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