Understanding IHIP through IDSP Department of Community Medicine Regional Institute of Medical Sciences Imphal, Manipur

1. Integrated Health
Information
Platform (IHIP)
PRESENTERS: Sandra Fernandez
Jyothi S
MODERATOR: Prof. Brogen Singh Akoijam

2. OVERVIEW OF PRESENTATION
 Background of IHIP
 Mandates of IHIP
 Understanding IHIP through IDSP
 Key features of IHIP
 Geospatial epidemiology
 IHIP & one health
 Data flow of IHIP
 Articulation of IHIP
 Data reporting on IHIP
 Revisiting IDSP & IHIP
 SWOT analysis
 Conclusion
 References

3. MORTALITY, MORBIDITY
ECONOMIC CONSEQUENCES
 1988 cholera outbreak in Delhi
 1994 plague outbreak in Surat
Collection of information for action: SURVEILLANCE

4. What is surveillance?
• French word “surveiller” which means
“ Watch with attention, suspicion, and authority”

5. Public Health Surveillance is defined as the
ongoing systematic collection, analysis, and
interpretation of data (disease/health event) essential
for planning, implementation & evaluation of public
health practice
- CDC

6. Why do we need to work on disease surveillance system?
Immediately
Detect Disease
Stop Disease
Before it
Spreads
Improve our
Preventive &
Control
Measures
Keep
People
Healthy
Understand
Disease
Epidemiology

7. Milestones
1997-98: National Surveillance Program for Communicable Diseases (NSPCD)
2004: World bank funded Integrated Disease Surveillance Project (IDSP)
2007-08: IDSP as a part of National Rural Health Mission (NRHM)
2012-17: Approved as “Integrated Disease Surveillance Programme”
2018: Integrated Health Information Platform (IHIP) launched

8. Integrated Health
Information Platform
(IHIP)

9. Background
• Development in the already existing IDSP
• Launched by the Ministry of Health & Family Welfare
• Pan-India basis from 1st April 2021
• IHIP is a real-time, web-based platform which provides information
on health surveillance from anywhere on any electronic device

10. What is IHIP?
IHIP is an information platform that
integrates data from various registries to
provide real-time information on health
surveillance from all across India for
decision-makers to take action

11. • All data contained in IHIP has the public health surveillance attributes:
(time, place & person)
• All data are geocoded
• The design & development of this platform are attributed to the
strengthening of India’s Public Health Surveillance System

12. Mandates of IHIP
Integration & decentralization of surveillance activities through establishment
of surveillance units at Centre, State & District level
Human resource development
Information Communication Technology
Strengthening of public health laboratories

13. Understanding
IHIP through
IDSP

14. Integrated Disease Surveillance Project (IDSP)
• Decentralized, state-based surveillance project, launched by Union
Minister of Health and Family Welfare in November 2004
• Detect early warning signals of impending outbreaks & help initiate an
effective response in a timely manner
• Provide essential data to monitor progress of on-going disease control
program and help allocate health resources more efficiently

15. IDSP WAS LAUNCHED IN 3 PHASES
Phase 3 (2006-07)
UP, Bihar, J&K, Punjab, Jharkhand, Arunachal, Assam, Sikkim,
A&N Island, D&N Haveli, Daman & Diu, Lakshadweep
Phase 2 (2005-06)
Chattisgarh, Goa, Gujarat, Haryana, Orissa, Rajasthan, West Bengal,
Manipur, Meghalaya, Tripura, Chandigarh, Pondicherry, Nagaland, Delhi
Phase 1 (2004-05)
Madhya Pradesh, Andhra, Himachal, Karnataka, Kerala,
Maharashtra, Mizoram, Tamil Nadu & Uttaranchal

16. Organizational structure
Central
Surveillance
Unit
State
Surveillance
Unit
District
Surveillance
Unit
• Integrated with NCDC
• Senior officer from NCDC
is designated as NPO
• One SSU in each state/ UT
• State Surveillance Officer
(SSO)
• One DSU in each district
• District Surveillance
Officer (DSO)

17. Information flow of the weekly surveillance system
Sub-centers
P.H.C.s
C.H.C.s
Dist. hospital
Programme
officers
Pvt. practitioners
D.S.U.
Med. college
Other Hospitals:
ESI, Rly., Army
etc.
S.S.U.
C.S.U.
Nursing homes
Private hospitals
Private labs.
Corporate hospitals

18. Type of Disease Surveillance under IDSP
Type
Definition
Responsibility
Type of Form
Surveillance under IDSP
Syndromic
Diagnosis based on signs
and symptoms
Form S
Health Workers
Presumptive
Based on clinical history
and examination
Form P
Medical Officers
Lab Confirmed
Clinical diagnosis
confirmed by lab test
Form L
Lab Technicians

19. Integrated Disease Surveillance Project (IDSP)

20. Syndromes under surveillance
Fever <7 days without localizing signs
Rash
Altered sensorium/ convulsions
Bleeding from skin or mucous membrane
>7 days with or without localizing signs
Cough >3 weeks, Acute Flaccid Paralysis, Diarrhoea, Jaundice
Unusual events causing death or hospitalization
Conditions under IDSP

21. Conditions under IDSP
Vector borne disease Malaria
Water borne diseases ADD (cholera), Typhoid
Respiratory Tuberculosis
Vaccine preventable disease Measles
Disease under eradication Polio
Other conditions Road Traffic Accidents
International commitments Plague
Unusual clinical syndromes Meningoencephalitis, respiratory distress,
hemorrhagic fever

22. Sentinel surveillance
STD/ blood borne HIV/ Hep B/ Hep C
Others Water quality monitoring, outdoor air quality
Regular periodic surveys
NCD risk factors Anthropometry, physical activity, blood
pressure, tobacco, nutrition
Additional state
priorities
Up-to five diseases
Other conditions under surveillance

23. Joint Monitoring Mission, 2015
Committee recommended re-designing the IDSP surveillance system
 Re-prioritization of the list of diseases under IDSP
 Assessing the need for collecting more epidemiological data
 Re-defining the required surveillance deliverables
 Integration of other diseases surveillance platforms

24. Key features of IHIP
• Real time reporting, accessible at all levels
• GIS-enabled graphical representation of data into an integrated
dashboard
• Geo-tagging of reporting health facilities
• Role & hierarchy-based feedback mechanism
• Scope for data integration with other health programs

25. Data will be provided in real-time through:
Healthcare workers through their gadgets (Tablets/ mobile)
Doctors at the PHC/CHC/DH when the citizens seek healthcare
Diagnostic labs which will provide data of the tests carried out

26. Geospatial
epidemiology Can describe & analyse
geographic variations among
diseases
NIC portal:
• Maintains data of public health
assets such as schools, airport
locations, road networks, geographic
& political boundaries
• Hosts vast amount of high-resolution
satellite imageries that are of use to
emergency preparedness & response
activities

27. One
health
approach
One Health:
Interconnectedness of human
health, animal health and the
ecosystem
IHIP
Ministry of Health &
Family Welfare
Ministry of
Agriculture &
Farmers Welfare
Ministry of Home
Affairs
Ministry of Environment,
Forest and Climate
Change(MoEFCC)
Ministry of Earth
Sciences
Ministry of Electronics
& Information
Technology

30. Conditions listed under IHIP: IDSP

31. DATA FLOW PROCESS

32. Block PHC or Community Health
Center
Sub Center or Health Sub center
Primary Health Center
District Surveillance Unit
State Surveillance Unit
Broadband
Connectivity
Broadband and
Satellite-based
Connectivity
State
(36 States/UTs)
District
(707)
Sub-district
(6267)
Village
(655075)
Data Entry
Computer
Data Entry
Computer
Data Entry
Computer Data Center
PH-EOC
24-HOUR CALL CENTER
Broadband
Connectivity
Portal access
Mobile Reporting
Mobile reporting
Portal access
Mobile Reporting
Portal access
Mobile Reporting
Proposed System: Portal access allows reporting of all data from
DSU, CSU, SSU to CSU/IDSP in near real-time. Mobile reporting is both store and forward and near real-time. Data analytics and results will be accessible at all levels for action.
Laboratory Presence
Laboratory Presence
IHIP real-time data flow process
Data Entry
Computer
Primary Health Center
Community Health Center
Laboratory Presence

33. Articulation of IHIP

34. IDSP
Functional
Needs
IDSP Data
and
Information
Products
IDSP Portal
Users
Envision integrated near real-time eSurveillance
Empower
public
health
surveillance
workforce
Ensure
sustained
financing
&
continued
leadership
Embed innovation for data quality, accessibility
IDSP/IHIP
ICT
Master
Plan
4
pillars
3
components

35. Data reporting
process in IHIP

36. Requirements for data reporting
• Working computer systems & regular internet connectivity
• Adequate manpower trained for IHIP at every level
• Proper mechanism to capture & record the requisite data for entering
into IHIP including mandatory fields

37. Data reporting on IHIP
2 phases/steps
Step-I: Verification
of master data of
health facilities
Step-II: Reporting of
disease surveillance data

38. Step-I: Verification of
master data of health
facility
Examination of
user IDs and
password
Creation of user
profiles
Creation of health
facility directory

39. A) Examination of User IDs & Password
• Cross-check whether the User ID and password for each health
facility have been received or not [https://ihip.nhp.gov.in/#!/]
• Check the functionality of each User ID & Password
• After logging in, confirm that the appropriate form (S, P & L) & and
relevant user access have been provided

40. B) Creation of User Profiles
• To identify the user/personnel associated with the User IDs
• To get details of the password, in case it is forgotten
• Fill in relevant details in the user profile
Name
Age
Gender
Contact details

41. Account Sr. No Type of User User profile details
Health facility
1 Sub Centre ANM or whoever is doing S form entry
2
Primary Health Center
(P Form)
Medical Officer I/c (In-charge) or whoever is
doing P form entry
3
Primary Health Center
(L Form)
Medical Officer I/c (In-charge) or whoever is
doing L form entry or Lab technician
4
Other health facilities
(P Form)
e.g. CHC, SDH, DH, MCH
In-charge of health facility or official
designated for P form data collection
(Physician) or whoever is doing P form entry
5
Other health facilities
(L Form)
e.g. CHC, SDH, DH, MCH
In-charge of health facility or official
designated for L form data collection
(Microbiologist/ Lab technician) or whoever is
doing L form entry
Administrative
office
6 Block (Sub-district)* Block Health officer
7 District District Surveillance Officer
8 State State Surveillance Officer
B) Creation of User Profiles (Cont…)
*to be issued yet

42. C) Creation of a health facility directory
• Cross-check the total number of health facilities & their different types
as available in the IHIP vs that actually existing in the State in terms of
numbers & types
• Examine & cross-check the mapping
 PHC to SCs
 SC to Villages

43. C) Creation of Health facility directory (Cont…)
• Health facility details including name, mobile, landline, and email
ID of officer in charge of health facility need to be updated from
“edit/update health facility” option
• Health facility can update Essential medicine list, emergency medicine
list, equipment supplies, health workforce details and can also
request new user IDs for health facility

44. Account Sr.
No
Health Facility (type of user) Officer In-charge details
Health facility
1
Sub centre (S form user) Medical Officer In-charge of the PHC to
which the Health Sub Center belongs
2 Primary Health Center (P Form user) Medical Officer In-charge of the PHC
3 Primary Health Center (L Form user) Medical Officer In-charge of the PHC
4
Other health facilities (P Form user)
e.g. CHC, SDH, DH, MCH etc.
In-charge of health facility or official
designated as Nodal person for IDSP
5
Other health facilities (L Form user)
e.g. CHC, SDH, DH, MCH etc.
In-charge of health facility / lab or official
designated as Nodal person for IDSP
Administrative
office
6 Block (Sub-district)* Block Health officer
7 District(DSO user &District admin user) District Surveillance Officer
8 State (SSO user &State admin user) State Surveillance Officer
C) Creation of Health facility directory (Cont…)
*to be issued yet

45. C) Creation of Health facility directory (Cont…)
• State and District user need to check different types & numbers of
health facilities available in IHIP through health facility dashboard
from Administration menu
• State and District user can add new health facility / add new RRT /
update health facility details / delete health facility through
Administration Module

46. Step II-Reporting of
disease surveillance data
Mobile app
S Form
(Data entry)
Suspected case Form
Death Form
S Form
(Event Alert)
Desktop version
P Form(Data entry)
PForm(Event Alert)
Add patient Record
Add Death Record
Record Aggregate data
L Form
(Data Entry)

47. S form entry (Android app)
‘http://ihip.nhp.gov.in/idsp/downloadapk’

55. Desktop version:
L form entry
https://ihip.nhp.gov.in/idsp/#!/login

64. Desktop version- EWS form entry
https://ihip.nhp.gov.in/idsp/#!/login

72. What are the essential differences between previous and
new IDSP portal?
Capture aggregate data
only
Paper-based data
collection
Not to link data from S, P
& L forms
Weekly surveillance
Monitor only 18 health
conditions
IDSP Capture disaggregate data at
all levels
Analysis provided on mobile
phones
Link data from S, P, L, EWS
forms
Integrate with ongoing
surveillance programs
Monitor >33 health
conditions
Capture real-time data,
geocoded
IHIP

73. SWOT analysis
 STRENGTHS
-Secure and confidential storage of data/records
-Hotspots can be identified

WEAKNESSES
-Network issues
-Possibility of fake entry by the ANM
-Duplication of the data
IHIP
OPPORTUNITIES
-Better surveillance coverage
-Improved continuous monitoring
-Revamp public-private partnerships
-Enable evidence-based policymaking
THREATS
-Individual data portals for different programs
-Low doctor-patient ratio or the health worker-
patient ratio
-Delay to get approval from the state for the
constitution of a RRT

74. CONCLUSION
• To facilitate better continuity of care and diagnosis and prevention of
epidemic-prone diseases
• Aids in changing the pace of data collection with real-time monitoring
• Strengthened disease surveillance and response activities by providing
a centralized platform

75. REFERENCES
• Tanu T, Sagar V, Kumar D. IHIP - A Leap into India's Dream of Digitalizing
Healthcare. Indian J Community Med. 2023 Jan-Feb; 48(1):201. doi:
10.4103/ijcm.ijcm_739_22. Epub 2023 Feb 1. PMID: 37082408; PMCID:
PMC10112761.
• idsp.mohfw.gov.in
• Drishtiias. (2011). Integrated Health Information Platform. Retrieved
fromhttps://www.drishtiias.com/pdf/1627581535-integrated-health-information-
platform.pdf
• Disesase, I., Programme, S., Of, S., 2018. Guidelines for soft launch of integrated
disesase surveillance programme segment of integrated health information
platform.
• Blanchard J; Washington R; Becker M; Vasanthakumar N; Madangopal K; Sarwal
R. et al. Vision 2035: Public Health Surveillance in India. A White Paper. NITI
Aayog. December 2020.

76. THANK YOU