DYNAMICS OF DISABILITY ADJUSTED LIFE YEARS (DALY) AS A RESULT OF PREMATURE MORTALITY OF CHILDREN AT THE AGE OF 0–17 YEARS IN TOMSK REGION IN 2008–2012

The DALY indicator (Disability Adjusted Life Years) is widely used for the assessment of a contribution of various diseases to losses of the population health and of the analysis of activity efficiency of health care systems. Background: Research objective was to evaluate dynamics of the DALY indicator as a result of premature mortality of the child population of Tomsk region during 2008-2012. Patients and methods: DALY calculation as a result of premature mortality of the child population of the region during the period from 2008 to 2012 is made. While calculating the data of Territorial body of Federal service of state statistics for the Tomsk Region (Rosstat) which included a sex of the dead, day, month and year of death, place of residence, cause of death, day, month and year of birth of the dead was used. The number and gender and age structure of the population of the Tomsk Region according to Rosstat data were also considered. Results: The DALY decrease by 16,5% in child population at the age of 0–17 years is observed in the Tomsk region during the period from 2008 to 2012. Following the results of 2012, DALY in studied population made 833.1 (82.3 ± 5.4) years for 10 thousand of corresponding population that is 1,1 times lower than totally in the Russian Federation, and 3.4 times lower than the universal indicator of 2010. Conclusion: The received result reflects the activity of health care system of the region, directed on integration of synthesis of theoretical and practical knowledge. Decrease in DALY among the child population in the territory of the region is promoted by a number of factors: continuous quality improvement of the medical care rendered to children, target programs on motherhood and childhood health protection realized in the territory of the region, and also functioning of the federal scientific and educational institutions promoting introduction of modern techniques of medical care delivery in practical health care.

Key words: demography, DALY, health assessment of the child population.

1. Gosudarstvennaya programma Rossiiskoi Federatsii «Razvitie zdravookhraneniya Rossiiskoi Federatsii do 2020 goda», utverzhdennaya Rasporyazheniem Pravitel’stva RF № 2511-p ot 24 dekabrya 2012 g [State Programme of Russian Federation ”Healthcare Developement in Russian Federation up to 2020” Confirmed by Governmental Regulation № 2511-p dated 24 December 2012]. Moscow, 2012.

2. Doklad o sostoyanii zdravookhraneniya v Evrope, 2005 god: deistviya obshchestvennogo zdravookhraneniya v tselyakh uluchsheniya zdorov’ya detei i vsego naseleniya. Vsemirnaya organizatsiya zdravookhraneniya (The European Health Report 2005: Public Health Action for Healthier Children and Populations. WHO). Available at: http://www.euro.who.int/data/assets/pdf_ file/0007/82456/E87325R.pdf (accessed 04 August 2013).

3. Homedes N. The Disability-Adjusted Life Year (DALY) Definition, Measurement and Potential Use. Available at: http://pubhealth. spb.ru/COPC/DALY.htm (accessed 10 June 2013).

4. Ekonomicheskie metody upravleniya v zdravookhranenii. Pod obshch. red. V. V. Uiba [Economic Methods of Healthcare Management. Edited by V. V. Uib]. Novosibirsk, Al’fa-Resurs, 2012. 314 p.

5. Rostovtsev V. N., Lomat’ L. N., Ryabkova O. I., Marchenkova I. B., Kuz’menkova V. E. Metodika kompleksnykh poter’ zdorov’ya v rezul’tate zabolevaemosti i smertnosti [Morbidity and Mortality as the Reasons of Complex Health Decline]. Minsk, 2008. 28 p.

6. Adeii O., Smit O., Robles S. Gosudarstvennaya politika i problema khronicheskikh neinfektsionnykh zabolevanii. Per. s angl [State Policy and Problem of Chronic Non-infectious Diseases. Translated from English]. Moscow, 2008. 211 p.

7. Ermakov S. P., Tsar’kov A. O., Antonyuk V. V. Otsenka tendentsii i obshchaya kharakteristika pokazatelei global’nogo bremeni boleznei rossiiskogo naseleniya za 1965–2002 gg [Assessing the Trends and General Characteristics of Global Burden of Diseases Indicators of Russian Population over the period of 1965–2002]. Moscow, 2004. 94 p.

8. Shishkin S. V., Ermakov S. P., Kakorina E. P., Popovich L. D., Frid E. M., Sheiman I. M. Metodika otsenki effektivnosti funktsioniro vaniya territorial’nykh sistem zdravookhraneniya v Rossiiskoi Federatsii [Methods of Effective Functioning Assessment of Regional Systems of Healthcare in Russian Federation]. Moscow, 2007. 64 p.

9. Murray C. J., Vos T., Lozano R., Naghavi M., Flaxman A. D., Michaud C., Ezzati M. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2013; 381 (9867): 2197–2223.

10. Statisticheskii sbornik. Chislennost’ i polovozrastnoi sostav naseleniya Tomskoi oblasti. [Statistical Data. Number, Age and Gender Composition of Population of Tomsk Region] Tomsk, 2012. 43 p.

11. Institute for Health Metrics and Evaluation. University of Washington. Available at: http://viz.healthmetricsandevaluation.org/gbd-compare (accessed 18 June 2013).

12. Leonov S. A. Sovremennye podkhody k otsenke sostoyaniya zdorov’ya naseleniya. Tsentral’nyi nauchno-issledovatel’nskii institut organizatsii i informatizatsii zdravookhraneniya Ministerstva zdravookhraneniya Rossiiskoi Federatsii (Current Approaches in Health Status Assessment of Population. Central Research Institute of Healthcare Management and Informational Support of Ministry of Healthcare of RF). Available at: http://mednet.ru/images/stories/files/materialy_ konferencii_i_seminarov/2010/po_ekonomike/plenarka/ Leonov.pdf (accessed 10 June 2013).