Management structure of the Integrated Disease Surveillance Project

Management structure of the Integrated Disease Surveillance Project IDSP training module for state and district surveillance officers Module 2

Learning objectives • List the members of the district surveillance committee • Describe the functions of the district and state surveillance units • Describe the functions and roles of the district surveillance officer in integration of the Integrated Disease Surveillance Project

Organizational structure National surveillance committee Central surveillance unit State surveillance committee State surveillance unit District surveillance committee District surveillance unit

District surveillance committee CMO (Co. Chair) District Program Manager Polio, Malaria, TB, HIV - AIDS Representative Water Board Chief District PH Laboratory Superintendent Of Police District Data Manager (IDSP) Chairperson* District surveillance committee Representative Pollution Board IMA Representative NGO Representative District Training Officer (IDSP) Medical College Representative if any District Panchayat Chairperson * District collector or district magistrate District Surveillance Officer (Member Secretary)

District surveillance unit Chief medical and health officer Response team District surveillance officer Accountant Data entry operators (2) • Epidemiologist • Microbiologist • Clinicians Administrative assistant

Functions of the district surveillance unit • Centralize and analyze data from all reporting units • Constitute rapid response teams and their deputation • Implement and monitor all project activities • Coordinate with laboratories, medical colleges, non governmental organizations and private sector • Send regular feedback to the reporting units • Organize training and communication activities • Organize district surveillance committee meetings

Functions of district surveillance officer (1/2) Appraise status to collector, CMO, CEO Zila Parishad Organize meetings of district surveillance committee Collate and analyze data from all reporting units Ensure timely access and use of data by programmes Send reports on disease surveillance to state surveillance unit and stakeholders • Coordinate activities of rapid response teams • • •

Functions of district surveillance officer (2/2) • Implement and monitor all project activities • Coordinate with public health laboratories, medical college, non governmental organizations and private sector • Send regular feedback to reporting units • Organize training and communication activities in the district • Print and disseminate reports on disease surveillance • Facilitate non communicable diseases risk factor surveillance

District epidemic investigating team (DEIT) Microbiologist Epidemiologist (Nodal officer)* District administration nominee Clinician (Pediatrician/ Physician) Support Staff: Entomologist** Health assistants Laboratory technician * Selected from programme officers other than district surveillance officer, based on disease ** Only when vector borne disease is suspected

Information flow of the weekly surveillance system Sub-centres Programme officers S. S. U. P. H. C. s C. H. C. s Dist. hosp. D. S. U. Pvt. practitioners Nursing homes Private hospitals Med. col. P. H. lab. C. S. U. Private labs. Other Hospitals: ESI, Municipal Rly. , Army etc. Corporate hospitals

State surveillance committee Director Public Health (Co. Chair) Director Medical Education Director Health Service Representative Water Board State Program Managers Polio, Malaria, TB, HIV - AIDS NGO State Data Manager IDSP Chairperson* State surveillance committee Medical Colleges State Coordinator Head, State Public Health Lab Representative Department of Home State Training Officer IMA Representative Department of Environment State Surveillance Officer (Member Secretary) * State health secretary

State surveillance unit Director health services State surveillance officer Consultant (Technical) Consultant (Finance) Steno Helper Data manager Data entry operators (2)

Functions of state surveillance unit • Collate and analyze data received from districts • Coordinate activities of rapid response teams • Monitor and review the activities of district surveillance units • Coordinate with state public health laboratories, medical colleges and other state level institutions • Feedback trend analysis to district surveillance units • Organize and coordinate training activities • Organize meetings of the state surveillance committee

National surveillance committee Director General Health Services (Co. Chair) Director General ICMR JS & PD (IDSP) National Program Managers Polio, Malaria, TB, HIV - AIDS JS (Family Welfare) Chairperson* National surveillance committee IMA Representative NGO AS (FA) Director NICD Consultants (India. CLEN / WHO / Medical College / others) Representative Ministry of Environment Director NIB National Surveillance Officer (Member Secretary) Representative Ministry of Home * Secretary health and secretary family welfare

Central surveillance unit Project director National project officer Consultant (Training) Deputy secretary Consultant (IT) Consultant procurement Data manager Data processing assistants (2) Under secretary Stenographers (2) Data entry operators (2) Consultant (Finance) Accounts officer Office assistants (2)

Functions of central surveillance unit Execute the approved annual plan of action Monitor progress of implementation Obtain reports and statements of expenditure Seek reimbursement from the World Bank Report to the national surveillance committee Procure goods and services at central level Analyze data and send feedback to states Coordinate with NICD, ICMR and others Organize non communicable diseases surveys Conduct periodic review meetings with state surveillance officers • Organize independent evaluation studies • Produce guidelines, manuals and modules • • •

Linkages of the central surveillance unit at the central level Outbreak investigation and rapid response W. H. O. E. M. R. NICD Non communicable diseases surveillance MIS and report CSU ICMR NVBDCP RNTCP National Programs CBHI RCH Programme monitoring NACO

Linkages between IDSP and the National Rural Health Mission (NRHR) DSU DSO, Urban Hosp. /Med. Col. and PPs §Project management §Data entry & analysis §Outbreak investigation §Outbreak response §Training & IEC PHC /CHC MO & Rural PPs §OPD surveillance §Report to DSO §Outbreak response §Training & IEC §Monitoring Sub. Centre Health Workers §Compile data §Collect samples §Report to PHC §Early response Village ASHA/ Volunteers §Collect data §Recording §Report to SC §Awareness