The document discusses the Integrated Disease Surveillance Programme (IDSP) in India, which aims to strengthen disease surveillance and detection of outbreaks. It establishes Central and State Surveillance Units to collect, analyze, and share disease data. Training and recruitment of epidemiologists, microbiologists, and other experts at national and state levels helps improve outbreak investigation and response. The IDSP seeks to build India's disease surveillance capacity in accordance with World Health Organization guidelines.

1. Dr Jyoti Prasad Pattnaik
MBBS, PGDMCH, PGDHM
Asst Professor
National Health
Programmes
for IDSP
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Dr Jyoti Prasad Pattnaik, MBBS

2. Since independence in 1947
many measures have been taken to
improve the health of the people and
the society at large and the most
effective of all these programmes is
National health Programmes.
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Dr Jyoti Prasad Pattnaik, MBBS

3. National Health Programmes
These programmes are launched by the central
government from time to time
• To control/eradicate communicable diseases
• Improve environmental sanitation
• Raising the standards of nutrition
• Control of population
• Improving rural health scenario
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Dr Jyoti Prasad Pattnaik, MBBS

4. International Assistance
• International agencies like WHO,
UNICEF, UNFPA, World Bank
• Foreign aid agencies like SIDA, DANIDA,
NORAD, USAID etc have been providing
technical and material assistance in the
implementation of these programmes.
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Dr Jyoti Prasad Pattnaik, MBBS

5. Some programmes list…
• Integrated disease surveillance programme
• National leprosy eradication programme
• National tuberculosis programme
• Revised national tb control programme
• National mental health programme
• National AIDS control programme
• National programme for prevention and control of deafness
• Universal immunization programme
• National programme for control of blindness
• Pulse polio programme
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Dr Jyoti Prasad Pattnaik, MBBS

6. WHO IDSP
Surveillance is based on collecting only the
information that is required to achieve control
objectives of diseases. Data requested may differ from
disease to disease and some diseases may have
specific information needs, requiring specialized
systems.
Dr Jyoti Prasad Pattnaik, MBBS 6

7. Features of Surveillance
• Looks at surveillance as a "common" service;
• Seeks to maintain surveillance and control functions close to one another;
• Recognizes that different diseases may have specialized surveillance
needs;
• Uses a functional approach to communicable disease surveillance;
• Exploits opportunities for synergy in carrying out:
• core functions: data collection, data reporting, data analysis, response
• surveillance support functions: training and supervision, laboratory
strengthening, communications, resource management;
• Does not require a single system solution;
• Is best approached by developing and strengthening surveillance networks
Dr Jyoti Prasad Pattnaik, MBBS 7

8. The Goal
The goal of integrated disease surveillance is to ensure that
each Member State has the capacity to define, detect and
respond to communicable public health threats. To this end, an
integrated disease surveillance programme aims to provide:
• timely, complete, regular and high quality information
• early detection and prediction of epidemics (early warning
systems)
• objective assessment of interventions during epidemics; and
• efficient monitoring of intervention programmes.
Dr Jyoti Prasad Pattnaik, MBBS 8

9. Integrated disease surveillance program
The Integrated Disease Surveillance
Programme (IDSP) is a disease surveillance scheme
under the Ministry of Health and Family Welfare in
India, assisted by the World Bank. The scheme aims
to strengthen disease surveillance for infectious
diseases to detect and respond to outbreaks quickly.
The scheme seeks to set up a Central Disease
Surveillance Unit and a State Surveillance Unit in
each State where data is collected and analyzed.
Dr Jyoti Prasad Pattnaik, MBBS 9

10. A large amount of data on disease reports are
collected in order to be able to identify the outbreak of
a disease, identify its causes and take corresponding
preventive and responsive measures. An early
warning system has been put into place in order to
take timely preventive steps.
Dr Jyoti Prasad Pattnaik, MBBS 10

11. International health regulations
The Project was undertaken to meet the World Health
Organization Guidelines for South East Asian countries on
disease surveillance to track the outbreak of diseases and its
potential transboundary threats. The International Health
Regulations of 2005 lay down comprehensive guidelines on the
role of an International Health Regulation (IHR) contact point in
surveillance of disease outbreaks in the country. This
information is to be shared during unexpected or unusual public
health events. The IHR that came into force in 2007, places an
obligation upon member states to report certain outbreak reports
in order to track global disease trends through health
surveillance.
Dr Jyoti Prasad Pattnaik, MBBS 11

12. Surveillance
The International Health Regulations defines
“Surveillance” as the systematic ongoing collection,
collation and analysis of data for public health
purposes and the timely dissemination of public health
information for assessment and public health
response as necessary.
Dr Jyoti Prasad Pattnaik, MBBS 12

13. The IDSP was initiated by the World Bank in
November 2004 to 2010 for the whole country and
thereafter till 2012 for 9 identified priority states
namely (Uttarakhand, Rajasthan, Punjab,
Maharashtra, Gujarat, Tamil Nadu, Karnataka, Andhra
Pradesh and West Bengal) and rest were funded from
domestic budget during 2010 to 2012. The
Programme continues during 12th Plan (2012–17)
under National Health Mission with a budget of Rs.
64.04 Crore from domestic budget only.
Dr Jyoti Prasad Pattnaik, MBBS 13

14. The World Bank funds were utilized to set up
the Central Surveillance Unit (CSU) at National Centre
for Disease Control (NCDC) and 9 identified states
(Uttarakhand, Rajasthan, Punjab, Maharashtra,
Gujarat, Tamil Nadu, Karnataka, Andhra Pradesh and
West Bengal) and the rest 26 states/UTs were funded
from domestic budget.
Dr Jyoti Prasad Pattnaik, MBBS 14

15. Media Scanning and Verification
Media scanning and verification cell (MSVC)
was established under IDSP in July 2008 to improve
Event-Based Surveillance & to catch unusual health
events reported in the media. MSVC regularly
monitors electronic & print media for these events
Dr Jyoti Prasad Pattnaik, MBBS 15

16. IDSP reporting
Surveillance Units have been set up in every state.
Data from medical colleges, health centres, hospitals,
labs, etc. is being utilized for the purpose of tracking and
reporting of diseases. A Geographical Information System
(GIS) is in use under this scheme.
The data is being collected on ‘S’ syndromic; ‘P’
probable; & ‘L’ laboratory formats using standard case
definitions. The data collected also includes
meteorological data, historical data, and remote sensing
inputs.
Dr Jyoti Prasad Pattnaik, MBBS 16

17. Rapid Response Team
Under IDSP data is collected on epidemic prone
diseases on a weekly basis (Monday–Sunday)
Whenever there is a rising trend of illnesses in any
area, it is investigated by the Rapid Response Teams
(RRT) to diagnose and control the outbreak.
Dr Jyoti Prasad Pattnaik, MBBS 17

18. Administrative structure
Central Surveillance Unit
A senior officer from NCDC (Additional Director level) is
designated as National Programme Officer (NPO), to coordinate
the project activities under six sections namely Budget &
Finance, Laboratory strengthening, Information Technology and
Communication, Data Management and Monitoring, Human
Resource Development and NCD Surveillance. This
arrangement facilitated utilizing the services of Epidemiologists,
Microbiologists and Statistical officers of NCDC to support the
NPO in ensuring enhanced technical support, improved state
oversight and troubleshooting.
Dr Jyoti Prasad Pattnaik, MBBS 18

19. Recruitments in 2004
Consultant (IT), Consultant (Procurement),
Consultant (HR), Consultant (Finance), Accounts
Officer, Data Manager, Data Processing Assistants,
Data Entry Operators, Stenographer, Administrative
Consultant and Class IV staff.
Dr Jyoti Prasad Pattnaik, MBBS 19

20. Additional recruitments
• six regional coordinators were placed in 2006
• Training Manager post was created at CSU
• In 2006-07, the Administrative unit shifted to NCDC
and the Director of NCDC became the Project
Director of IDSP.
Dr Jyoti Prasad Pattnaik, MBBS 20

21. Additional positions created
A team from Centre for Disease Control &
Prevention visited India for IDSP review during 7–17
September 2007. On the basis of the team's
recommendations, other positions created at CSU
during 2007-08 were those of Web Consultant (1),
Statistician-cum-Programmer (1), Administrative
Consultant (1), Data Entry Operator (1), Data
processing Assistant (1) and Finance Consultant (1).
Dr Jyoti Prasad Pattnaik, MBBS 21

22. • The Government of India took decision to recruit
seven Epidemiologists and two Microbiologists for
CSU to strengthen IDSP in 2007-08
• Advisor Epidemiologist, Advisor Microbiologist,
Management Expert, Documentation Officer,
Communication Officer, and Consultant (IT) Team
leader, Epidemiologists, Consultant (HR),
Microbiologist and Media Scanning Assistant in
2010
Dr Jyoti Prasad Pattnaik, MBBS 22

23. State and District Surveillance Units
• The contractual positions initially sanctioned for SSU
were Consultant (Training), Consultant (Finance &
Procurement), Data Manager, Data Entry Operators,
Office Assistant and Class IV staff. The contractual
positions sanctioned for DSU were Data Manager, Data
Entry Operator and Account/Administrative Assistant.
• In 2008 a total of 766 positions were sanctioned
(Epidemiologists, Microbiologists, and Entomologist) to
be appointed at state and district headquarters on
contractual basis, to strengthen the capacity for
implementation of IDSP.
Dr Jyoti Prasad Pattnaik, MBBS 23

24. The World Bank too, in its review, identified that
the most critical bottlenecks for the programme
included lack of dedicated staff for the project and
very low capacity especially at district and block levels
to analyze and use surveillance data for local decision
and outbreak responses.
Dr Jyoti Prasad Pattnaik, MBBS 24

25. Types of Training
• TOT- Six days TOT programme is being designed for health
personnel and members of rapid response team. Subjects covered
in these training programmes are Introduction to surveillance with
special reference to IDSP, basic epidemiology, collection and
transmission of laboratory specimens and biosafety issues and
details in response to outbreaks. A total of 2956 members of RRTs
have been trained till date.
• FETP- It is a two-week-long training course designed to train
DSOs/ Epidemiologists to enhance their epidemiological skills in
outbreak investigations. Though FETP programmes, total 756
DSOs have been trained throughout the country till April 2016.
• Other types of training include Induction training of Microbiologists,
Entomologists, finance consultant and other support staff under
IDSP.
Dr Jyoti Prasad Pattnaik, MBBS 25

26. Using the Big Data
The data collected under this scheme meets the
criteria of the standard 3 V's to identify big data – Volume,
Variety and Velocity of data. Usually a large number of
cluster reports and isolated can help identify trends and
patterns that will help track the spread of diseases with
the help of syndromic surveillance data. A single portal
under which data about such diseases can be traced, acts
as a single information access point for all other health
programmes in the country. While the disease outbreak
reports help in timely response and action to mitigate
damage, the scheme will also be instrumental in policy
decisions and changes for the government.
Dr Jyoti Prasad Pattnaik, MBBS 26

27. Dr Jyoti Prasad Pattanayak
MBBS, PGDMCH, PGDHM
Asst Professor
Dept of Pharmacology
Roland Institute of Pharmaceutical Sciences
Khodasingi, Berhampur, 760010, Odisha
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Dr Jyoti Prasad Pattnaik, MBBS