Mortality indicators

Community medicine - Health indicators - mortality indicators

1. MORTALITY INDICATORS(cont.) SREEHARSHA.P ROLL NO. 78 3rd year M.B.B.S

2. INDICATOR Indicator or index is an indication of a given situation or a reflection of that situation. *Indicators help to measure the extent to which the objectives and targets of a programme are being attained.

3. CLASSIFICATION Mortality indicator * Health policy indicators Morbidity indicators *Indicators of quality of life Disability rates *Other indicators Nutritional indicators Health care delivery systems Utilization rates Social & mental health indicators Environmental indicators Socio-economic indicators

4. MORTALITY INDICATORS 1.UNDER 5 PROPORTIONATE MORTALITY RATE 2.MATERNAL MORTALITY RATE 3.DISEASE SPECIFIC MORTALITY RATE 4.CASE FATALITY RATE

5. UNDER 5 PROPORTIONATE MORTALITY RATE Defined as no.of deaths occuring in the under-5 age group per 1000 live births. reflects both infant and child mortality rate accd. to world bank,2018 - 23 per 1000 live births. rate accd. to world bank,2019 - 34 per 1000 live births. Accd. to UNICEF report 2018, one child/young adolescent died every 5 sec and the under 5 mortality of girls exceeded that of boys. 5 countries - India, Nigeria , Pakistan, Congo , Ethiopia.

6. India's NHP-->Target - 23 deaths/1000 livebirths for under 5 mortality by 2025 16 deaths/1000 livebirths for neonatal mortality by 2025 10 neonatal deaths/1000 livebirths by 2030

7. MATERNAL MORTALITY RATE Ratio of no. of deaths arising during pregnancy or puerperal period per 100000 live births accounts for greatest no. of deaths among women of reproductive age group in developing countries. current global MMR =211 deaths per 100000 livebirths (reduced by 38% from 2000 to 2017) *Accd. to SRS, MMR in india is 113 deaths per 100000 livebirths.(target -70/100000 lb by 2030 accd. to sustainable devlp. goal.)(as per nhp - 100/100000 lb by 2020)

8. DISEASE SPECIFIC MORTALITY RATE It is a type of specific death rate where the analysis is planned to throw light on specific disease. example - tuberculosis , cancer , accidents etc. specific death rate due to tuberculosis is calculated by no.of deaths from tuberculosis during a calendar year x 1000 divided by mid year population.

9. CASE FATALITY RATE Case fatality rate = total no. of deaths due to a particular disease x 100 total no. of cases due to the same disease *it represents the killing power of a disease *used typically in acute infectious diseases like cholera,measles etc. *CFR if same disesase in may vary in different epidemics due to changes in agent , host , and env. factors. *case fatality is closely related to virulence.

10. EXAMPLE *no. of covid cases in india as of 18 april,2021 = 1,47,88,109 *no. of deaths = 1,77,168 1,77,168 x 100 CFR = 1,47,88,109 = 1.2 %