Monday, March 15, 2010

Community Medicine- Vital Statistics

1) 200 S.T.D. patients studied in 1997 at C.G. Hospital, Davangere.



Literacy status No. of patients


Illiterate 66


Primary school 25


Secondary school 71


Metric and above 38


200






Construct a bar diagram :


















































2) The censure population of a district in 1981 and 1991 were 20,00,000 and 26,00,000 respectively. Calculate


a) MVP of 1989


b) What is the present growth rate of India ?










Solution:


Mid year population can be calculated with the formula






P = P1 + d +






P = P1 + d +










P = 20,00,000






20,00,000 + x






= 20,00,000 + 50,00,000


25,00,000


MVP of 1989 : 25,00,000


Present growth risk of index is 1.76


1.76


where


P1 = Population of 1981 – 20,00,000


P2 = Population of 1991 = 26,00,000


n = Difference between 1981- 1991 =10


d=value near to p value to calculate










3) Following are the vital data available for city for the year 1991.


• Mid year population : 70,000


• Total number of deaths : 1,050


• Total number of live births : 3,500


• Total number of infant deaths : 300


• No. of maternal deaths : 15


• No. of deaths within 28 days afterbirth : 200


Calculate all possible vital rates of the city ?


Compare with the national figures and comment ?






Solution:






Crude BIMS rate x 1000






= x 1000


CBR = 50


National figure (245)






Death rate : x 1000






= x 1000






=


Crude death rate15


National figure (9.0)


Growth rate : BR-DR


= 50 – 15


= 35/1000 population


= 3.5% national figure (1.89%).






Maternal mortality rate = x 1000






= x 1000 =






= 14.2 / 1000 live births.


National figure 4.0






Infant mortality rate = x 1000






= x 1000


= 285.7 / 1000 live births


National figure 68/1000 live births






Neonatal mortality rate = x 1000


= 199 / 1000 live births


National figure 67/1000 live births.


All the figures are higher then the national values MMR, IMR and NRM are grossly high when compared to national standards. Hence MCH services should be upgraded to bring down these values, includes


• Efficient ANC


• Efficient PNC


• Hospital deliveries, safe delivery practices


• Nutritional services under ICDS scheme


• Immunization services for mother


• Family welfare services to reduce the size of family


o To space between uses for better case of infant.


• Immunization services against the vaccine preventable disease


• Other services : Growth monitoring


Oral rehydration therapy


Promotion of breast feeding practices


Improving female literacy


Health education






4) A town has mid year population of 50,000 in 1997. The following vital indices are reported from the town for the year 1997.


Crude birth rate 40


Crude death rate 15


IMR 100


MMR 5






Calculate the total number of births, deaths, infant, deaths and maternal deaths. What is the growth rate of the town ?






Solution:






Crude birth rate = x 1000






40 = x 1000






Total number of births = 2000










Total deaths = = 750










IMR = x1000






100 = x1000






Total infant deaths = = 200










Total maternal deaths = = 10






Growth rate of the town


= 40 – 15 / 1000


= 35 / 1000


= 3.5%










5) The following vital informations from 2villages the given below vital information.


Vital information Shamanur Avaragere


MVP 5000 4000


Total number of deaths 60 55


Total number of live births 135 100


No. of deaths of infects 15 10


No. of deaths of mothers directly due to pregnancy and child births 2 2






Calculate the different indices and comment on the results


















For shamanur village For – Avaragere






Birth rate = x 1000






= 27/1000


Birth rate = x 1000






= 25/1000






Deaths rate = x 1000






= 12/1000


Deaths rate = x 1000






= 13.7/1000


Growth rate = 27 – 12


= 15 / 1000


= 1.5 % Growth rate = 25 – 13.7


= 11 .3 / 1000


= 1.13 %






IMR = x 1000






111 / 1000 Live births


IMR = x 1000






100 / 1000 Live births






MMR = x 1000






14.8/ 1000 live births


MMR = x 1000






20 / 1000 live births






IMR and MMR in both the villages are high. So the MCH services should be strengthened to bring down these rates.






























6) Mid year estimated population - 16,80,000


No. of live births - 47,315


No. of deaths - 21,410


No. of deaths under 1 year of age - 3,974


No. of deaths under 28 days of age - 2431


No. of deaths from TB - 272


Calculate :


1) Crude birth rate


2) Crude death rate


3) Proportional mortality due to TB


4) Infant mortality rate


5) Cause specific death rate (TB)


6) Post neonatal mortality rate






Solution :






1) CBR =














2) CDR =














3) Proportional mortality rate due to TB =














= 1.27%






4) IMR =










= 83.9/1000 lb.


5) Cause specific death rate (TB)














6) Post neonatal mortality rate :


























7) A town has a MVP of 50,000. The following vital indices are reported from the town for the year 1999.


Crude birth rate – 28


Crude death rate – 10


Infant mortality rate – 66


Maternal mortality rate – 3.2


Calculate the total No. of births, deaths, infant and maternal deaths that has occurred during 1999 in the town. What is the growth rate for the town population ?


Solution :


1) CBR






Total No. of births






2) CDR






Total No. of deaths










3) Infant mortality rate






No. of infant deaths














4) Maternal mortality rate






Maternal death














5) Growth rate = BR – DR


= 28-10 = 18










No comments:

Post a Comment