Health indicators
HEALTH INDICATORS
Introduction
It can be defined as the "variables which measure the change", means an indicator is a variable that indicates or reflect a given situation.
They help to measure-
- level up to which the objectives of a certain Programme are being attained or not.
- the health of a population
- things that influence the health
Characteristics
- Valid (measure what the supposed to measure)
- Reliable (show same result in similar conditions)
- Sensitive (sensitive to change)
- Specific (reflect changes)
- Feasible (able to obtain data)
- Relevant (understanding of phenomenon of interest)
Types
1) Mortality Indicators
- Crude Death Rate
- Expectation of life
- Infant Mortality Rate
- Child Death Rate
- Maternal Mortality Ratio
- Disease Specific Death Rate
- Proportional Mortality Rate
- Case Fatality Rate
- Years of potential life lost (YPPL)
2) Morbidity Indicators
- Incidence (no. of new cases)
- Prevalence (old plus new case)
3) Disability Rates
- HALE { (Health Adjusted Life Expectancy), time spent in poor health}
- DALYs {(Disability Adjusted Life Years), years of healthy life lost due to disability}
- QALY {(Quality Adjusted Life Year), years that would be added by intervention}
- Sullivan's Index {Expectation of life free from disability}
4) Nutritional Status Indicators
- Weight
- Height
- Mid arm circumference
5) Fertility Indicators
- Birth Rate
- Fertility Rate
- Reproduction Rate
- Sex ratio at birth
- Pregnancy Rate
- Abortion Rate
6) Health Care Delivery Indicators
- Doctor & population ratio
- Doctor & nurse ratio
- Population & bed ratio
7) Socioeconomic Indicators
- Per capita GNP
- Employment ratio
- Literacy ratio
- Population growth
- Dependency ratio
- Family size
Uses of Health Indicators
- To describe the health status of a community
- To compare the health of different communities
- To identify health needs
- To evaluate health services
- To measure the health of a community
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