Dr Athar Khan Associate Professor Liaquat College of Medicine & Dentistry Karachi, Pakistan 2019 matharm@yahoo.com

1. Dr. Athar Khan
MBBS, MCPS, DPH, MBA, DCPS-HPE, DCPS-HCSM,
PGD-Statistics, PhD Scholar
Associate Professor
Department of Community Medicine
Liaquat College of Medicine & Dentistry

2. LEARNING OBJECTIVES
• Discuss the role of vital statistics in health
status of country
• Describe Vital statistics registration in
developing countries
• Discuss the situation of vital statistics in
Pakistan

4. VITAL STATISTICS
• The collection of statistics on vital events in a
lifetime of a person as well as relevant
characteristics of the events themselves and
of the person and persons concerned.
DR ATHAR KHAN- LCMD

5. VITAL STATISTICS
• Everything that has to do with a person’s entry
into and departure from life along with any
change in civil status.
DR ATHAR KHAN- LCMD

6. VITAL EVENTS
Numerical records of:
• BIRTHS
• DEATHS
• MARRIAGES
• DIVORCES
DR ATHAR KHAN- LCMD

7. NADRA
• Responsibility for collection of vital statistics at
federal level in Pakistan
DR ATHAR KHAN- LCMD

8. PROVINCIAL MATTER
• The registration and collection of births and
deaths is a
DR ATHAR KHAN- LCMD

9. • 10th March 2000
NATIONAL DATABASE AND REGISTRATION
AUTHORITY (NADRA)
DR ATHAR KHAN- LCMD

11. SOURCES OF POPULATION DATA
CENSUS
DEMOGRAPHIC SAMPLE SURVEYS:
1. National Health Survey Of Pakistan
2. Pakistan Demographic Survey
REGISTRATION SYSTEM & ADMINISTRATIVE STATISTICS
1. Vital registration
2. Population registers
3. Health services statistics
4. International migration statistics
NATIONAL DATABASE AND REGISTRATION
AUTHORITY (NADRA)
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12. • Demographic data and vital statistics are
useful tools in:
–Community’s health
–Administrative purpose
–Health program evaluation
–Legislation purpose
–Government purpose
DR ATHAR KHAN- LCMD

13. • The complete expulsion or extraction from its
mother of a product of conception,
irrespective of the duration of pregnancy,
which, after such separation, breathes or
shows any other evidence of life
1.DEATH
2.FOETAL DEATH
3.LIVE BIRTH
4.MARRIAGES
DR ATHAR KHAN- LCMD

14. • The permanent disappearance of all evidence
of life at any time after live birth has taken
place
1.DEATH
2.FOETAL DEATH
3.LIVE BIRTH
4.MARRIAGES
DR ATHAR KHAN- LCMD

15. 1.DEATH
2.FOETAL DEATH
3.LIVE BIRTH
4.MARRIAGES
• Death prior to the complete expulsion or
extraction from its mother of a product of
conception, irrespective of the duration of
pregnancy
DR ATHAR KHAN- LCMD

16. 1.DEATH
2. LIVE BIRTH
3. DIVORCES
4.MARRIAGES
• The act, ceremony or process by which the
legal relationship of spouses is constituted.
DR ATHAR KHAN- LCMD

17. 1.DEATH
2. LIVE BIRTH
3. DIVORCES
4.MARRIAGES
• The final legal dissolution of a marriage, that
is, that separation of spouses which confers
on the parties the right to remarriage under
civil, religious and/or other provisions,
according to the laws of each country.
DR ATHAR KHAN- LCMD

18. Annulment: the invalidation or voiding of a marriage by a
competent authority, according to the laws of each country,
which confers on the parties the status of never having been
married to each other.
Separation, judicial: the disunion of married persons,
according to the laws of each country, without conferring on
the parties the right to remarry.
Adoption: the legal and voluntary taking and treating of the
child of other parents as one’s own, insofar as provided by the
laws of each country.
Legitimation: the formal investing of a person with the status
and rights of a person born in wedlock, according to the laws
of each country.
Recognition: is the legal acknowledgement, either voluntarily
or compulsorily, of the paternity of a child born out of
wedlock.
DR ATHAR KHAN- LCMD

20. CRVS
Civil Registration and Vital Statistics

21. 1. ADJUSTED/STANDARDIZED
RATES
2. CRUDE RATES
3. PROPORTION
4.RATE
5.RATIO
6. SPECIFIC RATES
1. A:B or A/B
2. A/A+B
3. A/A+B time
4. Computed for an entire
population
5. Consider differences
among subgroups,
computed by age, race,
sex or other variables.
6. To make valid summary
comparisons between
two or more groups
with different age (or
other) distributions.
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22. 1. Birth rate
2. Crude Birth rate
3. Fertility rate
4. Live birth
• Number of births per thousand of the midyear
population in a year is
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Indicator of Fertility

23. 1. Total Population
2. Population at beginning
3. Population at 31st July
4. Population at beginning + end
• Midyear population is
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24. 1. Death rate
2. Crude death rate
3. Mortality rate
4. Live birth
• Number of deaths per thousand of the
midyear population in a year is
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25. 1. Crude birth rate
2. Crude death rate
3. Infant mortality rate
4. Maternal mortality ratio
• Most important indicator of health status and
socio-economic conditions of a country is
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26. 1. Crude birth rate
2. Child death rate
3. Infant mortality rate
4. Infant mortality ratio
• The number of deaths of children less than
one years of age in a year per thousand live
births is
DR ATHAR KHAN- LCMD

27. DR FAHEEM AHMED - JSMU

28. 1. Crude birth rate
2. Neonatal mortality rate
3. Infant mortality rate
4. Post neonatal mortality rate
• The number of deaths of children less than 4
weeks or 1 month of age in a year per
thousand live births is
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29. 1. Crude birth rate
2. Neonatal mortality rate
3. Infant mortality rate
4. Post neonatal mortality rate
• The number of deaths of infants between the
ages one month and 12 month in a year per
thousand live births is
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30. IMR = NMR + PNMR

31. 1. Maternal death
2. Maternal mortality rate
3. Maternal mortality ratio
4. Proportionate maternal mortality
• Death of a woman during pregnancy or within
42 days of the termination of pregnancy from
any cause but not from accident or incidental
causes is
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32. 1. Maternal death
2. Maternal mortality rate
3. Maternal mortality ratio
4. Proportionate maternal mortality
• The number of maternal deaths per 100,000 live
births is
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33. 1. Maternal death
2. Maternal mortality rate
3. Maternal mortality ratio
4. Proportionate maternal mortality
• The number of maternal deaths per 100,000
women of reproductive age is
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36. DR FAHEEM AHMED - JSMU

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39. DR FAHEEM AHMED - JSMU

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43. DR FAHEEM AHMED - JSMU

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45. DR FAHEEM AHMED - JSMU

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