I.D.S.P. PIP write up for the Financial Year 2014-15
E.1
a) Activity Proposed: Remuneration for Contractual Staff
Name of the Activity and whether new or continued:
Sl
No
Name of the activity Continued
Name of the activity New
1.
Epidemiologist (1 state level & 30 district level
Epidemiologist BBMP
2.
Microbiologist( 1 State level & 2 District level)
Microbiologist(3 District level
for
district
public
health
laboratories),
3.
Entomologist (1 State Level)
Nil
4.
State Veterinary Consultant (1)
5.
State Training consultant (1 State Level)
Nil
6.
State Finance Consultant (1 State Level)
Nil
7.
Data Managers (1 State Level & 30 District Nil
level)
8.
Data Entry Operator ( 1 State Level & 36 at Nil
district and for V-Sat sites).
9.
Nil
10.
Lab Technician (3 at district level
for
district
public
health
laboratories)
Lab Attendent (3 at district level
for
district
public
health
laboratories)
d. Achievements if continued from previous years: The implementation of IDSP at the district
level has been effective with the coordinated work of the contractual staff. The percentage of
reporting in the state during the year 2013-14 has been S & L 92 % and P 93%. Out of 30 Districts
20 districts have been reporting >90% and 9 districts >80%. As compared to 228 outbreaks
identified and contained during 2012, 315 outbreaks have been contained and identified out of
which 162 are lab confirmed in 2013.
e. Justification: The technical staff under IDSP has been involved in conducting routine
surveillance, preparedness, action and monitoring activities for 21 diseases notified in the IDSP.
apart from these new emerging diseases are also being monitored under the guidance and
notification of NCDC New Delhi like H1N1 during 2009 -10 , Crimean Congo hemorrhagic fever
2012-13, and MERS-CoV which was notified by GOI in 2013-14. The IT personnel recruited are
involved in regular weekly updating of the reports in 3 formats (SPL) from Private and public
sector and outbreaks on weekly basis in the web portal. They also monitor the non reporting units to
streamline in the reporting system.
f. Deliverables: The technical and the IT staff will be involved in achieving 100% reporting from
the all government institutions. 3 private hospitals per block as against 1 under the GOI guidelines
will be identified per block to strengthen private reporting. The Laboratory staff Microbiologists ,
lab technicians will be involved in lab confirmation of all outbreaks identified by the RRT and
institutionalizing
mandatory testing of clinical samples for culture and other microbiological
investigations in District public Health laboratories identified in the district hospitals.
Funding Proposed
No of Units Cost per unit (Rs/lakhs)
116
Total Cost (Rs/lakhs)
Detailed report submitted in the PIP format 29,42400 (294.54)
FMR Code
E1
E.2.
a) Activity Proposed: Training of health staff for identification and reporting communicable
diseases under IDSP.
b. Name of the Activity and whether new or continued: Training of Medical officers , Hospital
Pharmacist and Nursing staff is a continued activity. Proposal for refresher training of the Health
staff from BBMP is a new proposal. Lab technicians, Data Managers, Data Entry Operators, ASHA
mentors.
d. Achievements if continued from previous years: 197 Medical officers and 452 para medical
staff involving Pharmacists and Nursing staff were trained in 2013. For the Fy 2014 , training has
been proposed for 62 Medical Officers, 82 senior Health supervisors from the Bangalore city
corporation which has initiated reporting under IDSP. The other staff proposed for training includes
600 PHC Medical officers 800 paramedical staff , 31 Data Managers, 37 data Entry operators, 200
lab technicians working at District sub district level Laboratory technicians have been proposed.
e. Justification: The training proposed has been worked out for the staff who have not been trained
in the previous years. Since the working structure of IDSP requires to train he health staff at all
levels to achieve quality reporting all the staff involved in the weekly reporting have to be trained at
least once under the project. The technical and the IT staff will be involved in achieving 100%
reporting from the all government institutions. 3 private hospitals per block as against 1 under the
GOI guidelines will be identified per block to strengthen private reporting. The Laboratory staff
Microbiologists , lab technicians will be involved in lab confirmation of all outbreaks identified by
the RRT and
institutionalizing
mandatory testing of clinical samples for culture and other
microbiological investigations in District public Health laboratories identified in the district
hospitals.
f. Deliverables: Training plan for the has been proposed for Medical Officers (600), paramedical
staff including pharmacists, staff Nurse and ANMs (800) , lab technicians (200), Data Managers
and Data Entry operators (68) and Asha mentors (206), Medical Officers BBMP area (60), Senior
Health Supervisors BBMP (82) during the year 2014-15. The training of, Hospital pharmacists,
Nurses, Lab Technicians, and ANMs will be conducted at the District levels in DTC through
SIHFW. Training of the BBMP staff will be conducted State Health and Family welfare training
Center. The total amount proposed is Rs. 17.22 lakhs for the F/Y 2013-14 is required
Funding Proposed
No of Units Cost per unit (Rs/lakhs)
Total Cost (Rs/lakhs)
FMR Code
2018
17,22000(17.22)
E2
Detailed report submitted in the PIP format
E.3.
a. Activity Proposed: Laboratory Strengthening
b. Name of the Activity: District Public Health Laboratories(Model District Lab) and referral
laboratory network
c. Weather new or being continued: 3 laboratories were proposed in 2013 and fund allocation for
procurement of equipment was agreed. For the FY 2014 – 15, Six District hospital laboratories
have been proposed.
d. Achievements if continued from Previous years: Tender notification has been floated for the
procurement of equipment for the district public health laboratories and supply is expected by May
2014. Two priority laboratories Chitradurga and Udupi have been performing microbiology tests
for the past 3 years and is a continued activity
e. Justification: Laboratory Sentinel surveillance is a major aspect to notify the cases which has
not been identified under the routine surveillance. The District Public health laboratories in the state
have the capacity to cater for the biochemical and pathology tests and no avenues are in place to
perform the Microbiology tests like culture and sensitivity and serology which are the basis for
identifying the communicable diseases. It is very essential to develop the capacities of the district
level hospitals with sufficient in patient load supported by availability of specialists for probable
diagnosis of the diseases. GOI has initiated Hospital based laboratory surveillance epidemic prone
diseases. 6 District Hospitals will be strengthened by supply of equipment During the FY 2014-15
at a budget of 107.40 lakhs. Five laboratories will be funded to initiate the test facilities for
outbreak investigations and routine laboratory surveillance.
The Equipment supplied under IDSP during the initial phase of the project in 2006 requires
regular maintenance and calibration to ascertain the working capacity and there by provide quality
results. An annual maintenance contract is essential to achieve reliable results from the laboratory.
The strengthening of the Laboratory capacity in the state has been able to confirm 52% 0f
the outbreaks identified in the State.
f. Deliverables: The District Hospitals will be made capable by providing the required qualified
staff/Funds for procurement of consumables in terms of reagents and kits for testing the probable
cases. The equipment will be maintained by a qualified calibrating company through annual
maintenance contract. Quality system practices will be
adhered in the functioning of these
laboratories by collaborating with institutions offering External Quality assurance program. The
program will aim at lab confirming more than 75 % of the outbreaks in the country
g. Funding Proposed:
No of Units
Cost per unit (Rs/lakhs)
Total Cost (Rs/lakhs)
FMR Code
Non recurring for (6 DPHL 17,90,000 (17.9)
labs )
1,0740000(107.40)
E.3.1
Recurring costs for 8 420000(4.2)
District Public health labs
laboratories
2100000(21.0)
E.3.2
Equipment
districts
500000 (5.0)
E.3.3
AMC
for
5 100000 (1.0)
Reimbursement
towards 100000(1.0)
8referral laboratories
800000 (8.0)
E.3.4
Annual grant for Referral 200000 (2.0)
laboratories (Consumables
/Office/transport )
1600000(16.0)
E.3.5
E.4.
a. Activity Proposed: Operational Cost.
b. Name of the activity: Mobility Support and expenses towards Office contingency.
c. Weather new or being continued: continued
d. Achievements if continued from previous years: The effective surveillance activities involves
regular monitoring of the reporting units identified under the program which includes Sub – Centers
, PHC , Taluk Hospitals , District Hospitals. The District rapid response teams have been
performing the Outbreak investigations and online reporting of weekly surveillance data through
excel and web based portal is being carried out
e. Justification: Communicable disease surveillance is a ongoing process and the data of which
needs to be disseminated to state for policy making and periphery for initiating containment
measures. Timely supervision and data transmission is the key to achieve good surveillance and
response system. Since the reporting period under IDSP is weekly for regular Syndromic,
Presumptive and Laboratory surveillance forms from all government institutions and identified
Private institutions, and within 24-48hrs in case out outbreak notification. Program implementation
follows continuous filed level evaluation of surveillance system and early reporting hence requires
regular and sufficient fund flow.
f. Deliverables: The state average in reporting under IDSP has been more than 90% . 100%
reporting will be achieved in this financial year from all government institutions. 3-5 private
institutions will be identified per block in routine surveillance system as against existing one per
block. Efforts to identify and reporting outbreaks with in the 48 hrs guidelines issued by GOI will
be made by training of the field level staff during the field evaluation and monitoring visits.
g. Funding Proposed:
No of Units
Cost per unit (Rs/lakhs)
Total Cost (Rs/lakhs)
FMR Code
Mobility Support
180000(1.8) District and 56,40000(56.40)
240000(2.4) State level
E.4.1
Office expenses
180000(1.8) District and 56,40000(56.40)
240000(2.4) State level
E.4.2
E.5
a. Activity Proposed : Innovations
b. Name of the activity: Interstate border meetings.
c. Weather new or being continued: New. The State has been coordinating with the neighboring
districts Kerala Andhra Pradesh and Tamilnadu Maharashtra in surveillance of diseases like
Dengue Chikungunya , KFD, Viral Hepatitis. The bordering PHCs have been a common health
facility to the linked states. Half yearly coordination meetings between the states is essential to
reorient the disease trends and discuss the issues pertaining to management of cases to check
occurrence of outbreaks.
d. Achievements if continued from Previous years: New proposal after the KFD/Viral hepatitis
outbreaks which have occurred in the state involving neighboring states.
e. Justification: Exchange of mechanisms of surveillance of activities will not only strengthen the
effective coordinated utilization of money manpower and material but also help to contain the
disease across the border
f. Deliverables: The IDSP training manuals for Medical Officers and field staff have been
exhausted and required to be printed at the state level. 2200 copies of the manuals will be printed
for distribution to the participants. Interstate coordination meeting will be conducted on half yearly
basis regarding the disease trends and innovations developed to improve the surveillance and
response activities. The staff involving the PHC Medical officers, District and State
Epidemiologist/Microbiologist/Entomologist of the border states , District Surveillance Officers
and State Surveillance Officers will be conducted.
g. Funding Proposed:
No of Units
Cost per unit (Rs/lakhs)
Total Cost (Rs/lakhs)
FMR Code
1(Training Manual)
1,65000(1.65)
1,65000 (1.65)
E.5
4(Interstateborder meetings)
100000(1.0)
4,00000(4.0)
E.5
The Total budget total proposal for FY 2014-15 – 587.61 lakhs
PROJECT DIRECTOR (IDS)