nursTinogpc

i
:-
statistics
Vital
PRESENTED
BY :- AYUSHI Date=
BAGWAL 01/04/2019
 INTRODUCTIO
N
The process of maintaining vital statistics is a
purposefull mechanism of collecting, processing,
analyzing and transmitting the information required
for organizing and operating health services and also
for research and training .
 AIM
• Providing reliable , relevant S
,up to date ,adequate
,timely and reasonably complete information to
the health authority at all levels.
• Health care providers are able to intervene the
health status of the population ,provided availability
of appropriate tools for measuring health, illness and
the well being is there .
• It is the transformation of information through
integration and processing with perception and
experience based on social and political
value .
 WHY VITAL
STATISTICS
REQUIRE
• The system should be population based .
• The system should avoid unnecessary
agglomeration of data.
• The system should be problem oriented.
• Functional and operational terms.
• Should express information briefly and
imaginatively.
 DEFINITIO
N
• Vital statistics are conventionally numerical
records of marriage , birth , sickness and
death by which the health and growth of
community may be studied.

• It is a branch of biometry that deals with

data and law of human mortality , morbidity
and demography.
 INDICATOR
S
• Demography and vital events.
• Environment health statistics.
• Health resources facilities, beds, manpower .
• Utilization and non utilization of health
services attendance.
• Health care indices.
• Financial statistics.
 PURPOS
E
• To describe the level of community health ,
diagnose community illness and solution
of health problems.
• To determine success or failure of specific
health problems.
• To promote health legislation at local and
national level.
• To develop policies and procedure at state
and center level.
 IMPORTANCE OF VITAL
STATISTICS
• To evaluate impact of various national
health prog.
• To plan for better future measures of
disease control.
• To explain hereditary nature of
disease.
• To evaluate economic and social
development.
 USES OF VITAL INFORMATION

• The vital information of a population are basis of

planning , administration and effective management
health service and programs .
• Assessment of health service in terms of
effectiveness and efficiency is done by
maintaining up to date record of all events .
• Assessment of attitude and degree of
satisfaction of the beneficiaries from the
health policies can be done.
• Measurement of health services status of
population .
 SOURCES OF VITAL

• Censes INFORMATIO
*epidemiological
surveillance N
• Registration of vital events
• Simple registration system * health
service record
• Hospital records
• Notification of disease * population and
health
• Disease register surveys
• Record linkage
 POINTS OF VITAL
STATISTICS
• Maternal mortality rate
• Maternal morbidity rate
• Perinatal mortality ,morbidity rate
• Neonatal mortality , morbidity rate
• Post neonatal mortality , morbidity rate
• Infant mortality ,morbidity rate
• 1-4 year child mortality ,morbidity rate
• Under 5 yr. mortality ,morbidity rate
 MATERNA
L MORTALITY
total RATE
no. of female
death due to complication of
pregnancy or within 42
days
of delivery from purpural
causes
100
total no. of live birth in same
area in year.
 CAUSES OF MATERNAL
MORTALIT
category Y
Direct Indirect Non Reproductive
obstetric mortality

*Abortion * Ectopic gestation

*Pre eclampsia
**Eclampsia
Antepartum *puerperal
hemorrhage sepsis
*Postpartum hemorrhage
 FACTORS OF
MORTALITY RATE
• AGE
• PARITY
• LOW SOCIO ECONOMIC STATUS
• ANTENATAL CARE
• SUB STANDERD CARE
 MATERNA
L MORBIDITY
RATE term that refers to any
• It is overarching
physical or mental illness or disability
directly related to pregnancy and or child
birth is not necessary for life
threatening
.
• CAUSES = Infection , poor service ,
hygiene , hemorrhage ,
anemia ,abortion
, difficult labor, hypertension ,low socio
 PREVENTIVE MEASURES OF MMR
AND MATERNAL MORBIDITY RATE

• Early registration of pregnancy.

• At least 3 antenatal check ups .
• Dietary supplementation including correct
anemia.
• Clean and aseptic delivery practices .
• Prevention of complications Eg. Preeclampsia and
malpresentation , ruptured uterus.
• Prevention of infection and hemorrhage.
• Treatment of medical conditions.
 CONT
.womans . deliveries for
*Institutional

*Promotion of family
planning.
*Identification of every maternal
death and search its cause.
 PERINATAL MORTALITY
Late fetal death (28 weeks
of gestation )

Early neonate death (1ST

Week )in a year
1000

Live birth of the same year

 CAUSES OF PERINATAL
MORTALITY
ANTENA INTRANAT POSTNATA UNKNOWN
TA AL L
• L
MATERNA *BIRTH *PREMATUR
L I TY
DISEASE INJUR • RESPIRAT
• PELVIC Y O RY
DISEASE • ASPH DISTRESS
• ANATOMICA YXIA SYNDROM
L DEFECT • COMPLICATI
PROLONGE ME
• MAL ON
D LABOR • INFECTION
NUTRITION • OBSTETRIC ON
• PREGNANCY
TOXEMIA OF RESPIRAT
 MEASURES OF REDUCE
PRENATAL MORTALITY
• Need to educate community about age of marriage.
• Adequate immunization ,prevention of HIV infection,
avoidance of drug abuse. o
• Proper nutrition to mother.
• In antenatal period optimum care of mother and need
to seek medical advice in emergency
• In intra natal period use aseptic techniques by
skilled person ,safe delivery ,control infection and
complications .
 NEONATAL
MORTALITY
no. of deaths of neonates under 28 RATE
days of age in year
1000
total live births in the same year

CAUSES= LOW BIRTH

WEIGHT
 PREMATURITY
* BIRTH INJURY AND
 CONTD..

• SEPSIS
• FETAL DISTRESS
• CONGENITAL ANOMALIES
• BIRTH ASPHYXIA AND TETANUS
• CONDITION OF PLACENTA AND CORD
• HEMOLYTIC DISEASE
• ARI
 INFANT
MORTALITY
No. of death RATE
under 1 year
of age 1000
Total live
birth in year
 IMPORTANCE OF IMR

• It depicts the age related mortality

in vunrable group with in the society
• Specific health programme is
affected directly and rapidly rather
than the genral health problems .
• Improved obstetric and perinatal care.
• Improvement in the quality of life .
• Improvement of nutritional status .
• Family planning Eg. Birth spacing .
 FACTORS AFFECTING IM
•There are three factors include
(1)BIOLOGICAL FACTORS R
• Birth weight
• Age of mother
• Birth spacing
• Birth order
• Multiple birth
• Family size
• High fertility
 CON
T
(2) ECONOMICAL FACTORS
(3) SOCIO CULTUAL FACTORS
• Breast feeding
• Religion and caste
• Early marriage
• Sex of child
• Maternal education
• Quality of health care and mother
care
• Broken families
 REDUCE IMR
MEASUR
• Improve health status of people.
• Raise female literacy.
• primary health care .
E
• Environmental sanitation .
• Prenatal nutrition .
• Socio economic development .
 UNDER 5
YEAR
MORTALITY
No. of death of
RATE
children aged 1-
4 year during
yea
a Total no. of 1000
aged r 1-4 year at the
children
middle of year
 CAUSE
•
S
Communica ble disease like diarrhea
,measles , whooping cough ,diphtheria
,ARI ,malnutrition .
• Accidents
• Congenital anomalies
• Malignant neoplasm
• Pneumonia
• Death
 PREVENTIVE
MEASURES
• Pre natal nutrition and routine check ups .
• Prevention of infection and aseptic
techniques .
• Breast feeding .
• Family planning .
• Sanitation .
• PHC and immunization
• Socio economic development
• National health prog.
 FERTILITY RATE
General fertility rate = no. of live
birth per 1000 women in the
reproductive age group (15-49) in a
given year .
General marital fertility rate = no. of
live birth per 1000 married women in
the reproductive age group (15 -49) in
a given year .
 CON
T
• Total fertility rate = average no. of
children that would be born to a
married women .
• Fecundity rate = fertility should not be
confused with fecundity which refers to
the child bearing capacity of a
women .
• Marriage rate =total no. of marriage
during a calendar year per 1000 total mid
ABORTION
RATE No. of
induced
1000
Totaablomrtiid
population of
women
on year (15 -44 )
RECORD AND REPORT
 EVEN
EVENTS
RATIO
RATES AND TA
T B
BES T
WORST

MMR 130/ 100000 KERALA (46) ASSAM

LIVE BIRTH (237)AND UP
L E
(2016)
S TA TES
PMR 26/ 1000 MHARASHTRA
UTTARKKHAN (61) (201)
NMR 18 / 1000 TAMIL NADU M.P (47),
(66)(2016) ASSAM (44)
IMR 37/1000(2016) GOA,MANIPUR UP (43)
(8,11)
TFR 2.43 (2017) SOUTH BIHAR 3.3
Thanks you