Here are the calculations for Question 4:
First, let's identify the data for each year:
Data for 2017:
- Population on Jan 1, 2017 = 756,000
- Population on Dec 31, 2017 = 776,000
- Number of deaths = 840
- Number of live births = 2,580
Data for 2015:
- Number of maternal deaths = 20
- Number of under 5 deaths = 8
- Mid-year population of women in WIFA = 220,658 (This is not used for Maternal Mortality Ratio).
- Deaths occurring in the first 28 days after birth (Neonatal deaths) = 26
- Deaths occurring between 29 days and one year after birth (Post-neonatal deaths) = 34
Note: The number of live births for 2015 is not explicitly provided. For the calculations requiring live births as a denominator for 2015, we will assume the number of live births in 2015 is the same as in 2017, which is 2,580.
Step 1: Calculate the Mid-Year Population (MYP) for 2017.
MYP2017=2InitialPopulation+FinalPopulation
MYP2017=2756,000+776,000=21,532,000=766,000
Step 2: Calculate the Crude Death Rate (CDR) for 2017.
CrudeDeathRate=Mid−YearPopulationNumberofDeaths×1,000
CrudeDeathRate=766,000840×1,000≈1.0966
- Crude death rate: ∗1.10per1,000∗
Step 3: State the assumption for live births in 2015.
We assume the number of live births in 2015 is 2,580.
Step 4: Calculate the Maternal Mortality Ratio (MMR) for 2015.
MaternalMortalityRatio=NumberofLiveBirthsNumberofMaternalDeaths×100,000
MaternalMortalityRatio=2,58020×100,000≈775.1938
2. Maternal mortality ratio: ∗775.19per100,000livebirths∗
Step 5: Calculate the Under 5 Mortality Ratio for 2015.
Under5MortalityRatio=NumberofLiveBirthsNumberofUnder5Deaths×1,000
Under5MortalityRatio=2,5808×1,000≈3.1007
3. Under 5 mortality ratio: ∗3.10per1,000livebirths∗
Step 6: Calculate the Neonatal Mortality Rate (NMR) for 2015.
NeonatalMortalityRate=NumberofLiveBirthsNumberofNeonatalDeaths×1,000
NeonatalMortalityRate=2,58026×1,000≈10.0775
4. Neonatal mortality rate: ∗10.08per1,000livebirths∗
Step 7: Calculate the Post-neonatal Mortality Rate (PNMR) for 2015.
Post−neonatalMortalityRate=NumberofLiveBirthsNumberofPost−neonatalDeaths×1,000
Post−neonatalMortalityRate=2,58034×1,000≈13.1782
5. Post-neonatal mortality rate: ∗13.18per1,000livebirths∗
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