Integrated Disease Surveillance Project (IDSP) was launched by Hon’ble Union Minister of Health & Family Welfare in November 2004 for a period upto March 2010. The project was restructured and extended up to March 2012. The project continues in the 12th Plan with domestic budget as Integrated Disease Surveillance Programme under NHM for all States with Budgetary allocation of 640 Cr. A Central Surveillance Unit (CSU) at Delhi, State Surveillance Units (SSU) at all State/UT head quarters and District Surveillance Units (DSU) at all Districts in the country have been established. Objectives: To strengthen/maintain decentralized laboratory based IT enabled disease surveillance system for epidemic prone diseases to monitor disease trends and to detect and respond to outbreaks in early rising phase through trained Rapid Response Team (RRTs) Programme Components: Integration and decentralization of surveillance activities through establishment of surveillance units at Centre, State and District level. Human Resource Development – Training of State Surveillance Officers, District Surveillance Officers, Rapid Response Team and other Medical and Paramedical staff on principles of disease surveillance. Use of Information Communication Technology for collection, collation, compilation, analysis and dissemination of data. Strengthening of public health laboratories.

1. Integrated Disease Surveillance
Project (IDSP): Current Status
1
12/25/2016
Mentor
Prof.(Dr.) E. Venkata Rao
Community Medicine
Presenter
Dr. Vivek Varat Pattanaik
PG
Community Medicine

2. Outline
 Introduction
 Management structure of the
 Integrated Disease Surveillance Project
 Reporting units, participants
and their roles
 Private sector participation in
disease surveillance
 Case definitions of diseases and syndromes
under surveillance
 Working with the laboratory
 Outbreak investigation, response and control
 Analysis and interpretation of data
 Feedback
 Monitoring, supervision and
quality control
 Inter-sectoral coordination and social mobilization
 Human resources development in the integrated
disease surveillance project
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3. History
 1997-98: National Surveillance Program for Communicable Diseases
(NSPCD) initiated
 March, 2003: Central Surveillance Unit (CSU)
 Nov, 2004: Integrated Disease Surveillance Project (IDSP)
 2007-08: Making of IDSP as part of National Rural Health Mission (NRHM)
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4. Public health Surveillance
 Surveillance is defined as the ongoing systematic collection, collation,
analysis and interpretation of data and dissemination of information to
those who need to know in order that action be taken.
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5. Public health Surveillance
 Surveillance is defined as the ongoing systematic collection, collation,
analysis and interpretation of data (disease / health event) and
dissemination of information to those who need to know in order that
action be taken.
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6. Why do we need to do surveillance?
 Recognize cases or cluster of cases to trigger intervention to prevent transmission or reduce
morbidity and mortality.
 Identify high risk groups or geographical areas to target interventions and guide analytic studies.
 Develop hypotheses that lead to analytic studies about risk factors for disease causation,
propagation or progression.
 Assess the public health impact of health events and measure trends.
 Demonstrate the need for public health intervention programme and resources during public
health planning.
 Monitor effectiveness of prevention and control measures and prevent outbreaks.
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7. Objectives of the Integrated Disease
Surveillance Project.
 To establish a decentralized district based system of surveillance for communicable
and non-communicable diseases so that timely and effective public health actions
can be initiated in response to health changes in the urban and rural areas.
 To integrate existing surveillance activities to avoid duplication and facilitate
sharing of information across all disease control programmes and other stake
holders so that valid data is available for health decision making in the district,
state and national levels
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8. Classification of surveillance in IDSP
 Syndromic
 Diagnosis made on the basis clinical pattern by paramedical personnel and
members of community
 Presumptive
 Diagnosis is made on typical history and clinical examination by medical officers
 Confirmed
 Clinical diagnosis by medical officer and or positive laboratory identification
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9. Conditions under regular surveillance
Type of disease Disease
Vector borne diseases •Malaria
Water borne diseases •Diarrhea (Cholera)
•Typhoid
Respiratory diseases •Tuberculosis
Vaccine preventable diseases •Measles
Disease under eradication •Polio
Other conditions •Road traffic accidents
International commitment •Plague
Unusual syndromes •Meningo-encephalitis
•Respiratory distress
•Hemorrhagic fever
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10. Other conditions under surveillance
Type of surveillance Categories Conditions
Sentinel surveillance •STDs •HIV/HBV/HCV
•Other
conditions
•Water quality
•Outdoor air quality
Regular surveys •Non
communicable
disease risk
factors
•Anthropometry
•Physical activity
•Blood pressure
•Tobacco, blood pressure
•Nutrition
•Blindness
Additional state priorities •Up to five diseases
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11. Reporting units for disease surveillance
Public sector
(Exhaustive)
Private
(Sentinel)
Rural •Community health centres
•District hospitals
•Practitioners
•Hospitals
Urban •Urban hospitals
•ESI
•Railways
•Medical colleges
•Nursing homes
•Hospitals
•Medical colleges
•Laboratories
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12. Phases of implementation for the
Integrated Disease Surveillance Project
 Phase I (2004-05)
 Madhya Pradesh, Andhra, Himachal, Karnataka, Kerala, Maharashtra,
Mizoram, Tamil Nadu & Uttaranchal
 Phase II (2005-06)
 Chattisgarh, Goa, Gujarat, Haryana, Orissa, Rajasthan, West Bengal,
Manipur, Meghalaya, Tripura, Chandigarh, Pondicherry, Nagaland,
Delhi
 Ph III (2006-07)
 UP, Bihar, J&K, Punjab, Jharkhand, Arunachal, Assam, Sikkim, A&N
Island, D&N Haveli, Daman & Diu, Lakshadweep
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13. Management structure of the
Integrated Disease Surveillance Project13
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14. National surveillance committee
Central surveillance unit
State surveillance committee
State surveillance unit
District surveillance committee
District surveillance unit
Organizational structure
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15. District surveillance committee
15
Chairperson
CMO
Representative
Water Board
Superintendent Of
Police
IMA
Representative
NGO
Representative
Medical College
Representative
District
Surveillance
Officer (Member
Secretary)
District Panchayat
Chairperson
District Training
Officer(IDSP)
Representative
Pollution Board
District Data
Manager (IDSP)
Chief District PH
Laboratory
District Program
Manager Polio,
Malaria, TB, HIV -
AIDS
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16. Functions of the district surveillance unit
 Centralize and analyze data from all reporting units
 Constitute rapid response teams and their deputation
 Implement and monitor all project activities
 Coordinate with laboratories, medical colleges, non
governmental organizations and private sector
 Send regular feedback to the reporting units
 Organize training and communication activities
 Organize district surveillance committee meetings
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17. Functions of state surveillance unit
 Collate and analyze data received from districts
 Coordinate activities of rapid response teams
 Monitor and review the activities of district surveillance units
 Coordinate with state public health laboratories, medical
colleges and other state level institutions
 Feedback trend analysis to district surveillance units
 Organize and coordinate training activities
 Organize meetings of the state surveillance committee
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18. Functions of central surveillance unit
 Execute the approved annual plan of action
 Monitor progress of implementation
 Obtain reports and statements of expenditure
 Seek reimbursement from the World Bank
 Report to the national surveillance committee
 Procure goods and services at central level
 Analyze data and send feedback to states
 Coordinate with NICD, ICMR and others
 Organize non communicable diseases surveys
 Conduct periodic review meetings with state surveillance officers
 Organize independent evaluation studies
 Produce guidelines, manuals and modules
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19. Information flow of the weekly surveillance system
Sub-centres
P.H.C.s
C.H.C.s
Dist. hosp.
Programme
officers
Pvt. practitioners
D.S.U.
P.H. lab.
Med. col.
Other Hospitals:
ESI, Municipal
Rly., Army etc.
S.S.U.
C.S.U.
Nursing homes
Private hospitals
Private labs.
Corporate
hospitals 12/25/2016
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20. Reporting units, participants
and their roles20
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21. Surveillance:
A systematic, ongoing process
 Data collection
 Transmission
 Analysis
 Feedback
 Action
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22. Reporting unit
 Nature
 Health facility / individual in private/ public sector
 Located in rural or urban area
 Function
 Collects information of health conditions identified in specified formats
 Transmits these in pre-specified timely manner to the next higher level
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23. Reporting units for disease surveillance
Public sector
(Exhaustive)
Private
(Sentinel)
Rural •Community health centres
•District hospitals
•Practitioners
•Hospitals
Urban •Urban hospitals
•ESI
•Railways
•Medical colleges
•Nursing homes
•Hospitals
•Medical colleges
•Laboratories
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24. Active and passive reporting
 Active reporting
 Health workers
 House visits
 Passive reporting
 All other reporting units
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25. Three levels of case definitions
for three levels of actors
Level Actor of the surveillance system
•Syndromic
(Form “S”)
•Health workers
•Presumptive
(Form “P”, probable)
•Medical officers
•Confirmed •Laboratories
* Except for malaria and tuberculosis
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26. Reportable diseases for multi-purpose
health workers and health assistants
 Diarrhea
 Jaundice
 Fever
 Cough
 Acute flaccid paralysis
 Unusual events (Death, hospitalization)
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27. Reportable diseases for medical officers
 Diarrhea
 Jaundice
 Fever
 Malaria
 Typhoid
 Japanese encephalitis
 Dengue
 Measles
 Cough
 Tuberculosis
 Acute flaccid paralysis
 Unusual events (Death, hospitalization)
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28. Zero reporting
 Zero reporting is important to confirm that the condition was looked for and not
found
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29. Person responsible for data
compilation and transmission
Levels Person responsible
•Primary health centres •Pharmacists
•Community health centres •Computer / pharmacists
•Sentinel private providers •Medical officers
•District hospitals •Computer / pharmacists
•Medical colleges •Statistical officer
•Laboratories •Medical officer / technician
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30. Time sequence
•Community health centre
reports to district
Tuesday
•Primary health centre
reports to community
health centre
Monday
EventDay of the week
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31. Private sector participation in
disease surveillance31
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32. Need for private sector participation
in disease surveillance
 Most patients (>70%) go to private sector
 Private physicians are the preferred first contact
 Private sector is more likely to detect early warning signs of outbreak
 Lack of public sector service provider especially in urban areas
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33. Initiating partnership
 MOU (memorandum of
understanding) with
IMA/IAP/other professional
bodies
 National/State/District level
 Training
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34. Criteria for inclusion
 Reporting units
 Hospitals
 Nursing homes
 Clinics
 Various systems of medicine
 Geographical distribution
 Involve professional associations
 Indian Medical Association
 Indian Academy of Pediatrics
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35. Expected numbers of practitioners
to include
 Rural areas
 15-45/100,000 population
 Urban areas
 15-30/100,000 population
 Increase the number in phases
 More private practitioners in rural areas
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36. 12/25/2016
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37. Case definitions of diseases and
syndromes under surveillance37
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38. Types of case definitions in use
Case definition Criteria Who uses it
Syndromic Clinical pattern Paramedical personnel and
members of community
Presumptive Typical history and
clinical examination
Medical officers of primary
and community health
centres
Confirmed Clinical diagnosis by a
medical officer and
positive laboratory
identification
Medical officer and
Laboratory staff
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39. Rationale for the use of case definitions
 Uniformity in case reporting at district, state and national level
 Use of the same criteria by reporting units to report cases
 Compatibility with the case definitions used in WHO recommended surveillance
standards
• Allow international information exchanges
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40. Levels of case definitions
 Suspect case
 A case that meets the clinical case definition
 Probable case
 A suspect case that is diagnosed by a medical officer
 Confirmed case
 A suspect case that is laboratory confirmed
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41. Levels of response to different triggers
Trigger Significance Levels of response
1 Suspected /limited outbreak • Local response by health worker
and medical officer
2 Outbreak • Local and district response by
district surveillance officer and
rapid response team
3 Confirmed outbreak • Local, district and state
4 Wide spread epidemic • State level response
5 Disaster response • Local, district, state and centre
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42. Conditions under regular surveillance
Type of disease Disease
Vector borne diseases •Malaria
Water borne diseases •Diarrhea (Cholera)
•Typhoid
Respiratory diseases •Tuberculosis
Vaccine preventable diseases •Measles
Disease under eradication •Polio
Other conditions •Road traffic accidents
International commitment •Plague
Unusual syndromes •Meningo-encephalitis
•Respiratory distress
•Hemorrhagic fever
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43. Other conditions under surveillance
Type of surveillance Categories Conditions
Sentinel surveillance •STDs •HIV/HBV/HCV
•Other conditions •Water quality
•Outdoor air quality
Regular surveys •Non
communicable
disease risk
factors
•Anthropometry
•Physical activity
•Blood pressure
•Tobacco, blood pressure
•Nutrition
•Blindness
Additional state priorities •Up to five diseases12/25/2016 43

44. Working with the laboratory44
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45. Role of laboratories in disease surveillance
 Early diagnosis of diseases under surveillance
 Epidemiological investigation
 Rapid laboratory confirmation of diagnosis
 Implementation of effective control measures
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46. Laboratory network for the Integrated
Disease Surveillance Project
Laboratories Description
L1 • Peripheral laboratories and microscopic centres
L2 • District public health laboratory
L3 • Disease based state laboratories
L4 • Regional laboratories and quality control laboratories
L5 • Disease based reference laboratories 12/25/2016
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47. Conditions under regular surveillance
Type of disease Disease
Vector borne diseases •Malaria
Water borne diseases •Diarrhea (Cholera)
•Typhoid
Respiratory diseases •Tuberculosis
Vaccine preventable diseases •Measles
Disease under eradication •Polio
Other conditions •Road traffic injuries
International commitment •Plague
Unusual syndromes •Meningo-encephalitis
•Respiratory distress
•Hemorrhagic fever
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48. Other conditions under surveillance
Type of surveillance Categories Conditions
Sentinel surveillance •STDs •HIV/HBV/HCV
•Other conditions •Water quality
•Outdoor air quality
Regular surveys •Non communicable
disease risk factors
•Anthropometry
•Physical activity
•Blood pressure
•Tobacco, blood pressure
•Nutrition
•Blindness
Additional state priorities •Up to five diseases12/25/2016 48

49. Syndrome Action
•Fever •Blood smear for all patients
•Acute flaccid paralysis •2 stool samples at interval of 24 hours
transported to the medical officer of
the primary health centre in reverse
cold chain
•Fever with rash, altered sensorium or
bleeding
•Refer to the medical officer of the
primary health centre for specific
laboratory action•Fever more than 14 days
•Cough < or > 3 weeks
•Loose watery stools
•Acute jaundice
•Unusual syndromes
Action to be taken by the multi-purpose
worker in the field
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50. Information to be recorded on each specimen/
accompanied with each specimen
 Name, age, sex
 Address in detail
 Reporting unit referring the sample
 Syndromic diagnosis
 Date of onset of illness
 Nature of sample, date of collection, date of receipt and condition
of sample
 Investigation requested
 Whether convalescent specimen or not
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51. ID no Name and
address of
patient
Age Sex Prov.
Diag.
Lab tests
ordered
Lab
results
Date
sent
to L2
Result
from L2
Date of
result
Sample laboratory register
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52. The L form
 Weekly reports from laboratories to the district surveillance officer
 Prepared on the basis of the laboratory register
 Filled by nodal person in the laboratory
 Sent every Saturday of each week
 Zero/NIL reporting
 Electronic link between
 District public health laboratory
 District surveillance unit
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53. Outbreak investigation,
response and control53
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54. Definition of an outbreak
 Occurrence in a community of cases of an illness clearly in excess of expected
numbers
 The occurrence of two or more epidemiologically linked cases of a disease of
outbreak potential constitutes an outbreak
 (e.g., Measles, Cholera, Dengue, Japanese encephalitis, or plague)
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54

55. Sources of information
to detect outbreaks
 Rumour register
 To be kept in standardized format in each institution
 Rumours need to be investigated
 Community informants
 Private and public sector
 Media
 Important source of information, not to neglect
 Review of routine data
 Triggers
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56. Early warning signals for an outbreak
 Clustering of cases or deaths
 Increases in cases or deaths
 Single case of disease of epidemic potential
 Acute febrile illness of an unknown etiology
 Two or more linked cases of meningitis, measles
 Unusual isolate
 Shifting in age distribution of cases
 High vector density
 Natural disasters
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57. Objectives of an outbreak investigation
1. Verify
2. Recognize the magnitude
3. Diagnose the agent
4. Identify the source and
mode of transmission
5. Formulate prevention and
control measures
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58. Outbreak preparedness:
A summary of preparatory action
 Formation of rapid response team
 Training of the rapid response team
 Regular review of the data
 Identification of ‘outbreak seasons’
 Identification of‘outbreak regions’
 Provision of necessary drugs and materials
 Identification and strengthening appropriate laboratories
 Designation of vehicles for outbreak investigation
 Establishment of communication channels in working conditions
(e.g., Telephone)
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59. Basic responses to triggers
 There are triggers for each condition under surveillance
 Various trigger levels may lead to local or broader response
 Tables in the operation manual propose standardized actions to take following
various triggers
 Investigations are needed in addition to standardized actions
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59

60. Levels of response to different triggers
Trigger Significance Levels of response
1 Suspected /limited outbreak • Local response by health worker
and medical officer
2 Outbreak • Local and district response by
district surveillance officer and
rapid response team
3 Confirmed outbreak • Local, district and state
4 Wide spread epidemic • State level response
5 Disaster response • Local, district, state and centre
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61. Importance of timely action: The first
information report (Form C)
 Filled by the reporting unit
 Submitted to the District Surveillance Officer as soon as the suspected outbreak is
verified
 Sent by the fastest route of information available
 Telephone
 Fax
 E-mail
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62. The rapid response team
 Composition
 Epidemiologist, clinician and microbiologist
 Gathered on ad hoc basis when needed
 Role
 Confirm and investigate outbreaks
 Responsibility
 Assist in the investigation and response
 Primary responsibility rests with local health staff
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62

63. Incidence of acute hepatitis
by source of water supply, Bhimtal block,
Uttaranchal, India, July 2005
Mehragaon
main
village
Dov
Water supply
Spring
Reservoir
Pipeline
Attack rate
< 5%
5-9%
10% +
Mehragaon
Hydle colony
Chauriagaon
Mehragaon
Suspected
spring
Place
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63

64. Specific outbreak control measures
 Waterborne outbreaks
 Access to safe drinking water
 Sanitary disposal of human waste
 Frequent hand washing with soap
 Adopting safe practices in food handling
 Vector borne outbreaks
 Vector control
 Personal protective measures
 Vaccine preventable outbreaks
 Supplies vaccines, syringes and injection equipment
 Human resources to administer vaccine
 Ring immunization when applicable
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64

65. Analysis and interpretation of data65
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66. Selected outcomes of data analysis
 Identification of outbreaks / potential outbreaks
 Identification of appropriate and timely control measures
 Prediction of changes in disease trends over time
 Identification of problems in health systems
 Improvement of the surveillance system through:
 Identification of regional differences
 Identification of differences between the private and the public sectors
 Identification of high-risk population groups
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66

67. Types of data
 Syndromic case data
 Presumptive case data
 Confirmed case data
 Sentinel case data
 Regular surveillance data
 Urban data
 Rural data
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68. Basic surveillance data analysis
1. Count, divide and compare
 Direct comparisons between number of cases are not possible in the absence of the
calculation of the incidence rate
2. Descriptive epidemiology
A. Time
B. Place
C. Person
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68

69. Reported varicella and typhoid cases, Darjeeling
district, West Bengal, India, 2000-4
Figure 3: Reported varicella and typhoid cases, Darjeeling
district, WB, India, 2000-2004
1
10
100
1000
10000
100000
2000 2001 2002 2003 2004
Years
Numberofcases(Log)
Typhoid
Varicella
Incidence by year
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69

70. Mangalore
Nallur
Vridha-
chalam
Kattumannar Kail Kumaratchi
Parangipattai
Kamma-
puram
Panruti
Cuddalore
Annagraman
Kurinjipadi
Bhuvanagiri
Keerapalayam
Reported cases of measles, Cuddalore district,
Tamil Nadu, Dec 2004 – Jan 2005
Spot map of absolute number of cases
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70

71. 81%
19%
Immunized Unimmunized
Immunization status of probable measles
cases, Nai, Uttaranchal, India, 2004
Distribution of cases according to a characteristic
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71

72. Malaria in Kurseong block, Darjeeling
District, West Bengal, India, 2000-2004
0
5
10
15
20
25
30
35
40
45
January
February
March
April
May
June
July
August
September
October
November
December
January
February
March
April
May
June
July
August
September
October
November
December
January
February
March
April
May
June
July
August
September
October
November
December
January
February
March
April
May
June
July
August
September
October
November
December
January
February
March
April
May
June
July
August
September
October
November
December
2000 2001 2002 2003 2004
Months
Incidenceofmalariaper10,000
Incidence of malaria
Incidence of Pf malaria
Example of monthly and yearly analysis
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73. Review of analysis results by the technical
committee
 Meeting on a fixed day of every week
 Review of a minimum of:
 4 reports weekly
 7 reports monthly
 Review by disease wise
 Search for missing values
 Check the validity
 Interpret
 Prepare summary reports and share
 Take action
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74. Feedback74
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75. Difficulties with surveillance system with no
feedback
 Lack of motivation
 Unreliability
 Sluggishness
 Data falsification
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75

76. Data collection
Analysis
and action
Feedback
The surveillance cycle
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77. Data flow and feedback
Centre
State
District
Primary / Community
health centre
Data Feedback
Community
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78. Feedback methods
 Newsletters
 Monthly review meetings
 Reports
 Informal feedback
 Electronic communication
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78

79. Monitoring, supervision and
quality control79
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80. Supervision and monitoring
 Good supervision helps health staff to perform their best
 Monitoring is also a vital component of any surveillance programme
 Monitor all surveillance activities using standard performance indicators
 District surveillance office monitor indicators of reporting on a regular basis
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80

81. Creative monitoring solutions,
Haryana, 2007
 District register keeping track of
reports
 Reporting units that are not
timely are flagged with a
highlighter
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82. WEEKS 1 2 3 4 5 6 7 8 9 10
Baripada(DHH)
B.Pahad CHC
B.posi
BahaldaCHC
BarasahiCHC
Betnati CHC
Bijatala PHC
Dukura CHC
G.mahisani PHC
JamdaPHC
Jashipur CHC
K.tandiUHPHC
KaptipadaCHC
Karanjia,SDH
KC PurPHC
Khunta PHC
KosthaCHC
KulianaPHC
ManadaCHC
RangamatiaPHC
Raruan PHC
RG PHC
RR Pur, SDH
SC Pur PHC
ShirsaCHC
Sukruli PHC
T.mundaCHC
TatoPHC
Tiring PHC
Udala, SDH
Colour-coded monitoring of reporting,
Mayurbhanj district, Orissa, India, 2004
Legend
Timely, complete
Timely, incomplete
Complete, not timely
Incomplete and late
No reports
The colour coding stimulates
reporting units that
are not performing Monitoring
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83. Central agencies responsible
for quality control
 Central surveillance office
 National Institute of Communicable Diseases (NICD)
 Indian Council of Medical Research (ICMR)
Quality 12/25/2016
83

84. Other agencies identified by the Ministry of
Health and Family Welfare for external
evaluation
 World Bank
 World Health Organization
 United States Centers for Diseases Control and prevention (CDC)
 INDIACLEN
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84

85. Inter-sectoral coordination and social
mobilization
85
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86. Coordination
 The process of linking the activities of various departments of
an organization
 The process by which managers achieve integrated patterns
of group and individual effort
 i.e., Develop unity of action in common purposes
 The integration, synchronization or orderly patterning of
group efforts by an organization towards the accomplishment
of common goals or objectives
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87. Stakeholders
 Medical officer of primary health centres
 Sentinel private practitioners
 Community representatives
 District
 All members of the district surveillance unit
 State
 All members of the state surveillance unit
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88. Aim of the social mobilization campaign
 Create awareness among:
 Partners
 Private practitioners
 Non governmental organizations
 Community
 Establish an institutional mechanism to involve community and their leaders
 Rotating membership in:
 District surveillance committee
 Block surveillance committee
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89. Strategizing communication
 Adapt message and format to the audiences
 Consider all media
 Electronic media
 Press
 Hoardings
 Handbills
 Posters
 Inter-personal communication through health providers
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90. Being close from the community
 People volunteer in areas where health workers enjoy a good
relationship with their communities
 Individual initiatives taken by enthusiastic health staff make a
difference
 Key contacts
 Village elders’
 Ladies
 Pradhan (Village head)
 Panchayat members
 Chowkidar (Village guard)
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91. Engaging medical colleges
 Responsibility of the state surveillance unit
 Memoranda of understanding
 Selection of a coordinating medical college by the Director of Medical Education
 Facilitation by the health secretary
 Possibility for medical colleges to work in urban surveillance
 Contacts at the central level will facilitate these synergies
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92. Institutional Integrated Disease Surveillance
Project sub-committee
within medical colleges
 Principal / superintendent
 Report to Integrated Disease Surveillance Project
 Community medicine
 Medicine
 Pediatrics
 Chest and tuberculosis
 Microbiology
 Cardiology
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93. Additional potential roles of
medical colleges
 Reference laboratories
 Quality assurance and evaluation
 Training
 Outbreak investigations
 In collaboration with the district surveillance officer / medical officer
 Non communicable disease risk factor surveillance
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94. Human resources development in the
integrated disease surveillance project94
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95. Principles for human resources development in
the Integrated Disease Surveillance Project
 No additional staff to be employed
 Existing personnel will be provided training
 Training will be provided locally
 Public private partnership
 Quality assurance process in the training of the trainers process
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96. Categories of trainees
I. State and district surveillance teams
II. Medical officers
III. Clinical medical officers
IV. Sub-block staff
V. State and district level laboratory staff
VI. Laboratory staff at sub district level
VII. Data entry operators
VIII. Statisticians at district and state level
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97. Induction training courses
1. State and district teams (The trainers)
2. Medical officers
PHC / CHC / Urban Health services / Medical colleges
1. Medical officers
• Private sector
2. Peripheral workers
3. Microbiologists and technicians - State and district
4. Laboratory technicians at sub district level
5. Data entry operators - State/ district/ sub district
6. Data managers - District and State
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98. Location and duration of the training
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Target audience Site Duration
1. Trainers Region / state 6 days
2. Medical officers District headquarters 3 days
3. Other officers District headquarters 1 day
4. Health workers Community health centre 2 days
5. Microbiologists Region / state 6 days
6. Lab assistants District headquarters 3 days
7. Data operators District headquarters 2 days
8. Data managers Region / state 3 days

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