idsp-ihip Dr Jyotshna-1.pptx IMS&SUM Hospital

idsp-ihip Dr Jyotshna-1.pptx IMS&SUM Hospital

1. IDSP-IHIP Presented by: Dr Jyotshna Rani Sahoo , Assistant Professor, IMS & SUM Hospital Campus 2, Bhubaneswar

2. OVERVIEW OF PRESENTATION Background and History Understanding IHIP through IDSP Integration of IDSP and IHIP Need for IHIP Objectives and Key features of IHIP Diseases under IDSP and IHIP IHIP & one health Data flow of IHIP Articulation of IHIP Data reporting on IHIP Differences between IDSP & IHIP SWOT analysis Conclusion References

3. Background Recent development in the already existing IDSP Launched by the Ministry of Health & Family Welfare Revolutionize digitalization of health sector in India. Soft launched on a Pan-India basis from 1 st April 2021 IHIP is a real-time, web-based platform which provides information on health surveillance from anywhere on any electronic device

4. History

5. Understanding IHIP through IDSP

6. Integrated Disease Surveillance Project (IDSP) Decentralized, state-based surveillance project, launched by Union Minister of Health and Family Welfare in November 2004 Detect early warning signals of impending outbreaks & help initiate an effective response in a timely manner Provide essential data to monitor progress of on-going disease control program and help allocate health resources more efficiently

7. Why Integrated Incorparation of Public sector, private sector & community participation Communicable and Non-communicable disease Rural and urban health system Govt and Pvt medical college Various international health agencies like WHO, CDC NIH, USAID, DFID etc.

8. What is Public health surveillance ? Public health surveillance  (also  epidemiological surveillance ,  clinical surveillance  or  syndromic surveillance ) is, according to the  World Health Organization  (WHO), "the continuous, systematic collection, analysis and interpretation of health-related data needed for the planning, implementation, and evaluation of  public health  practice .“ Public health surveillance may be used to track emerging health-related issues at an early stage and find active solutions in a timely manner

9. IDSP WAS LAUNCHED IN 3 PHASES

10. Organizational structure Integrated with NCDC Senior officer from NCDC is designated as NPO One SSU in each state/ UT State Surveillance Officer (SSO) One DSU in each district District Surveillance Officer (DSO)

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

12. Type of Disease Surveillance under IDSP Type Definition Responsibility Type of Form

13. Integrated Disease Surveillance Project (IDSP)

14. Syndromes under surveillance Fever <7 days without localizing signs Rash Altered sensorium/ convulsions Bleeding from skin or mucous membrane >7 days with or without localizing signs Cough >3 weeks, Acute Flaccid Paralysis, Diarrhoea , Jaundice Unusual events causing death or hospitalization Conditions under IDSP

15. Conditions under IDSP Vector borne disease Malaria Water borne diseases ADD (cholera), Typhoid Respiratory Tuberculosis Vaccine preventable disease Measles Disease under eradication Polio Other conditions Road Traffic Accidents International commitments Plague Unusual clinical syndromes Meningoencephalitis, respiratory distress, hemorrhagic fever

16. Sentinel surveillance STD/ blood borne HIV/ Hep B/ Hep C Others Water quality monitoring, outdoor air quality Regular periodic surveys NCD risk factors Anthropometry, physical activity, blood pressure, tobacco, nutrition Additional state priorities Up-to five diseases Other conditions under surveillance

17. IHIP was initially rolled out in 2018 as pilot project in 7 States and was formally launched by the then Union Minister of Health & Family Welfare on 5 April 2021 in a virtual event that was attended by Hon. Health Minister. What is IHIP? IHIP is an information platform that integrates data from various registries to provide real-time information on health surveillance from all across India for decision-makers to take action IHIP was initially rolled out in 2018 as pilot project in 7 States and was formally launched by the then Union Minister of Health & Family Welfare on 5 April 2021 in a virtual event that was attended by Hon. Health Minister.

18. All data contained in IHIP has the public health surveillance attributes: (time, place & person) All data are geocoded for geographic reference. The design & development of this platform are attributed to the strengthening of India’s Public Health Surveillance System

19. Need for IHIP Joint Monitoring Mission, 2015 recommended review and re-designing the IDSP surveillance system Re-prioritization of the list of diseases under IDSP Integration of other diseases surveillance platforms As part of IHR core capacity building, India needs a comprehensive information system. IHIP provides information on health surveillance from anywhere on any electronic device.

20. Mandates / Objectives of IHIP Integration and decentralization of surveillance activities through establishment of surveillance units at Centre, State and District level. Human Resource Development - Training of State Surveillance Officers, District Surveillance Officers, Rapid Response Team and other Medical and Paramedical staff on principles of disease surveillance. Information Communication Technology - for collection, collation, compilation, analysis and dissemination of real time data. Strengthening of public health laboratories

21. Key features of IHIP Real time data reporting , accessible at all levels GIS -enabled graphical representation of data into an integrated dashboard Geo-tagging of reporting health facilities Role & hierarchy-based feedback mechanism Scope for data integration with other health programs

22. Data will be provided in real-time through: Grassroot Healthcare workers through their gadgets (Tablets/ mobile) Doctors at the PHC/CHC/DH when the citizens seek healthcare Diagnostic labs which will provide data of the tests carried out

23. IHIP and One Health IHIP can conduct public health surveillance in the context of One health ( human health+ animal health + environment health ). Including data from airports, seaports, train stations, humidity rainfall precipitation and other real-time emergency alerts like tsunami, and earth quakes.

24. One health approach One Health: Interconnectedness of human health, animal health and the ecosystem IHIP Ministry of Health & Family Welfare Ministry of Agriculture & Farmers Welfare Ministry of Home Affairs Ministry of Environment, Forest and Climate Change( MoEFCC ) Ministry of Earth Sciences Ministry of Electronics & Information Technology

25. Conditions listed under IHIP: IDSP

26. DATA FLOW PROCESS

27. Block PHC or Community Health Center Sub Center or Health Sub center Primary Health Center District Surveillance Unit State Surveillance Unit Broadband Connectivity Broadband and Satellite-based Connectivity State (36 States /UTs) District (707) Sub-district (6267) Village ( 655075 ) PH-EOC 24-HOUR CALL CENTER Broadband Connectivity Portal access Mobile Reporting Mobile reporting Portal access Mobile Reporting Portal access Mobile Reporting Proposed System : Portal access allows reporting of all data from DSU, CSU, SSU to CSU/IDSP in near real-time. Mobile reporting is both store and forward and near real-time. Data analytics and results will be accessible at all levels for action. Laboratory Presence Laboratory Presence New IHIP real-time data flow process Primary Health Center Community Health Center Laboratory Presence

28. Articulation of IHIP

29. IDSP Functional Needs IDSP Data and Information Products IDSP Portal Users Envision integrated near real-time eSurveillance Empower public health surveillance workforce Ensure sustained financing & continued leadership Embed innovation for data quality, accessibility IDSP/IHIP ICT Master Plan 4 pillars 3 components

30. Data reporting process in IHIP

31. Requirements for data reporting Working computer systems & regular internet connectivity Adequate manpower trained for IHIP at every level Proper mechanism to capture & record the requisite data for entering into IHIP including mandatory fields

32. Data reporting on IHIP

33. Step-I : Verification of master data of health facility Examination of user IDs and password Creation of user profiles Creation of health facility directory

34. A) Examination of User IDs & Password Cross-check whether the User ID and password for each health facility have been received or not [https://ihip.nhp.gov.in/#!/] Check the functionality of each User ID & Password After logging in, confirm that the appropriate form (S, P & L) & and relevant user access have been provided

35. B) Creation of User Profiles T o identify the user/personnel associated with the User IDs To get details of the password, in case it is forgotten Fill in relevant details in the user profile Name Age Gender Contact details

36. Account Sr. No Type of User User profile details Health facility 1 Sub Centre ANM or whoever is doing S form entry 2 Primary Health Center (P Form) Medical Officer I/c (In-charge) or whoever is doing P form entry 3 Primary Health Center (L Form) Medical Officer I/c (In-charge) or whoever is doing L form entry or Lab technician 4 Other health facilities (P Form) e.g. CHC, SDH, DH, MCH In-charge of health facility or official designated for P form data collection (Physician) or whoever is doing P form entry 5 Other health facilities (L Form) e.g. CHC, SDH, DH, MCH In-charge of health facility or official designated for L form data collection (Microbiologist/ Lab technician) or whoever is doing L form entry Administrative office 6 Block (Sub-district)* Block Health officer 7 District District Surveillance Officer 8 State State Surveillance Officer B) Creation of User Profiles ( Cont …) *to be issued yet

37. C) Creation of a health facility directory Cross-check the total number of health facilities & their different types as available in the IHIP vs that actually existing in the State in terms of numbers & types Examine & cross-check the mapping PHC to SCs SC to Villages

38. C) Creation of Health facility directory ( Cont …) Health facility details including name, mobile, landline, and email ID of officer in charge of health facility need to be updated from “ edit/update health facility ” option Health facility can update Essential medicine list, emergency medicine list, equipment supplies, health workforce details and can also request new user IDs for health facility

39. Account Sr. No Health Facility (type of user) Officer In-charge details Health facility 1 Sub centre (S form user) Medical Officer In-charge of the PHC to which the Health Sub Center belongs 2 Primary Health Center (P Form user) Medical Officer In-charge of the PHC 3 Primary Health Center (L Form user) Medical Officer In-charge of the PHC 4 Other health facilities (P Form user) e.g. CHC, SDH, DH, MCH etc. In-charge of health facility or official designated as Nodal person for IDSP 5 Other health facilities (L Form user) e.g. CHC, SDH, DH, MCH etc. In-charge of health facility / lab or official designated as Nodal person for IDSP Administrative office 6 Block (Sub-district)* Block Health officer 7 District(DSO user &District admin user) District Surveillance Officer 8 State (SSO user &State admin user) State Surveillance Officer C) Creation of Health facility directory ( Cont …) *to be issued yet

40. C) Creation of Health facility directory ( Cont …) State and District user need to check different types & numbers of health facilities available in IHIP through health facility dashboard from Administration menu State and District user can add new health facility / add new RRT / update health facility details / delete health facility through Administration Module

41. S form entry (Android app) ‘ http://ihip.nhp.gov.in/idsp/downloadapk ’

42. Desktop version: L form entry https://ihip.nhp.gov.in/idsp/#!/login

43. Desktop version- EWS form entry https://ihip.nhp.gov.in/idsp/#!/login

44. Differences between previous and new IDSP portal?

45. SWOT analysis OPPORTUNITIES -Better surveillance coverage
-Improved continuous monitoring Creation of ABHA ids -Revamp public-private partnerships
-Enable evidence-based policymaking THREATS - Individual data portals for different programs -Low doctor-patient ratio or the health worker-patient ratio -Delay to get approval from the state for the constitution of a  RRT(rapid response team)

46. CONCLUSION Integrating IHIP with IDSP has, for collecting and analyzing health-related data helps To facilitate better continuity of care and diagnosis and prevention of epidemic-prone diseases Aids in changing the pace of data collection with real-time monitoring Proper utilization of infrastructure and resources Strengthened disease surveillance and response activities by providing a centralized platform

47. REFERENCES Tanu T, Sagar V, Kumar D. IHIP - A Leap into India's Dream of Digitalizing Healthcare. Indian J Community Med. 2023 Jan-Feb; 48(1):201. doi : 10.4103/ijcm.ijcm_739_22. Epub 2023 Feb 1. PMID: 37082408; PMCID: PMC10112761. idsp.mohfw.gov.in Disesase , I., Programme , S., Of, S., 2018. Guidelines for soft launch of integrated disesase surveillance programme segment of integrated health information platform. Blanchard J; Washington R; Becker M; Vasanthakumar N; Madangopal K; Sarwal R. et al. Vision 2035: Public Health Surveillance in India. A White Paper. NITI Aayog. December 2020.

48. THANK YOU