Transcript PPT
Arman Bidarbakhtnia Statistician, UNSIAP 1 Areas of focus Health and nutrition of children Maternal health Mortality and causes of death HIV and AIDS Health risks related to life style 2 Health and nutrition of children Gender issues: -Survival chance: Non-biological factors -Health care discrimination Data needs (by sex): Measurement: -Death (under 1&5) -Ever born & surviving (by age of mother) -Vaccination -Reporting error/bias -Rare events (wide CIs) -Symptoms -Age -Nutritional status disaggergation (Nutritional status; -Health exp -Nutritional status age 2) 3 World Africa Asia Europe latin America Northen & Caribbean American 2005 - 2010 2000 - 2005 F 1995 - 2000 2005 - 2010 2000 - 2005 1995 - 2000 2005 - 2010 2000 - 2005 1995 - 2000 2005 - 2010 2000 - 2005 1995 - 2000 2005 - 2010 2000 - 2005 1995 - 2000 2005 - 2010 2000 - 2005 1995 - 2000 2005 - 2010 2000 - 2005 1995 - 2000 Under 5 mortality rate per 1,000 live birth by sex, 1995 - 2000, 2000 - 2005 and 2005 – 2010 (Source: UN 2010) 180 M 150 120 90 60 30 0 Oceania 4 Maternal Health Gender issues: Data needs (for at Measurement: least two points in time): -Misclassification -Outcome: mortality -Maternal death -Live birth -Rare events (wide CIs) -Access to prenatal -Concepts (types -Visits to health care of contraceptive) facilities -Underreporting -Access to skilled -Contraceptive use (abortions) personnel -Disaggregation (age, m.s., edu, -Who are at more -Attendance by skilled personnel geo, eco, hh,..) risk? 5 Maternal Mortality Ratio (MMR), 2005 820 800 600 430 400 400 330 200 130 0 World Latin America and the Caribean Asia Oceania Africa Source: WHO, Maternal Mortality in 2005 (2007) 6 Mortality and causes of death Gender issues: Data needs (by age Measurement: and sex): -Outcome: Life expectancy -Resilience (M vs F) -Death -Cause of death -Main causes of death (M vs F) -Cancer: distribution -Underreporting (sex-selective) -Misreporting & misclassification (cause of death) -Population distribution 7 Source: UN 2010 8 HIV and AIDS Gender issues: -Risk: F vs M Data needs (by age Measurement: and sex): -Prevalence -Sensitive topic -Death -Knowledge: M vs F -HIV testing -Access to medicine -Youth: condom use (M vs F) - Sex bias in HIV testing in surveys - Bias towards socially desirable answers -High risk sexual behavior -Knowledge 9 Percentage of women among HIV-positive adults by region, 2001 and 2007 80 60 40 59 59 51 50 54 54 46 37 37 27 27 20 32 32 26 27 28 50 31 30 17 21 18 2001 2007 0 Source: UNAIDS, Report on the Global AIDS Epidemic (2008) 10 Health risks related to life style Gender issues: Data needs (by age Measurement: and sex): -Alcohol -Cultural/social habits: Drinking & consumption smoking, … -Smokers -Limited information on physical activities -Obesity -Obese population -Difficulty in -Exposure to indoor identifying risk -Physical activities for different pollution (F) levels of alcohol -Types of fuels -Exposure to consumption injuries (M) -Injuries 11 Source: UN 2010 12 Sources of data Civil Registration and Vital Statistics (CRVS) Censuses Household surveys: DHS, MICS, HIES, WHS, TUS 13