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Integrated Disease Surveillance Project (IDSP)

Integrated Disease Surveillance Project (IDSP). National Institute of Communicable Diseases (NICD) Directorate General of Health Services, Ministry of Health & Family Welfare, Govt. of India. Integrated Disease Surveillance Project. Launched in Nov. 2004 with World Bank Assistance

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Integrated Disease Surveillance Project (IDSP)

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  1. Integrated Disease Surveillance Project (IDSP) National Institute of Communicable Diseases (NICD)Directorate General of Health Services, Ministry of Health & Family Welfare, Govt. of India

  2. Integrated Disease Surveillance Project • Launched in Nov. 2004 with World Bank Assistance • Initially, CSU located at Nirman Bhawan • Shifted to NICD in 2006 • Major Objective: • Early detection & response to outbreaks • Major components: • Integration and Decentralization of Surveillance activities • Strengthening of Public Health Laboratories • Human Resource Development • Use of Information Technology for Data Management

  3. Phasing of IDSP Phase- I (2004-05) Phase- II (2005-06) Phase- III (2006-07) Chhatisgarh Goa Gujarat Haryana Rajasthan West Bengal Manipur Meghalaya Orissa Tripura Chandigarh Pondicherry Delhi Nagaland 14 STATES/ UTs Andhra Pradesh Himachal Pradesh Karnataka Madhya Pradesh Maharashtra Uttrakhand Tamil Nadu Mizoram Kerala 9 STATES Uttar Pradesh Bihar Jammu & Kashmir Jharkhand Punjab Arunachal Pradesh Assam Sikkim A & N Nicobar D & N Haveli Daman & Diu Lakshdweep 12 STATES/ UTs

  4. CENTRAL SURVEILLANCE UNIT(CSU) CONSOLIDATED FUNDS RELEASED TO STATE HEALTH SOCIETY STATE SURVEILLANCE UNIT (SSU) FUNDS RELEASED TO INDIVIDUAL DISTRICT HEALTH SOCIETY DSU DSU DSU DSU DSU

  5. Information Flow in IDSP C.S.U. Sub-Centres S.S.U. P.H.C.s C.H.C.s D.S.U. Pvt. Practitioners Dist.Hosp. Nursing Homes Private Hospitals Med.Col. Private Labs. P.H.Lab.

  6. IDSP 24x7 Call Centre • Information about outbreaks received on a toll free number – 1075 • Information referred to State/District surveillance officer for verification/action • Call received up to 21 November 2008: 23,212 • No. of Alert Calls : 63

  7. Video Conference Facility • The Video conference facility is being utilized regularly for discussion on outbreak alerts and documentation of investigation reports by District and State RRTs. • Training of Data Managers and Data Entry Operators has begun using the VC facilities.

  8. Media Scanning Cell (NewInitiative) • Objective: • To provide the supplemental information about outbreaks • Method: • National and local newspapers, Internet surfing, TV channel screening for news item on disease occurrence. • Benefits of Media Scanning: • Increases the sensitivity & strengthen the surveillance system • Provide early warning of occurrence of new clusters of diseases

  9. Data Management • Weekly Reporting of surveillance data • Form S (Suspect Cases) - Health Workers (Sub Centers) • Form P (Probable Cases) - Doctors (PHC, CHC, Hospitals) • Form L (Lab Confirmed Cases) – Laboratories • Process to simplify IDSP format initiated • Data compilation/analysis and response • should be at all levels • Presently at district/state level • Weekly reporting and monitoring of outbreaks • About 10-15 outbreaks are reported and responded to by states every week • Information is being shared with all stakeholders

  10. Disease outbreaks reported to IDSP 25 Nov 07 to 14 Sep 08 (42 weeks)

  11. Outbreaks detected by State IDSPs

  12. Outbreaks by Type detected by IDSP

  13. Status of IDSP Activities in selected states

  14. Districts wise Analysis of the Data Received at CSU for Karnataka state

  15. Districts wise Analysis of the Data Received at CSU for Kerala state

  16. Key aspects of IDSP project for review during CRM visit • Reporting Units identified for weekly reporting under IDSP –whether the District and State is having such a list, and • Whether there is a regular mechanism to check whether every week a designated official is checking out the defaulters for previous week by Wednesday of next week ? • Whether there is any mechanism to ensure compliance ?

  17. Analysis of data collected for disease surveillance being done? • Whether the data collected by the IDSP system is being analyzed by the units at every level of collection? • Whether any actions initiated on the inference/indicators based on data collected and analyzed?

  18. Whether the District is reporting Early Warning Signal for outbreaks? • Whether the Reporting units are reporting Early Warning Signal in a separate format every week to the District/State ? • Whether such Alerts/Early Warning Signal are being investigated for by the District Rapid Response Team and the results of the investigation documented ?

  19. Hospital Reporting in IDSP happening? • Whether Hospitals in a District are reporting in the IDSP system: • Govt Hospitals like the Rural Hospital, Taluka Hospital, District Hospital • Private/corporate/other hospitals (more than 50 bed) • Whether existing laboratories in the District are supporting IDSP operations and how?

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