL TRAINING BOARD

TECHNICIAN CERTIFICATE IN CLINICAL MEDICINE

END OF SEMESTER I EXAMINATION

MODULE CODE: CMT 05206

MODULE NAME: COUNSELLING

TIME: 2: 00 HOURS DATE……………………….

SECTION TYPE OF QUESTIONS MARKS SCORED INITIAL INITIAL

QUALIFICATION: NTA Level 5 – Technician Certificate in Clinical Medicine

Enabling Outcomes (Ability to……..) Sub-Enabling Outcomes (Ability to……………)

3.1 Sub-Enabling Outcome CA SE

4.1 Continuous Assessment

4.1.2 Duration of assessments

4.1.3 Number of questions, marks distributions and sections

4.2 Semester Examination

4.2.3 Number of questions, marks distributions and sections

TANGANYIKA MEDICAL TRAINING BOARD

TECHNICIAN CERTIFICATE IN CLINICAL MEDICINE

END OF SEMESTER I EXAMINATION

MODULE CODE: CMT 05207

MODULE NAME: REPRODUCTIVE AND CHILD HEALTH

TIME: 2: 00 HOURS DATE……………………….

SECTION TYPE OF QUESTIONS MARKS SCORED INITIAL INITIAL