The Integrated Disease Surveillance Project (IDSP) is a decentralized, state-based project that aims to establish a disease surveillance system for timely public health action. It integrates disease surveillance at state and district levels, improves laboratory support, and provides training. The IDSP oversees surveillance of diseases like malaria, diarrhea, tuberculosis, measles, and more. It has a strong organizational structure from the national to district levels to monitor diseases and respond to outbreaks. The IDSP reporting system utilizes forms to report suspect, probable and confirmed disease cases weekly from health centers to the state and national levels.

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

2. IDSP
Ø Decentralized, state based Project
Ø 5 year project with support from WB
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3. Genesis of IDSP
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4. 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.
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5. 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
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6. 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.
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7. Expected outcome
Ø Early detection of outbreaks
Ø Early institution of containment measures
Ø Reduction in morbidity & mortality
Ø Minimize economic loss
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8. 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
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9. 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
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10. 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
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11. Diseases under eradication : Polio
Other Conditions : Road Traffic Accidents
Other International
commitments : Plague
Unusual clinical syndromes : Menigoencephalitis
/Respiratory
(Causing death /
hospitalization)
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12. 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)
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13. 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.
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14. Organizational structure
National Surveillance Committee
Central Surveillance Unit
State Surveillance Committee
State Surveillance Unit
District Surveillance Committee
District Surveillance Unit
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15. 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
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16. 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
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17. 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
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18. 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
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19. 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
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20. 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
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21. Ø Number and % of project districts and
states publishing annual surveillance
reports
Ø Publication by CSU of consolidated
annual surveillance report
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22. 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.
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23. 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)
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24. 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.
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25. 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
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26. Benefits of Media Scanning:
ØIncreases the sensitivity &
strengthen the surveillance
system
ØProvide early warning of
occurrence of clusters of diseases
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27. Thank You
For more details log on to
www. sihfwrajasthan.com
or
contact : Director-SIHFW
on
sihfwraj@yahoo.co.in