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strike0 and\f3\fs20\cf2\b0\i0\ul0\strike0 death)\f3\fs20\cf2\b0\i0\ul0\strike0
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strike0 tration\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0
drugs,\f3\fs20\cf2\b0\i0\ul0\strike0 so\f3\fs20\cf2\b0\i0\ul0\strike0 also\f3
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2\b0\i0\ul0\strike0 community.\f3\fs20\cf2\b0\i0\ul0\strike0 Social\f3\fs20\cf
2\b0\i0\ul0\strike0 action\par\pard\plain\li0\sl-254\f3\fs20\cf2\b0\i0\ul0\stri
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lain\li0\sl-254\f3\fs20\cf2\b0\i0\ul0\strike0 Pregnancy-Act\f3\fs20\cf2\b0\i0\ul
0\strike0 (MTP-Act);\f3\fs20\cf2\b0\i0\ul0\strike0 Prevention\f3\fs20\cf2\b0\i
0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0 food\f3\fs20\cf2\b0\i0\ul0\stri
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\fs20\cf2\b0\i0\ul0\strike0 (PFA-Act);\f3\fs20\cf2\b0\i0\ul0\strike0 Employees
\u8217?\f3\fs20\cf2\b0\i0\ul0\strike0 State\f3\fs20\cf2\b0\i0\ul0\strike0 Insu
rance\f3\fs20\cf2\b0\i0\ul0\strike0 Act\f3\fs20\cf2\b0\i0\ul0\strike0 (ESI-Act
);\par\pard\plain\li0\sl-254\f3\fs20\cf2\b0\i0\ul0\strike0 Indian\f3\fs20\cf2\b0
\i0\ul0\strike0 Factories\f3\fs20\cf2\b0\i0\ul0\strike0 Act\f3\fs20\cf2\b0\i0\
ul0\strike0 (IFA),\f3\fs20\cf2\b0\i0\ul0\strike0 etc.\par\pard\plain\sl-302\pa
r\pard\plain\li0\sl-194\f1\fs20\cf2\b\i0\ul0\strike0 COMMUNITY\f1\fs20\cf2\b\i0\
ul0\strike0 DIAGNOSIS\par\pard\plain\li0\sl-376\f3\fs20\cf2\b0\i0\ul0\strike0 T
his\f3\fs20\cf2\b0\i0\ul0\strike0 consists\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3
\fs20\cf2\b0\i0\ul0\strike0 identification\f3\fs20\cf2\b0\i0\ul0\strike0 and\f
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\ul0\strike0 problems,\f3\fs20\cf2\b0\i0\ul0\strike0 in\f3\fs20\cf2\b0\i0\ul0\s
trike0 terms\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0 m
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lity\f3\fs20\cf2\b0\i0\ul0\strike0 rates\f3\fs20\cf2\b0\i0\ul0\strike0 (diseas
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influencing\f3\fs20\cf2\b0\i0\ul0\strike0 factors\f3\fs20\cf2\b0\i0\ul0\strike0
in\f3\fs20\cf2\b0\i0\ul0\strike0 a\f3\fs20\cf2\b0\i0\ul0\strike0 community.\
par\pard\plain\li0\sl-254\f3\fs20\cf2\b0\i0\ul0\strike0 This\f3\fs20\cf2\b0\i0\u
l0\strike0 helps\f3\fs20\cf2\b0\i0\ul0\strike0 to\f3\fs20\cf2\b0\i0\ul0\strike
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\f3\fs20\cf2\b0\i0\ul0\strike0 implement\par\pard\plain\li0\sl-259\f3\fs20\cf2\
b0\i0\ul0\strike0 control\f3\fs20\cf2\b0\i0\ul0\strike0 measures.\f3\fs20\cf2\b
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when\f3\fs20\cf2\b0\i0\ul0\strike0 a\f3\fs20\cf2\b0\i0\ul0\strike0 diagnosis\
f3\fs20\cf2\b0\i0\ul0\strike0 is\par\pard\plain\li0\sl-254\f3\fs20\cf2\b0\i0\ul
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an\f3\fs20\cf2\b0\i0\ul0\strike0 individual\f3\fs20\cf2\b0\i0\ul0\strike0 by\f
3\fs20\cf2\b0\i0\ul0\strike0 the\f3\fs20\cf2\b0\i0\ul0\strike0 doctor\f3\fs20\
cf2\b0\i0\ul0\strike0 based\f3\fs20\cf2\b0\i0\ul0\strike0 on\f3\fs20\cf2\b0\i0
\ul0\strike0 signs\f3\fs20\cf2\b0\i0\ul0\strike0 and\par\pard\plain\li0\sl-259
\f3\fs20\cf2\b0\i0\ul0\strike0 symptoms\f3\fs20\cf2\b0\i0\ul0\strike0 it\f3\fs2
0\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0 called\f3\fs20\cf2\b0
\i0\ul0\strike0 \u8220?clinical\f3\fs20\cf2\b0\i0\ul0\strike0 diagnosis\u8221?
\f3\fs20\cf2\b0\i0\ul0\strike0 (Table\f3\fs20\cf2\b0\i0\ul0\strike0 1.1).\par\
pard\plain\li868\sl-396\f2\fs18\cf2\b\i0\ul0\strike0 Table\f2\fs18\cf2\b\i0\ul0\
strike0 1.1:\f2\fs18\cf2\b0\i0\ul0\strike0 Differences\f2\fs18\cf2\b0\i0\ul0\s
trike0 between\f2\fs18\cf2\b0\i0\ul0\strike0 clinical\par\pard\plain\li988\sl220\f2\fs18\cf2\b0\i0\ul0\strike0 diagnosis\f2\fs18\cf2\b0\i0\ul0\strike0 and\f
2\fs18\cf2\b0\i0\ul0\strike0 community\f2\fs18\cf2\b0\i0\ul0\strike0 diagnosis
\par\sect\sected\sbknone\cols3\colno1\colw6510\colsr10\colno2\colw2290\colsr10\c
olno3\colw3420\pard\plain\sl-231\par\pard\plain\li1142\sl-162\f3\fs18\cf2\b0\i\u
l0\strike0 Human\f3\fs18\cf2\b0\i\ul0\strike0 physiology\f3\fs18\cf2\b0\i\ul0\s
trike0 Social\f3\fs18\cf2\b0\i\ul0\strike0 physiology\par\pard\column\plain\sl
-212\par\pard\plain\li0\sl-162\f3\fs18\cf2\b0\i\ul0\strike0 Clinical\f3\fs18\cf2

\b0\i\ul0\strike0 diagnosis\par\pard\column\plain\sl-212\par\pard\plain\li0\sl162\f3\fs18\cf2\b0\i\ul0\strike0 Community\f3\fs18\cf2\b0\i\ul0\strike0 diagnos


is\par\sect\sected\sbknone\cols4\colno1\colw2610\colsr10\colno2\colw3650\colsr10
\colno3\colw2510\colsr10\colno4\colw3440\pard\plain\li1142\sl-302\f3\fs18\cf2\b0
\i0\ul0\strike0 Respiration\par\pard\plain\li1142\sl-239\f3\fs18\cf2\b0\i0\ul0\s
trike0 Digestion\par\pard\plain\li1142\sl-239\f3\fs18\cf2\b0\i0\ul0\strike0 Excr
etion\par\pard\plain\sl-317\par\pard\plain\li1142\sl-162\f3\fs18\cf2\b0\i0\ul0\s
trike0 Reproduction\par\pard\plain\li1142\sl-239\f3\fs18\cf2\b0\i0\ul0\strike0 G
rowth\par\pard\plain\li1142\sl-239\f3\fs18\cf2\b0\i0\ul0\strike0 Co-ordination\p
ar\pard\plain\li0\sl-302\column\f3\fs18\cf2\b0\i0\ul0\strike0 Air,\f3\fs18\cf2\b
0\i0\ul0\strike0 ventilation,\f3\fs18\cf2\b0\i0\ul0\strike0 housing,\par\pard\
plain\li3\sl-239\f3\fs18\cf2\b0\i0\ul0\strike0 Nutrition\f3\fs18\cf2\b0\i0\ul0\s
trike0 and\f3\fs18\cf2\b0\i0\ul0\strike0 health\par\pard\plain\li3\sl-239\f3\f
s18\charscalex89\cf2\b0\i0\ul0\strike0 Disposal\f3\fs18\charscalex89\cf2\b0\i0\u
l0\strike0 of\f3\fs18\charscalex89\cf2\b0\i0\ul0\strike0 refuse,\f3\fs18\chars
calex89\cf2\b0\i0\ul0\strike0 sewage\f3\fs18\charscalex89\cf2\b0\i0\ul0\strike0
excreta,\f3\fs18\charscalex89\cf2\b0\i0\ul0\strike0 dead-bodies,\par\pard\pla
in\li3\sl-239\f3\fs18\cf2\b0\i0\ul0\strike0 etc.\par\pard\plain\li3\sl-239\f3\fs
18\cf2\b0\i0\ul0\strike0 Family\f3\fs18\cf2\b0\i0\ul0\strike0 welfare\f3\fs18\c
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e0 population\f3\fs18\cf2\b0\i0\ul0\strike0 dynamics\par\pard\plain\li3\sl-239
\f3\fs18\cf2\b0\i0\ul0\strike0 Customs,\f3\fs18\cf2\b0\i0\ul0\strike0 habits,\f
3\fs18\cf2\b0\i0\ul0\strike0 traditions,\f3\fs18\cf2\b0\i0\ul0\strike0 beliefs
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s18\cf2\b0\i0\ul0\strike0 Doctor.\par\pard\plain\li254\sl-239\f3\fs18\cf2\b0\i0
\ul0\strike0 (Physician)\par\pard\plain\li0\sl-239\f3\fs18\cf2\b0\i0\ul0\strike0
2.\f3\fs18\cf2\b0\i0\ul0\strike0 Concerned\f3\fs18\cf2\b0\i0\ul0\strike0 with
\f3\fs18\cf2\b0\i0\ul0\strike0 individual\par\pard\plain\li254\sl-239\f3\fs18\c
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0 3.\f3\fs18\cf2\b0\i0\ul0\strike0 Concerned\f3\fs18\cf2\b0\i0\ul0\strike0 wit
h\f3\fs18\cf2\b0\i0\ul0\strike0 only\f3\fs18\cf2\b0\i0\ul0\strike0 sick\par\pa
rd\plain\li254\sl-239\f3\fs18\cf2\b0\i0\ul0\strike0 people\par\pard\plain\li0\sl
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\b0\i0\ul0\strike0 5.\f3\fs18\charscalex96\cf2\b0\i0\ul0\strike0 It\f3\fs18\cha
rscalex96\cf2\b0\i0\ul0\strike0 is\f3\fs18\charscalex96\cf2\b0\i0\ul0\strike0
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\ul0\strike0 0\f3\fs20\cf2\b0\i0\ul0\strike0 to\f3\fs20\cf2\b0\i0\ul0\strike0
100,\f3\fs20\cf2\b0\i0\ul0\strike0 where\f3\fs20\cf2\b0\i0\ul0\strike0 \u8216
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and\f3\fs20\cf2\b0\i0\ul0\strike0 100\f3\fs20\cf2\b0\i0\ul0\strike0 represents
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sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 The\f3\fs20\cf2\b0\i0\ul0\strike0 resultin
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n\f3\fs20\cf2\b0\i0\ul0\strike0 Life\f3\fs20\cf2\b0\i0\ul0\strike0 expectancy\f


3\fs20\cf2\b0\i0\ul0\strike0 at\f3\fs20\cf2\b0\i0\ul0\strike0 birth\par\pard\p
lain\li0\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 Adult\f3\fs20\cf2\b0\i0\ul0\strike
0 literacy\f3\fs20\cf2\b0\i0\ul0\strike0 rate\par\pard\plain\sl-334\par\pard\p
lain\li0\sl-189\f3\fs20\cf2\b0\i0\ul0\strike0 Combined\f3\fs20\cf2\b0\i0\ul0\str
ike0 gross\par\pard\plain\li0\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 enrollment\f
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pard\plain\sl-329\par\pard\plain\li0\sl-189\f3\fs20\cf2\b0\i0\ul0\strike0 Real\f
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\b0\i0\ul0\strike0 capita\par\pard\plain\li0\sl-259\f3\fs20\cf2\b0\i0\ul0\strik
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f3\fs20\cf2\b0\i0\ul0\strike0 India\par\pard\plain\li2\sl-282\column\f3\fs20\cf2
\b0\i0\ul0\strike0 :\f3\fs20\cf2\b0\i0\ul0\strike0 25\f3\fs20\cf2\b0\i0\ul0\str
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i0\ul0\strike0 :\f3\fs20\cf2\b0\i0\ul0\strike0 0\f3\fs20\cf2\b0\i0\ul0\strike0
percent\f3\fs20\cf2\b0\i0\ul0\strike0 and\f3\fs20\cf2\b0\i0\ul0\strike0 100\p
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\i0\ul0\strike0 0\f3\fs20\cf2\b0\i0\ul0\strike0 percent\f3\fs20\cf2\b0\i0\ul0\
strike0 and\f3\fs20\cf2\b0\i0\ul0\strike0 100\par\pard\plain\li240\sl-259\f3\f
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89\f3\fs20\cf2\b0\i0\ul0\strike0 :\f3\fs20\cf2\b0\i0\ul0\strike0 $\f3\fs20\cf2\
b0\i0\ul0\strike0 100\f3\fs20\cf2\b0\i0\ul0\strike0 and\f3\fs20\cf2\b0\i0\ul0\
strike0 $\f3\fs20\cf2\b0\i0\ul0\strike0 40,000.\par\pard\plain\sl-334\par\pard
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Rs.\f3\fs20\cf2\b0\i0\ul0\strike0 1670/-\par\sect\sected\sbknone\cols2\colno1\
colw6230\colsr10\colno2\colw6000\pard\plain\li1080\sl-226\f3\fs20\cf2\b0\i0\ul0\
strike0 a.\f3\fs20\cf2\b0\i0\ul0\strike0 IMR\f3\fs20\cf2\b0\i0\ul0\strike0 wei
ghtage\f3\fs20\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0 on\f3\fs
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0\i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0 0\f3\fs20\cf2\b0\i0\ul0\stri
ke0 to\f3\fs20\cf2\b0\i0\ul0\strike0 100.\f3\fs20\cf2\b0\i0\ul0\strike0 Zero\
f3\fs20\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0 for\par\pard\pl
ain\li1382\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 an\f3\fs20\cf2\b0\i0\ul0\strike0
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1382\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 births.\f3\fs20\cf2\b0\i0\ul0\strike0
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3\fs20\cf2\b0\i0\ul0\strike0 (HPI).\par\pard\plain\li0\sl-259\column\f3\fs20\cf
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sickle\f3\fs20\cf2\b0\i0\ul0\strike0 cell\f3\fs20\cf2\b0\i0\ul0\strike0 anae
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cf2\b0\i0\ul0\strike0 and\f3\fs20\cf2\b0\i0\ul0\strike0 since\par\pard\plain\l
i1080\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 health\f3\fs20\cf2\b0\i0\ul0\strike0
is\f3\fs20\cf2\b0\i0\ul0\strike0 multi-dimensional\f3\fs20\cf2\b0\i0\ul0\strik
e0 and\f3\fs20\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0 never\f
3\fs20\cf2\b0\i0\ul0\strike0 static,\f3\fs20\cf2\b0\i0\ul0\strike0 health\f3\f
s20\cf2\b0\i0\ul0\strike0 is\par\pard\plain\li1080\sl-263\f3\fs20\cf2\b0\i0\ul0
\strike0 measured\f3\fs20\cf2\b0\i0\ul0\strike0 multi-dimensionally,\f3\fs20\cf
2\b0\i0\ul0\strike0 indirectly.\f3\fs20\cf2\b0\i0\ul0\strike0 These\f3\fs20\cf
2\b0\i0\ul0\strike0 indicators\par\pard\plain\li1080\sl-259\f3\fs20\cf2\b0\i0\u
l0\strike0 are\f3\fs20\cf2\b0\i0\ul0\strike0 classified\f3\fs20\cf2\b0\i0\ul0\s
trike0 as\f3\fs20\cf2\b0\i0\ul0\strike0 follows:\par\pard\plain\li1080\sl-259\
f3\fs20\cf2\b0\i0\ul0\strike0 \u183?\f3\fs20\cf2\b0\i0\ul0\strike0 Mortality\f3
\fs20\cf2\b0\i0\ul0\strike0 indicators.\par\pard\plain\li1080\sl-259\f3\fs20\cf
2\b0\i0\ul0\strike0 \u183?\f3\fs20\cf2\b0\i0\ul0\strike0 Morbidity\f3\fs20\cf2\
b0\i0\ul0\strike0 indicators.\par\pard\plain\li1080\sl-259\f3\fs20\cf2\b0\i0\ul
0\strike0 \u183?\f3\fs20\cf2\b0\i0\ul0\strike0 Disability\f3\fs20\cf2\b0\i0\ul0
\strike0 rates.\par\pard\plain\li1080\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 \u18
3?\f3\fs20\cf2\b0\i0\ul0\strike0 Nutritional\f3\fs20\cf2\b0\i0\ul0\strike0 sta
tus\f3\fs20\cf2\b0\i0\ul0\strike0 indicators.\par\pard\plain\li1080\sl-263\f3\f
s20\cf2\b0\i0\ul0\strike0 \u183?\f3\fs20\cf2\b0\i0\ul0\strike0 Health\f3\fs20\c
f2\b0\i0\ul0\strike0 care\f3\fs20\cf2\b0\i0\ul0\strike0 delivery\f3\fs20\cf2\b
0\i0\ul0\strike0 indicators.\par\pard\plain\li1080\sl-259\f3\fs20\cf2\b0\i0\ul0
\strike0 \u183?\f3\fs20\cf2\b0\i0\ul0\strike0 Utilization\f3\fs20\cf2\b0\i0\ul0
\strike0 rates.\par\pard\plain\li1080\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 \u18
3?\f3\fs20\cf2\b0\i0\ul0\strike0 Indicators\f3\fs20\cf2\b0\i0\ul0\strike0 of\f
3\fs20\cf2\b0\i0\ul0\strike0 social\f3\fs20\cf2\b0\i0\ul0\strike0 and\f3\fs20\
cf2\b0\i0\ul0\strike0 mental\f3\fs20\cf2\b0\i0\ul0\strike0 health.\par\pard\pl
ain\li1080\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 \u183?\f3\fs20\cf2\b0\i0\ul0\str
ike0 Socio-economic\f3\fs20\cf2\b0\i0\ul0\strike0 indicators.\par\pard\plain\l
i1080\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 \u183?\f3\fs20\cf2\b0\i0\ul0\strike0
Health\f3\fs20\cf2\b0\i0\ul0\strike0 policy\f3\fs20\cf2\b0\i0\ul0\strike0 ind
icators.\par\pard\plain\li1080\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 \u183?\f3\fs
20\cf2\b0\i0\ul0\strike0 Environmental\f3\fs20\cf2\b0\i0\ul0\strike0 indicator
s.\par\pard\plain\li1080\sl-263\f3\fs20\cf2\b0\i0\ul0\strike0 \u183?\f3\fs20\cf2
\b0\i0\ul0\strike0 Indicators\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\fs20\cf2\b0\
i0\ul0\strike0 quality\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\
strike0 life.\par\pard\plain\li1080\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 \u183?
\f3\fs20\cf2\b0\i0\ul0\strike0 Other\f3\fs20\cf2\b0\i0\ul0\strike0 indicators.
\par\pard\plain\li1382\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 Health\f3\fs20\cf2\b
0\i0\ul0\strike0 index\f3\fs20\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\
strike0 usually\f3\fs20\cf2\b0\i0\ul0\strike0 considered\f3\fs20\cf2\b0\i0\ul0
\strike0 as\f3\fs20\cf2\b0\i0\ul0\strike0 an\f3\fs20\cf2\b0\i0\ul0\strike0 am
algamation\par\pard\plain\li1080\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\fs20
\cf2\b0\i0\ul0\strike0 health\f3\fs20\cf2\b0\i0\ul0\strike0 indicator.\par\par
d\plain\sl-298\par\pard\plain\li1080\sl-194\f1\fs20\cf2\b0\i\ul0\strike0 Mortali
ty\f1\fs20\cf2\b0\i\ul0\strike0 Indicators\par\pard\plain\li1080\sl-376\f3\fs20

\cf2\b0\i0\ul0\strike0 The\f3\fs20\cf2\b0\i0\ul0\strike0 different\f3\fs20\cf2\


b0\i0\ul0\strike0 mortality\f3\fs20\cf2\b0\i0\ul0\strike0 indicators\f3\fs20\c
f2\b0\i0\ul0\strike0 used\f3\fs20\cf2\b0\i0\ul0\strike0 to\f3\fs20\cf2\b0\i0\u
l0\strike0 assess\f3\fs20\cf2\b0\i0\ul0\strike0 the\f3\fs20\cf2\b0\i0\ul0\stri
ke0 health\par\pard\plain\li1080\sl-249\f3\fs20\cf2\b0\i0\ul0\strike0 status\f3
\fs20\cf2\b0\i0\ul0\strike0 are:\par\pard\plain\li1080\sl-374\f3\fs20\cf2\b0\i\
ul0\strike0 Crude\f3\fs20\cf2\b0\i\ul0\strike0 death\f3\fs20\cf2\b0\i\ul0\strik
e0 rate\f3\fs20\cf2\b0\i\ul0\strike0 (CDR):\f3\fs20\cf2\b0\i0\ul0\strike0 It\
f3\fs20\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0 defined\f3\fs20
\cf2\b0\i0\ul0\strike0 as\f3\fs20\cf2\b0\i0\ul0\strike0 number\f3\fs20\cf2\b0\
i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0 deaths\par\pard\plain\li1080\s
l-249\f3\fs20\cf2\b0\i0\ul0\strike0 per\f3\fs20\cf2\b0\i0\ul0\strike0 1000\f3\f
s20\cf2\b0\i0\ul0\strike0 population,\f3\fs20\cf2\b0\i0\ul0\strike0 per\f3\fs2
0\cf2\b0\i0\ul0\strike0 year,\f3\fs20\cf2\b0\i0\ul0\strike0 in\f3\fs20\cf2\b0\
i0\ul0\strike0 a\f3\fs20\cf2\b0\i0\ul0\strike0 given\f3\fs20\cf2\b0\i0\ul0\str
ike0 area.\f3\fs20\cf2\b0\i0\ul0\strike0 It\f3\fs20\cf2\b0\i0\ul0\strike0 ind
icates\par\pard\plain\li1080\sl-254\f3\fs20\cf2\b0\i0\ul0\strike0 the\f3\fs20\cf
2\b0\i0\ul0\strike0 rate\f3\fs20\cf2\b0\i0\ul0\strike0 at\f3\fs20\cf2\b0\i0\ul
0\strike0 which\f3\fs20\cf2\b0\i0\ul0\strike0 people\f3\fs20\cf2\b0\i0\ul0\str
ike0 are\f3\fs20\cf2\b0\i0\ul0\strike0 dying.\f3\fs20\cf2\b0\i0\ul0\strike0 H
igher\f3\fs20\cf2\b0\i0\ul0\strike0 the\f3\fs20\cf2\b0\i0\ul0\strike0 crude\f3
\fs20\cf2\b0\i0\ul0\strike0 death\par\pard\plain\li1080\sl-249\f3\fs20\cf2\b0\i
0\ul0\strike0 rate,\f3\fs20\cf2\b0\i0\ul0\strike0 poorer\f3\fs20\cf2\b0\i0\ul0\
strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0 the\f3\fs20\cf2\b0\i0\ul0\strike0 he
alth\f3\fs20\cf2\b0\i0\ul0\strike0 status\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\
fs20\cf2\b0\i0\ul0\strike0 a\f3\fs20\cf2\b0\i0\ul0\strike0 country.\f3\fs20\cf
2\b0\i0\ul0\strike0 A\f3\fs20\cf2\b0\i0\ul0\strike0 decrease\f3\fs20\cf2\b0\i0
\ul0\strike0 in\par\pard\plain\li1080\sl-254\f3\fs20\cf2\b0\i0\ul0\strike0 CDR\
f3\fs20\cf2\b0\i0\ul0\strike0 indicates\f3\fs20\cf2\b0\i0\ul0\strike0 overall\
f3\fs20\cf2\b0\i0\ul0\strike0 improvement\f3\fs20\cf2\b0\i0\ul0\strike0 in\f3\
fs20\cf2\b0\i0\ul0\strike0 the\f3\fs20\cf2\b0\i0\ul0\strike0 health\f3\fs20\cf
2\b0\i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0 the\par\pard\plain\li1080
\sl-249\f3\fs20\cf2\b0\i0\ul0\strike0 population.\f3\fs20\cf2\b0\i0\ul0\strike0
Afterall\f3\fs20\cf2\b0\i0\ul0\strike0 reducing\f3\fs20\cf2\b0\i0\ul0\strike0
the\f3\fs20\cf2\b0\i0\ul0\strike0 death\f3\fs20\cf2\b0\i0\ul0\strike0 rate\f3
\fs20\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0 the\f3\fs20\cf2\b
0\i0\ul0\strike0 goal\f3\fs20\cf2\b0\i0\ul0\strike0 of\par\pard\plain\li1080\s
l-254\f3\fs20\charscalex99\cf2\b0\i0\ul0\strike0 health\f3\fs20\charscalex99\cf2
\b0\i0\ul0\strike0 care.\f3\fs20\charscalex99\cf2\b0\i0\ul0\strike0 National\f
3\fs20\charscalex99\cf2\b0\i0\ul0\strike0 fig.\f3\fs20\charscalex99\cf2\b0\i0\u
l0\strike0 is\f3\fs20\charscalex99\cf2\b0\i0\ul0\strike0 7.4/1000\f3\fs20\char
scalex99\cf2\b0\i0\ul0\strike0 Population\f3\fs20\charscalex99\cf2\b0\i0\ul0\st
rike0 (SRS\f3\fs20\charscalex99\cf2\b0\i0\ul0\strike0 2008).\par\pard\plain\li
1382\sl-249\f3\fs20\cf2\b0\i0\ul0\strike0 Even\f3\fs20\cf2\b0\i0\ul0\strike0 th
ough\f3\fs20\cf2\b0\i0\ul0\strike0 CDR\f3\fs20\cf2\b0\i0\ul0\strike0 indicates
\f3\fs20\cf2\b0\i0\ul0\strike0 the\f3\fs20\cf2\b0\i0\ul0\strike0 overall\f3\fs
20\cf2\b0\i0\ul0\strike0 health\f3\fs20\cf2\b0\i0\ul0\strike0 status\f3\fs20\c
f2\b0\i0\ul0\strike0 of\par\pard\plain\li0\sl-259\column\f3\fs20\cf2\b0\i0\ul0\
strike0 indicates\f3\fs20\cf2\b0\i0\ul0\strike0 the\f3\fs20\cf2\b0\i0\ul0\strik
e0 socio-economic\f3\fs20\cf2\b0\i0\ul0\strike0 conditions\f3\fs20\cf2\b0\i0\u
l0\strike0 under\f3\fs20\cf2\b0\i0\ul0\strike0 which\f3\fs20\cf2\b0\i0\ul0\str
ike0 the\par\pard\plain\li0\sl-259\f3\fs20\cf2\b0\i0\ul0\strike0 infants\f3\fs2
0\cf2\b0\i0\ul0\strike0 live.\par\pard\plain\li297\sl-263\f3\fs20\cf2\b0\i0\ul0
\strike0 Thus\f3\fs20\cf2\b0\i0\ul0\strike0 IMR\f3\fs20\cf2\b0\i0\ul0\strike0
is\f3\fs20\cf2\b0\i0\ul0\strike0 an,\f3\fs20\cf2\b0\i0\ul0\strike0 universally
\f3\fs20\cf2\b0\i0\ul0\strike0 accepted\f3\fs20\cf2\b0\i0\ul0\strike0 indicato
r\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0 health\par\pa
rd\plain\li0\sl-268\f3\fs20\cf2\b0\i0\ul0\strike0 status.\f3\fs20\cf2\b0\i0\ul0\
strike0 The\f3\fs20\cf2\b0\i0\ul0\strike0 current\f3\fs20\cf2\b0\i0\ul0\strike
0 IMR\f3\fs20\cf2\b0\i0\ul0\strike0 in\f3\fs20\cf2\b0\i0\ul0\strike0 India\f3

\fs20\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0 53/1000\f3\fs20\c


f2\b0\i0\ul0\strike0 live-births\f3\fs20\cf2\b0\i0\ul0\strike0 (SRS\par\pard\p
lain\li0\sl-263\f3\fs20\cf2\b0\i0\ul0\strike0 2008).\f3\fs20\cf2\b0\i0\ul0\strik
e0 It\f3\fs20\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0 about\f3
\fs20\cf2\b0\i0\ul0\strike0 12\f3\fs20\cf2\b0\i0\ul0\strike0 times\f3\fs20\cf2
\b0\i0\ul0\strike0 high\f3\fs20\cf2\b0\i0\ul0\strike0 compared\f3\fs20\cf2\b0\
i0\ul0\strike0 to\f3\fs20\cf2\b0\i0\ul0\strike0 developed\par\pard\plain\li0\s
l-268\f3\fs20\cf2\b0\i0\ul0\strike0 countries\f3\fs20\cf2\b0\i0\ul0\strike0 lik
e\f3\fs20\cf2\b0\i0\ul0\strike0 UK,\f3\fs20\cf2\b0\i0\ul0\strike0 USA,\f3\fs20
\cf2\b0\i0\ul0\strike0 Sweden,\f3\fs20\cf2\b0\i0\ul0\strike0 Japan,\f3\fs20\cf
2\b0\i0\ul0\strike0 etc.\par\pard\plain\li0\sl-384\f3\fs20\cf2\b0\i\ul0\strike0
Maternal\f3\fs20\cf2\b0\i\ul0\strike0 mortality\f3\fs20\cf2\b0\i\ul0\strike0
rate\f3\fs20\cf2\b0\i\ul0\strike0 (MMR):\f3\fs20\cf2\b0\i0\ul0\strike0 This\f3
\fs20\cf2\b0\i0\ul0\strike0 also\f3\fs20\cf2\b0\i0\ul0\strike0 indicates\f3\fs
20\cf2\b0\i0\ul0\strike0 the\par\pard\plain\li0\sl-263\f3\fs20\cf2\b0\i0\ul0\st
rike0 quality\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0 s
ervices\f3\fs20\cf2\b0\i0\ul0\strike0 provided\f3\fs20\cf2\b0\i0\ul0\strike0 t
o\f3\fs20\cf2\b0\i0\ul0\strike0 mothers\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\fs
20\cf2\b0\i0\ul0\strike0 reproductive\f3\fs20\cf2\b0\i0\ul0\strike0 age\par\pa
rd\plain\li0\sl-268\f3\fs20\cf2\b0\i0\ul0\strike0 group,\f3\fs20\cf2\b0\i0\ul0\s
trike0 i.e.\f3\fs20\cf2\b0\i0\ul0\strike0 ante-natal,\f3\fs20\cf2\b0\i0\ul0\st
rike0 natal\f3\fs20\cf2\b0\i0\ul0\strike0 and\f3\fs20\cf2\b0\i0\ul0\strike0 p
ost-natal\f3\fs20\cf2\b0\i0\ul0\strike0 services.\par\pard\plain\li297\sl-263\f
3\fs20\cf2\b0\i0\ul0\strike0 The\f3\fs20\cf2\b0\i0\ul0\strike0 current\f3\fs20\
cf2\b0\i0\ul0\strike0 MMR\f3\fs20\cf2\b0\i0\ul0\strike0 in\f3\fs20\cf2\b0\i0\u
l0\strike0 India\f3\fs20\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike
0 3.01\f3\fs20\cf2\b0\i0\ul0\strike0 (SRS\f3\fs20\cf2\b0\i0\ul0\strike0 2007)
\f3\fs20\cf2\b0\i0\ul0\strike0 per\f3\fs20\cf2\b0\i0\ul0\strike0 1000\par\pard
\plain\li0\sl-268\f3\fs20\cf2\b0\i0\ul0\strike0 live-births.\f3\fs20\cf2\b0\i0\u
l0\strike0 This\f3\fs20\cf2\b0\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0
about\f3\fs20\cf2\b0\i0\ul0\strike0 50\f3\fs20\cf2\b0\i0\ul0\strike0 times\f
3\fs20\cf2\b0\i0\ul0\strike0 high\f3\fs20\cf2\b0\i0\ul0\strike0 compared\f3\fs
20\cf2\b0\i0\ul0\strike0 to\par\pard\plain\li0\sl-263\f3\fs20\cf2\b0\i0\ul0\str
ike0 developed\f3\fs20\cf2\b0\i0\ul0\strike0 countries\f3\fs20\cf2\b0\i0\ul0\st
rike0 mentioned\f3\fs20\cf2\b0\i0\ul0\strike0 above.\par\pard\plain\li0\sl-388
\f3\fs20\cf2\b0\i\ul0\strike0 Child\f3\fs20\cf2\b0\i\ul0\strike0 mortality\f3\f
s20\cf2\b0\i\ul0\strike0 rate:\f3\fs20\cf2\b0\i0\ul0\strike0 It\f3\fs20\cf2\b0
\i0\ul0\strike0 is\f3\fs20\cf2\b0\i0\ul0\strike0 the\f3\fs20\cf2\b0\i0\ul0\str
ike0 number\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0 de
aths\f3\fs20\cf2\b0\i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0 children\p
ar\pard\plain\li0\sl-263\f3\fs20\cf2\b0\i0\ul0\strike0 between\f3\fs20\cf2\b0\i0
\ul0\strike0 1\f3\fs20\cf2\b0\i0\ul0\strike0 to\f3\fs20\cf2\b0\i0\ul0\strike0
4\f3\fs20\cf2\b0\i0\ul0\strike0 years,\f3\fs20\cf2\b0\i0\ul0\strike0 during\f
3\fs20\cf2\b0\i0\ul0\strike0 a\f3\fs20\cf2\b0\i0\ul0\strike0 given\f3\fs20\cf2
\b0\i0\ul0\strike0 year\f3\fs20\cf2\b0\i0\ul0\strike0 per\f3\fs20\cf2\b0\i0\ul
0\strike0 1000\f3\fs20\cf2\b0\i0\ul0\strike0 mid-\par\pard\plain\li0\sl-263\f3
\fs20\cf2\b0\i0\ul0\strike0 year\f3\fs20\cf2\b0\i0\ul0\strike0 population\f3\fs
20\cf2\b0\i0\ul0\strike0 of\f3\fs20\cf2\b0\i0\ul0\strike0 that\f3\fs20\cf2\b0\
i0\ul0\strike0 age\f3\fs20\cf2\b0\i0\ul0\strike0 group.\f3\fs20\cf2\b0\i0\ul0\
strike0 This\f3\fs20\cf2\b0\i0\ul0\strike0 excludes\f3\fs20\cf2\b0\i0\ul0\stri
ke0 infant\par\pard\plain\li0\sl-268\f3\fs20\cf2\b0\i0\ul0\strike0 mortality.\f
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