Daly

disability adjusted life year, daly ,psm,community medicine,

1. DALY

2. contents Why to study DALY? What is DALY& its principles? How it came into existence? How to calculate DALY? The components of DALY DALY -INDIA &World Latest update Extended points

3. Why it is necessary ? Denotes social weighing Social weighing- society”s interest in productivity &receiving a return on its investment in upbringing a child Reveals facts regarding population health Ex.1990 who report- 5out of 10 leading cause of disability is psychiatric illness. Years lived as a young adult is valued more.

4. What is DALY? Measure of overall disease burden Expressed in terms of years 1 DALY = 1 lost year of healthy life DALY = YLL + YLD Yll -years of life lost d/t dying early

5. YLD- years lived with disabilities Prevalence of disorder*loss of health associated with that ds . Or, prevalence * disability weight (prevalence- old+new cases) Disability weight-how much a medical condition affects a person.(severity of disability)

6. History Developed by Harward university In year 1990 for world bank WHO adopted it in 1996 for health R&D 1 st used by Murray & Lopez For WHO & world bank To study global burden of ds

7. 2.Discounting What will you choose if i have offer to give you a healthy life immediately and or a year later Almost all chooses immediately The value of healthy gain today is Valued more than in future

8. DALY & INDIA (lancet by elsvier 2016 & N iti aayog ) Daly D/T NCD & INJURIES> CMNND(communicable, maternal, neonatal & nutritional) Age strandardised Daly rate dropped by 36.2%(1990 to 2016) Major R/F for NCD- increased bp , cholesterol, bmi .

9. Daly and India (2) 6 leading cause of Daly – IHD, COPD, DIARRHOEAL DS, LRTI, Cerebrovascular ds,RTA 5 leading R/F for DALY- child & maternal malnutrition, air pollution, Diet,incresed bp & glucose fasting(N 100mg/dl)

10. DALY & World 5 leading cause of daly - CVS Ds Diarrhoea , meningitis Neuro psychiatric disorder Neoplasm Musculo skeletal disorder (Ref- national institue of mental health,Bethesda , U.S 2016)

11. Latest updates Life expectancy- avg no of years at particular age a person is expected to live In I ndia it is 69.09yrs India ranks 165 while 1st is monaco (89.37yrs),2-japan(85.52yrs),3-singapore(85.47yrs) &last rank 228 is south africa (50.64yrs)

12. Extended points QALY- no of years of life would be added by intervention. Used to accessing value of money of med intervention.

13. THANK YOU