Integrated Disease Surveillance Project IDSP National Institute of

Integrated Disease Surveillance Project (IDSP) National Institute of Communicable Diseases (NICD) Directorate General of Health Services, Ministry of Health & Family Welfare, Govt. of India

Integrated Disease Surveillance Project ¡ Launched in Nov. 2004 with World Bank Assistance ¡ Initially, Bhawan ¡ Shifted to NICD in 2006 ¡ Major Objective: l Early detection & response to outbreaks ¡ Major components: l Integration and Decentralization of Surveillance activities CSU located at Nirman l Strengthening of Public Health Laboratories l Human Resource Development l Use of Information Technology for Data Management

Phasing of IDSP Phase- I (2004 -05) Phase- II (2005 -06) Phase- III (2006 -07) Chhatisgarh Uttar Pradesh Goa Bihar Gujarat Jammu & Kashmir Haryana Madhya Pradesh Jharkhand Rajasthan Maharashtra Punjab West Bengal Arunachal Pradesh Uttrakhand Manipur Assam Tamil Nadu Meghalaya Sikkim Mizoram Orissa A & N Nicobar Tripura D & N Haveli Chandigarh Daman & Diu Pondicherry Lakshdweep Delhi 12 STATES/ UTs Andhra Pradesh Himachal Pradesh Karnataka Kerala 9 STATES Nagaland 14 STATES/ UTs

CENTRAL SURVEILLANCE UNIT(CSU) CONSOLIDATED FUNDS RELEASED TO STATE HEALTH SOCIETY STATE SURVEILLANCE UNIT FUNDS RELEASED TO INDIVIDUAL DISTRICT HEALTH SOCIETY DSU (SSU) DSU DSU

Information Flow in IDSP C. S. U. Sub-Centres S. S. U. P. H. C. s C. H. C. s Dist. Hosp. Med. Co l. P. H. Lab. D. S. U. Pvt. Practitioners Nursing Homes Private Hospitals Private Labs.

IDSP 24 x 7 Call Centre ¡ Information about outbreaks received on a toll free number – 1075 ¡ Information referred to State/District surveillance officer for verification/action ¡ Call received up to 21 November 2008: 23, 212 ¡ No. of Alert Calls : 63

Video Conference Facility ¡ The Video conference facility is being utilized regularly for discussion on outbreak alerts and documentation of investigation reports by District and State RRTs. ¡ Training of Data Managers and Data Entry Operators has begun using the VC facilities.

Media Scanning Cell (New Initiative) ¡ Objective: • ¡ Method: • ¡ To provide the supplemental information about outbreaks National and local newspapers, Internet surfing, TV channel screening for news item on disease occurrence. Benefits of Media Scanning: • • Increases the sensitivity & strengthen the surveillance system Provide early warning of occurrence of new clusters of diseases

Data Management ¡ Weekly Reporting of surveillance data l l l Form S (Suspect Cases) - Health Workers (Sub Centers) Form P (Probable Cases) - Doctors (PHC, CHC, Hospitals) Form L (Lab Confirmed Cases) – Laboratories Process to simplify IDSP format initiated Data compilation/analysis and response ¡ ¡ ¡ should be at all levels Presently at district/state level Weekly reporting and monitoring of outbreaks l l About 10 -15 outbreaks are reported and responded to by states every week Information is being shared with all stakeholders

Disease outbreaks reported to IDSP 25 Nov 07 to 14 Sep 08 (42 weeks) Kala Azar Meningitis Anthrax JE AFP Typhoid Leptospirosis Chikungunya Chickenpox Cholera Viral Hepatitis Fever Measles Dengue Food Poisoning Malaria ADD 1 2 2 2 3 4 8 9 11 11 20 31 32 32 35 41 0 40 153 80 120 160

Outbreaks detected by State IDSPs

Outbreaks by Type detected by IDSP

Status of IDSP Activities in selected states

Districts wise Analysis of the Data Received at CSU for Karnataka state

Districts wise Analysis of the Data Received at CSU for Kerala state

Key aspects of IDSP project for review during CRM visit ¡ Reporting Units identified for weekly reporting under IDSP –whether the District and State is having such a list, and l Whethere is a regular mechanism to check whether every week a designated official is checking out the defaulters for previous week by Wednesday of next week ? l Whethere is any mechanism to ensure compliance ?

Analysis of data collected for disease surveillance being done? ¡ ¡ Whether the data collected by the IDSP system is being analyzed by the units at every level of collection? Whether any actions initiated on the inference/indicators based on data collected analyzed?

Whether the District is reporting Early Warning Signal for outbreaks? Whether the Reporting units are reporting Early Warning Signal in a separate format every week to the District/State ? ¡ Whether such Alerts/Early Warning Signal are being investigated for by the District Rapid Response Team and the results of the investigation documented ? ¡

Hospital Reporting in IDSP happening? ¡ Whether Hospitals in a District are reporting in the IDSP system: l l ¡ Govt Hospitals like the Rural Hospital, Taluka Hospital, District Hospital Private/corporate/other hospitals (more than 50 bed) Whether existing laboratories in the District are supporting IDSP operations and how?