Integrated Health Information Platform (IHIP)

Understanding IHIP through IDSP
Department of Community Medicine
Regional Institute of Medical Sciences
Imphal, Manipur

1. Integrated Health Information Platform (IHIP) PRESENTERS: Sandra Fernandez Jyothi S MODERATOR: Prof. Brogen Singh Akoijam

2. OVERVIEW OF PRESENTATION Background of IHIP Mandates of IHIP Understanding IHIP through IDSP Key features of IHIP Geospatial epidemiology IHIP & one health Data flow of IHIP Articulation of IHIP Data reporting on IHIP Revisiting IDSP & IHIP SWOT analysis Conclusion References

3. 1988 cholera outbreak in Delhi 1994 plague outbreak in Surat Collection of information for action: SURVEILLANCE

4. What is surveillance? French word “ surveiller ” which means “ Watch with attention, suspicion, and authority”

5. Public Health Surveillance is defined as the ongoing systematic collection, analysis, and interpretation of data (disease/health event) essential for planning , implementation & evaluation of public health practice - CDC

6. Why do we need to work on disease surveillance system? Immediately Detect Disease Stop Disease Before it Spreads Improve our Preventive & Control Measures Keep People Healthy Understand Disease Epidemiology

7. Milestones

8. Integrated Health Information Platform (IHIP)

9. Background Development in the already existing IDSP Launched by the Ministry of Health & Family Welfare 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

10. 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

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

12. Mandates of IHIP

13. Understanding IHIP through IDSP

14. 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

15. IDSP WAS LAUNCHED IN 3 PHASES

16. 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)

17. 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

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

19. Integrated Disease Surveillance Project (IDSP)

20. 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

21. 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

22. 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

23. Joint Monitoring Mission, 2015 Committee recommended re-designing the IDSP surveillance system Re-prioritization of the list of diseases under IDSP Assessing the need for collecting more epidemiological data Re-defining the required surveillance deliverables Integration of other diseases surveillance platforms

24. Key features of IHIP Real time 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

25. Data will be provided in real-time through: 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

26. Geospatial epidemiology Can describe & analyse geographic variations among diseases NIC portal: Maintains data of public health assets such as schools, airport locations, road networks, geographic & political boundaries Hosts vast amount of high-resolution satellite imageries that are of use to emergency preparedness & response activities

27. 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

28. Conditions listed under IHIP: IDSP

29. DATA FLOW PROCESS

30. 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 IHIP real-time data flow process Primary Health Center Community Health Center Laboratory Presence

31. Articulation of IHIP

32. 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

33. Data reporting process in IHIP

34. 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

35. Data reporting on IHIP

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

37. 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

38. 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

39. 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

40. 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

41. 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

42. 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

43. 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

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

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

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

47. What are the essential differences between previous and new IDSP portal?

48. SWOT analysis OPPORTUNITIES -Better surveillance coverage
-Improved continuous monitoring
-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

49. CONCLUSION 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 Strengthened disease surveillance and response activities by providing a centralized platform

50. 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 Drishtiias . (2011). Integrated Health Information Platform. Retrieved fromhttps :// www.drishtiias.com /pdf/1627581535-integrated-health-information-platform.pdf 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.

51. THANK YOU