I d Di S ill P jIntegrated Disease Surveillance Project (IDSP) · Components of IDSPComponents of...

I d Di S ill P jIntegrated Disease Surveillance Project (IDSP)

St t I tit t f H lth & F il W lf J iState Institute of Health & Family Welfare, Jaipur

IDSP

Decentralized, state based Project

5 year project with support from WB

SIHFW: an ISO 9001: 2008 certified Institution 2

Genesis of IDSPGenesis of IDSP

SIHFW: an ISO 9001: 2008 certified Institution3

National Surveillance Program for C DiComm. Diseases

Pilot Launch-1997 in 5 DistrictsPilot Launch 1997 in 5 Districts

20 districts added in 1997-98

Another 20 in 1998-99

101 Districts, 35 States/ UT at end of 9th

Plan

NICD-Nodal AgencyNICD Nodal Agency

Weekly Outbreak reporting from Districts (including nil reporting) to the Centre(including nil reporting) to the Centre.


Objectivesj

Establish a decentralized system ofEstablish a decentralized system of

disease surveillance for timely and

effective public health action

I th ffi i f diImprove the efficiency of disease

surveillance for use in health planning,

management and evaluating control

strategiesstrategiesSIHFW: an ISO 9001: 2008 certified Institution 4

Components of IDSPComponents of IDSP

Establish and Operate a Central-levelEstablish and Operate a Central-levelDisease Surveillance Unit

Integrate and strengthen diseasesurveillance at the state and district levels

Improve laboratory support

T i i f di ill dTraining for disease surveillance andaction.


Expected Outcome

Early detection of outbreaks

Early institution of containment measures

R d ti i bidit & t litReduction in morbidity & mortality

Minimize economic loss


NSPCD: LessonsNSPCD: LessonsSignificantly improved the capacity of

districts and states.

It was not case based reporting and didIt was not case based reporting and did

not give a complete picture of disease

burden

G I t i d t d thiGoI not convinced to expand this

program to all 600 districts in the country


Strategy

Surveil a limited number of healthconditions and risk factorsconditions and risk factorsStrengthen data quality, analysis and linksto actionImprove laboratory supportTrain stakeholders in disease surveillanceTrain stakeholders in disease surveillanceCoordinate and decentralize surveillanceactivitiesIntegrate disease surveillance at the stateand district levels


Diseases Under IDSP

1. Regular Surveillance:Vector Borne Disease :MalariaWater Borne Disease :Acute Diarrheal

Disease(Cholera):Typhoid

Respiratory Diseases :TuberculosisVPDs :Measles


Diseases under eradication : PolioDiseases under eradication : PolioOther Conditions : Road Traffic AccidentsOther InternationalOther Internationalcommitments : PlagueUnusual clinical syndromes : Menigoencephalitisy g p

/Respiratory (Causing death / h it li ti )hospitalization)


Dengue Hemorrhagic fevers and other undiagnosed conditionsundiagnosed conditions

2. Sentinel SurveillanceSTD/Bl d b HIV/HBV HCVSTD/Blood borne : HIV/HBV, HCVOther Conditions : Water Quality

O td Ai Q lit: Outdoor Air Quality(Large Urban centers)


3. Regular periodic Community Surveys:NCD Ri k F t A th tNCD Risk Factors : Anthropometry,

Physical activity,Blood PressureBlood Pressure, Tobacco, Nutrition, Blindness

4. Additional State Priorities: Each state may id tif t fi dditi l diti fidentify up to five additional conditions for surveillance.


Organizational Structure

National Surveillance CommitteeCentral Surveillance Unit

State Surveillance Committee State Surveillance UnitState Surveillance Unit

District Surveillance CommitteeDistrict Surveillance CommitteeDistrict Surveillance Unit


Information FlowW kl S ill S t

Sub-CentresProgramme

Weekly Surveillance System C.S.U.

P.H.C.s

gOfficers

S.S.U.

C.H.C.s Pvt. PractitionersD S U

Dist.Hosp.D.S.U.

Nursing Homes

Private Hospitals

P.H.Lab.

Medical.college

Other Hospitals: ESI Municipal

Private Labs.CorporateP.H.Lab. ESI, Municipal

Rly., Army etc.Corporate Hospitals


Linkages at Central levelOutbreak Investigation

& Rapid ResponseW.H.O. E.M.R.

NCD Surveillance

CSUNICD CBHIICMR

NCD SurveillanceMIS & Report

NICD CBHIICMR

NationalProgramsNVBDCP RNTCP RCH NACO

Programme Monitoring


Strengths of IDSPStrengths of IDSP

Functional integration of surveillancegcomponents of vertical programsReporting of suspect, probable and

fi d S d i iconfirmed cases –Syndromic reportingfrom peripheryStrong IT component for data analysisStrong IT component for data analysisTrigger levels for gradated responseAction component in the reporting formatsAction component in the reporting formatsStreamlined flow of funds to the districts


Key Performance Indicators

Number and percentage of districtsproviding monthly surveillance reportsproviding monthly surveillance reportson time – by state and overall

Number and percentage of responses todisease-specific triggers on time - bydisease specific triggers on time bystate and overall


Number and percentage of responses to disease-specific triggers assessed to be adequate - by state and overallNumber and percentage of l b t i idi d tlaboratories providing adequate quality of information – by state and center;center;Number of districts in which private providers are contributing to diseaseproviders are contributing to disease information


Number of reports derived from privateh lth idhealth care providers;Number of reports derived from privatel b t ilaboratories;Number and % of states in whichsurveillance information relating tosurveillance information relating tovarious vertical disease controlprograms have been integratedprograms have been integrated


Number and % of project districts and

states publishing annual surveillancep g

reports

Publication by CSU of consolidated

annual surveillance reportannual surveillance report


IDSP Reportingp g

Form ‘S’ (Suspect Cases) by HealthForm S (Suspect Cases) by Health

Workers (Sub Centres)

Form ‘P’ (Probable Cases) by Doctors

(PHC CHC H it l )(PHC, CHC, Hospitals)

Form ‘L’ (Lab Confirmed Cases) from( )

Laboratories


Frequency of reporting weekly (Monday toFrequency of reporting – weekly (Monday to

Sunday)

Data compilation/analysis and response should

b t ll l l P tl t St t /Di t i t/Bl kbe at all levels. Presently at State/District/Block

level 12- 15 Outbreaks reported every week.


New Initiatives under IDSPNew Initiatives under IDSP

Alerts through IDSP call center:Alerts through IDSP call center:Call Centre operational with 1075 toll free number since February 2008number since February 2008Call received as on 8th October 2008 : 18,872No of Health Alerts : 60No. of Health Alerts : 60Led to detection of 5 outbreaks (Cholera, Acute Diarrheal Disease and Chickenpox)Diarrheal Disease and Chickenpox)


e-learning:The objective of e-learning is to enhance theThe objective of e-learning is to enhance theskills to a wide arena of health personnel.Proposed components:Proposed components:

Discussion ForumsOnline Survey & AssessmentOnline Survey & AssessmentFeedbackFAQsFAQs

Currently e-learning modules are beingpreparedprepared.


Media Scanning CellObjective:Objective:

To provide the supplemental informationabout outbreaksabout outbreaks

Method:National and local newspapers InternetNational and local newspapers, Internetsurfing, TV channel screening for newsitem on disease occurrenceitem on disease occurrence


Benefits of Media Scanning:Increases the sensitivity & strengthen the surveillance system

Provide early warning of occurrence of clusters of diseases


Thank YouThank You

For more details log on towww sihfwrajasthan comwww.sihfwrajasthan.com

or contact : Director-SIHFW

onon [email protected]

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