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Brief outline of Health Evaluation with examples. Don
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Health Evaluation
Groups 18,19,20Batch 2007/08Faculty of MedicineUniversity of PeradeniyaSri Lanka
“A state of complete physical, mental and social well-being and not merely the absence of diseases or infirmity”
It is not possible to evaluate the health of a community, based on this definition.
Different methods are being used for health evaluation.
HEALTH
BUT
SO
To find out the standard of the health of a community and the quality of the health services.To understand the upcoming trends.
Why do we need to evaluate health?
Methods and techniques
How the countries are classified
Health Evaluation
1. Mortality indicators2. Mobility indicators3. Health Service Coverage indicators4. Risk factor indicators5. Health System resource indicators6. Demographic & Socioeconomic indicators
Health indicators
Mortality indicators
1. Crude death rate
2. Infant mortality rate
3. Under 5 year death rate
4. Maternal mortality rate
5. Life expectancy at birth
Mobility indicators
1. Prevalence of tuberculosis patients
2. Prevalence of diabetes patients
3. Prevalence of heart disease patients
Health service coverage indicators1. Antenatal care coverage
2. Percentage of birth attended by skilled health personnel
3. Contraceptive prevalence
4. Immunization coverage
5. Number of hospital beds per population
Risk factor indicators
1. Percentage of over weight children among 05 years of age
2. Percentage of under weight new births
3. Percentage of population supply with safe drinking methods
Demographic and socioeconomic indicators
1. Adult literacy rate
2. Expenditure on health services from Gross National Product
3. Population growth rate
1946 1953 1963 1967 1971 1981 1991-1996
1996-2001
43.958.8 61.9 64.8 64.2 67.8 69.5 70.7
41.6
57.5 61.4 66.9 67.1 71.7 74.2 75.4
FemaleMale
Life Expectancy in Sri Lanka
1980 1985 1990 1995 2000 20050
100
200
300
400
500
600
700
800
Trends in Hospitalization
Malaria Heart diseasesT.B
2000 2001 2002 2003 2004 20050
1
2
3
4
5
6
Health Expenditure as a % of National Expenditure in Sri Lanka
Sri LankaUSA
IndiaJapan
0
50
100
150
200
250
Adult mortality rate (probability of dying between 15 to 60 years per 1000 population) both sexes 2006
Sri Lanka USA India Japan0
10
20
30
40
50
60
70
80
Years
Healthy life expectancy (HALE) at birth (years) both sexes 2006
Sri Lanka USA India Japan0
10
20
30
40
50
60
Infant mortality rate (per 1 000 live births) both sexes 2006
References• Annual health bulletin 2005• World Health Organization’s web sites
http://www.searo.who.int
THANK
YOU
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