Ch 5_

5 Pages
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Department
International Development Studies
Course Code
IDSB04H3
Professor
Anne- Emanuelle Birn

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Data Paradox
Data is required for making of health policy, but there is a huge deficiency in health data
Table 5-1-Uses and Limitations of statistical Health Data
Uses for statistical Health Data
Identify emerging problems1. Anticipate for future needs2. Help determine priorities3. Estimate budgets4. For use by government in the public sphere5. Ie. Education systems, rather goals are being meant
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If you don`t collect data, you have no way to measure rather goals have been achieve
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Help direct progress towards goals6. For international sharing and comparison purposes7. Monitor progress. Setbacks by social groups8.
Limitations of statistical health data/ what health data cannot do
Make decisions on polices that affect health9. Give causal explanation10. Determine which variables to include in data collection and analysis 11.
Monitoring and compliance under the 2007 International health regulation (IHR) (pp. 196-8)
Plague
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Yellow fever
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Smallpox
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Cholera
|
Mandatory reporting
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Under surveillance: Malaria, polio
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Problem face: lost of money in tourism
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Mandatory reporting of public health emergencies
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This step up was because China's slow reporting in regards of SARS' outbreak
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Type of health data
How many people lived in what area, people in a population and their attributes
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Population data
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This course focus on birth and death
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Vital Statistics
: Birth, Death, Marriage
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Monitor the out break of disease, morbidity by type, severity and outcome
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Health statistics:
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The health care system's capacity
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Numbers and types of facilities and services available
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Health services statistics
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Social factors that lead to inequalities in health
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Data on social inequalities in health
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Social welfare and social security, distribution of power and resource
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Societal variables-
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Lecture 4
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Ch 5: Data on Health
October-05-10
1:14 PM
Lecture Page 1
www.notesolution.com
Population Date:
The demographic characteristics of a population underlie most health data because they provide the
base numbers for calculating relevant rates and ratios
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Enumeration:
done by means of a census of the population (over 10 years)
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Registration:
collecting vital statistics (ie. Births, marriages and death.
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Box 5-1 (pg 203)
Routine data collection to enable measurement of social inequalities in Health and societal
determinants of Health
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Census-taking (pg 204)
Some kind of legal base, ie. National government
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A legal basis must be established, with administrative machinery to ensure compliance and
confidentiality
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Sponsorship
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The boundaries of national and sub national territorial divisions must be clear
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Defined territory:
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Every person physically present and/or residing in the territory should be included
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Universality:
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Info should be collected from individuals and households
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Individual enumeration:
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The collected date should refer insofar as possible to a single point in time
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Simultaneity and specified time:
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Censuses should be conducted at regular intervals
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Periodicity
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Raw data must be put into a useful from and published as soon as possible for maximum utility
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Compilation and publication:
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Census Challenges (pg. 205-209)
Information obtained from cenus data permit a population to be characterized by a variety of classifiers.
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Cost and scope
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Population that cannot be reach, does not want to be reach
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Errors and underestimates
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Some don't know about their exact age
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Income may be calculated differently
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Varied application of categories (even age)
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US race-based classification (legacy of slavery)
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South African apartheid (coloured, black, asian, white)
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People may identify to different race (ie. CBC)
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Racialized and racist typologies
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Vital Statistics
Birth Certificates
Table 5-5
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Official Government Record
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Allow you to work, vote, go to school
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To have an identity
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Avoid child labour, trafficking
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Birth registration is recognized as a human right, but the law is not enforced
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Low registration because of cost to register?
The challenges (pg 212-3)
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Lecture Page 2
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Description
Lecture4-C h5: DataonHealth October-05-10 1:14PM DataParadox Dataisrequiredfor makingof healthpolicy, but thereisahugedeficiencyin health data Table5-1- UsesandLimitationsof statistical Health Data Usesfor statistical HealthData 1. Identifyemergingproblems 2. Anticipatefor future needs 3. Helpdeterminepriorities 4. Estimatebudgets 5. For useby government inthepublicsphere - Ie.Education systems,rather goalsarebeingmeant - If you dont collect data, you haveno wayto measurerather goalshavebeen achieve 6. Helpdirect progress towardsgoals 7. For international sharingandcomparisonpurposes 8. Monitor progress.Setbacksbysocial groups Limitationsof statistical healthdata what healthdatacannot do 9. Makedecisionson policesthat affect health 10. Givecausal explanation 11. Determinewhich variablesto includein datacollection andanalysis Monitoringandcompliance underthe2007Internationalhealthregulation(IHR) (pp. 196-8) - Mandatoryreporting Plague Yellowfever Smallpox Cholera - Under surveillance: Malaria,polio - Mandatoryreportingof publichealthemergencies Problemface: lost of money in tourism - Thisstep upwasbecause Chinasslow reportingin regardsof SARS outbreak Typeof healthdata - Populationdata- Howmanypeoplelivedinwhat area,peoplein apopulation andtheir attributes - VitalStatistics: Birth, Death, Marriage Thiscoursefocuson birth anddeath - Healthstatistics: Monitor theout breakof disease, morbidityby type, severityand outcome - Healthservicesstatistics Thehealthcaresystemscapacity Numbersand typesof facilitiesandservicesavailable - Dataonsocial inequalitiesinhealth Social factorsthat leadto inequalitiesinhealth - Societalvariables- Social welfareandsocial security, distribution of power andresource www.notesolution.com
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