Integrated Disease Surveillance Project IDSP Data Management 14

Integrated Disease Surveillance Project (IDSP) Data Management 14 -15 July 2011

Objectives of IDSP Detection of early warning signals of epidemic prone diseases and help to initiate an effective response in a timely manner.

What is a Reporting Unit? A reporting unit is a health facility in private or public sector, located in rural or urban area which collects information of the health conditions identified under IDSP in specified formats and transmits these in prespecified timely manner to the next higher level.

Reporting Health Facilities (Sources of data) Public health sector Rural Urban Private health sector SCs, PHC, CHCs Private Clinics / and hospitals Hospitals including IDH, ESI / Railway / Medical college hospitals. Private nursing homes/ hospitals, Medical colleges, Private and NGO laboratories

What to be reported ? • Syndromes based Cases • Probable Cases • Confirmed Cases • Outbreaks

Periodicity of Reporting • Weekly ( Monday-Sunday) • Data on outbreaks are collected analyzed separately and it may be daily/weekly

How to be Reported? IDSP Forms (Weekly: Monday-Sunday) • Form S : For Syndromic Surveillance Filled by Health Worker of Sub centres • Form P : for Presumptive Surveillance Filled at PHC/CHC, Govt. / Private Hospitals, Private Practitioners • Form L : Laboratory Surveillance Filled by PHC/CHC lab, District/ Private lab, State lab, National lab • In addition , EWS/ Outbreak Report is also required FORM S FORM_P L Outbreak Form

IDSP Information Flow

Data Analysis Along with regular and timely collection of data, the regular and timely analysis and interpretation of data is also important otherwise the very purpose of ‘early warning signal & outbreak detection and control of disease burden & disease trend’ gets defeated The Periodicity of analysis: Daily. Weekly , Monthly, Annual Since the quality of surveillance data depends upon regularity of reports, timeliness and completeness and hence analysis of the data also include assessment of the quality of information

Data Reporting Status through IDSP Portal

SUMMARY OF CURRENT REPORTING STATUS (Jan-June 2011) State 9 Priority States 26 Other States All 35 States 225 398 623 No. of Districts Average % District Reporting PForm (208) 92% (271) 68% (478) 77% Max %District Reporting P in a week (220) 98% (298) 75% (497) 80% Average % District Reporting L Form (203) 90% (251) 63% (454) 73% Max % District Reporting L in a week (217) 96% (284) 71% (469) 75% Total P RUs 17269 11608 Average % Reporting of P Units (11565) 67% (5421) 47% (16985) 59% Max % P Units Reporting in a week (12979) 75% (6852) 59% (18304) 63% 6263 28874 Total L RUs 12288 18548 Average % Reporting of L Units (8076) 66% (3055) 49% (11132) 60% Max % L Units Reporting in a week (9123) 74% (3685) 59% (11961) 64%

State wise Reporting Status of Districts

Districts Reporting- P Form (Priority States) 2010 Apr-Sep S. N O. State No. of Dist. Average Reporting 2011 Jan-June Oct-Dec Max. Reporting Average Reporting Max. Reporting Average Max. Reporting No. Rep. % Rep. 1 ANDHRA 23 8 35% 15 65% 17 74% 20 87% 23 100% 2 GUJARAT 26 25 96% 26 100% 3 KARNATAKA 27 27 100% 26 96% 27 100% 4 MAHARASHTRA 35 28 80% 31 89% 28 80% 30 86% 28 80% 31 89% 5 PUNJAB 20 15 75% 18 90% 20 100% 19 95% 20 100% 6 RAJASTHAN 32 16 50% 24 75% 25 78% 28 88% 29 91% 32 100% 7 TAMIL NADU 30 27 90% 29 97% 30 100% 8 UTTARAKHAND 13 12 92% 13 100% 10 77% 11 85% 12 92% 13 100% 9 WB 19 18 95% 18 95% 225 176 78% 193 86% 200 89% 208 92% 220 98% Total

Reporting percentage increased from 78% to 92% in priority States

Districts Reporting- P Form (Other States-1) 2010 S. NO. State No. of Dist. Apr-Sep Average Max. Reporting No. Rep. Oct-Dec Average Max. Reporting % Rep. No. Rep. % Rep. 2011 Jan-June Average Max. Reporting No. Rep. % Rep. 2 0 0% 1 50% 1 11 ARUNACHAL 16 6 38% 9 56% 11 69% 14 88% 15 94% 16 100% 12 ASSAM 27 22 81% 23 85% 25 93% 27 100% 13 BIHAR 38 30 79% 34 89% 27 71% 29 76% 30 79% 31 82% 14 CHANDIGARH 1 1 100% 1 100% 15 CHHATISGARH 18 16 100% 15 94% 16 100% 16 89% 17 94% 16 D & D 2 2 100% 2 100% 17 DELHI 9 9 100% 9 100% 18 D & N 1 1 100% 1 100% 19 GOA 2 2 100% 2 100% 20 HIMACHAL 12 6 50% 8 67% 12 100% 11 92% 12 100% 21 HARYANA 19 7 37% 10 53% 6 32% 7 37% 6 32% 8 10 A & N 50% 42%

Districts Reporting- P Form (Other States-2) 2010 S. NO. State No. of Dist. Apr-Sep Average Max. Reporting Oct-Dec Average Max. Reporting 2011 Jan-June Average Max. Reporting No. Rep. % Rep. 14 3 64% 21% 16 5 73% 36% 15 2 68% 14% 17 4 77% 29% 18 4 82% 29% 14 100% 13 93% 14 100% 22 JHARKHAND 23 J&K 22 14 24 KERALA 14 11 79% 13 93% 14 25 LAKSHADWEEP 26 MEGHALAYA 27 MANIPUR 28 MP 29 MIZORAM 30 NAGALAND 31 ORISSA 32 PUDUCHERRY 33 SIKKIM 34 TRIPURA 35 UP 1 7 9 50 9 11 30 4 4 4 72 398 623 0 1 5 19 0 0 13 0 4 2 45 219 395 0% 0 14% 2 29% 1 56% 7 78% 4 38% 24 48% 17 0% 0 43% 16 53% 14 0% 2 50% 0 100% 4 50% 4 100% 2 63% 49 68% 45 55% 243 61% 221 64% 407 66% 414 0% 14% 44% 34% 0% 0% 47% 0% 100% 50% 63% 56% 67% 0 0% 3 43% 5 71% 4 44% 7 78% 9 100% 21 42% 22 44% 27 54% 0 0% 0 0% 17 57% 20 67% 22 73% 1 25% 2 50% 4 100% 3 75% 4 100% 48 67% 59 82% 62 86% 236 60% 271 68% 298 75% 436 70% 478 77% 497 80% Total Grand Total

Reporting percentage increased from 55% to 68% in Other States Average % District Reporting P Forms during 2010 and 2011 - Other States 100% 80% 70% 60% 50% 40% 30% 20% Apr-Sep (2010) Oct-Dec (2010) Jan-June (2011) Total UP TRIPURA SIKKIM PUDUCHERRY ORISSA NAGALAND MIZORAM MP MANIPUR MEGHALAYA LAKSHADWEEP KERALA J&K JHARKHAND HARYANA HIMACHAL GOA D&N DELHI D&D CHHATISGARH CHANDIGARH BIHAR ASSAM 0% ARUNACHAL 10% A&N % District Reported 90%

Districts Reporting- L Form (Priority States) 2010 S. N O. State No. of Dist. Apr-Sep Average Max. Reporting 2011 Oct-Dec Average Max. Reporting Jan-June Average Max. Reporting No. Rep. % Rep. 1 ANDHRA 23 8 35% 13 57% 14 61% 15 65% 19 83% 22 96% 2 GUJARAT 26 25 96% 26 100% 3 KARNATAKA 27 27 100% 26 96% 27 100% 4 MAHARASHTRA 35 27 77% 29 83% 5 PUNJAB 20 15 75% 18 90% 20 100% 19 95% 20 100% 6 RAJASTHAN 32 15 47% 23 72% 27 84% 28 88% 31 97% 7 TAMIL NADU 30 24 80% 27 90% 25 83% 28 93% 30 100% 8 UTTARAKHAND 13 12 92% 13 100% 9 69% 10 77% 12 92% 13 100% 9 WB 19 18 95% 17 89% 18 95% 225 171 76% 188 84% 185 82% 195 87% 203 90% 216 96% Total

Reporting percentage increased from 76% to 90% in priority States

District Reporting- L form (Other States-1) 2010 S. NO. State No. of Dist. Apr-Sep Average Max. Reporting Oct-Dec Average Max. Reporting 2011 Jan-June Average Max. Reporting No. Rep. % Rep. 2 0 0% 1 50% 0 0% 11 ARUNACHAL 16 6 38% 9 56% 10 63% 13 81% 14 88% 16 100% 12 ASSAM 27 22 81% 23 85% 25 93% 27 100% 13 BIHAR 38 18 47% 21 55% 17 45% 21 55% 22 58% 25 66% 14 CHANDIGARH 1 1 100% 1 100% 15 CHHATISGARH 18 16 100% 15 94% 16 100% 16 89% 17 94% 16 D & D 2 2 100% 2 100% 17 DELHI 9 5 56% 7 78% 5 56% 6 67% 8 89% 18 D & N 1 1 100% 1 100% 19 GOA 2 2 100% 2 100% 20 HIMACHAL 12 5 42% 7 58% 11 92% 12 100% 21 HARYANA 19 7 37% 10 53% 6 32% 7 37% 6 32% 8 42% 10 A & N

District Reporting- L form (other States-2) 2010 S. N State O. No. of Dist. Apr-Sep Average Max. Reporting Oct-Dec Average Max. Reporting 2011 Jan-June Average Max. Reporting No. Rep. % Rep. 22 JHARKHAND 23 J & K 24 KERALA 25 LAKSHADWEEP 26 MEGHALAYA 27 MANIPUR 28 MP 29 MIZORAM 30 NAGALAND 31 ORISSA 32 PUDUCHERRY 33 SIKKIM 34 TRIPURA 35 UP Total Grand Total 22 13 14 2 14 11 1 0 7 1 9 3 50 19 9 0 11 0 30 13 4 0 4 4 4 2 72 34 398 187 623 358 59% 14% 79% 0% 14% 33% 38% 0% 0% 43% 0% 100% 50% 47% 58% 16 4 14 0 2 4 24 0 0 15 2 4 3 38 200 370 73% 29% 100% 0% 29% 44% 48% 0% 0% 50% 100% 75% 53% 51% 60% 14 2 12 0 1 3 18 0 0 13 0 4 2 36 193 378 64% 14% 86% 0% 14% 33% 36% 0% 0% 43% 0% 100% 50% 49% 61% 14 2 14 0 2 3 21 0 0 15 1 4 4 39 209 414 64% 16 14% 4 100% 13 0% 0 29% 3 33% 5 42% 23 0% 0 50% 19 25% 1 100% 3 54% 55 53% 251 67% 454 73% 29% 93% 0% 43% 56% 46% 0% 0% 63% 25% 75% 76% 63% 73% 17 77% 4 29% 14 100% 0 0% 4 57% 7 78% 29 58% 0 0% 22 73% 2 50% 4 100% 58 81% 284 71% 469 75%

Reporting percentage increased from 47% to 63% in other States Average % District Reporting L Forms during 2010 and 2011 - Other States 100% 80% 70% 60% 50% 40% 30% 20% 10% 0% A&N ARUNACHAL ASSAM BIHAR CHANDIGARH CHHATISGARH D&D DELHI D&N GOA HIMACHAL HARYANA JHARKHAND J&K KERALA LAKSHADWEEP MEGHALAYA MANIPUR MP MIZORAM NAGALAND ORISSA PUDUCHERRY SIKKIM TRIPURA UP Total % District Reported 90% Apr-Sep (2010) Oct-Dec (2010) Jan-June (2010)

RUs Reporting- P form (Priority States) 2010 S. N O. State No. of Rus Apr-Sep Average Max. Reporting Oct-Dec Average Max. Reporting 2011 Jan-June Average Max. Reporting No. Rep. % Rep. 1 ANDHRA 2173 295 634 31% 788 39% 1110 51% 1448 67% 2 GUJARAT 1998 1666 86% 1715 89% 1707 89% 1713 89% 1766 88% 1843 92% 3 KARNATAKA 2649 1953 74% 2037 77% 1927 73% 2019 76% 2059 78% 2153 81% 4 MAHARASHTRA 2366 1220 51% 1374 57% 1133 47% 1317 55% 1280 54% 1412 60% 5 PUNJAB 1226 463 40% 597 52% 689 59% 944 82% 980 80% 1174 96% 6 RAJASTHAN 2109 538 26% 667 32% 834 40% 1045 50% 1164 55% 1317 62% 7 TAMIL NADU 2845 1534 56% 1681 62% 1559 57% 1694 62% 2152 76% 2430 85% 8 UTTARAKHAND 9 WB Total 15% 606 30% 210 41% 268 52% 142 28% 156 30% 244 47% 315 60% 1382 825 60% 884 64% 745 54% 866 62% 810 59% 887 64% 521 1726 8704 52% 9390 56% 9370 9 56% 10064 60% 11565 67% 12979 75%

Reporting percentage increased from 52% to 66% in priority States

RUs Reporting- P form (other States-1) 2010 S. NO. State No. of Rus Apr-Sep Oct-Dec Average Max. Reporting 2011 Jan-June Average Max. Reporting No. Rep. % Rep. 34 0 0% 2 7% 0 0% 7 21% 11 32% 181 26 15% 39 22% 41 23% 60 34% 54 30% 68 38% 1062 852 75% 885 78% 817 72% 882 78% 916 86% 978 92% 665 328 50% 380 58% 300 46% 357 54% 409 62% 455 68% 14 CHANDIGARH 57 48 84% 45 79% 48 84% 15 CHHATISGARH 922 58% 583 65% 439 49% 530 59% 510 55% 569 62% 16 D & D 10 6 60% 6 60% 17 DELHI 436 216 52% 230 55% 202 48% 216 52% 210 48% 245 56% 18 D & N 6 4 50% 5 63% 6 75% 6 100% 19 GOA 67 42 59% 48 68% 33 46% 42 59% 27 40% 47 70% 20 HIMACHAL 601 154 26% 242 40% 214 36% 456 76% 442 74% 475 79% 21 HARYANA 428 164 38% 194 46% 155 36% 189 44% 146 34% 216 50% 10 A & N 11 ARUNACHAL 12 ASSAM 13 BIHAR

RUs Reporting- P form (other States-2) 2010 S. N O. State No. of Rus Apr-Sep 2011 Jan-June Oct-Dec Average Max. Reporting Reporting No. Rep. % Rep. 22 JHARKHAND 258 99 43% 108 47% 100 43% 110 48% 128 50% 153 59% 23 J & K 382 29 8% 58 16% 15 4% 18 5% 74 19% 110 29% 1261 676 54% 1072 86% 707 56% 884 71% 291 23% 950 75% 0 0 0% 0 0% 26 MEGHALAYA 172 15 9% 37 23% 7 4% 19 12% 54 31% 96 56% 27 MANIPUR 122 11 9% 17 15% 8 7% 9 8% 22 18% 36 30% 1473 318 22% 404 28% 297 21% 365 25% 375 25% 470 32% 29 MIZORAM 67 0 0% 0 0% 30 NAGALAND 3 0 0% 0 0% 1674 450 27% 557 34% 440 26% 570 34% 765 46% 889 53% 32 PUDUCHERRY 55 1 2% 4 7% 2 4% 25 45% 1 2% 4 7% 33 SIKKIM 36 26 74% 31 89% 24 69% 30 86% 18 50% 28 78% 111 34 31% 62 56% 30 27% 77 69% 53 48% 82 74% 1525 575 41% 621 44% 539 38% 582 41% 859 56% 910 60% 11608 4596 40% 5223 46% 4426 39% 5040 44% 5421 47% 6852 59% 28874 13300 47% 13837 49% 13796 49% 14834 53% 16985 59% 18304 63% 24 KERALA 25 LAKSHADWEEP 28 MP 31 ORISSA 34 TRIPURA 35 UP Total Grand Total

Reporting percentage increased from 42% to 47% in Other States Average % of RUs Reporting P Forms during 2010 and 2011 - Other States 100% 80% 70% 60% 50% 40% 30% 20% 10% Apr-Sep (2010) Oct-Dec (2010) Jan-June (2011) Total UP TRIPURA SIKKIM PUDUCHERRY ORISSA NAGALAND MIZORAM MP MANIPUR MEGHALAYA LAKSHADWEEP KERALA J&K JHARKHAND HARYANA HIMACHAL GOA D&N DELHI D&D CHHATISGARH CHANDIGARH BIHAR ASSAM ARUNACHAL 0% A&N % District Reported 90%

RUs Reporting- L Form (Priority States) 2010 S. N O. State No. of Rus Apr-Sep Average Max. Reporting 2011 Oct-Dec Jan-June Average Max. Reporting No. Rep. % Rep. 1 ANDHRA 1714 183 11% 351 22% 2 GUJARAT 1801 1590 91% 1620 93% 1609 92% 1617 93% 1630 91% 1684 94% 3 KARNATAKA 2254 1652 74% 1713 77% 1598 72% 1682 75% 1761 78% 1865 83% 701 43% 792 49% 691 42% 765 47% 801 48% 922 56% 456 247 55% 397 88% 297 66% 388 86% 382 84% 441 97% 6 RAJASTHAN 1800 457 26% 556 32% 725 42% 941 54% 1033 57% 1185 66% 7 TAMIL NADU 1656 859 56% 977 63% 932 60% 1068 69% 1205 73% 1468 89% 8 UTTARAKHAND 159 92 57% 111 69% 81 50% 87 54% 100 63% 118 74% 9 WB 790 403 50% 438 54% 364 45% 419 52% 433 55% 493 62% 12288 6184 52% 6654 56% 6617 55% 7068 59% 8076 66% 9123 74% 4 MAHARASHTRA 1658 5 PUNJAB Total 320 20% 394 24% 731 43% 947 55%

Reporting percentage increased from 52% to 66% in priority States

RUs Reporting- L form (other States-1) 2010 S. NO. State No. of Rus Apr-Sep Average Max. Reporting 2011 Oct-Dec Jan-June Average Max. Reporting No. Rep. % Rep. 2 0 0% 2 100% 0 0% 11 ARUNACHAL 165 23 14% 32 20% 42 26% 72 45% 72 44% 87 53% 12 ASSAM 975 701 72% 736 75% 694 71% 758 78% 788 81% 835 86% 13 BIHAR 479 125 27% 146 31% 114 24% 153 33% 205 43% 237 49% 14 CHANDIGARH 40 31 78% 39 98% 32 80% 39 98% 35 88% 39 15 CHHATISGARH 487 175 37% 202 42% 148 31% 178 37% 163 33% 191 39% 16 D & D 9 5 56% 7 78% 6 67% 17 DELHI 154 45 33% 61 45% 55 40% 66 48% 58 38% 74 48% 18 D & N 7 5 56% 6 67% 7 78% 7 100% 19 GOA 50 32 64% 36 72% 26 52% 32 64% 22 44% 37 74% 20 HIMACHAL 224 49 22% 75 34% 68 30% 137 61% 125 56% 143 64% 21 HARYANA 315 115 37% 144 46% 123 40% 150 48% 120 38% 160 51% 10 A & N 98%

RUs reporting- L Form (other States-2) 2010 S. N O. State 2011 Jan-June Apr-Sep No. of Rus Average Reporting Max. Reporting Oct-Dec Average Max. Reporting Average Reporting Max. Reporting No. Rep. % Rep. 22 JHARKHAND 204 93 52% 102 57% 96 54% 107 60% 123 60% 145 71% 23 J & K 142 17 12% 38 28% 6 4% 9 7% 44 31% 64 24 KERALA 531 238 45% 402 76% 240 45% 304 58% 179 34% 338 64% 0 0 0% 0 0% 101 12 12% 32 33% 5 5% 14 14% 35 35% 63 62% 52 8 22% 12 33% 6 17% 7 19% 10 19% 18 35% 776 220 30% 294 40% 183 25% 220 30% 229 30% 302 39% 29 MIZORAM 29 0 0% 0 0% 30 NAGALAND 0 0 0% 0 0% 422 97 24% 113 28% 95 23% 112 27% 169 40% 32 PUDUCHERRY 28 0 0% 2 7% 1 4% 9 32% 1 4% 2 7% 33 SIKKIM 34 21 64% 26 79% 20 61% 27 82% 13 38% 25 74% 34 TRIPURA 86 17 20% 32 37% 21 24% 57 66% 37 43% 57 66% 951 316 43% 358 49% 298 41% 343 47% 614 65% 646 68% Total 6263 2345 40% 2645 Grand Total 18548 8529 48% 8800 45% 2285 39% 2561 44% 3055 49% 3685 59% 49% 8902 50% 9562 54% 11132 60% 11961 64% 25 LAKSHADWEEP 26 MEGHALAYA 27 MANIPUR 28 MP 31 ORISSA 35 UP 45% 209 50%

Reporting percentage increased from 40% to 49% in other States Average % of RUs Reporting L Forms during 2010 and 2011 - Other States 100% 80% 70% 60% 50% 40% 30% 20% 10% Oct-Dec (2010) Jan-June (2011) Total UP TRIPURA SIKKIM PUDUCHERRY ORISSA NAGALAND MIZORAM MP MANIPUR MEGHALAYA KERALA J&K JHARKHAND HARYANA HIMACHAL LAKSHADWEEP Apr-Sep (2010) GOA D&N DELHI D&D CHHATISGARH CHANDIGARH BIHAR ASSAM ARUNACHAL 0% A&N % District Reported 90%

Results Monitoring Indicators for Data Reporting

Consistency Report Timeliness is defined as reports obtained within one week after the last date of every reporting week. Minimum expectation is that each reporting unit reports for at least 40 weeks in a year (52 weeks). Or 80% of week at any given time under consideration All identified reporting units must report. However, for programme purpose, the following definition of consistency may be followed: • A reporting unit is consistent, if it has reported for at least 40 weeks in a year (or >= 80% of week at any given time). • A district is consistent at any given time if at least 80% of RUs under the district reported consistently at that point of time. • A state is consistent at any given time if at least 80% of the district are having consistent reporting RUs.

Grouping for Consistency Report: - Reports should have desegregated forms of • P {1. PHCs, 2. Other Govt. Hospitals (CHC/ID Hospitals/Medical Colleges/Other Premier Institutes/Public Sector Hospitals) and 3. Private hospitals separately} • L (Government and Private Laboratory) and • S reporting units( Sub centres)

Consistency of Reporting

RUs Consistency for P form (Priority States) PHC S. No. State No. of Total Consistent no. of Reporting Rus RUs CHC/Govt Hosp/MC/ID % No. of Total Consistent no. of Reporting Rus RUs % Private Sector No. of Total Consistent no. of Reporting Rus RUs % 1 ANDHRA PRADESH 1743 490 28% 344 39 11% 85 1 1% 2 GUJARAT 1212 1102 91% 420 331 79% 365 294 81% 3 KARNATAKA 2137 1530 72% 296 177 60% 214 76 36% 4 MAHARASHTRA 1848 670 36% 453 86 19% 65 16 25% 5 PUNJAB 955 639 67% 202 158 78% 69 43 62% 6 RAJASTHAN 1561 543 35% 524 176 34% 24 1 4% 7 TAMIL NADU 1616 1305 81% 390 228 58% 843 384 46% 8 UTTARAKHAND 370 96 26% 138 42 30% 13 5 38% 9 WEST BENGAL 1127 468 42% 241 114 47% 12 0 0% 12569 6843 54% 3008 1351 45% 1690 820 49% Total

Districts Consistency for P Form (Priority States) PHC S. No. State Total No. of Dist Consistent Reporting District CHC/Govt Hosp/MC/ID % No. of Consistent Reporting District Private % No. of Consistent Reporting District % 1 ANDHRA PRADESH 23 0 0% 2 GUJARAT 26 25 96% 18 69% 10 38% 3 KARNATAKA 27 15 56% 4 15% 2 7% 4 MAHARASHTRA 35 8 23% 2 6% 1 3% 5 PUNJAB 20 11 55% 13 65% 5 25% 6 RAJASTHAN 32 7 22% 6 19% 0 0% 7 TAMIL NADU 30 22 73% 11 37% 8 27% 8 UTTARAKHAND 13 3 23% 1 8% 9 WEST BENGAL 19 3 16% 0 0% 225 94 42% 58 26% 27 12% Total

RUs Consistency for -L form (Priority States) PHC S. NO. State No. of Total no. Consistent of Rus Reporting RUs CHC/Govt Hosp/MC/ID % No. of Total Consistent no. of Reporting Rus RUs % Private Sector No. of Total Consistent no. of Reporting Rus RUs % 1 ANDHRA PRADESH 1008 203 20% 196 31 16% 114 49 43% 2 GUJARAT 1024 961 94% 344 322 94% 355 323 91% 3 KARNATAKA 1628 1196 73% 288 197 68% 192 115 60% 4 MAHARASHTRA 1011 317 31% 365 90 25% 21 10 48% 5 PUNJAB 186 119 64% 200 169 85% 68 49 72% 6 RAJASTHAN 1200 435 36% 398 147 37% 50 1 2% 7 TAMIL NADU 1025 711 69% 288 178 62% 242 121 50% 8 UTTARAKHAND 39 25 64% 80 34 43% 18 13 72% 9 WEST BENGAL 234 107 46% 311 177 57% 63 47 75% 7355 4074 55% 2470 1345 54% 1123 728 65% Total

Districts Consistency for -L form (Priority States) CHC/Govt Hosp/MC/ID PHC Total No. of no. of Dist. Consistent Reporting District S. NO. State % No. of Consistent Reporting District Private % No. of Consistent Reporting District % 1 ANDHRA PRADESH 23 1 4% 0 0% 1 4% 2 GUJARAT 26 24 92% 12 46% 3 KARNATAKA 27 9 33% 7 26% 3 11% 4 MAHARASHTRA 35 0 0% 1 3% 5 PUNJAB 20 11 55% 16 80% 8 40% 6 RAJASTHAN 32 7 22% 6 19% 0 0% 7 TAMIL NADU 30 12 40% 8 27% 4 13% 8 UTTARAKHAND 13 5 38% 3 23% 9 WEST BENGAL 19 4 21% 6 32% 2 11% 225 73 32% 71 32% 34 15% Total

SUMMARY OF CURRENT OVERALL AND CONSISTENCY REPORTING STATUS OF 9 PRIORITY STATES (Jan-June 2011) No. of Districts 225 % District Reporting P Form 92% (208) % consistent Districts for PHC- P Form 42% (94) % consistent Districts for CHC/Govt Hosp P Form 26% (58) % consistent Districts for Pvt Units- P Form 12% (27) % District Reporting L Form 90% (203) % consistent Districts for PHC- L Form 32% (73) % consistent Districts for CHC/Govt Hosp L Form 32% (71) % consistent Districts for Pvt Units- L Form 15% (34)

RUs Consistency for -P form (Other States-1) PHC S. No. State 1 A&N 2 ARUNACHAL PRADESH 3 ASSAM 4 BIHAR 5 CHANDIGARH UT 6 CHHATISGARH 7 DAMAN AND DIU 8 DELHI 9 D & N HAVELI 10 GOA 11 HIMACHAL PRADESH 12 HARYANA 13 JHARKHAND 14 JAMMU AND KASHMIR No. of Total no. Consistent of Rus Reporting RUs 27 89 867 40 741 4 349 5 25 473 259 99 266 2 5 694 261 40 240 3 102 5 2 280 67 40 20 CHC/Govt Hosp/MC/ID % 7% 6% 80% 56% 100% 32% 75% 29% 100% 8% 59% 26% 40% 8% No. of Total no. Consistent of Rus Reporting RUs 7 82 145 169 17 177 6 61 1 10 106 131 140 73 0 16 107 64 8 50 3 5 1 2 70 14 39 3 % 0% 20% 74% 38% 47% 28% 50% 8% 100% 20% 66% 11% 28% 4% Private Sector No. of Total Consistent no. of Reporting Rus RUs 0 10 50 29 0 4 0 25 0 32 22 37 19 43 0 1 33 3 0 0 0 4 0 0 21 0 15 0 % 0% 10% 66% 10% 0% 16% 0% 0% 95% 0% 79% 0%

RUs Consistency for -P form (Other States-2) PHC No. of Total no. Consistent of Rus Reporting RUs S. No. State 15 KERALA 16 LAKSHADWEEP 17 MEGHALAYA 18 MANIPUR 19 MADHYA PRADESH 20 MIZORAM 21 NAGALAND 22 ORISSA 23 PONDICHERRY 24 SIKKIM 25 TRIPURA 26 UTTAR PRADESH Total Grand Total 674 0 129 93 729 45 1 1233 41 1 60 766 7483 20052 16 0 17 2 91 0 0 361 0 0 12 318 2578 9421 CHC/Govt Hosp/MC/ID % 2% 0% 13% 2% 12% 0% 0% 29% 0% 0% 20% 42% 34% 47% No. of Total no. Consistent of Rus Reporting RUs 541 0 39 27 556 13 1 405 10 30 13 703 3463 6471 29 0 7 3 64 0 0 101 0 4 5 345 940 2291 % Private Sector Total no. of Rus 5% 46 0% 0 18% 4 11% 2 12% 185 0% 8 0% 1 25% 36 0% 4 13% 5 38% 38 49% 49 27% 649 35% 2339 No. of Consistent Reporting RUs % 2 0 1 0 21 0 0 6 4 117 937 4% 0% 25% 0% 11% 0% 0% 17% 0% 0% 16% 8% 18% 40%

Districts Consistency for -P form (other States-1) CHC/Govt Hosp/MC/ID PHC S. No. State 1 3 A&N ARUNACHAL PRADESH ASSAM 4 BIHAR 5 CHANDIGARH UT 6 CHHATISGARH 7 DAMAN AND DIU 8 DELHI 9 D&N 10 GOA 11 HIMACHAL PRADESH 12 HARYANA 13 JHARKHAND 14 JAMMU AND KASHMIR 2 Total No. of Dist Consistent Reporting District % No. of Consistent Reporting District Private % No. of Consistent Reporting District % 2 0 0% 16 0 0% 2 13% 0 0% 27 38 1 18 2 9 1 2 12 19 22 14 21 16 1 3 1 0 4 3 3 0 78% 42% 100% 17% 50% 0% 100% 0% 33% 16% 14% 0% 18 8 1 3 1 0 6 1 2 0 67% 21% 100% 17% 50% 0% 100% 0% 5% 9% 0% 4 1 0 0 0 2 0 15% 3% 0% 0% 0% 17% 0% 9% 0%

Districts Consistency for -P form (Other States-2) CHC/Govt Hosp/MC/ID PHC S. No. State Total No. of Dist Consistent Reporting District % No. of Consistent Reporting District Private % No. of Consistent Reporting District % 14 0 0% LAKSHADWEEP 1 0 0% 17 MEGHALAYA 7 0 0% 1 14% 18 MANIPUR 9 0 0% 19 MADHYA PRADESH 50 1 2% 3 6% 2 4% 20 MIZORAM 9 0 0% 21 NAGALAND 11 0 0% 22 ORISSA 30 3 10% 1 3% 3 10% 23 PONDICHERRY 4 0 0% 24 SIKKIM 4 0 0% 1 25% 0 0% 25 TRIPURA 4 1 25% 0 0% 26 UTTAR PRADESH 72 19 26% 24 33% 2 3% Total Others 398 77 19% 73 18% 17 4% Grand Total 623 171 27% 131 21% 44 7% 15 KERALA 16

RUs Consistency for -L form (Other States-1) PHC S. NO. State No. of Total Consistent no. of reporting Rus Units CHC/Govt Hosp/MC/ID % No. of Total no. Consistent of Rus reporting Units % Private Sector No. of Total Consistent no. of reporting Rus Units % 0 0 0% 30 4 13% 54 12 22% 38 22 58% ASSAM 717 589 82% 127 102 80% 37 26 70% 13 BIHAR 234 96 41% 74 28 38% 13 0 0% 14 CHANDIGARH UT 31 28 90% 9 8 89% 0 0 0% 15 CHHATISGARH 140 19 14% 167 62 37% 2 1 50% 16 DAMAN AND DIU 3 3 100% 4 3 75% 0 0 0% 17 DELHI 33 2 6% 72 14 19% 13 5 38% 18 D & N HAVELI 5 5 100% 2 2 100% 0 0 0% 19 GOA 22 2 9% 9 0 0% 10 0 0% 20 HIMACHAL PRADESH 83 39 47% 100 48 48% 0 0 0% 21 HARYANA 91 42 46% 114 35 31% 13 0 0% 22 JHARKHAND 60 38 63% 89 39 44% 16 15 94% 23 JAMMU AND KASHMIR 87 9 10% 17 2 12% 2 0 0% 10 A&N 11 ARUNACHAL PRADESH 12

RUs Consistency for –L form (Other States-2) PHC S. NO. State No. of Total no. Consistent of Rus Reporting Units CHC/Govt Hosp/MC/ID % No. of Total no. Consistent of Rus Reporting Units Private Sector % Total no. of Rus No. of Consistent Reporting Units % 102 9 9% 338 42 12% 10 3 30% 0 0 0% 58 12 21% 25 5 20% 2 1 50% 6 1 17% 13 3 23% 0 0 0% 113 28 25% 314 76 24% 95 18 19% MIZORAM 0 0 0% 30 NAGALAND 0 0 0% 31 ORISSA 38 12 32% 230 94 41% 10 1 10% 32 PONDICHERRY 1 0 0% 2 0 0% 0 0 0% 33 SIKKIM 1 0 0% 28 1 4% 3 0 0% 34 TRIPURA 38 7 18% 10 5 50% 25 4 16% 35 UTTAR PRADESH 271 176 65% 489 350 72% 18 12 67% Total 2164 1121 52% 2287 931 41% 307 108 35% Grand Total 9519 5195 55% 4757 2276 48% 1430 836 58% 24 KERALA 25 LAKSHADWEEP 26 MEGHALAYA 27 MANIPUR 28 MADHYA PRADESH 29

Districts Consistency for -L form (Other States-1) CHC/Govt Hosp/MC/ID PHC S. NO. State 1 A&N 2 ARUNACHAL PRADESH 3 ASSAM 4 BIHAR 5 CHANDIGARH UT 6 CHHATISGARH 7 DAMAN AND DIU 8 DELHI 9 D&N 10 GOA 11 HIMACHAL PRADESH 12 HARYANA 13 JHARKHAND 14 JAMMU AND KASHMIR Total No. of Dist. 2 16 27 38 1 18 2 9 1 2 12 19 22 14 No. of Consistent Reporting District 0 1 21 3 1 2 2 0 1 0 3 2 6 0 % No. of Consisten t Reporting District 0% 6% 78% 8% 100% 11% 100% 0% 25% 11% 27% 0% 0 1 20 4 1 0 1 0 2 2 4 1 Private % No. of Consistent Reporting District % 0% 6% 74% 11% 100% 22% 50% 0% 100% 0% 17% 11% 18% 7% 0 3 5 0 0 1 0 0 2 0 0% 19% 0% 0% 6% 0% 11% 0% 0% 9% 0%

Districts Consistency for -L form (Other States-2) CHC/Govt Hosp/MC/ID PHC S. NO. State Total No. of no. Dist. Consistent Reporting District % No. of Consistent Reporting District % Private No. of Consisten t % Reportin g District 14 0 0% 2 14% LAKSHADWEEP 1 0 0% 17 MEGHALAYA 7 0 0% 1 14% 18 MANIPUR 9 0 0% 1 11% 0 0% 19 MADHYA PRADESH 50 2 4% 8 16% 3 6% 20 MIZORAM 9 0 0% 21 NAGALAND 11 0 0% 22 ORISSA 30 1 3% 7 23% 1 3% 23 PONDICHERRY 4 0 0% 24 SIKKIM 4 0 0% 25 TRIPURA 4 1 25% 0 0% 26 UTTAR PRADESH 72 23 32% 31 43% 4 6% Total Others 398 69 17% 89 22% 23 6% Grand Total 623 142 23% 160 26% 57 9% 15 KERALA 16

SUMMARY OF CURRENT OVERALL AND CONSISTENCY REPORTING STATUS OF OTHER STATES (Jan-June 2011) No. of Districts 398 CURRENT CONSISTENCT STATUS 2011 80% % District Reporting P Form 68% (271) % consistent Districts for PHC- P Form 19% (77) % consistent Districts for CHC/Govt Hosp P Form 18% (73) % consistent Districts for Pvt Units- P Form 4% (17) 70% 60% 50% 40% 30% % District Reporting L Form 63% (251) % consistent Districts for PHC- L Form 17% (69) % consistent Districts for CHC/Govt Hosp L Form 22% (89) % consistent Districts for Pvt Units- L Form 6% (23) 20% 10% 0% consistent Districts for Pvt Units consistent Districts for CHC/Govt Hosp consistent Districts for PHC District Reporting P Form

Never Reported District through Portal in 2011 - (1) State No. of Name of Districts A&N 1 Nicobar Bihar 5 Banka, Bhabhua, Buxar, East Champaran, Sheohar Chhatisgarh 1 Narayanpur Haryana 10 Ambala, Faridabad, Fathehabad, Gurgaon, Jhajjar, Jind, Karnal, Mahendragarh, Panipat, Bhiwani J&K 10 Baramula, Doda, Jammu, kargil, Kathua, Kupwara, Leh, Poonch, rajouri, Udhampur Lakshdweep 1 Lakshdweep Maharashtra 2 Mumbai, Mumbai City Jharkhand 3 Garwha, Koderma, Lohardaga

Never Reported District through Portal in 2011 -(2) State No. of Districts Name of Districts Madhya Pradesh 16 Anuppur, Ashok nagar, Badwani, Betul, Chhatarpur, Katni, Khandwa, East Nimar, Khandwa, Narsinghpur, Rajgarh, Rewa, Sidhi, Satna, Tikamgarh, Ujjain, West Nimar. Meghalaya 1 South Garo Hills Mizoram 9 Aizwal East, Aizwal West, Saiha, Champhai, Kolasib, Lawng, Serchhip, Mamit, Lunglei. Nagaland 11 Orissa 7 Puducherry 2 Dimapur, Kiphire, Kohima, Longleng, Mokochung, Mon, Peren, Phek, Tuensang, Workha, Zunehobeto Angul, Bolangir, Balasore, Deogarh, Jharsuguda, Keonjhar, Bargarh, Karikal, Pondicherry

Never Reported District through Portal in 2011 -(3) State No. of Districts Uttar Pradesh 9 West Bengal 1 Total 89 Name of Districts Ambedkar Nagar, Balia, Baghpat, Fatehpur, Kushi Nagar, Mathura, Sahuji Maharaj Nagar, Sitapur, Mathura. Kolkata

Irregular Reported District through Portal in 2011 - (1) State No. of Districts Name of Districts Andhra 3 Hyderabad, Khammam, West Godavari Assam 2 Baksa, Udalgiri Bihar 1 West Champaran Chhattisgarh 1 Bijapur Himachal 1 Lahul & Spiti Haryana 4 Kaithal, kurkshetra, Panchkula, Yamunanagar Jharkhand 2 Godda, Ranchi

Irregular Reported District through Portal in 2011 - (2) State Meghalaya Maharashtra MP No. of Districts 3 6 8 Name of Districts South Garo Hills, West Khasi Hills Buldhana, Gadchiroli, Hingoli, Latur, Satara, Washim Dindori, Gwalior, Jhabua, Mandla, Neemuch, Panna, Shadol, Cuttack, Malkangiri Orissa 2 Puducherry 1 Rajasthan 1 Mahe Dhoulpur Tripura 1 North Tripura Uttrakhand Uttar Pradesh Total 1 5 42 Udham Singh Nagar Bareilly, Firojabad, Farukhabad, Gonda, Lucknow,

Never Reported District neither E-mail nor Portal in 2011 State No. of Districts Name of Districts A&N 1 Nicobar Maharashtra 1 Mumbai City Lakshdweep 1 Lakshdweep J&K 10 Baramula, Doda, Jammu, Kargil, Kathua, Kupwara, Leh, Poonch, Rajouri, Udhampur Jharkhand Madhya Pradesh 3 Garwha, Koderma, Lohardaga 2 Narsinghpur, Sidhi Chhatisgarh 1 Narayanpur Total 19

Reporting through E-Mail

District Reporting - E-Mail -2011 (1) 2011 States Sr. No Total no. of Districts No. Reported % 1 ANDHRA 23 23 100% 2 GUJARAT 26 21 81% 3 KARNATAKA 30 30 100% 4 MAHARASHTRA 35 30 86% 5 PUNJAB 20 18 90% 6 RAJASTHAN 32 32 100% 7 TAMIL NADU 30 29 97% 8 UTTARAKHAND 13 11 85% 9 WB 19 17 89%

District Reporting - E-Mail -2011 (2) Sr. No 10 11 12 13 14 15 16 17 18 19 20 21 22 23 States A&N ARUNACHAL ASSAM BIHAR CHANDIGARH CHHATISGARH D&D D&N DELHI GOA HARYANA HIMACHAL J &K JHARKHAND 2011 Total no. of Districts No. Reported % 2 16 27 38 1 18 2 1 9 2 20 12 14 22 15 24 18 1 11 1 0 1 19 10 - 94% 89% 47% 100% 61% 100% 0% 50% 95% 83% -

District Reporting - E-Mail-2011 (3) States Sr. No 24 KERALA 25 LAKSHADWEEP 26 MANIPUR 27 MEGHALAYA 28 MIZORAM 29 MP 30 NAGALAND 31 ORISSA 32 PUDUCHERRY 33 SIKKIM 34 TRIPURA 35 UP 2011 Total no. of Districts No. Reported % 14 1 9 7 9 50 11 30 4 4 4 71 14 0 4 6 6 44 11 23 4 43 100% 0% 44% 86% 67% 88% 100% 77% 100% 75% 100% 60%

70% 60% 50% 40% 30% % Districts Reporting % District Reporting through E-Mail & Portal % District Reporting through E-mail & Portal 100% 90% 80% 20% 10% Total WEST BENGAL UTTARAKHAND UTTAR PRADESH TRIPURA TAMIL NADU SIKKIM RAJASTHAN PUNJAB PONDICHERRY ORISSA NAGALAND MIZORAM MEGHALAYA MANIPUR MAHARASHTRA MADHYA PRADESH LAKSHADWEEP KERALA KARNATAKA JHARKHAND JAMMU AND KASHMIR HIMACHAL PRADESH HARYANA GUJARAT GOA DELHI DAMAN AND DIU DADRA AND NAGAR HAVELI CHHATISGARH CHANDIGARH UT BIHAR ASSAM ARUNACHAL PRADESH ANDHRA PRADESH A&N 0% % Districts Reporting (E-Mail) % Districts Reporting P form (Portal) % Districts Reporting L Form (Portal)

Trend Analysis of Data

Monitoring and Actions at District and Higher levels • Use of IDSP Portal for data entry. • Finalization of master data files • Regular Monitoring of reporting of data at each level – Timeliness, Completeness of coverage and other parameters and actions at least to achieve and maintain the consistency level of reporting • Regular Analysis of data • Remember to report promptly any unusual clustering of cases or any health event causing death : Action - if any required like activation of RRTs • Regular Feedback to lower level and reporting to higher level regarding the status, gaps, actions taken or action to be taken

Thank You