IDSP.pptx

Transforming Comprehensive Healthcare in India
INTEGRATED DISEASES SURVEILLANCE
PROGRAM
 DR.ANJALATCHI MUTHUKUMARAN
 VICE PRINCIPAL
 ERA COLLEGE OF NURSING

CONTENT OF THE CHAPTER
 Introduction
 Objectives
 Need for IDSP
 Components
 Surveillance
 Weekly report
 Administrative structure
 role of CHO officer
 Refernces

Introduction of IDSP
IDSP is intended to:
 Detect early warning signals of
impending out-breaks.
 Initiate an effective response
in a timely manner.
 Provide essential data to
monitor progress of ongoing
disease control programmes.
 Help in allocating health
resources more optimally.
Decentralized State based
surveillance system
By GOI in Novenber-2004
in 3 Phases
Funded by World Bank and
domestic Budget

Objectives
• To establish a decentralized district based system of surveillance for
communicable and non-communicable diseases
• For Initiation of timely and effective public health actions 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

Need for IDSP
 Separate data collection and use separately by the various program
managers
 Data was never used comprehensively at national level
 Huge resources were being used separately and sometimes
duplication of funds also occurred
 Epidemiological impact of the outbreak control measures can be expected
to be significant only if these measures are APPLIED IN TIME.

Components of IDSP
• Establishment of surveillance units at Central ,
State and District level
Integration and decentralization
of surveillance activities
• Training of State and District Surveillance
Officer and Rapid Response team
• Training of Medical and Paramedical staff
Human Resource Development
• For collection , collation ,compilation ,analysis
and dissemination of Data
Information Communication
Technology
• Prevention ,Control and surveillance of Diseases
• Public Health preparedness and Response
Strengthen Public health
Laboratories

IDSP Integration
Effective Partnership with
Health & Non Health
sectors
Working with
Private sector and NGOs
All National Disease Control
Programmes
Including NCD & CD
Academic Institution and
Medical Colleges
IEC Activities
Training
Monthly Meeting at various
platforms

Classification of surveillance in IDSP
Syndromic
Diagnosis made on the basis of clinical pattern by Health Workers ( CHO,
MPHW-M , MPHW-F) at Village/ SHC level on the basis of symptoms
Presumptive
Diagnosis is made on typical history and clinical examination by Medical
officers at Health Facilities (PHC/CHC/DH etc. )
Confirmed/Laboratory
Clinical diagnosis confirmed by Laboratory technician at CHC, District
Hospital and Medical Colleges Labs for confirmation
P
S
L

Types Presumptive
Lab
Confirmed
Definition
Diagnosis made on
basis of sign &
symptoms
Diagnosis made
on typical history
and clinical
examination
Clinical diagnosis
confirmed by an
appropriate lab
tests
Type of Form Form S Form P Form L
Form filled
by
Health Worker Medical Officers Lab Technician
Types Syndromic
Surveillance under IDSP

Weekly report under IDSP
• Report in ‘S’
Form
• Collected by
Health
workers at
SHC level
and
submitted
at CHC
level.
Syndromic
Surveillanc
e
• Report in ‘P’
Form
• Generated by
Medical
Officers and
Collected by
Pharmacists.
Presumptive
Surveillance
• Report
generated by
Lab
Technicians at
CHC and DH
Labs.
Lab
Surveillance
• Entered
online on
IDSP portal
by Block
level
Compilatio
n of reports
• Analyzed
at district
and state
level
• Reported
to higher
level
• Feedback
to lower
level
Analyzing
of Reports
• Outbreak
and early
warning
signals
report
Reporting
at state
and
District

11

Conditions under regular surveillance
Type of disease Disease
Vector borne diseases Malaria
Water borne diseases Diarrhoea, 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
(Causing death/hospitalization) Respiratory distress
Hemorrhagic fever
Other undiagnosed condition

Other conditions under surveillance
Type of surveillance Categories Conditions
Sentinel surveillance STDs HIV/HBV/HCV
Other
conditions
Water quality
Outdoor air quality
Regular periodic surveys
Non-
communicable
disease risk
factors
Anthropometry
Physical activity
Blood pressure
Tobacco, blood pressure
Nutrition
Blindness
Additional state priorities Up to five diseases

Essential steps of Effective surveillance
Data Collection
and collation
• Collecting
data in
Syndrome
• Compilation
in IDSP
Surveillance
Register
Analysis and
interpretation
• Identify any
unusual
increase
• Immediate
reporting
and prompt
action
Reporting
• Summarize
data by
using ‘S’
from
• Frequency :
weekly
Action
• Immediate
action for
preventing
Diseases
spread and
care/referral
of sick
patients

IDSP Administrative Structure
Central , State and District Level
Surveillance Committee
 Policy decision
 Review physical financial progress coordination
with relevant Ministries department and
organizations
Surveillance Unit
 Implementation of activities envisaged under
the programme

Functions of Surveillance Unit
 Execute the approved annual plan of
action
 Monitor progress of implementation
 Obtain reports and statements of
expenditure
 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
 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
 Collate and analyze data
received from districts
 Monitor and review the
activities of district surveillance
units
 Coordinate with Rapid
Response team ,state public
health laboratories, medical
colleges and other state level
institutions
 Feedback trend analysis to
district surveillance units
 Organize and coordinate
training activities and meetings
of the state surveillance
committee
State Level District Level
Central Level

Reportable Diseases
Diarrhoea
Jaundice
Cough
Acute Flaccid Paralysis
Acute Flaccid Paralysis
Cough
 Tuberculosis
By CHO / MPHW (F/M)
By Medical Officers
Unusual events (Death
and Hospitalization
Diarrhoea
Jaundice
Fever
 Malaria
 Typhoid
 Japanese encephalitis
 Dengue
 Measles
Fever
Unusual Events (Death
and Hospitalization

Linkages between IDSP and National Health Mission
(NHM)
Sub-
Centre
Village
DSU
PHC /
CHC
ASHA/
Volunteers
Health
Workers
MO &
Rural PPs
DSO, Urban
Hospital
Medical Colleges.
 Project management
 Data entry & analysis
 Outbreak investigation
 Outbreak response
 Training & IEC
 OPD surveillance
 Report to DSO
 Outbreak response
 Training & IEC
 Monitoring
 Compile data
 Collect samples
 Report to PHC
 Early response
 Collect data
 Recording
 Report to SC
 Awareness

Reporting System under IDSP
Reporting Week: Monday to Saturday
Total: 52 Weeks (Starts from 1st January)

Form Level of Laboratory Responsibility of
Reporting
Form L1 Peripheral Laboratory at PHC/CHC Laboratory
Assistants/Technician
through MO I/c
Form L2 District Public Health Laboratory,
Labs of District Hospital, Private and
other Hospitals & Private Labs.
I/c
Microbiologist/Pathologists
Form L3 Labs in Medical Colleges, other
tertiary institutions,
Reference Labs. Head,
Microbiologist
Department
Laboratory Reporting

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
41

Instructions to fill ‘S’ form
 fill the date and personal details of the case (Name ,Address, Age and
Sex), followed by a tick mark (√)
 Initially record information with a pencil , as information may change over
the time.
 Start a new page of the register every Monday and will continue to fill in
each row of the register till the following Sunday.
 Fresh page has to be taken up at the start of a new reporting week.
 Count the numbers in each column and fill up ‘Week Total’ at the end of
reporting week.
 fill the information on ‘Reporting Week’ provided on the top left corner of
every page of the register.
 “Zero” has to be written in form ‘S’ , if no case has been reported

Strengths of IDSP
• Functional integration of surveillance components of vertical
programmes
• Reporting of suspect, probable and confirmed cases (Standard case
Definition)
• Strong IT component for data analysis
• Trigger levels for graded response
• Action component in the reporting formats.
• Streamlined flow of funds to the districts
• Standard Formats, Operations & Training Manuals
• Involvement of Private Sector

Role of Community Health Officer
Collection of data through Routine Visits , Key informants and media.
Maintain IDSP Surveillance Register
Fill Form ‘S’ –Syndromic Surveillance form and ensure submission at PHC level by
Monday
Detection of Outbreak and implement initial control measures
Ensure logistics like ORS Packets , RDK kits for Malaria to respond various heath events.
Health education activities

Check your Progress
1.) What are different types of forms
for surveillance under IDSP?
a) Presumptive
b) Syndromic
c) Lab-confirmed
d) All of these
2.) Which form is filled by Health
Workers?
a) Form L
b) Form M
c) Form S
d) Form P
3.)How frequently is this form filled by
Health Workers?
a) Daily
b) Weekly
c) Monthly
d) Quarterly
4.) Enumerate different syndromes under surveillance in IDSP?
5.) When does Health worker submit the reporting form?
a) Sunday
b) Monday
c) Tuesday
d) Wednesday
6.) To whom does Health Worker submit the reporting
form?
a) ASHA
b) Civil Surgeon
c) AWW
d) MO PHC
7.) What is the week for reporting (mention start & end of week)
under IDSP?
a) Monday to Sunday
b) Tuesday to Monday
c) Wednesday to Tuesday
d) Sunday to Saturday

References
• Park’s Textbook of Preventive and Social Medicine, K.Park, 24th Edition
, Bhanot Publisher
• Integrated Diseases Surveillance Programme- Manual for Health
Workers
• IDSP website- https://idsp.nic.in

IDSP.pptx

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