Medical demography is concerned with the consequences of health, sickness, accidents, disability, and death for the size, composition, and structure of the population; and with the economic, social, and policy impacts of those dynamics. Epidemiological data and methods can be used by medical demographers as part of their population modeling methods.

1. Presented by:
Shisam Neupane

2.  Medical demography is the subfield of
demography focusing on practical application of
demographic materials and methods
 Medical demography is the application of
demographic concepts, models, and techniques
to the analysis of the dynamics of morbidity,
disability, and mortality.

3.  Medical demography is concerned with the
consequences of health, sickness, accidents,
disability, and death for the size, composition,
and structure of the population; and with the
economic, social, and policy impacts of those
dynamics.
 Medical Demography is concerned with
 factors that explain variations in health and functional
transitions across populations; and
 the development of methods that reflect the influence
of those factors on the health and longevity of
individuals.

4.  Medical Demography is concerned with
changes in the incidence and prevalence of
specific medical conditions, and with the
resulting impacts of those changes on the
patterns of other comorbid conditions and
disabilities.
 Medical Demography is concerned with
changes in relative risks of specific primary and
comorbid medical conditions, and their impacts
on population structures, social structures, and
health care systems.

5.  Medical demography can be used by
Epidemiologists as part of their population
surveillance methods.
 Epidemiological data and methods can be used
by medical demographers as part of their
population modeling methods.

6.  Measures of medical demography may be
classified as:
 Doctor-population ratio
 Doctor-nurse ratio
 Doctor-nurse ratio
 Hospital bed-population ratio
 Birth attained by trained health personal
 Population per health/sub-health center
 Population pre traditional birth attendant

7.  Doctor-population ratio: the ratio of doctors
to population, usually expressed as per
100000 population
 Hospital bed-population ratio: the ratio of
hospital beds to the population, usually
expressed as the number of available
hospital beds for every 1,000 population

8.  Doctor-nurse ratio: the ratio of doctor to nurse
 Percentage of births attained by trained
health personal : percentage of births
attained by trained health personal in a
given period. The indicator is calculated as

9.  Population per health/sub-health center: it
is calculated as
 Number of health facilities per 10000
population: it is defined as

10. Population
Ratio
Proposed health
institution
No. of health
institution
Level of
infrastructure
1:4000 SHP 3199 1/Each VDC
1:29000 HP 611 1/5VDC
1:100000 PHCC 205 1/Ele. Con.
1:2,00,000 DPHO & DH 75 1/Each Dist
1:13,00,000 Zonal Hospital 14 1/Each Zone
1:36,00,000 Regional Hospital 5 1/each Reg.

11. Health Occupational
Categories/cadres Number HW/1000 population*
General medical Practitioners 1776 0.1
Specialist Medical Practitioners 4487 0.2
Nursing Professional 6373 0.2
Nursing Associate professional 8143 0.3
Midwifery Professional 0 0
Midwifery associate Professionals 15 0
Paramedical Practitioners 10390 0.4
Dentists 735 0
Dental Assistants and Therapists 118 0
Pharmacists 188 0
Pharmaceutical Technicians and
assistants 187 0

12. Health Occupational Categories/cadres Number
HW/1000
population
*
Environmental and Occupational Health and Hygiene
workers 0 0
Physiotherapists and physiotherapy assistants
143 0
Optometrists and opticians 176 0
Medical Imagining and Therapeutic Equipment
Operator 560 0
Medical and Pathology Laboratory Technician 1906 0.1
Medical and Dental Prosthetic Technicians 0 0
Community Health Worker 649 0
Health Management Workers/Skilled Administrative
staff 2491 0.1
Other Health Support Staff 19548 0.7
Total 57885 2.2
Source:Data Source: HRH Profiling in Nepal. 2013. NHSSP, WHO and SOLID Nepal
*CBS: National Population Census 2011, Nepal

13.  To estimate of Population and health service
ratio
 To aware consequences of sickness and
accident
 To analyze of morbidity and mortality status
 To analyze different factors of diseases
 To estimate high risk categories of population
 To analyze epidemiological status and its
preventive measures
 To set effective planning and implementation
of health services delivery system

14. Medical records is a chronologically written
account of a patient’s examination and
treatment that includes:
 the patient’s medical history and complaints,
 the physician's physical findings,
 the results of diagnostic tests and procedures,
 medications and therapeutic procedures,
 and subsequent developmentsa during the
course of illness.

15.  To identify prevalence and incidence rate of
disease and disabilities.
 To set priority to treat existing health
problems
 To get information about morbidity and health
status of the country
 To set and implement effective health policy
and planning.