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Integrated Disease Surveillance Project IDSP

Integrated Disease Surveillance Project. Launched in Nov. 2004 with World Bank AssistanceInitially, CSU located at Nirman BhawanShifted to NICD in 2006Major Objective: Early detection

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Integrated Disease Surveillance Project IDSP

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    1. Integrated Disease Surveillance Project (IDSP)

    2. Integrated Disease Surveillance Project Launched in Nov. 2004 with World Bank Assistance Initially, CSU located at Nirman Bhawan Shifted to NICD in 2006 Major Objective: Early detection & response to outbreaks Major components: Integration and Decentralization of Surveillance activities Strengthening of Public Health Laboratories Human Resource Development Use of Information Technology for Data Management What is the level of integration at the district level? What HR do you do? What is the level of integration at the district level? What HR do you do?

    3. Phasing of IDSP All the states covered?All the states covered?

    5. Information Flow in IDSP

    6. IDSP 24x7 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

    7. 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.

    8. Media Scanning Cell (New Initiative) Objective: To provide the supplemental information about outbreaks Method: 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 Is there any incentive for such notifications Are there dedicated team doing media scan We must innovate ways of doing itIs there any incentive for such notifications Are there dedicated team doing media scan We must innovate ways of doing it

    9. Data Management Weekly Reporting of surveillance data 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 About 10-15 outbreaks are reported and responded to by states every week Information is being shared with all stakeholders JS : Bank has written that the states of HRY, PNB AND WB –doctors are reluctant to write the diagnosis. AS : only 10-15 outbreaks are reported every week.JS : Bank has written that the states of HRY, PNB AND WB –doctors are reluctant to write the diagnosis. AS : only 10-15 outbreaks are reported every week.

    10. Disease outbreaks reported to IDSP 25 Nov 07 to 14 Sep 08 (42 weeks)

    11. Outbreaks detected by State IDSPs

    12. Outbreaks by Type detected by IDSP

    18. 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 Whether there 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 ? Whether there is any mechanism to ensure compliance ?

    19. 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 and analyzed?

    20. 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 ?

    21. Hospital Reporting in IDSP happening? Whether Hospitals in a District are reporting in the IDSP system: 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?

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