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    Group Discussion onGroup Discussion on

    Determinants andDeterminants andIndicators of HealthIndicators of Health

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    INTRODUCTIONINTRODUCTION

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    DETERMINANTS OF HEALTHDETERMINANTS OF HEALTH

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    DETERMINANTS OF HEALTHDETERMINANTS OF HEALTH

    BIOLOGICAL DETERMINENTSBIOLOGICAL DETERMINENTS

    BEHAVIOURAL AND SOCIOBEHAVIOURAL AND SOCIO--

    CULTURAL CONDITIONSCULTURAL CONDITIONS ENVIRONMENTENVIRONMENT

    SOCIOSOCIO--ECONOMIC CONDITIONSECONOMIC CONDITIONS

    HEALTH SERVICESHEALTH SERVICESAGING OF THE POPULATIONAGING OF THE POPULATION

    GENDERGENDER

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    INDICATORS OF HEALTHINDICATORS OF HEALTH

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    INDICATORS OF HEALTHINDICATORS OF HEALTH

    Mortality indicatorsMortality indicators Morbidity indicatorsMorbidity indicators Disability ratesDisability rates Nutritional status indicatorsNutritional status indicators Health care delivery indicatorsHealth care delivery indicators Utilization ratesUtilization rates Indicators of social and mental healthIndicators of social and mental health Environmental indicatorsEnvironmental indicators SocioSocio--economic indicatorseconomic indicators Health policy indicatorsHealth policy indicators Indicators of quality of life ,andIndicators of quality of life ,and Other indicatorsOther indicators

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    MORTALITY INDICATORSMORTALITY INDICATORS

    Crude death rateCrude death rate

    Expectation of lifeExpectation of life

    Infant mortality rateInfant mortality rate

    Child mortality rateChild mortality rate

    UnderUnder--5 proportionate mortality rate5 proportionate mortality rate

    Maternal (puerperal) mortality rateMaternal (puerperal) mortality rate

    DiseaseDisease--specific mortality ratespecific mortality rate

    Proportional mortality rateProportional mortality rate

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    MORBIDITY INDICATORSMORBIDITY INDICATORS

    incidence and prevalenceincidence and prevalence notification ratesnotification rates

    attendance rates at outattendance rates at out--patientpatientdepartments, health centers, etcdepartments, health centers, etc

    admission, readmission and dischargeadmission, readmission and dischargeratesrates

    duration of stay in hospital andduration of stay in hospital and spells of sickness or absence fromspells of sickness or absence from

    work or schoolwork or school

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    DISABILITY RATESDISABILITY RATES

    eventevent--type indicators:type indicators:

    Number of days of restrictedNumber of days of restrictedactivityactivity

    Bed disability daysBed disability days

    WorkWork--loss days (or school lossloss days (or school lossdays) within a specified perioddays) within a specified period

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    personperson--type indicatorstype indicators

    Limitation of mobilityLimitation of mobility

    Limitation of activityLimitation of activity

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    Sullivans indexSullivans index

    This index (expectation of life free ofThis index (expectation of life free of

    disability) is computed by subtractingdisability) is computed by subtractingfrom the life expectancy the probablefrom the life expectancy the probableduration of bed disability and inabilityduration of bed disability and inabilityto perform major activities, accordingto perform major activities, accordingto crossto cross-- sectional data from thesectional data from thepopulation surveys.population surveys.

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    NUTRITIONAL STATUSNUTRITIONAL STATUS

    INDICATORSINDICATORS anthropometric measurements ofanthropometric measurements of

    preschool children , e.g., weight andpreschool children , e.g., weight and

    height, mid arm circumference;height, mid arm circumference;

    Heights (and sometimes weights) ofHeights (and sometimes weights) ofchildren at school entry; andchildren at school entry; and

    Prevalence of low birth weight (less thanPrevalence of low birth weight (less than2.5 Kg.)2.5 Kg.)

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    HEALTH CARE DELIVERYHEALTH CARE DELIVERY

    INDICATORSINDICATORS

    DoctorDoctor--population ratiopopulation ratio

    DoctorDoctor--nurse rationurse ratio PopulationPopulation bed ratiobed ratio

    Population per health /sub centrePopulation per health /sub centre

    Population per traditional birthPopulation per traditional birthattendantattendant

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    INDICATORS OF SOCIAL ANDINDICATORS OF SOCIAL AND

    MENTAL HEALTHMENTAL HEALTH

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    ENVIRONMENTALENVIRONMENTAL

    INDICATORSINDICATORS

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    SOCIOSOCIO--ECONOMICECONOMIC

    INDICATORSINDICATORS Rate of population increaseRate of population increase

    Per capita GNPPer capita GNP

    Level of unemploymentLevel of unemployment

    Dependency ratioDependency ratio

    Literacy rates, especially female literacyLiteracy rates, especially female literacyratesrates

    Family sizeFamily size Housing: the number of persons perHousing: the number of persons per

    roomroom

    Per capita calorie availabilityPer capita calorie availability

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    HEALTH POLICY INDICATORSHEALTH POLICY INDICATORS

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    INDICATORS OF QUALITY OFINDICATORS OF QUALITY OF

    LIFELIFE

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    OTHER INDICATORS SERIESOTHER INDICATORS SERIES

    Social IndicatorsSocial Indicators

    Basic needs indicatorsBasic needs indicators Health for all indicatorsHealth for all indicators

    Millennium Development GoalMillennium Development Goal

    IndicatorsIndicators

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    Thank youThank you