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antenatal
care coverage
Percentage of women attended at least once during pregnancy by
skilled health personnel because of their pregnancy.
birth
weight
The first weight of the fetus or newborn obtained after birth.
This weight is best measured within the first hour of life before
significant postnatal weight loss occurs.
case
A person in the population or study group identified as having
a specific health problem or disease of interest.
case
definition
A set of standard criteria for deciding whether a person has a
particular disease or health-related problem. Criteria can be
clinical, laboratory or epidemiologic.
case-fatality
rate (CFR)
The probability of death among diagnosed cases of a specific health
problem or disease. The CFR is defined as number of deaths due
to the disease in a specified time period divided by the number
of cases of the disease during the same period.
cause-specific
death rate
The number of deaths attributable to a specific disease in a given
population in a given time period (usually expressed per 100,000
persons per year).
contraceptive
prevalence rate (CPR)
Percentage of women of reproductive age who are using (or whose
partner is using) a contraceptive method at a given point in time.
In practice the CPR is generally reported on women who are currently
married or in union, which should be stated accordingly.
crude
birth rate (CBR)
The number of live births in a given period per 1,000 people in
the same period. Usually expressed per year.
crude
death rate (CDR)
The number of deaths per 1,000 people in a given year.
deliveries
attended by skilled health personnel
Percentage of deliveries attended by skilled health personnel
irrespective of outcome (live birth or fetal death).
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skilled
health personnel or skilled attendant
Doctors (specialist or non-specialist), and/ or persons with
midwifery skills who can diagnose and manage obstetrical complications
as well as normal deliveries. (Traditional birth attendants,
trained or untrained, are not included.)
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person
with midwifery skills
A person who has successfully completed the prescribed course
in midwifery and is able to give the necessary supervision,
care and advice to women during pregnancy, labour and the
postpartum period. This person is also able to conduct deliveries
alone, to provide lifesaving obstetric care, and to care for
the newborn and the infant.
epidemiology
The study of the patterns of human disease, health and behaviours.
fetal
death (deadborn fetus)
Death prior to the complete expulsion or extraction from its mother
of a product of conception, irrespective of the duration of pregnancy.
The death is indicated by the fact that after such separation,
the fetus does not breathe or show any other evidence of life,
such as beating of the heart, pulsation of the umbilical cord,
or definite movement of voluntary muscles.
incidence
rate (IR)
The number of new cases of a health problem or disease in a specified
time that occurs in a population at risk of the disease in the
same time period. The rate is expressed per 100, 1,000, 10,000
or 100,000.
live
birth
The complete expulsion or extraction from its mother of a product
of conception, irrespective of the duration of the pregnancy,
which after such separation, breathes or shows other evidence
of life, such as beating of the heart, pulsation of the umbilical
cord, or definite movement of voluntary muscles, whether or not
the umbilical cord has been cut or the placenta is attached. Each
product of such a birth is considered liveborn.
low
birth weight
Less than 2,500 g (up to and including 2,499 g).
maternal
death
The death of a women while pregnant or within 42 days of termination
of pregnancy, irrespective of the duration and the site of the
pregnancy, from any cause related to or aggravated by the pregnancy
or its management, but not from accidental or incidental causes.
Maternal death is subdivided into two groups:
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direct
obstetric death
Those deaths resulting from obstetric complications of the
pregnant state (pregnancy, labour and puerperium), from interventions,
omissions, incorrect treatment, or from a chain of events
resulting from any of the above.
-
indirect
obstetric death
Those deaths resulting from previously existing disease or
disease that developed during pregnancy and which was not
directly the result of obstetric conditions, but which was
aggravated by the physiologic effects of pregnancy.
maternal
mortality rate
The number of maternal deaths per 100,000 women of reproductive
age (15-49).
maternal
mortality ratio
The number of maternal deaths per 100,000 live births during the
same time period.
neonatal
mortality rate
Number of deaths in the neonatal period during a given time period
per 1,000 live births during the same time period.
neonatal
period
Commences at birth and ends 28 completed days after birth. Neonatal
deaths (deaths among live births during the first 28 completed
days of life) may be subdivided into early neonatal deaths, occurring
during the first seven days of life, and late neonatal deaths,
occurring after the seventh day but before 28 completed days of
life.
perinatal
period
Commences at 22 completed weeks (154 days) of gestation (when
birth weight is normally 500 g) and ends seven completed days
after birth.
perinatal
mortality rate
Number of deaths in the perinatal period during a specified period
of time per 1,000 total births (live births plus fetal deaths)
during the same period of time.
post-neonatal
mortality rate
Number of deaths after 28 days up to, but not including, one year
of age during a given time period per 1,000 live births during
the same period.
pre-term
Less than 37 completed weeks (less than 259 days) of gestation.
Pre-term births are also referred to as premature births.
prevalence
rate
The proportion of the population that has the health problem or
disease under study. The prevalence rate is expressed as the number
of existing cases of the disease at a specified point in time
in the total population. The ratio is expressed per 100, 1,000,
10,000 or 100,000.
proportion
A fraction where the numerator is a subset of the denominator.
random
sampling
A method of selecting a sample whereby each element in the population
has an equal chance (probability) of being selected for the sample.
rate
A measure of the frequency of some event in a defined population
at a specified time. In a rate, the numerator is a subset of the
denominator. The rate is expressed per 100, 1,000, 10,000 or 100,000.
ratio
A measure of the frequency of one group of events relative to
the frequency of a different group of events (e. g., maternal
mortality ratio is the number of maternal deaths per 100,000 live
births). The ratio is expressed per 100, 1,000, 10,000 or 100,000.
relative
risk
A measure of the incidence of a condition in those exposed to
a particular factor in relation to the incidence of that condition
in those not so exposed.
spontaneous
abortion or miscarriage
A fetal death in early pregnancy. At what gestational age (point
in pregnancy) a miscarriage becomes a stillbirth for reporting
purposes depends on the country's policy.
stillbirth
A fetal death in late pregnancy. At what gestational age (point
in pregnancy) a miscarriage becomes a stillbirth for reporting
purposes depends on the country's policy.
surveillance
A dynamic process in which data on the occurrence and distribution
of health or disease in a population is collected, organised,
analysed and disseminated.
total
fertility rate
The number of children who would be born per woman, if the woman
was to live to the end of her child-bearing years and bear children
at each age in accordance with prevailing age-specific fertility
rates.
unsafe
abortion
"A procedure for terminating unwanted pregnancy either by persons
lacking the necessary skills or in an environment lacking minimal
medical standards or both" (WHO).
vital
statistics
Data collected from continuous or periodic recording or registration
of all "vital events", such as births, deaths, marriages and divorces.
women
of reproductive age (or women of childbearing age)
Refers to all women aged 15 to 49 years (WHO).
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