IDSP

Integrated Disease Surveillance Project (IDSP) State Institute of Health & Family Welfare, Jaipur

IDSP Ø Decentralized, state based Project Ø 5 year project with support from WB SIHFW: an ISO 9001: 2008 certified Institution 2

Genesis of IDSP SIHFW: an ISO 9001: 2008 certified Institution 3

National Surveillance Program for Comm. Diseases Ø Pilot Launch-1997 in 5 Districts Ø 20 districts added in 1997-98 Ø Another 20 in 1998-99 Ø 101 Districts, 35 States/ UT at end of 9th Plan Ø NICD-Nodal Agency Ø Weekly Outbreak reporting from Districts (including nil reporting) to the Centre. SIHFW: an ISO 9001: 2008 certified Institution 3

Objectives Ø Establish a decentralized system of disease surveillance for timely and effective public health action Ø Improve the efficiency of disease surveillance for use in health planning, management and evaluating control strategies SIHFW: an ISO 9001: 2008 certified Institution 4

Components of IDSP Ø Establish and Operate a Central-level Disease Surveillance Unit Ø Integrate and strengthen disease surveillance at the state and district levels Ø Improve laboratory support Ø Training for disease surveillance and action. SIHFW: an ISO 9001: 2008 certified Institution 5

Expected outcome Ø Early detection of outbreaks Ø Early institution of containment measures Ø Reduction in morbidity & mortality Ø Minimize economic loss SIHFW: an ISO 9001: 2008 certified Institution 6

NSPCD: Lessons Ø Significantly improved the capacity of districts and states. Ø It was not case based reporting and did not give a complete picture of disease burden Ø GoI not convinced to expand this program to all 600 districts in the country SIHFW: an ISO 9001: 2008 certified Institution 7

Strategy Ø Surveil a limited number of health conditions and risk factors Ø Strengthen data quality, analysis and links to action Ø Improve laboratory support Ø Train stakeholders in disease surveillance Ø Coordinate and decentralize surveillance activities Ø Integrate disease surveillance at the state and district levels SIHFW: an ISO 9001: 2008 certified Institution 8

Diseases under IDSP 1. Regular Surveillance: Ø Vector Borne Disease :Malaria Ø Water Borne Disease :Acute Diarrheal Disease(Cholera) :Typhoid Ø Respiratory Diseases :Tuberculosis Ø VPDs :Measles SIHFW: an ISO 9001: 2008 certified Institution 9

Diseases under eradication : Polio Other Conditions : Road Traffic Accidents Other International commitments : Plague Unusual clinical syndromes : Menigoencephalitis /Respiratory (Causing death / hospitalization) SIHFW: an ISO 9001: 2008 certified Institution 10

Dengue Hemorrhagic fevers and other undiagnosed conditions 2. Sentinel Surveillance STD/Blood borne : HIV/HBV, HCV Other Conditions : Water Quality : Outdoor Air Quality (Large Urban centers) SIHFW: an ISO 9001: 2008 certified Institution 11

3. Regular periodic Community surveys: NCD Risk Factors : Anthropometry, Physical activity, Blood Pressure, Tobacco, Nutrition, Blindness 4. Additional State Priorities: Each state may identify up to five additional conditions for surveillance. SIHFW: an ISO 9001: 2008 certified Institution 12

Organizational structure National Surveillance Committee Central Surveillance Unit State Surveillance Committee State Surveillance Unit District Surveillance Committee District Surveillance Unit SIHFW: an ISO 9001: 2008 certified Institution 13

Information flow Weekly Surveillance System C.S.U. Sub-Centres Programme Officers P.H.C.s S.S.U. C.H.C.s Pvt. Practitioners D.S.U. Dist.Hosp. Nursing Homes Private Hospitals Medical.college Private Labs. Other Hospitals: P.H.Lab. ESI, Municipal Corporate Rly., Army etc. Hospitals SIHFW: an ISO 9001: 2008 certified Institution 14

Linkages at Central level Outbreak Investigation & Rapid Response W.H.O. E.M.R. NCD Surveillance MIS & Report CSU ICMR CBHI NICD National NACO NVBDCP RNTCP RCH Programs Programme Monitoring SIHFW: an ISO 9001: 2008 certified Institution 15

Strengths of IDSP Ø Functional integration of surveillance components of vertical programs Ø Reporting of suspect, probable and confirmed cases –Syndromic reporting from periphery Ø Strong IT component for data analysis Ø Trigger levels for gradated response Ø Action component in the reporting formats Ø Streamlined flow of funds to the districts SIHFW: an ISO 9001: 2008 certified Institution 16

Key performance Indicators Ø Number and percentage of districts providing monthly surveillance reports on time – by state and overall Ø Number and percentage of responses to disease-specific triggers on time - by state and overall SIHFW: an ISO 9001: 2008 certified Institution 17

Ø Number and percentage of responses to disease-specific triggers assessed to be adequate - by state and overall Ø Number and percentage of laboratories providing adequate quality of information – by state and center; Ø Number of districts in which private providers are contributing to disease information SIHFW: an ISO 9001: 2008 certified Institution 18

Ø Number of reports derived from private health care providers; Ø Number of reports derived from private laboratories; Ø Number and % of states in which surveillance information relating to various vertical disease control programs have been integrated SIHFW: an ISO 9001: 2008 certified Institution 19

Ø Number and % of project districts and states publishing annual surveillance reports Ø Publication by CSU of consolidated annual surveillance report SIHFW: an ISO 9001: 2008 certified Institution 20

IDSP reporting Ø Form ‘S’ (Suspect Cases) by Health Workers (Sub Centres) Ø Form ‘P’ (Probable Cases) by Doctors (PHC, CHC, Hospitals) Ø Form ‘L’ (Lab Confirmed Cases) from Laboratories Ø Frequency of reporting – weekly (Monday to Sunday) Ø Data compilation/analysis and response should be at all levels. Presently at State/District/Block level 12- 15 Outbreaks reported every week. SIHFW: an ISO 9001: 2008 certified Institution 21

New initiatives under IDSP Alerts through IDSP call center: Ø Call Centre operational with 1075 toll free number since February 2008 Ø Call received as on 8th October 2008 : 18,872 Ø No. of Health Alerts : 60 Ø Led to detection of 5 outbreaks (Cholera, Acute Diarrheal Disease and Chickenpox) SIHFW: an ISO 9001: 2008 certified Institution 22

e-learning: Ø The objective of e-learning is to enhance the skills to a wide arena of health personnel. Ø Proposed components: Ø Discussion Forums Ø Online Survey & Assessment Ø Feedback Ø FAQs Ø Currently e-learning modules are being prepared. SIHFW: an ISO 9001: 2008 certified Institution 23

Media Scanning Cell Objective: ØTo provide the supplemental information about outbreaks Method: ØNational and local newspapers, Internet surfing, TV channel screening for news item on disease occurrence SIHFW: an ISO 9001: 2008 certified Institution 24

Benefits of Media Scanning: ØIncreases the sensitivity & strengthen the surveillance system ØProvide early warning of occurrence of clusters of diseases SIHFW: an ISO 9001: 2008 certified Institution 25

Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in

IDSP

by Akhilesh Bhargava

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