IDSP.pptx

The key objective of the programme is to strengthen/maintain decentralized laboratory based IT enabled disease surveillance system for epidemic prone diseases to monitor disease trends and to detect and respond to outbreaks in early rising phase through trained Rapid Response Team (RRTs).

1. INTEGRATED DISEASES SURVEILLANCE PROGRAM DR.ANJALATCHI MUTHUKUMARAN VICE PRINCIPAL ERA COLLEGE OF NURSING

2. CONTENT OF THE CHAPTER Introduction Objectives Need for IDSP Components Surveillance Weekly report Administrative structure role of CHO officer Refernces

3. Introduction of IDSP IDSP is intended to : Detect early warning signals of impending out-breaks. Initiate an effective response in a timely manner. Provide essential data to monitor progress of ongoing disease control programmes. Help in allocating health resources more optimally. Decentralized State based surveillance system By GOI in Novenber-2004 in 3 Phases Funded by World Bank and domestic Budget

4. Objectives To establish a decentralized district based system of surveillance for communicable and non-communicable diseases For Initiation of timely and effective public health actions in response to health changes in the urban and rural areas. To integrate existing surveillance activities to avoid duplication and facilitate sharing of information across all disease control programmes and other stake holders, so that valid data is available for health decision making in the district, state and national levels

5. Need for IDSP Separate data collection and use separately by the various program managers Data was never used comprehensively at national level Huge resources were being used separately and sometimes duplication of funds also occurred Epidemiological impact of the outbreak control measures can be expected to be significant only if these measures are APPLIED IN TIME .

6. Components of IDSP

7. IDSP Integration Effective Partnership with Health & Non Health sectors   Working with Private sector and NGOs All National Disease Control Programmes   Including NCD & CD   Academic Institution and Medical Colleges   IEC Activities   Training   Monthly Meeting at various platforms  

8. Classification of surveillance in IDSP P S L

9. Types Presumptive Lab Confirmed Definition Diagnosis made on basis of sign & symptoms Diagnosis made on typical history and clinical examination Clinical diagnosis confirmed by an appropriate lab tests Type of Form Form S Form P Form L Form filled by Health Worker Medical Officers Lab Technician Types Syndromic Surveillance under IDSP

10. Weekly report under IDSP

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12. Conditions under regular surveillance Type of disease Disease Vector borne diseases Malaria Water borne diseases Diarrhoea, Cholera, Typhoid Respiratory diseases Tuberculosis Vaccine preventable diseases Measles Disease under eradication Polio Other conditions Road traffic accidents International commitment Plague Unusual syndromes Meningo-encephalitis (Causing death/hospitalization) Respiratory distress Hemorrhagic fever Other undiagnosed condition

13. Other conditions under surveillance Type of surveillance Categories Conditions Sentinel surveillance STDs HIV/HBV/HCV Other co n dit i ons Water quality Outdoor air quality Regular periodic surveys Non- co m m u n i c able disease risk factors Anthropometry Physical activity Blood pressure Tobacco, blood pressure Nutrition Blindness Additional state priorities Up to five diseases

14. Essential steps of Effective surveillance

15. IDSP Administrative Structure Central , State and District Level Surveillance Committee Policy decision Review physical financial progress coordination with relevant Ministries department and organizations Surveillance Unit Implementation of activities envisaged under the programme

16. Functions of Surveillance Unit Execute the approved annual plan of action Monitor progress of implementation Obtain reports and statements of expenditure 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 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 Collate and analyze data received from districts Monitor and review the activities of district surveillance units Coordinate with Rapid Response team ,state public health laboratories, medical colleges and other state level institutions Feedback trend analysis to district surveillance units Organize and coordinate training activities and meetings of the state surveillance committee State Level District Level Central Level

17. Reportable Diseases Diarrhoea Jaundice Cough Acute Flaccid Paralysis Acute Flaccid Paralysis Cough Tuberculosis By CHO / MPHW (F/M) By Medical Officers Unusual events (Death and Hospitalization Diarrhoea Jaundice Fever Malaria Typhoid Japanese encephalitis Dengue Measles Fever Unusual Events (Death and Hospitalization

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

19. Reporting System under IDSP Reporting Week: Monday to Saturday Total: 52 Weeks (Starts from 1 st January)

20. Form Level of Laboratory Responsibility of Reporting Form L1 Peripheral Laboratory at PHC/CHC Laboratory Assistants / T echn i c i an through MO I/c Form L2 District Public Health Laboratory, Labs of District Hospital, Private and other Hospitals & Private Labs. I/c M i cr o biol o g i s t /Pa t ho l ogi s ts Form L3 Labs in Medical Colleges, other tertiary institutions, Reference Labs. Head, Microbiologist Department Laboratory Reporting

21. Levels of response to different tri gg ers Trigger Significance Levels of response 1 Suspected /limited outbreak Local response by health worker and medical officer 2 Outbreak Local and district response by district surveillance officer and rapid response team 3 Confirmed outbreak Local, district and state 4 Wide spread epidemic State level response 5 Disaster response Local, district, state and centre 41

22. Instructions to fill ‘S’ form fill the date and personal details of the case (Name ,Address, Age and Sex), followed by a tick mark (√) Initially record information with a pencil , as information may change over the time. Start a new page of the register every Monday and will continue to fill in each row of the register till the following Sunday. Fresh page has to be taken up at the start of a new reporting week. Count the numbers in each column and fill up ‘Week Total’ at the end of reporting week. fill the information on ‘Reporting Week’ provided on the top left corner of every page of the register. “Zero” has to be written in form ‘S’ , if no case has been reported

23. Strengths of IDSP Functional integration of surveillance components of vertical programmes Reporting of suspect, probable and confirmed cases (Standard case Definition) Strong IT component for data analysis Trigger levels for graded response Action component in the reporting formats. Streamlined flow of funds to the districts Standard Formats, Operations & Training Manuals Involvement of Private Sector

24. Role of Community Health Officer

25. Check your Progress 1.) What are different types of forms for surveillance under IDSP? a) Presumptive b) Syndromic c) Lab-confirmed d) All of these 2.) Which form is filled by Health Workers? a) Form L b) Form M c) Form S d) Form P 3.)How frequently is this form filled by Health Workers? a) Daily b) Weekly c) Monthly d) Quarterly 4.) Enumerate different syndromes under surveillance in IDSP? 5. ) When does Health worker submit the reporting form? a) Sunday b) Monday c) Tuesday d) Wednesday 6.) To whom does Health Worker submit the reporting form? a) ASHA b) Civil Surgeon c) AWW d) MO PHC 7.) What is the week for reporting (mention start & end of week) under IDSP? a) Monday to Sunday b) Tuesday to Monday c) Wednesday to Tuesday d) Sunday to Saturday

26. References Park’s Textbook of Preventive and Social Medicine, K.Park, 24 th Edition , Bhanot Publisher Integrated Diseases Surveillance Programme- Manual for Health Workers IDSP website- https://idsp.nic.in