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Morbidity and Mortality 29 Repaired)

Morbidity and Mortality 29 Repaired)

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Published by Shesly Philomina

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Published by: Shesly Philomina on Aug 15, 2010
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01/28/2013

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MORBIDITY  ANDMORTALITY 
SUBMITTED TO:-SUBMITTED BY:-Mrs . Sabitha NayakMs.Shesly P.JosePROF & HOD Of OBG DeptI Year MSc NursingNUINS-CONNUINS-CONSUBMITTED ON:-16-03-2010
 
MORBIDITY AND MORTALITYINTRODUCTION:-
Health is essential to socioeconomic development of has gained increasing recognition. Indicators arerequired to measure the health status of the community, to compare the health status of a country ,for assessmentof health needs, for allocation of source resources; and for monitoring and evaluating the health resources,activities and programmes . Variables will help to measure the changes in health status.
INDICATORS OF HEALTH:-
The indicators of health may be classified as follows:i.Mortality indicatorsii.Morbidity indicatorsiii.Disability ratesiv.Nutritional status indicatorsv.Health care delivery indicatorsvi.Utilization ratesvii.Indicators of social and mental healthviii.Environmental indicatorsix.Socioeconomic indicatorsx.Health policy indicatorsxi.Indicators of quality of lifexii.Other indicators
MORTALITY :-
Mortality is the condition of being mortal, or susceptible todeath; the opposite of immortality.  Epidemiologist often starts the investigation of health experience of a population with information that isroutinely available many countries the fact and cause of death are recorded on a standard death certificate, whichalso carries information on age ,sex , date of birth and place of residence.
MEASUREMENT OF MORTALITY:-
Traditionally and universally , most epidemiologic studies begin with mortality data. Mortality data provide the standing point for many epidemiologic studies.
Who mortality data base documentation :-
The WHO Mortality Data base comprises deaths registered in national vital registration systems, withunderlying cause of death as coded by the relevant national authority. Underlying cause of death is defined as “thedisease or injury which initiated the train of morbid events leading directly to death, or the circumstances of theaccident or violence which produced the fatal injuryin accordance with the rules of the InternationalClassification of Diseases.
 
The database contains number of deaths by country, year, sex, age group and cause of death as far back from 1950. Data are included only for countries reporting data properly coded according to the InternationalClassification of Diseases (ICD).The basis for mortality data is Death certificate. For ensuring national and internationalcomparability , it is very necessary to have a uniform and standardized system of recording and classifying death.The international death certificate is in two parts. Part I deals with the immediate cause and theunderlying cause which started the whole trend of events leading to death. The underlying cause of death isrecorded in line C. in the example cited , the underlying cause of death is strangulated hernia. After operationthe patient developed bronchopneumonia as a complication and ended in death. In the part two is recorded anysignificant associated disease that contribute to the death but did not directly lead to death.
Death certificate in India:-
In order to improve the quality of maternal mortality and infant mortality data and to providealternative method to collect data on death during pregnancy and infancy , a set of questions are added to the basic structure of international; death certificate for use in India.
Limitation in mortality data:-
Incomplete reporting of death
Lack of accuracy
Lack of uniformity
Choosing a single cause of death
Changing coding system and changing fashion in diagnosis
Diseases with low vitality
Uses of mortality data:-
In explaining trends and differentials in overall mortality
 
bronchopneumoniaStrangulated herniadiabetes

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