Ministry of Health of the Republic of Uzbekistan 
Tashkent Medical Academy 

                                                                                                                                        "Approved"
   Pro-Rector
prof. Sh.A.Boymurodov 

                                                                                                «-------»--------- 2017. 

Department: "Public health organizations and health management"
Subject: Social Care and Health Organization.
Subject:
"The decision of common tasks on the course of statistical analysis and evaluation of public health indicators."
Educational - methodical development
(For teachers and students of 3 rd year medical - pedagogical, medical and dental schools)

Tashkent 2017

Compiled by:

Rustamov H.E. - MD Professor: "Public health organizations and health management"
Hvan A.A. - Assistent: "Public health organizations and health management"

Reviewers:

Head. Department of "Public health organizations and health care management" Tash.PMI, prof. Iskandarov Sh.T.
Professor, Department of General and Radiation Hygiene "TMA
Tajibayeva NS

The main issue in this topic: 
The use of morbidity in medicine and healthcare. 
The use of indicators of vital medicine and healthcare. 
Formula for calculating key indicators of morbidity and demographic indicators 
Independent calculation and analysis of the incidence and demographics. 
Questions for controlling the initial level of knowledge of students: 
Theme sessions "Decision model assignments for the course of statistical analysis and evaluation of public health indicators." 
1st place for lessons, equipment: 
Department 
Handout 
Typical tasks 
Calculators 
1. The duration of the study subjects: 
2 hours for students stoma. factor-a, 4 hours for medical students - teacher training and medical factors in (2 separate sessions) 
 3. Session Purpose: Explain to students the application of the incidence and vital statistics in medicine and health, methods of calculation and analysis. 
4.Po graduation a student must 
A) to know: 
Know the formula for calculating key indicators of morbidity. 
Know the formula for calculating key indicators of fertility and mortality of general and specific. 
B) be able to: 
Calculate incidence rates (as suggested by case studies). 
Calculate birth and death rates for general and special, (suggested by case studies). 
Draw a conclusion with the elements of statistical analysis. 
4. Motivation: 
 The widespread introduction of computers and modern technology in modern medical practice and science led to the inevitable necessity of knowledge of biostatistics in the daily work of a physician and a follower and an understanding of basic statistical terms. The student must learn not only to calculate the basic indicators of health, but also be able to assess the results and formulate sound conclusions and methods of prevention. 
5. Interdisciplinary and intodisciplinary links:
It is envisaged continuity in teaching the following disciplines: biological physics and statistics, philosophy and economics, normal and pathological physiology, clinical disciplines of medicine, surgery, obstetrics, gynecology, pediatrics, dentistry, hygiene and epidemiology. 
CONTENTS THEMES 

Theoretical part 

  Major morbidity 
1.Pokazatel total incidence 
= Collection of all registered for the year as the disease was first identified and registered in the past, but about which patients are again turned in a given year * 1000 
                                 Average annual population 
2.Pokazatel primary disease = Number of newly diagnosed diseases * 1000 
   Average annual population 
3.Zabolevaemost according to medical examinations 
= Number of cases identified in honey. Seen * 1000 
the total number of examined 
4.Struktura contingent passed inspection by disease, age, social background, groups of health as% of total number of children. 
5.Chastota detection of infectious diseases, and all the main groups of disease = 
(Number of diseases or this nosology * 100000) 
                    Average annual population 
6.Sezonnost by month, analyzed as absolute data (dynamic curves) and monthly rates. 
7.Ohvat hospitalization   = The number hospitalized for this reason * 100 
          The number of reported detail. Disease 
8.Ochagovost   = (Total number of cases or of the nosology) 
                                                  Average annual population 
9.Chastota hospitalization 
 = Total number of hospitalizations (at diagnosis) * 1000 
         Average annual population 
10.Struktura hospitalized for sex, age, residence, occupation, 
 = Number of hospitalized women * 100 
(The total number of hospitalizations) 
  11.Struktura hospitalization (for diagnosis) 
  = Number of hospitalizations, with a given diagnosis * 100 
                         The total number of hospitalized 

12.Chislo days per 100 employees 
  = Number of days of disability * 100 
              average number of employees 
13.Chislo cases per 100 workers 
= Number of cases of disability * 100 
       average number of employees 
, 14. The average duration of one case 
  = Number of days of disability 
       The number of cases of disability 
 15.Struktura days and cases for reasons 
 = Number of days (cases) of disability for this reason 
The total number of days (cases) of disability 
16.% Ill persons 
 = The number of people actually suffer permanent disabilities per year * 100 
                                  average number of employees 
17.% Of healthy individuals (health index) 
= Number of people never suffer permanent disabilities per year * 100 
                      average number of employees 
18.Pervichnaya disability 
 = Number of workers for the first time as disabled * 1000 
           Total number of employees 
19.Obsch. disability (disabled contributors) 
= Number of persons receiving pensions, disability benefits * 1000 
                       Total number of employees 
20.Struktura primary and total disability by disease, age, social class, disability groups as% of the number of newly recognized as disabled or contingent disabled, respectively. 
21. Household Injuries 
= Number of household injuries during the year * 1000 
                                                Average annual population 
22.Proizvodstvenny injuries 
 = Number of occupational injuries per year * 100 
         average number of employees 
 The main indicators of vital.                                                                          
1. Average annual population 
 = (Number of population in the 1.1 + the number of population at 31.12) / 2 
2. Population density 
  = (Average annual population) / occupied area in km2 
3. The structure of the population by sex = 
(Number of women * 100) / Average annual population 
Similarly, calculated the population structure by age, ethnic or social origin, etc. 
5. Total fertility rate 
 = (Number of live births * 1000) / Avg. population 
6. Total fertility 
 = (Number of live births * 1000) / Number of women aged 15 - 49 years. 
7. Marital fertility 
 = (Number of live births among women married * 1000) 
         Number of women aged 15 - 49 years of married women. 
Similarly, calculated age-specific fertility. 
9. The overall mortality rate 
 = (Number of deaths * 1000) / Avg. population 
10. Age-specific mortality 
= (Number of deaths in this age group * 1000) 
            The population in this age group 
Similarly, calculated mortality rates by sex, occupation and other characteristics. 
12. Mortality by cause 
 = (Number of deaths from the disease * 1000) Average annual population 
13. The structure of mortality by cause 
 = (Number of deaths from the disease * 100) 
                           The total number of deaths 
14. Rates of natural increase 
= (Number of live births - the number of deaths) * 1000 
                                Average annual population 
15. Rates of natural increase 
= (Birth rate) - (death rate) 
16. Life index = (Number of live births) /     (Deaths) 
17. The infant mortality rate 
= (Number of deaths in children under 1 year * 1000) 
         2 / 3 of births in a given year + 1 / 3 of births in the last year (live) 
18. Early infant (neonatal) mortality 
 = (Number of deaths in children under 1 year * 1000) 
                   The number of live births in a given year 
19. Early neonatal mortality 
= (Number of deaths of children aged 0 to 6 days of life * 1000) 
               The number of live births in a given year 
20. Perenatalnaya mortality 
= (Number of deaths of children from 0 to 6 days of life and stillbirths * 1000 Number of live births and stillbirths in a given year 
21. Mertvorozhdaemost 
  = (Number of stillbirths * 1000) 
                  The number of births, living and dead in a given year 
6.2. Practical part 
  At the end of the topic, students receive a folder with handouts. Students study independently and calculate health indicators, and review their accounting for reasonable conclusion, and if possible prophylactic strategy. 
Rated on a 100-point scale (100 - 86 - excellent, 85 - 71 well, 71 - 55 satisfying, less than 54 is not satisfactory). Score for engaging in forms for each student by an average of estimates for the theoretical part, the correctness of the decision of situational tasks and set to log in as an overall assessment of the occupation 
Teaching Notes: Faculty of Dentistry for students within one class is proposed to solve two case studies on the incidence and demographics, students of other faculties at the first lesson, which follows the theme "Demography" examines rates of natural population movement, and solved the corresponding problem. Similarly, classes on the study of morbidity. 
6.3 Analytical part students should undertake a comparative analysis of the results of work on the types of jobs with the information obtained in the lectures and self-training to engage on this topic, as well as the contents of the handout. 
6.4 used in the lesson, the new educational technology 
7.Formy of knowledge and skills. 
Oral interview 
Parsing making common tasks 

8. Criteria for assessment of the current level of control
Levels	Rating count	Points Criteria evaluations
	
Excellent
86 - 100%	96 - 100	Answers originality, rationale, meet all program requirements, use additional information from the Internet, magazines, etc. He takes an active part in discussion topics, solving situational problems with the analysis and explanation.	
	91 -95	correct answers with interesting examples. Takes an active part in discussion topics, addressing situational tasks, with analysis and explanation.	
	86 -90	correct answers with interesting examples within the lecture and practical courses. Takes an active part in discussion topics, addressing situational tasks, with elements of analysis.
	
Well 
71 - 85.9%	81 - 85.9	correct answers in accordance with the scope of the program, not more. Decision situational tasks with an explanation, there may be minor errors.	
	76 - 80	answers within the textbook or lecture notes, perhaps glitches in the wording. Less active in the discussion of topics addressing the situational problems may be small errors.	
	71 - 75.9	responses within the textbook, perhaps minor inaccuracies, errors or difficulties in the wording. Passive, when discussing the topic, to solve situational problems of possible errors and errors of up to 20%.	
Satisfactory
55 - 70,9%	65 -70.9	Replies average from inaccuracies or errors. Passive, when discussing the topic, to solve situational problems of possible errors and errors of up to 30%. But does accurately notes in notebooks.	
	55 - 64.9	Weak knowledge of the theoretical question, the answers are not complete, with bugs. Passive, when discussing the topic, to solve situational problems and possible responses to errors and errors of up to 40%. Is not accurately notes in notebooks.	
Does not satisfy
Satisfactory
40 - 55%	50 -54.9	answers are not right, listens attentively to explanations of the teacher and student responses. Problem solved mene than 50%, no laptop leads neatly.	
	40 - 49.9	is not responding, not attentive, did not participate in the discussion of issues and solving situational problems.	

9. Chronological map of classes

№	Stages classes	Form of	Time	
1	Roll call and introduction of a teacher (study subjects)		5 minutes	
2	Discussion topics initial assessment of students' knowledge 	Poll	15 minutes	
3	Carrying out online game "Work in small groups" 	Business Game	5min	
4	independent work of students on the assignments obtained 
	Independent Work	35 minutes	
5	Report on the results of independent work 	Checking
Results	20 minutes	
6	Reciprocal analysis of the results of independent work by students under the guidance of teacher evaluation on 100 point system method of calculating the average of the oral response, a business game, independent work. 	Information teacher	10minut	
10. Test questions 
1. Methods of calculating the basic demographic indicators. 
2. Levels of assessment of key demographic indicators. 
3. Features of the demographic situation in present-day Uzbekistan. 
4. Formulas to calculate fertility rates and fertility. 
5. Formula for calculating death rates and patterns of mortality .. 
6. Formula for calculating all the indicators of infant mortality. 
7. Calculation formulas of natural growth and life index. 
8. Method of calculating the 3 major morbidity. 
9. How to evaluate and analyze the incidence of 
10. Peculiarities of the situation on the incidence of in modern Uzbekistan. 
11. Calculation formulas of infectious diseases. 
12. Calculation of indicators are important non-epidemic diseases. 
13. Formula of calculating the structure of morbidity. 
14. Calculation formulas hospital morbidity. 
15. Formulas to calculate indicators of morbidity with temporary disability. 
16. Formulas to calculate indicators of dental disease. 
11. Exercises for independent work 
Problem number 1 The population of the area "H" is 79,270 people. Of them workers - 31,932, children under 14 years of -24,800. Registered with all diseases -93,500, including arose in this year - 38,200. Work-related injuries - 761, domestic - 1958, children from traffic injuries - 15. Cases of temporary disability - 26064, days - 228884, Sick persons - 5818. When mass screening examination - 8120, revealed disease - 2782. 
Problem number 2 The population of the area "K" is 90,000 people. Of them working - 40000, children under 14 years of -36,000. Registered with all diseases -104900, including arose in this year - 41,300. Work-related injuries - 800, household - 1700, children from traffic injuries - 7. Cases of temporary disability - 39200, -354 300 days, sick persons - 8600. When mass screening examination - 9820, revealed disease - 2950. 
Task № 3 The population of the area "H" is 70000 people. Of them working - 30000, children under 14 years of -22,200. Registered with all diseases -90,200, including arose in this year - 32,100. Work-related injuries - 580 of household - 1050, children from traffic injuries - 16. Cases of temporary disability - 19900, days - 192500, Sick persons - 5600. When mass screening examination - 5600, revealed disease - 1900. 
Task № 4 The population of the area "D" is 77,000 people. Of them working - 31000, children under the age of 14 -203000. Registered with all diseases -92,403, including arose in this year - 38000. Work-related injuries - 720, domestic - 1200, children from traffic injuries - 18. Cases of temporary disability - 16000 days - 129000, Sick persons - 5300. When mass screening examination - 7900, revealed disease - 2000. 
The task number 5 The population of the area "B" is 80,000 people. Of them working - 32000, children under 14 years of -24,650. Registered with all diseases -93,200, including arose in this year - 38,200. Work-related injuries - 22. Cases of temporary disability - 17200, days - 129900, Sick persons - 5800. When mass screening examination - 8900, revealed disease - 2500. 
Task № 6 The population of the area "K" is 81,900 people. Of them workers - 31,300, children under 14 years of -19,560. Registered with all diseases -93,700, including arose in this year - 35000. Work-related injuries - 798, domestic - 1564, children from traffic injuries - 16. Cases of temporary disability - 18176, days - 129942, Sick persons - 5822. When mass screening examination - 8310, revealed disease - 2972. 
Task № 7 The population of the area "D" is 80,700 people. Of them workers - 31,300, children under 14 years of -19,950. Registered with all diseases -92,500, including arose in this year - 34000. Work-related injuries - 695, domestic - 1354, children from traffic injuries - 14. Cases of temporary disability -18100, days - 129800, Sick persons - 5800. When mass screening examination - 7300, revealed disease - 1900. 
The task number 8 The population of the area "B" is 93,210 people. Of them workers - 38,010, children under 14 years of -28,600. Registered with all diseases -106400, including arose in this year - 42,800. Work-related injuries - 872, domestic - 1970, children from traffic injuries - 16. Cases of temporary disability - 19240, days - 154332, Sick persons - 6606. When mass screening examination - 9870, revealed disease - 3048. 
The task number 9 The population of the area "B" is 92,120 people. Of them workers - 37,010, children under 14 years of -26,560. Registered with all diseases -104300, including arose in this year - 48,200. Work-related injuries - 774, domestic - 1580, children from traffic injuries - 14. Cases of temporary disability - 20000 days - 184100, Sick persons - 6900. When mass screening examination - 8600, revealed disease - 2940. 
The task number 10 The population of the area "K" is 91,400 people. Of them workers - 39,200, children under 14 years of -27,600. Registered with all diseases -106200, including arose in this year - 42000. Work-related injuries - 890, domestic - 1800, children from traffic injuries - 15. Cases of temporary disability - 18200, days - 183100, Sick persons - 6200. When mass screening examination - 9400, revealed disease - 2500. 
The task number 11 Population Area "A" is 90,400 people. Of them working - 38100. Registered with all diseases -96,200, including arose in this year - 41000. During the year 19,888 patients were hospitalized with a diagnosis of their hypertension 1200. Work-related injuries - 760, domestic - 1750. Recognized as disabled for the first time 4,550 of them disabled group 1 amounted to 850, group 2 1200, Group 3 in 2470. Cases of temporary disability - 19100, days - 193400, Sick persons - 6800. When mass screening examination - 8300, revealed disease - 950. 
Task № 12 The population of the district "and" amounts to 93,210 people. Of them working - 38018. Registered with all diseases -10,640, including arose in this year - 48,200. The number of infectious diseases for the year 2796 of them were hospitalized, 1920, the number of foci of 2200. Work-related injuries - 872, domestic - 1790. Cases of temporary disability - 19240, days - 154332, Sick persons - 6606. When mass screening examination - 9870, revealed disease - 3940 of them are cardio - vascular system was 850, respiratory 1000 Other 2090. 
Task № 13 The population of the district "and" amounts to 103,210 people. Of them working - 68010. Registered with all diseases -13,640, including arose in this year - 77,200. Work-related injuries - 1072, domestic - 2790. Cases of temporary disability - 29240, days - 194 332, -16 606 ill persons. When mass screening examination - 19850, identified disease - 9940.Za year 1120 people died of them from the cardio - vascular system 700, respiratory 120, cancer 80, others 220. 
Task № 14 Population Area "A" is 90,500 people. Of them workers - 37,100, children under 14 years of -28,520. Registered with all diseases -96,200, including children - 29000. Work-related injuries - 760, domestic - 1750. Cases of temporary disability - 19100, days - 193400, Sick persons - 6800. When mass screening examination - 19300, identified diseases - 10689. 
Recognized as disabled for the first time 1550, the total number of disabled people 9870 of them are women 4470. 
The task number 15 The population of the district "and" amounts to 96,500 people. Of them working - 40018. Registered with all diseases -10,640, including arose in this year - 48,200. Work-related injuries - 872, domestic - 1790. Cases of temporary disability - 19240, days - 155232, Sick persons - 7525. When mass screening examination - 10870, identified disease - 8550. In the year 920 have died from these diseases of the cardio - vascular system 550, respiratory 133, cancer 45, others 192. 
   -------------------------------------------------- -------------------------------------------- 
Option number 1 
In the city "A" H Coy area in 2007.:  Average annual population - 1000000 man, born alive -2000, died of -660 of them: children under 1 year - 50, including children who died before 1 month - 25 stillbirths - 15, died within 1 week - 15.Sredi children died at the age of 1 year (50) were: deaths from pneumonia - 25, from gastro-intestinal diseases - 5, other Preach .- 5. 
In the city "A" in 2004. had the following demographic indicators: fertility - 25% mortality rate - 8%, natural increase - 13%, infant mortality - 27%, early infant mortality - 12%, and perinatal mortality - 20%. 
Option number 2 The area "A" H Coy area in 2007. Average annual population - 80,000 people were born alive - 1600, died of - 800. Among the dead children under 1 year - 48, including children who have died up to 1 month - 24 people, stillborn - 20, children have died during the first week - 20.Sredi deaths of children under 1 year (48) were: deaths from pneumonia - 20, died of disease of the newborn - 15, died of gastro-intestinal diseases - 10, died of other causes - 3 persons. 
The area "A" in 2004. had the following demographic indicators: birth rate - 22% mortality rate - 8.3%, natural growth - 13,7%, infant mortality - 27%, early infant mortality - 13%, and perinatal mortality - 21%. 
Option number three The area "B" H Coy area in 2007g.sredgegodovoe number of people - 200000 people were born alive - 4500, died 1500 in total-including dead children 
1 year - 120, including children who die before 1 month - 58, stillborn - 42, died within 1 week - 45 people. Among children who died at the age of 1 year (120) was: died of pneumonia - 62, died of disease of the newborn - 28, died of gastro-intestinal diseases - 18, died of other causes - 12 people. The area "B" in 2004. had the following demographic indicators: 
birth rate - 21.5%, mortality rate - 7.2%, natural growth - 14,3%, infant mortality rate - 24,0%, early infant mortality rate - 13,0%, perinatal mortality rate - 20,0%. 
Option number 4 In the area of ​​"H" H Coy area in 2007g.srednegodovoe number of people - 100000 people were born alive - 1700, died of - 600. Among the dead children under 1 year of -45, including children who die before 1 month - 24, stillborn - 30, died within 1 week - 20 people. Among children who died at the age of 1 year (45) was: died of pneumonia - 20, died of disease of the newborn - 15, died of gastro-intestinal diseases - 5 who died of other causes - 5 people. The area "B" in 2004. had the following demographic indicators: birth rate - 18.5%, mortality rate - 7.2%, natural growth - 11,3%, infant mortality rate - 25,1%, early infant mortality rate - 12,7%, perinatal mortality rate - 24,0%. 
Option number 5 In the area of ​​"T" H Coy area in 2007.: The average number of the population - 1.5 million people were born alive - 3200, all died - 1100. Among the dead children under 1 year - 83, including children who die before 1 month - 40, stillborn - 72, died within 1 week - 28 people. 
Among children who died at the age of 1 year (120) was: died of pneumonia - 43, died of disease of the newborn - 20, died of gastro-intestinal diseases - 11, died of other causes - 9. In the area of ​​"T" in 2004. had the following demographic indicators: birth rate - 21.0%, mortality rate - 7.1%, natural growth - 13,9%, infant mortality rate - 22,0%, early infant mortality rate - 12,0%, perinatal mortality rate - 25,0%. 
Variant № 6 The population of the area "K" was 69,000 people. Among women ages 15 to 49 years - 184,000 of them are married 12300. Born in that year - 1090, the previous - 1120. Dead - 430 people, including children under 1 year - 59 of them up to 1 month - 29. Perinatally -12. 
Variant № 7 The population of the area "P" was 65,000 people. Among women ages 15 to 49 - 16200, of whom is married to -11400. Born in that year - 1020, the previous - 1100. Dead - 390 people, including children under 1 year - 58 of them up to 1 month - 25. Perinatally -12. 
Option number 8 The population of the area "H" was 62,000 people. Among women ages 15 to 49 - 19,300 of them are married -13700. Born in that year - 1120, the previous - 1250. Dead - 390 people, including children under 1 year - 65 of them up to 1 month - 24. Perinatally -13. 
Option number 9 The population of the district "M" was 63,100 people. Among women ages 15 to 49 - 20,050 of them are married -14700. Born in that year - 1200, the previous - 1250. Dead - 400 people, including children under 1 year - 60 of them up to 1 month - 26. Perinatally -13. 
Option number 10 Population Area "A" was 65,000 people. Among women ages 15 to 49 - 18,700 of them are married -15500. Born in that year - 1250, the previous - 1310. Dead - 480 people, including children under 1 year - 60 of them up to 1 month - 28. Perinatally -8. 
Option number 11 The population of the area "D" was 68,000 people. Among women ages 15 to 49 - 19000, of whom is married to -16100. Born in that year - 1400, the previous - 1480. Dead - 510 people, including children under 1 year - 57 of them up to 1 month - 27. Perinatally -11. 
Option number 12 The population of the area "K" was 62,000 people. Among women ages 15 to 49 - 19,300 of them are married -13700. Born in that year - 1120, the previous - 1250. Dead - 390 people, including children under 1 year - 52 of them up to 1 month - 28. Perinatally -13. 
Option 13 The population of the district "and" amounted to 61,000 persons. Among women ages 15 to 49 - 19,400 of them are married -16100. Born in that year - 1120, the previous - 1210. Dead - 490 people, including children under 1 year - 62 of them up to 1 month - 33. Perinatally -12. 
Option number 14 The population of the area "P" was 66,000 people. Among women ages 15 to 49 - 16,400 of them are married -13400. Born in that year - 1070, the previous - 1210. Dead - 410 people, including children under 1 year - 54 of them up to 1 month - 28. Perinatally -11. 
Option number 15 The population of the area "B" was 69,000 people. Among women ages 15 to 49 - 16,400 of them are married -13100. Born in that year - 1010, the previous - 1210. Dead - 490 people, including children under 1 year - 49 of them up to 1 month - 22. Perinatally -12. 
      12.Razdatochny material 
№ 1.Osnovnye morbidity. 
№ 2.Osnovnyedemograficheskie indicators. 
Table № 3 levels of assessment of key demographic indicators. 
№ 4 Excerpts from the statistical compilations of "Health and health care in Uzbekistan 
13. Recommended Reading: 
 Main: 
Serenko AF, Ermakov VV Social Care and Health Organization, "Moscow. 1984. 
Lisitsyn YP Hooves NY Guidelines for practical training in social hygiene ", Moscow. 1984. 
The texts of lectures on "Social Hygiene and Public Health Organization" in the library of TMA. 
More: 
Lisitsyn YP et al. "Social Hygiene and Public Health Organization" in 2 volumes, Volume 2, Moscow. 1989. 
2.Lisitsin Yu.P. Polunin H. MV <Public Health and Health Care>> Moscow. 2002.