INTEGRATED DISEASE SURVEILLANCE PROJECT( IDSP)

Dr. KANUPRIYA CHATURVEDI

DR. KANUPRIYA CHATURVEDI 2

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

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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

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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

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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

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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

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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

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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

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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

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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

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Administrative Structure

NATIONAL SURVEILLANCE COMMITTEECENTRAL SURVEILLANCE UNIT

STATE SURVEILLANCE COMMITTEESTATE SURVEILLANCE UNIT

DISTRICT SURVEILLANCE COMMITTEEDISTRICT SURVEILLANCE UNIT

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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  

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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

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Expected  Outcome 

• Early  detection of outbreaks

• Early institution of containment measures

• Reduction in morbidity & mortality

• Minimize economic loss

 

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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

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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

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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

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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;

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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

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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

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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

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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