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INTEGRATED DISEASE SURVEILLANCE PROJECT( IDSP ). Dr. KANUPRIYA CHATURVEDI. Lesson Objectives. To know the genesis of IDSP To learn about the project objectives, activities and disease covered under surveillance To learn about the formats and the IDSP Reporting system

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lesson objectives
Lesson Objectives
  • To know the genesis of IDSP
  • To learn about the project objectives, activities and disease covered under surveillance
  • To learn about the formats and the IDSP Reporting system
  • To learn about the monitoring indicators

DR. KANUPRIYA CHATURVEDI

evolution of idsp
Evolution of IDSP
  • Launched as pilot project in 1997 in 5 districts
  • 20 more districts included in 1997-98
  • 20 more districts included in 1998-99
  • Scaled up to 101 districts in all states
  • National Institute of Communicable Disease (NICD) is the Nodal Agency for IDSP

DR. KANUPRIYA CHATURVEDI

phasing of the idsp
Phasing of the IDSP
  • Phase I (commencing from FY 2004-05)
    • Andhra Pradesh, Himachal Pradesh, Karnataka, Madhya Pradesh, Maharashtra, Uttaranchal,Tamil Nadu, Mizoram & Kerala
  • Phase II (commencing from FY 2005-06)
    • Chhatisgarh, Goa, Gujarat, Haryana, Rajasthan, West Bengal, Manipur, Meghalaya, Orissa Tripura, Chandigarh, Pondicherry, Delhi
  • Phase III (commencing from FY 2006-07)
    • Uttar Pradesh, Bihar, Jammu & Kashmir, Jharkhand, Punjab, Arunachal Pradesh, Assam,Nagaland, Sikkim, A & N Nicobar, D & N Haveli, Daman & Diu, Lakshdweep

DR. KANUPRIYA CHATURVEDI

overall objectives
Overall objectives
  • To establish a decentralized system of disease surveillance
  • Improve the efficiency of the existing surveillance activities of disease control programs for use in health planning, management and evaluating disease control strategies

DR. KANUPRIYA CHATURVEDI

specific objectives
Specific Objectives
  • To integrate, coordinate and decentralize surveillance activities
  • Undertake surveillance for limited number of health conditions and risk factors
  • To establish system for quality data collection, reporting, analysis and feedback using IT
  • To improve laboratory support for disease surveillance
  • To develop human resource for disease surveillance
  • To involve all stake holders including those in private sector and communities

DR. KANUPRIYA CHATURVEDI

project activities
Project Activities
  • Decentralizing and integrating surveillance mechanisms
  • Up gradation of laboratories
  • Information technology and communication
  • Human resources and development
  • Operational activities and response
  • Monitoring and evaluation

DR. KANUPRIYA CHATURVEDI

diseases and conditions covered under idsp
Diseases and Conditions Covered under IDSP
  • Regular Surveillance
    • Vector borne diseases
      • Malaria
    • Water borne diseases
      • Acute diarrheal disease,cholera, typhoid
    • Respiratory diseases
      • Tuberculosis
    • Vaccine Preventable Diseases
      • Measles

DR. KANUPRIYA CHATURVEDI

contd
Contd.
  • Disease under eradication
    • polio
  • Other conditions
    • Road traffic accidents
  • Other international commitments
    • Plague, yellow fever
  • Unusual clinical syndromes
    • Meningococcal encephalitis/respiratory distress/hemorrhagic fevers/ other undiagnosed conditions

DR. KANUPRIYA CHATURVEDI

contd10
Contd.
  • Sentinel surveillance
    • STD/Blood borne diseases
      • HIV/ HBV/ HCV
    • Other conditions
      • Water quality, outdoor air quality( large urban area)
  • Regular periodic surveys
    • NCD risk factors
      • Anthropometry, physical activity, blood pressure, tobacco, nutrition and blindness
  • Additional state priorities
    • Each state may identify up to five additional conditions for surveillance

DR. KANUPRIYA CHATURVEDI

administrative structure
Administrative Structure

NATIONAL SURVEILLANCE COMMITTEE

CENTRAL SURVEILLANCE UNIT

STATE SURVEILLANCE COMMITTEE

STATE SURVEILLANCE UNIT

DISTRICT SURVEILLANCE COMMITTEE

DISTRICT SURVEILLANCE UNIT

DR. KANUPRIYA CHATURVEDI

central responsibilities
Central  Responsibilities 
  • Development  of RRT guidelines, laboratory  & computer manuals, and training materials
  • Training of State Rapid Response Teams
  • Strengthening & networking of National and Regional laboratories
  • Establishing rapid communication network
  • Technical review, co-ordination, monitoring and evaluation

DR. KANUPRIYA CHATURVEDI

state responsibilities
State  Responsibilities
  • Strengthening  of epidemiological capabilities  at state and district   level by training  of district RRT and  health personnel at  the periphery
  • Modernization and computerization of state & district Epidemiology cell
  • Strengthening of state / district laboratories
  • Improving sub-district mobility and communication
  • IEC

DR. KANUPRIYA CHATURVEDI

expected outcome
Expected  Outcome
  • Early  detection of outbreaks
  • Early institution of containment measures
  • Reduction in morbidity & mortality
  • Minimize economic loss

DR. KANUPRIYA CHATURVEDI

format for weekly reports
Format  for Weekly Reports
  • Week  Starting
  • Week ending
  • Outbreak
    • Number
    • Nature
  • News Paper cutting
  • Report of epidemiological investigation
  • Name & Signature of Nodal Officer of District

DR. KANUPRIYA CHATURVEDI

idsp reporting
IDSP Reporting
  • Form S ( Suspect Cases) by health workers( sub centers)
  • Form P (Probable Cases) by doctors (PHC,CHC,Hospitals)
  • Form L( lab confirmed cases) from laboratories
  • Frequency of reporting weekly
  • Data compilation/analysis and response at all levels

DR. KANUPRIYA CHATURVEDI

new initiatives
New Initiatives
  • Alerts through IDSP call center
  • E- learning
    • Discussion forums
    • Online survey and assessment
    • Feedback
    • Frequently asked questions (FAQs)
  • Media scanning cells
    • To provide supplemental information about outbreaks

DR. KANUPRIYA CHATURVEDI

key performance indicators
Key Performance Indicators
  • Number and percentage of districts providing monthly surveillance reports on time – by state and overall;
  • Number and percentage of responses to disease-specific triggers on time - by state and overal
  • Number and percentage of responses to disease-specific triggers assessed to be adequate -by state and overall;
  • Number and percentage of laboratories providing adequate quality of information – by state and center;

DR. KANUPRIYA CHATURVEDI

contd19
Contd.
  • Number of districts in which private providers are contributing to disease information;
  • Number of reports derived from private health care providers;
  • Number of reports derived from private laboratories;
  • # and % of states in which surveillance information relating to various vertical disease control programs have been integrated

DR. KANUPRIYA CHATURVEDI

contd20
Contd.
  • # and % of project districts and states publishing annual surveillance reports within three months of the end of the fiscal year;
  • Publication by CSU of consolidated annual surveillance report (print, electronic,including posting on the websites) within three months of the end of fiscal year

DR. KANUPRIYA CHATURVEDI

achievements
Achievements 
  • Improved quality of detection, investigation and response to outbreaks
  • Rapid Response Teams with requisite knowledge and skills in place
  • Technical material on outbreaks investigation, manual on laboratory procedures and computer usage developed and made available in field

DR. KANUPRIYA CHATURVEDI

contd22
Contd.
  • Training  in computer application for data processing  and communication
  • Feedback mechanism in the form of “Outbreak News” & “CD Alert” and by frequent letters through e-mail/post
  • Improved capability of laboratories for etiological diagnosis
  • Rapid transmission of information

DR. KANUPRIYA CHATURVEDI