Establishing a health demographic surveillance site in Bhaktapur district, Nepal: initial experiences and findings

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Establishing a health demographic surveillance site in Bhaktapur district, Nepal : initial experiences and findings

Aryal, Umesh R., 1973 (författare): Kathmandu Medical College Nepal / Nordic School of Public Health NHV

Vaidya, Abhinav (författare): Kathmandu Medical College Nepal / Nordic School of Public Health NHV

Shakya-Vaidya, Suraj (författare): Nordic School of Public Health NHV / Nepal Medical College, Kathmandu Nepal

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Petzold, Max, 1973 (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin,Akademistatistik,Institute of Medicine,Centre for Applied Biostatistics,Nordic School of Public Health NHV / Sahlgrenska Academy at University of Gothenburg

Krettek, Alexandra, 1968- (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition,Nordic School of Public Health NHV / Sahlgrenska Academy at University of Gothenburg

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2012-09-05
2012
Engelska.
Ingår i: BMC Research Notes. - : BioMed Central. - 1756-0500. ; 5

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Abstract Ämnesord

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BACKGROUND: A health demographic surveillance system (HDSS) provides longitudinal data regarding health and demography in countries with coverage error and poor quality data on vital registration systems due to lack of public awareness, inadequate legal basis and limited use of data in health planning. The health system in Nepal, a low-income country, does not focus primarily on health registration, and does not conduct regular health data collection. This study aimed to initiate and establish the first HDSS in Nepal.RESULTS: We conducted a baseline survey in Jhaukhel and Duwakot, two villages in Bhaktapur district. The study surveyed 2,712 households comprising a total population of 13,669. The sex ratio in the study area was 101 males per 100 females and the average household size was 5. The crude birth and death rates were 9.7 and 3.9/1,000 population/year, respectively. About 11% of births occurred at home, and we found no mortality in infants and children less than 5 years of age. Various health problems were found commonly and some of them include respiratory problems (41.9%); headache, vertigo and dizziness (16.7%); bone and joint pain (14.4%); gastrointestinal problems (13.9%); heart disease, including hypertension (8.8%); accidents and injuries (2.9%); and diabetes mellitus (2.6%). The prevalence of non-communicable disease (NCD) was 4.3% (95% CI: 3.83; 4.86) among individuals older than 30 years. Age-adjusted odds ratios showed that risk factors, such as sex, ethnic group, occupation and education, associated with NCD.CONCLUSION: Our baseline survey demonstrated that it is possible to collect accurate and reliable data in a village setting in Nepal, and this study successfully established an HDSS site. We determined that both maternal and child health are better in the surveillance site compared to the entire country. Risk factors associated with NCDs dominated morbidity and mortality patterns.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Basic Medicine (hsv//eng)

Nyckelord

adult
article
cardiovascular disease
child
demography
female
gastrointestinal disease
headache and facial pain
health care delivery
health survey
human
infant
male
methodology
middle aged
Nepal
organization and management
preschool child
respiratory tract disease
rural population
statistics
vestibular disorder

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Av lärosätet: Högskolan i Skövde; Göteborgs universitet

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