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Vital Statistics and FHSIS Assignment
Vital Statistics and FHSIS Assignment
BSN3A (Group 6)
Vital Statistics
- Statistics refers three systematic approaches of obtaining, organizing, and analyzing numerical
facts so that conclusion may be drawn from them.
- Vital statistics refers to a systematic study of vital events such as birth, illnesses, marriages,
divorce, separation, and death.
- Statistics of death and disease indicate the state of health of the community and the success or
failure of health work.
- Statistic on population and the characteristics such as age and sex are obtained from the
National Statistic Office (NSO)
- Births and deaths are registered in the Office of the Local Civil Registrar of the municipality or
city. In cities, births and deaths are registering at the City Health Department.
Sources of Data:
Population census
Registration of vital data
Health survey
Studies and researches
- Rate shows the relationship between vital event and those person exposed to the occurrence of
said event, within a given area and during a specified unit of time, it is evident that the person
experiencing the event(numerator) must come from the total population exposed to the risk on
the same event(denominator).
- Ratio is used to describe the relationship between two numerical quantities or measures of
events without taking particular considerations to the time or place.
- Crude or General Rates refer to the total living population. It must be presumed that the total
population was exposed the risk of occurrence of the event.
- Specific Rate the relationship is for a specific population class or group. It limits the occurrence
of the event to the portion of the population definitely exposed to it.
- Crude Birth Rate a measure of one characteristic of the natural growth or increase of a
population.
- Crude Death Rate a measure of one mortality from all causes which may result in a decrease of
population.
- Infant Mortality Rate measures the risk of dying during the first year of life.
- Maternal Mortality Rate measures the risk of dying from causes related to pregnancy,
childbirth, and puerperium.
- Fetal Death Rate measures pregnancy wastage. Death on the product of conception occurs prior
to its complete expulsion, irrespective of duration of pregnancy.
- Neonatal Death Rate measure the risk in dying the first month of life.
- Specific Death Rate describes more accurately the risk of exposure of certain classes or groups
to a particular disease.
- Incident Rate measures the frequency of occurrence of the phenomenon during a given period
of time.
- Prevalence Rate measures the proportion of the population which exhibits a particular disease
at a particular time. This can only be determined following a survey of a population concerned
deals with total (new and old) number of cases.
- Attack Rate a more accurate measure of risk of exposure.
- Proportionate Mortality (Death Ratios) shows the numerical relationship between death from
all causes, age, etc. and the total no. of deaths from all causes in all age is taken together.
- Case Fatality Ratio index of killing power of a disease and it's influenced by incomplete
reporting and morbidity data.
Formulas:
PM =No. of registered deaths ¿ specific cause∨age for a givencalendar ¿ all causes, all a
No . of registrationdeath ¿
CFR=No . of registered deaths¿ specific disease for a given year ¿ same specific disease ∈s
No . of registered cases ¿
Presentation of Data:
- Observation of events in the community are presented in the form of tables, charts, and graphs.
- Line or curved graphs – show peaks, valleys and seasonal trends. Also used to show the trends
of birth and death rates over a period of time.
- Bar graphs - each bar represents or expresses a quantity in terms of rates or percentage of a
particular observation like causes of illness and deaths.
- Area Diagram – (pie chart) shows the relative importance of parts to the whole.
Collects data
Tabulates data
Analyzes and interprets data
Evaluates data
Recommends redirection and/or strengthening of specific areas of health programs as needed.
To provide summary of data on health services delivery and selected program accomplished
indicators at the barangay, municipality/city, district, provincial, regional and national levels
To provide data which when combined with data from other sources can be used for program
monitoring and evaluation purposes.
To provide a standardized facility-level data base which can be accessed for a more in-depth
study.
To ensure that the data reported to the FHSIS are useful and accurate and or disseminated in a
timely and easy-to-use fashion.
To minimize the recording and reporting burden at the service delivery level in order to allow
more time for patient care and promotive activities.
Components:
Family treatment record
Target client list
Reporting forms
Output reports
Treatment Record
Rx Record
Date Name Address Complaint Rx Diagnosis
(If available)
Target/Client Lists
The target client list constitutes the second “building block” of the FHSIS and are intended to serve four
purposes:
1. The plan and carry out patient care and service delivery.
2. To facilitate the monitoring and supervision for services.
3. To report services delivered.
4. To provide a clinic level data base which can be accessed for further studies.
Tally/Reporting Forms
- FHSIS Reports constitute the only mechanism through which data are routinely transmitted
from one facility to another in the revised FHSIS.
- The majority of FHSIS reports are prepared and submitted either monthly or quarterly.
- One report is prepared weekly, several annually, and in some instance every few minutes as
relevant event occurs.
- Reports are prepared and submitted by the unit/person responsible for the service/activity
being provided and sent directly to the Provincial Health Office.
- The bulk of data reported from the RHU/MHC/BHS/BHC level are activities which are
undertaken or are the responsibilities of midwives/nurses.
Under the current system, however, all reports will be transmitted to the PHO without intermediate
levels of data handling.
Output Reports
Output Report or Table will be produced at the PHO from the data reported in FHSIS
disseminated down to the RHU/MHC and up to through the DOH system o the Regional Health Office.
Objective: To make the reports useful for monitoring/management purposes at each level of DOH
management.
FHSIS Components
Family Treatment
Record
Target/Client Tally/Reporting
List Forms Output Tables
Facility-based Means of
Data Transmitting Outcome
Data
Geographic Coding
Reporting unit - DOH health care facility that renders/delivers public care-related services to targeted
beneficiaries.
Barangay Health Station (BHS) - lowest level of reporting unit. Catchment area.
Rural Health Unit (RHU) or Main Health Center (MHC) - next level of reporting unit.
BHS can be considered a reporting unit if the following conditions are satisfied.
It renders/deliver health services to define catchment area Which may be composed of one or
more barangays.
A midwife renders regular service to the area.
Health services may be provided. For any physical structure, this ignited for the purpose.
The catchment areas served is not a service are of any RHU.
It should not include satellite BHS which are visited by the midwives but part of the catchment
of the “mother BHS”.
The ff are considered reporting units and expected to submit FHSIS reports:
BHS/BHC - Barangay Health Station/Barangay Health Centers
RHU/MHC - Rural Health Unit/Main Health Center
PH/CHO - Provincial Hospital/City Health Office
RH - Regional Health