• The National Prophylaxis Programme against Nutritional Blindness due to vitamin A deficiency (NPPNB due to VAD) was started in 1970
– with the specific aim of preventing nutritional blindness due to keratomalacia
– As an urgent measure to combat the unacceptably high magnitude of xerophthalmic blindness in the country seen in the 1950s and 1960s
• The Programme was started as a 100 per cent centrally sponsored programme
References:
WHO (2005) Manual for participants; Emergency Triage Assessment and Treatment (ETAT)
Facility based IMNCI - Participant Manual. Ministry of Health and Family Welfare Government of India, 2009
Reference:
Marcia L. London. Pediatric Assessment. Maternal & Child Nursing Care, Ed 3rd, Prentice Hall, 2010: 961-1022.
Seidel, H.M.Ball, J.W,Dains, J.,& Benedict,G.W.(2003). Mosby’s guide to physical examination (5th ed.).St.Louis,MO: Mosby
References:
Marcia L. London. Pediatric Assessment. Maternal & Child Nursing Care, Ed 3rd, Prentice Hall, 2010: 961-1022.
Byrnes,K. Conducting the paediatric health history: A guide Pediatric Nursing, 1996; 22: 135–137
The Human Development Index (HDI) is a composite index measuring achievement in key dimensions of human development:
1. A long and healthy life,
2. Being knowledgeable and
3. Have a decent standard of living.
A. Consolidates three indicators:
1. Infant mortality rate
2. Literacy rate
3. Life expectancy at one year of age
B. For EACH component, the performance of the country is placed on a scale from 0 to 100
• 0 = ‘worst performance’
• 100 = ‘Best performance’
The average (arithmetic mean) of the three scores is calculated, which is the PQLI for the country
It also obviously ranges from 0 to 100
Hence, an EQUAL weightage is given to each component
E.g. when a health intervention is aimed at preventing or treating a non- fatal disease, the relationship between QUALYs gained and DALYs saved depend on age of onset, duration of disease as well as the quality of life and disability weights
Reference:
Franco Sassi. Calculating QALYs, comparing QALY and DALY calculations, Health Policy Plan (2006) 21 (5): 402-408
• A measure of disease burden including both:
– Quality and
– Quantity of life lived
• Used mainly for assessing the value for money of a medical intervention i.e. cost – effective analysis for comparing different interventions
• Based on the number of QUALYs gained by the intervention
• Each year in perfect health = 1.0
• Death = 0.0
• 1 QUALY = one year of life X one utility value = one year of life lived in perfect health
• Half a year lived in perfect health is equivalent to 0.5 QUALY = 1 year X 0.5 utility value
• Previously k/a DALE (Disability Adjusted Life Expectancy)
• Definition: equivalent number of years in “full health” that a new-born can expect to live based on current rates of ill health and mortality
• Indicator used to measure healthy life expectancy
• Based on:
o life expectancy at birth BUT
o Includes an adjustment for time spent in poor health as perceived by the individuals in the following areas of their personal health:
1. Sensory ( vision, hearing and speech),
2. Mobility,
Life expectancy (LE) estimates are insensitive to the health status of the population.
They provide no indication of the quality of life, only the quantity
Moving beyond LE are the indicators below:
1 HALE (Health – Adjusted Life Expectancy)
2 “Sullivan’s index” or Disability – free life expectancy or Active life expectancy
3 QALY (Quality – adjusted life years)
4 Disability – adjusted life years (DALY)
