Review Meeting with State Health
Secretaries
on
11th & 12th September, 2012.
Integrated Disease Surveillance
Programme (IDSP)
Integrated Disease Surveillance Project
(IDSP) – (1)
• IDSP will continue during 12th Plan as Integrated
Disease Surveillance Programme (IDSP) under
NRHM
– All Reporting Units in districts to report through portal
– Analysis and use of data and feedback at all levels
– District public health labs under IDSP
– All States need to report outbreak every week
– Recording of diagnosis by doctors in OPD register in
major hospitals
– Private sector participation in reporting of data
Integrated Disease Surveillance Project
(IDSP) – (2)
– Need for increased monitoring and supervision
by State Secretary/MD (NRHM)/DHS
– Strong coordination between DHS and DME
– Dedicated SSOs and DSOs for IDSP
– Recruitment of all contractual manpower
– Involvement of medical colleges (Data reporting,
Training, lab support, members of RRT
Integrated Disease Surveillance Programme
• Central Sector Scheme under umbrella of National Rural
Health Mission (NRHM)
• Objective: Strengthening of Disease Surveillance System for
epidemic prone diseases to detect and respond to outbreaks
• Launched with World Bank assistance in Nov 2004;
restructured and extended upto March 2012
• World Bank funds during 2010-12 for Central Surveillance
Unit (CSU) and 9 identified States (Andhra Pradesh,
Gujarat, Karnataka, Maharashtra, Punjab, Rajasthan, Tamil
Nadu, Uttarakhand and West Bengal), domestic funds for 26
States/UTs
• Proposed to continue during 12th Plan as Integrated Disease
Surveillance Programme (IDSP) with domestic budgetary
support
How the System functions?
• All DSUs, SSUs and CSU connected by IT network
• DSU collects weekly data on epidemic prone diseases
from health facilities, compile and analyze to detect rise in
cases
• Weekly data are shared with SSU and CSU through email and portal (www.idsp.nic.in)
• Increase in cases/outbreaks are investigated and
responded to by district/state/central Rapid Response
Teams (RRTs)
• SSOs, DSOs, RRTs have been trained by CSU at
identified apex institutes
Summary of Current Status and Way Forward (1)
Current Status
Surveillance Units
states/districts
Further Actions Needed
established
in
all •SSO and DSO should be dedicated or
primarily for IDSP
•IDSP should be frequently and
regularly monitored by State
Secretary/MD, NRHM, DHS
•Involve Medical colleges fully
301/646
Epidemiologists,
61/85 •Need to expedite recruitment of all
Microbiologists,
22/35
Entomologists positions; recruitment already
recruited by States
decentralized
Training of Rapid Response Teams
completed for all States/UTs
States may give list of additional officers
to be trained to CSU
•IT equipment installed at 776/800 sites
•AMC of NIC-IT equipment decentralized
•Broadband connectivity decentralized
•Use of IT network at state/district levels
•AMC at state level to be done
•Need to fill-up master data in portal
Summary of Current Status and Way Forward (2)
Current Status
Further Actions Needed
•35/50 identified district public health labs •Need to make all 50 labs functional
functional
•Strengthen more labs under NRHM
•Referral lab network functional in 9 states
•Referral lab network to be strengthened
in 8 more states in 2012-13
>90 % of the districts report weekly
surveillance data through portal
•All Reporting Units in all districts to report
through portal
•Data to be analyzed and used at all levels
Weekly data collected from primary health
care units and usually only IPD data
collected from major hospitals
•Doctors write diagnosis in OPD register
•Need to collect OPD data from major
hospitals, medical college hospitals
Outbreaks reported by States/UTs
•553 in 2008 (lab confirmed 132; 24%)
•799 in 2009 (lab confirmed 137; 17%)
•990 in 2010 (lab confirmed (153; 16%)
•1675 in 2011 (355; Lab confirmed 21%)
•1067 in 2012 (upto 19 August)
•All states need to report outbreaks every
week;
•Even “Nil” reporting is mandatory
•Samples in all outbreaks should be sent
to labs for diagnosis
•To prepare complete outbreak
investigation reports
Weekly EWS/Outbreak report submitting Status of
States/UTs in 2012
EWS/OUTBREAK REPORT
SUBMITTING STATUS
STATES / UTs
> 80% times reported
All states except given below
50 - 79 % times reported
Goa, Uttarakhand, Nagaland, Dadar
and Nagar Haveli, Puducherry,
Chhattisgarh, Mizoram
25 - 49 % times reported
A& N, Chandigarh
< 25 % times reported
Manipur, Delhi
Never reported
Lakshadweep
“Nil” reporting is considered as report submitted