Yu dɔn ɛva wɔnda aw wan patikyula sik kin afɛkt wi, nɔto jɔs di tɛm we wi gɛt dis sik, bɔt wi ɔl layf? Sɔm sik ɛn aksidɛnt dɛn kin mek wi layf shɔt. Ɔda wan dɛn kin mek wi gɛt fɔ liv wit disabled fɔ di res ɔf wi layf. So, wan spɛshal we de fɔ no aw bɔku pan wi wɛlbɔdi layf wi de lɔs bikɔs ɔf dɛn tin ya. Na dat wi de kɔl DALY.
Fɔ tɔk am simpul wan, wetin na DALY (Disability-Adjusted Life Year)?
Fɔ tɔk am simpul wan, DALY (Disability-Adjusted Life Year) na wan tin we pipul dɛn we de du risach ɛn di wan dɛn we de mek wɛlbɔdi biznɛs kin yuz fɔ no aw difrɛn sik dɛn kin afɛkt pipul dɛn layf ɛn kwaliti layf na wan patikyula pipul dɛn.
Tink bɔt am dis we: DALY na ia we pɔsin kin lɔs in layf we i gɛt pafɛkt wɛlbɔdi layf bikɔs ɔf sik, disabled, ɔ day bifo tɛm. Dipen pan aw yu sik bad, dɛn ia ya we yu dɔn lɔs layf kin ad ɔp.
Dɛn kin yuz dis we fɔ ɔndastand di "bɔd fɔ sik" na wan kɔntri ɔ rijyɔn. Dat min se, masta sabi pipul dɛn kin luk pan di soshal, ikɔnomi, envayrɔmɛnt, ɛn pɔlitikal tin dɛn we kin afɛkt pipul dɛn ɔl wɛlbɔdi. Dɛn bin bigin fɔ yuz dis we fɔ du tin insay di ia 1990.
Aw dɛn kin kɔl dɛn DALY ya?
Tu men tin dɛn de yuz fɔ kɔl DALY.
1. Ia dɛn we dɛn dɔn lɔs layf (YLLs) .
2. Di ia dɛn we dɛn dɔn liv wit disabiliti (YLD) .
Insay dis kes, YLL na di ia dɛn we pɔsin kin gɛt layf we i lɔs bikɔs i day bifo tɛm. YLD na di nɔmba fɔ di wɛlbɔdi ia dɛn we pɔsin kin lɔs bikɔs ɔf sik ɔ disabiliti.
So DALY na di sɔm ɔf ɔl tu di YLL ɛn YLD dɛn.
DALY = YLL dɛn + YLD dɛn
Lɛ wi ɔndastand wit wan ɛgzampul.
Imajin wan smɔl pikin we ol 15 ia. Wi kin tek am se if i nɔ gɛt ɛni siriɔs sik (e.g. dayabitis , kansa), i go liv te i ol lɛk 80 ia. Bɔt, imajin se dis pikin day pan aksidɛnt we i ol 15 ia.
Dɔn in layf ɛkspɛkteshɔn (YLL) na 80 - 15 = 65 ia. Na ya, bikɔs i nɔ bin de liv wit disabiliti, di YLD valyu na 0.
So in DALY valyu na 65. Dat min se i lɔs 65 ia wɛlbɔdi layf.
Bɔt wan gud tin de ya. Ivin if yu gɛt sik, if yu gɛt di rayt tritmɛnt frɔm dɔktɔ, chenj yu layf, ɛn mek yu gɛt bɛtɛ wɛlbɔdi, yu kin ridyus dis DALY valyu, we min se yu kin mek yu gɛt mɔ wɛlbɔdi layf.
Us sik ɛn dizayd dɛn kin afɛkt DALY dɛn?
Dɛn kin tek bɔku bɔku sik dɛn, aksidɛnt ɛn disabiliti dɛn na kɔna we dɛn de kɔl di DALY dɛn. Dis dɔŋ ya na sɔm pan di tin dɛn we kin apin ivin na wi kɔntri.
| Di sik/Kɔndishɔn Kategori | Ɛgzampul dɛn |
|---|---|
| Sik dɛn we pɔsin kin gɛt | Infεkshכn dεm lεk HIV, mizεl, COVID-19, dengi, TB, εn mεningaytis. |
| Sik dɛn we gɛt fɔ du wit di we aw pɔsin de liv in layf | Dayabitis, at sik, kansa, ay kɔlɔstrel. |
| Aksidɛnt ɛn injuri | Injury we pɔsin kin gɛt we aksidɛnt apin na rod, fɔdɔm, ɛn fɛt-fɛt. |
| Prɔblɛm dɛn we gɛt fɔ du wit wɛlbɔdi biznɛs | Pwɛl hat, Wɔri wɔri. |
| Ɔda tin dɛn we kin apin | difεkshכn we dεn bכn pikin, sik dεm we de kכmכt frכm di ej (e.g. Alzaima), dεn nכ de it fayn, bak/nεk pen, yu nכ de yεri כ nכ de si fayn. |
Difrɛns bitwin DALY ɛn QALY
Lɛk DALY, ɔda tin de we dɛn kɔl QALY (Quality-Adjusted Life Year) . Dis kin mɛzhɔ bak di lɔng ɛn kwaliti layf. QALY na ia fɔ layf we yu de liv wit kɔmplit wɛlbɔdi.
Di men difrɛns bitwin dɛn tu tin ya na:
- DALY dεm de mכsu di nכmba כf ia dεm we dεn lכs bikoz fכ sik כ day.
- QALYI de mɛzhɔ di nɔmba fɔ di wɛl bɔdi ia dɛm we yu gɛt bikɔs ɔf di impɔtant kwaliti fɔ layf bikɔs ɔf di tritmɛnt ɔr chenj na yu layf .
Aw yu go ebul fɔ mek yu DALY skɔ bɛtɛ?
Risach dɔn sho se sɔm tin dɛn de we yu kin du fɔ mek yu gɛt mɔ wɛlbɔdi ɛn fɔ mek yu nɔ gɛt bɔku sik. Yu kin tɔk bɔt dɛn tin ya wit yu dɔktɔ ɛn du dɛn di kayn we we go fayn fɔ yu.
| Wetin fɔ du | Tɔk bɔt |
|---|---|
| Ridyus di bɔdi mas indeks (BMI) . | Mek yu gɛt wɛlbɔdi wet fɔ yu ayt. Kɔnsul yu dɔktɔ fɔ advays bɔt dis. |
| Fɔ lɛf fɔ smok | If yu lɛf ɔ stɔp fɔ smok kpatakpata, dat kin ɛp yu fɔ protɛkt yusɛf frɔm bɔku sik dɛn. |
| Fɔ stɔp fɔ drink rɔm | If yu nɔ drink pasmak ɔ yu stɔp fɔ drink rɔm ɔl, dat kin rili bɛnifit yu wɛlbɔdi. |
| Fɔ du bɔdi wok ɛn fɔ du ɛksɛsayz | If yu du ɛksɛsayz ɛvride lɛk fɔ waka, rɔn, ɛn swim, dat kin mek yu at ɛn bɔdi gɛt wɛlbɔdi. |
| Fɔ it tin we balans | Fɔ it tin dɛn we gɛt bɔku fresh vɛjitebul, frut, ligɛm, ɛn it dɛn we gɛt bɔku fayv (lɛk brawn rays, ɔl gren). |
Wan stɔdi dɔn sho se pipul dɛm wae de adopt dis kayn wɛl bɔdi layf de ad at le 2 ia wɛl bɔdi layf to dɛn layf wae yu kɔmpia am wit di wan dɛm wae nɔr de liv.
Wetin mek di DALY mɛzhɔ yusful?
We dɛn luk pan DALY data, di wɛlbɔdi ɔfisa ɛn dɔktɔ dɛn kin ɔndastand di lod we wan sik gɛt pan wan kɔntri. Bays pan da infɔmeshɔn de, dɛn kin du di step dɛn we dɛn nid fɔ kɔntrol di sik, tich pipul dɛn, ɛn fɔ mek wɛlbɔdi savis bɛtɛ.
Fɔ ɛgzampul, if dayabitis ɔ at sik de bɔku pan yɔŋ pipul dɛn na wi kɔntri, DALY data go sho aw i go afɛkt dɛn wɛlbɔdi layf tumara bambay. Dɔn, wi kin kɔntrol da sityueshɔn de tru di awareness program dɛn na di skul lɛvel, lɛk fɔ ɛnkɔrej dɛn fɔ ɛksesaiz.
Ɛni limit de fɔ di DALY we?
Yɛs. Bikɔs DALY de mɛzhɔ di impak we wan sik gɛt pan wan nɔmba, sɔntɛnde i nɔ kin peint di ful pikchɔ. Bikɔs nɔto ɔl sik ɔ dizayd na di sem.
Fɔ ɛgzampul, na tu difrɛn tin fɔ gɛt asma fɔ shɔt tɛm ɛn fɔ liv wit skizofrenia , we na wan bad bad maynd sik , fɔ di res ɔf yu layf.
Dɔn bak, ivin if pɔrsin gɛt disabled (e.g., nɔr ebul fɔ waka, i nɔr kin izi fɔ tɔk), i kin liv ful ɛn gladi layf if i gɛt akses to gud wɛl bɔdi, famili ɛn kɔmyuniti sɔpɔt, ɛn di tul dɛm fɔ mek in layf izi. Dɛn nɔ kin tek dɛn soshal tin ya ɔltɛm we dɛn de kɔl di DALY dɛn.
Bɔt, DALY na wan rili impɔtant ɛn yusful tul fɔ gɛt bɔku ɔndastandin bɔt di ɔl wɛlbɔdi stetmɛnt na wan kɔntri.
Mɛsej we dɛn kin kɛr go na os
- DALY na wan we fɔ mɛzhɔ di nɔmba fɔ di ia dɛn we yu gɛt wɛlbɔdi layf we yu lɔs bikɔs ɔf sik, disabled, ɔr day bifo tɛm.
- Dɛn kin kɔl dis bay we dɛn ad togɛda di ia dɛn we dɛn lɔs bikɔs dɛn day bifo tɛm (YLL) ɛn di ia dɛn we dɛn liv wit disabiliti (YLD).
- Bɔrku tin kin afɛkt di DALY valyu, lɛk layf stayl sik, sik dɛm wae kin pas, aksidɛnt, ɛn mɛntɛl hεlth prɔblɛm.
- If yu tek layf we gɛt wɛlbɔdi (gud it, ɛksesaiz, ɛn avɔyd fɔ smok ɛn drink rɔm), yu go ebul fɔ liv yu wɛlbɔdi layf mɔ ɛn mɔ.
- DALY data rili impɔtant fɔ plan ɛn impɔtant fɔ mek di kɔntri in wɛlbɔdi savis bɛtɛ. If yu gɛt ɛni kwɛstyɔn bɔt wɛlbɔdi prɔblɛm, tɔk to yu dɔktɔ.
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