1) In a CHC following vital events have been reported during the year 2023:

A. Mid year population ……… 300000

B. No. of births registered ………. 3000
C. No. of deaths reported ………. 2152
D. No. of infant deaths ……… 145
E. No. of maternal deaths ……… 04
Calculate vital indices.

Solution:
Vital indices that can be calculated from given information are – crude birth rate, crude death rate,
growth rate, infant mortality rate, maternal mortality rate.

 Crude birth rate = number of births during the year x 1000

mid-Year population
= 3000/ 300000 x 1000
= 10 births per 1000 mid year population
Crude birth rate of the given population is 13.47 births per 1000 mid year population

 Crude death rate= number of deaths during the year x 1000

mid year population

=2152/300000 x 1000
= 7.17 deaths per 1000 mid year population.
Crude death rate of the given population is 7.17 deaths per 1000 mid year population

 Growth rate = CBR-CDR

= 10- 7.17= 2.83 births per 1000 mid year population.

 Infant mortality rate

= Number of deaths of children less than 1 year in a year x 1000
Number of live births during the same year
= 145/3000 x1000
= 48.3 infant deaths per 1000 live births
Infant mortality rate of the given population is 48.3 infant deaths per 1000 live births in that
year.

 Maternal mortality ratio = number of female deaths due to complications of

pregnancy , child birth or within 42 days of delivery from puerperal causes in an year
during a given year x 100000/Number of live births during the same year
= 04/ 3100 x 100000
= 129 per 100000 live births.
Maternal mortality rate of the given population is 129 per 100000 live births in that year.
2)The following data of a rural community for the year 2023 is as given below.
Calculate the various indices from the given events.
A. Midyear population …. 150000
B. Total No. of live births in a year …. 2500
C. Total No. of Infant deaths ..… 73
D. Total No. of deaths within 28days of birth …… 40
E. Total No. of deaths …… 1200
F. Total No. of maternal deaths …… 03

Solution:
Vital indices that can be calculated from given information are – crude birth rate, crude
death rate, growth rate, infant mortality rate, neonatal mortality rateand maternal
mortality rate.

 Crude birth rate = number of births during the year x 1000

mid year population
= 2500/ 150000 x 1000 =16.66
= 16.66 births per 1000 mid year population
Crude birth rate of the given population is 16.66 births per 1000 mid year population

 Crude death rate= number of deaths during the year x 1000

mid year population
=1200/150000 x 1000
= 8 deaths per 1000 mid year population.
Crude death rate of the given population is 8 deaths per 1000 mid year population.

 Growth rate = CBR-CDR = 16.66- 8= 8.66 births per 1000 mid year population.
 Neonatal mortality rate= number of deaths of children less than 28 days in a year x 1000
number of live births during the same year
= 40/2500 x1000 = 16 neonatal deaths / 1000 live births
Neonatal mortality rate of the given population is 19.99 neonatal deaths per 1000 live
births in that year.

 Infant mortality rate= number of deaths of children less than 1 year in a year x 1000
number of live births during the same year
= 73/2500 x1000 = 29.2 infant deaths / 1000 live births
Infant mortality rate of the given population is 29.2 infant deaths per 1000 live births in
that year.

 Maternal mortality rate =

number of female deaths due to complications of pregnancy, child birth or within 42 days of
delivery from puerperal causes in an year during a given year x 1000
----------------------------------------------------------------------------------------------------------------
Number of live births during the same year in the same year

= 3/ 2500 x 100000
= 120 per 100000 live births.
Maternal mortality rate of the given population is 2.44 per 1000 live births in that year.

3) From the following vital indices, calculate the No. of live births, deaths, infant
and maternal deaths, that have occurred in the town, during the year 2023 .
a. Mid year population …… 70,000
b. Crude birth rate …… 30/1000 population
c. Crude death rate …… 15/1000 population
d. Infant mortality rate …… 70/1000 L.B.
e. Maternal mortality rate …… 6/1000 L B

Solution:
a) Number of live births-
Crude birth rate-= 30/ 1000 population
Mid year population = 70000
If, for 1000 population 30 births
For 70000 population ?births
So, By cross multiplication
total number of live births = 30 x 70000 = 2100 live births.
1000
Total number of live births in the given population for the year 2023 is 2100.

b) Number of deaths-
Crude death rate-= 15/ 1000 population
Mid year population = 70000

If, for 1000 population 15 deaths

For 70000 population ?deaths
So, By cross multiplication
total number of deaths = 15 x 70000 = 1050 deaths.
1000
Total number of deaths in the given population for the year 2023 is 1050.
 c) Number of infant deaths-
Infant mortality rate-= 70/ 1000 live births
Total number of live births= 2100

If, for 1000 live births 70 infant deaths

For 2100 live births ? infant deaths
So, By cross multiplication
total number of infant deaths = 70 x 2100 =147 deaths.
1000
Total number of infant deaths in the given population for the year 2023 is 147.

d) Number of maternal deaths-

maternal mortality rate-= 6/ 1000 live births
Total number of live births= 2100

If, for 1000 live births 6 maternal deaths

For 2100 live births ? maternal deaths
So, By cross multiplication
total number of maternal deaths = 6 x 2100 = 12.6deaths.
1000
Total number of maternal deaths in the given population for the year 2023 is 12.6.

4) The vital events for a town for 2023 are as follow

a) Total live births : 2000
b) Total deaths : 750
c) Infant deaths : 70
d) Death due to TB : 20
e) Maternal deaths : 03
f) Still births : 65
Mid year population is 2,00,000. Calculate the various vital indices from the data.

Solution:
Vital indices that can be calculated from the above information are crude death rate,
crude birth rate ,growth rate, infant mortality rate, TB specific death rate , maternal death
rate, still birth rate.

 Crude birth rate = number of births during the year x 1000

mid year population
= 2000/ 200000 x 1000 = 10 births per 1000 mid year population
Crude birth rate of the given population is 10 births per 1000 mid year population

 Crude death rate= number of deaths during the year x 1000

mid year population
=750/200000 x 1000 = 3.75 deaths per 1000 mid year population.
Crude death rate of the given population is 3.75 deaths per 1000 mid year population.

 Growth rate = CBR-CDR = 10- 3.75= 6.25 births per 1000 mid year population.
 Infant mortality rate=number of deaths of children less than 1 year in a year x 1000
number of live births during the same year
= 70/2000 x1000 = 35 infant deaths / 1000 live births
Infant mortality rate of the given population is 35 infant deaths per 1000 live births in that
year.

 Maternal mortality rate = number of female deaths due to complications of

pregnancy , child birth or within 42 days of delivery from puerperal causes in an
year during a given year x 1000

________________________________________________________________________
Number of live births during the same year in the same year

= 3 / 2000 x 1000 = 1.5 per 1000 live births.

Maternal mortality rate of the given population is 1.5 per 1000 live births in that year.

 TB specific death rate= number of TB deaths during 2023 x 1000

mid year population
= 20x 1000
200000
= 0.1 per 1000 mid year population
Death rate due to TB in the year 2023 is 0.1 per 1000 mid year population

 Still birth rate = fetal deaths weighing more than 1000 g at birth during that year x 1000
Total live + still births at birth during the year
= 65 x 1000 = 65 x 1000
 2000+65 2065
= 31.48 per 1000 total births
Still birth rate in the year 2023 for the given population is 31.48 per 1000 total births.