Can be viewed at www.sihfwrajasthan.com

1. Integrated Disease Surveillance Project
(IDSP)
State Institute of Health & Family Welfare, Jaipur

2. IDSP
Ø Decentralized, state based Project
Ø 5 year project with support from WB
SIHFW: an ISO 9001: 2008 certified Institution 2

3. Genesis of IDSP
SIHFW: an ISO 9001: 2008 certified Institution
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4. National Surveillance Program for
Comm. Diseases
Ø Pilot Launch-1997 in 5 Districts
Ø 20 districts added in 1997-98
Ø Another 20 in 1998-99
Ø 101 Districts, 35 States/ UT at end of 9th
Plan
Ø NICD-Nodal Agency
Ø Weekly Outbreak reporting from Districts
(including nil reporting) to the Centre.
SIHFW: an ISO 9001: 2008 certified Institution 3

5. Objectives
Ø Establish a decentralized system of
disease surveillance for timely and
effective public health action
Ø Improve the efficiency of disease
surveillance for use in health planning,
management and evaluating control
strategies
SIHFW: an ISO 9001: 2008 certified Institution 4

6. Components of IDSP
Ø Establish and Operate a Central-level
Disease Surveillance Unit
Ø Integrate and strengthen disease
surveillance at the state and district levels
Ø Improve laboratory support
Ø Training for disease surveillance and
action.
SIHFW: an ISO 9001: 2008 certified Institution 5

7. Expected outcome
Ø Early detection of outbreaks
Ø Early institution of containment measures
Ø Reduction in morbidity & mortality
Ø Minimize economic loss
SIHFW: an ISO 9001: 2008 certified Institution 6

8. NSPCD: Lessons
Ø Significantly improved the capacity of
districts and states.
Ø It was not case based reporting and did
not give a complete picture of disease
burden
Ø GoI not convinced to expand this
program to all 600 districts in the country
SIHFW: an ISO 9001: 2008 certified Institution 7

9. Strategy
Ø Surveil a limited number of health
conditions and risk factors
Ø Strengthen data quality, analysis and links
to action
Ø Improve laboratory support
Ø Train stakeholders in disease surveillance
Ø Coordinate and decentralize surveillance
activities
Ø Integrate disease surveillance at the state
and district levels
SIHFW: an ISO 9001: 2008 certified Institution 8

10. Diseases under IDSP
1. Regular Surveillance:
Ø Vector Borne Disease :Malaria
Ø Water Borne Disease :Acute Diarrheal
Disease(Cholera)
:Typhoid
Ø Respiratory Diseases :Tuberculosis
Ø VPDs :Measles
SIHFW: an ISO 9001: 2008 certified Institution 9

11. Diseases under eradication : Polio
Other Conditions : Road Traffic Accidents
Other International
commitments : Plague
Unusual clinical syndromes : Menigoencephalitis
/Respiratory
(Causing death /
hospitalization)
SIHFW: an ISO 9001: 2008 certified Institution 10

12. Dengue Hemorrhagic fevers and other
undiagnosed conditions
2. Sentinel Surveillance
STD/Blood borne : HIV/HBV, HCV
Other Conditions : Water Quality
: Outdoor Air Quality
(Large Urban centers)
SIHFW: an ISO 9001: 2008 certified Institution 11

13. 3. Regular periodic Community surveys:
NCD Risk Factors : Anthropometry,
Physical activity,
Blood Pressure,
Tobacco,
Nutrition,
Blindness
4. Additional State Priorities: Each state may
identify up to five additional conditions for
surveillance.
SIHFW: an ISO 9001: 2008 certified Institution 12

14. Organizational structure
National Surveillance Committee
Central Surveillance Unit
State Surveillance Committee
State Surveillance Unit
District Surveillance Committee
District Surveillance Unit
SIHFW: an ISO 9001: 2008 certified Institution 13

15. Information flow
Weekly Surveillance System C.S.U.
Sub-Centres
Programme
Officers
P.H.C.s
S.S.U.
C.H.C.s Pvt. Practitioners
D.S.U.
Dist.Hosp. Nursing Homes
Private Hospitals
Medical.college
Private Labs.
Other Hospitals:
P.H.Lab. ESI, Municipal Corporate
Rly., Army etc. Hospitals
SIHFW: an ISO 9001: 2008 certified Institution 14

16. Linkages at Central level
Outbreak Investigation
& Rapid Response
W.H.O. E.M.R.
NCD Surveillance
MIS & Report
CSU
ICMR CBHI
NICD
National NACO
NVBDCP RNTCP RCH
Programs
Programme Monitoring
SIHFW: an ISO 9001: 2008 certified Institution 15

17. Strengths of IDSP
Ø Functional integration of surveillance
components of vertical programs
Ø Reporting of suspect, probable and
confirmed cases –Syndromic reporting
from periphery
Ø Strong IT component for data analysis
Ø Trigger levels for gradated response
Ø Action component in the reporting formats
Ø Streamlined flow of funds to the districts
SIHFW: an ISO 9001: 2008 certified Institution 16

18. Key performance Indicators
Ø Number and percentage of districts
providing monthly surveillance reports
on time – by state and overall
Ø Number and percentage of responses
to disease-specific triggers on time - by
state and overall
SIHFW: an ISO 9001: 2008 certified Institution 17

19. Ø Number and percentage of responses
to disease-specific triggers assessed
to be adequate - by state and overall
Ø Number and percentage of
laboratories providing adequate
quality of information – by state and
center;
Ø Number of districts in which private
providers are contributing to disease
information
SIHFW: an ISO 9001: 2008 certified Institution 18

20. Ø Number of reports derived from private
health care providers;
Ø Number of reports derived from private
laboratories;
Ø Number and % of states in which
surveillance information relating to
various vertical disease control
programs have been integrated
SIHFW: an ISO 9001: 2008 certified Institution 19

21. Ø Number and % of project districts and
states publishing annual surveillance
reports
Ø Publication by CSU of consolidated
annual surveillance report
SIHFW: an ISO 9001: 2008 certified Institution 20

22. IDSP reporting
Ø Form ‘S’ (Suspect Cases) by Health
Workers (Sub Centres)
Ø Form ‘P’ (Probable Cases) by Doctors
(PHC, CHC, Hospitals)
Ø Form ‘L’ (Lab Confirmed Cases) from
Laboratories
Ø Frequency of reporting – weekly (Monday
to Sunday)
Ø Data compilation/analysis and response
should be at all levels. Presently at
State/District/Block level 12- 15 Outbreaks
reported every week.
SIHFW: an ISO 9001: 2008 certified Institution 21

23. New initiatives under IDSP
Alerts through IDSP call center:
Ø Call Centre operational with 1075 toll
free number since February 2008
Ø Call received as on 8th October 2008 :
18,872
Ø No. of Health Alerts : 60
Ø Led to detection of 5 outbreaks
(Cholera, Acute Diarrheal Disease and
Chickenpox)
SIHFW: an ISO 9001: 2008 certified Institution 22

24. e-learning:
Ø The objective of e-learning is to
enhance the skills to a wide arena of
health personnel.
Ø Proposed components:
Ø Discussion Forums
Ø Online Survey & Assessment
Ø Feedback
Ø FAQs
Ø Currently e-learning modules are
being prepared.
SIHFW: an ISO 9001: 2008 certified Institution 23

25. Media Scanning Cell
Objective:
ØTo provide the supplemental
information about outbreaks
Method:
ØNational and local newspapers,
Internet surfing, TV channel
screening for news item on disease
occurrence
SIHFW: an ISO 9001: 2008 certified Institution 24

26. Benefits of Media Scanning:
ØIncreases the sensitivity &
strengthen the surveillance
system
ØProvide early warning of
occurrence of clusters of diseases
SIHFW: an ISO 9001: 2008 certified Institution 25

27. Thank You
For more details log on to
www. sihfwrajasthan.com
or
contact : Director-SIHFW
on
sihfwraj@yahoo.co.in