Management structure of the Integrated Disease Surveillance Project

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

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

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

4. 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 IMA Representative Representative Pollution Board NGO Representative District Training Officer (IDSP) Medical College Representative if any District Panchayat Chairperson * District collector or district magistrate District Surveillance Officer (Member Secretary)

5. District surveillance unit Chief medical and health officer • Response team • Epidemiologist • Microbiologist • Clinicians

6. 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

7. 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

8. 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

9. District epidemic investigating team (DEIT) Microbiologist Clinician (Pediatrician/ Physician) * Selected from programme officers other than district surveillance officer, based on disease ** Only when vector borne disease is suspected

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

11. 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 Chairperson* State surveillance committee State Data Manager IDSP Medical Colleges State Coordinator Head, State Public Health Lab Representative Department of Home State Training Officer IMA Representative Representative Department of Environment State Surveillance Officer (Member Secretary) * State health secretary

12. State surveillance unit Director health services Steno Helper

13. 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

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

15. Central surveillance unit Stenographers (2) Office assistants (2) Data processing assistants (2) Data entry operators (2)

16. 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

17. 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 ICMR CSU CBHI National Programs RCH NACO NVBDCP RNTCP Programme monitoring

18. Linkages between IDSP and the National Rural Health Mission (NRHR) DSU PHC /CHC Sub- Centre Village DSO, Urban Hosp./Med.Col. and PPs MO & Rural PPs Health Workers ASHA/ Volunteers • 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