Subject: CHILD HEALTH NURSING▪️ Unit: Introduction▪️ Topic: VITAL STATISTICS RELATED TO PEDIATRICS AS PER THE NRHS AND GOL

Subject: CHILD HEALTH NURSING
Unit: Introduction
Topic: VITAL STATISTICS RELATED TO PEDIATRICS AS PER THE NRHS AND GOL

▪️Definition:- Vital statistics are conventionally numerical records of marriage births, sickness, and death by which the health and growth of community may be studied.

Or It is a branch of biometry that deals with data and law of human mortality, morbidity,& demography.

▪️Purpose:-

1) Community Health: To describe the level of community health, to diagnose community illness & to discover solutions to health problems.
2) Administrative purpose: It provides clues for administrative action to create administrative standards of health activities.
3) Health programmed organization: To determine success or failure of specific health programmed or undertake overall evaluation of public health work.
4) Legislation purpose: To promote health legislation at local, state,& national level.
5) Government Purpose: To develope, policies, procedure at state and central level.

▪️Uses:

1. To evaluate the impact of various National Health Programmes.
2. To plan for better future measures of disease control.
3. To explain the hereditary nature of the disease.
4. To plan and evaluate economic and social development.
5. It is a primary tool in research activities.
6. To determine the health status of an individual.
7. To compare the health status of an individual in one nation with others.

▪️Sources of Vital Statistics:

1. Civil Registration System: It is defined as the continous permanent and compulsory recording of the occurrence of vital events like live births, deaths, fetal deaths, marriages, divorces, as well as annulments, judicial separation, adoption. Civil registration is performed under a law and regulation so as to provide legal basis to the records and certificate made from system.
2. National Sample Survey: The data collected from the census are not very reliable and available only once in 10 years. In absence of reliable data from the civil registration system(SRS), the need for reliable statistics at national and state levels is being met through sample surveys launched from time to time.
3. Sample Registration System: In this system, there is continous enumeration of births and deaths in a sample of villages/urban blocks by a resident parttime enumerator and then an independent six monthly retrospective survey by a full time supervisor.
4. Health Surveys: A few important sources for demographic data have emerged. These are National Family Health Surveys(NFHS) and the District Levels Household Surveys(DLHS) conducted for evaluation of reproductive and child health programmes.

NFHS provide estimates of fertility, child mortality and a no. of fertility, child mortality and a no. of health parameters relating to infants and children at state level. The DLHS provide information at the district level on a no. of indicators relating to child health, reproductive health problems and quality of services availability to them.

▪️Important Vital Statistics

1. Crude Death Rate (CDR) = Total death in a given year X 1000 Average or mid year pop. of a year

2. Age-specific Death rate (ASDR):
Nos. of death at age ’a’ X 1000 Mid-yrs pop. of a given year at age ’a’
Crude rate is based on total population while a specific rate is based on the basis of age, sex, cause etc 10

3. Infant Mortality rate (IMR):
Nos. of infant death in a year X1000 Nos. of live birth in the year

4. Neonatal Mortality Rate:
Death under one months X 1000 Nos. of live birth

5. Post-neonates Mortality Rate:
Death between 1st and 11 complete months x 1000 Nos. of live birth

6. Maternal Mortality Rate (MMR):
Nos. of death of mother due to the cause related to maternity X 1000 Total nos. of live birth

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