Introduction to the Integrated Disease
Surveillance Project
IDSP training module for state and
district surveillance officers
Module 1
Learning objectives
• Define surveillance and explain important terminology in
surveillance
• List all the components of the surveillance activities
• Specify the major objectives of the Integrated Disease
Surveillance Project
• List types of surveillance carried out under the
Integrated Disease Surveillance Project by different
categories of staff
• Name all reporting units in the rural and urban areas of a
district
• List all conditions under surveillance through primary
health centre/community health centresystem
Health goals - India
• Eradicate polio 2005
• Eliminate leprosy and yaws 2005
• Establish IDSP, NHA/Health Stats 2005
• Zero-level growth of HIV/AIDS 2007
• Eliminate Kala-Azar 2010
•  Mortality by 50% - TB, malaria and other 2010
•  Prevalence of blindness to 0.5% 2010
•  IMR to 30/1000, MMR to 100/100,000 2010
• Eliminate lymphatic filariasis 2015
Public health surveillance
Surveillance is defined as the ongoing
systematic collection, collation, analysis and
interpretation of data and dissemination of
information to those who need to know in
order that action be taken
Important information in surveillance
• Who get the disease?
• How many get them?
• Where they get them?
• When they get them?
• Why they get them?
• What needs to be done as public health
response?
Why do we need to do surveillance? (1/2)
• Recognize cases or cluster of cases to trigger
intervention to prevent transmission or
reduce morbidity and mortality
• Assess the public health impact of health
events or determine and measure trends
• Demonstrate the need for public health
intervention programme and resources
during public health planning
Why do we need to do surveillance? (2/2)
• Monitor effectiveness of prevention and
control measures and prevent outbreaks
• Identify high risk groups or geographical
areas to target interventions an guide
analytic studies
• Develop hypotheses that lead to analytic
studies about risk factors for disease
causation, propagation or progression
Key elements of a surveillance system
• Detection and notification of health events
• Investigation and confirmation
• Collection of data
• Analysis and interpretation of data
• Feedback and dissemination of results
• Response – Action for prevention and control
1997-8: National Surveillance Programme
for Communicable Diseases (NSPCD)
• Nodal point
 National Institute for Communicable Diseases
• Implementing agencies
 States and union territories
• Main components
 Infrastructural strengthening - Laboratories
 Human resources development
 Uniform and regular reporting
 Monitoring and evaluation
• Operational - 101 districts (Merged in IDSP Phase-I)
Objectives of NSPCD
• Strengthen district and state capabilities to
promptly identify and respond to disease outbreaks
• Establish an early warning mechanism
• Laboratory strengthening and networking for rapid
confirmation of diagnosis
• Effective use of surveillance data using rapid means
for communication
• Institute appropriate and timely response for
prevention and control of outbreaks
Objectives of NSPCD
• Improving technical capabilities of medical and
paramedical personnel
• Up-gradation of laboratories at district, state and
regional level
• Improving communication and data processing
system
• Constitution of rapid response teams at district and
state levels for early response
• Collaboration with ICMR, WHO and other concerned
agencies/departments
Weaknesses in disease surveillance
• Lack of integration of private sector
• Poor laboratory capacity
• Blind spots in urban areas
• Slow, inefficient sharing of surveillance
information at district level
• Limited capacity to undertake analysis and
response at district level
• Non-inclusion of non communicable diseases
Surveillance strategy in the Integrated
Disease Surveillance Project (1/2)
• District level is the basic functional unit for
integrating surveillance functions
• All surveillance activities are coordinated and
streamlined
• Resources are combined to collect information from
single focal point at each level
• Several activities are combined into one integrated
activity to take advantage of similar surveillance
functions, skills, resources and target populations
Surveillance strategy in the Integrated
Disease Surveillance Project (2/2)
• Integrates public and private sector by
involving private practitioners and
communities
• Addresses communicable and non
communicable diseases
• Covers both rural and urban health systems
• Collaborates with private and public medical
colleges
Objectives of the Integrated Disease
Surveillance Project
• To establish a decentralized district based system of
surveillance for communicable and non-
communicable diseases so that timely and effective
public health actions can be initiated 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
Important components where additional
inputs will be provided
• Strengthening of laboratories
• Improved information management system
• Human resource development
• Developing supporting structure for
integration
What is integration?
• Sharing of surveillance information of disease
control programmes
• Developing effective partnership with heath and non
health sectors in surveillance
• Including communicable and non communicable
diseases in the surveillance system
• Working with the private sector and non
governmental organization
• Bringing academic institutions and medical colleges
into disease surveillance
Classification of surveillance in IDSP
• Syndromic
 Diagnosis made on the basis clinical pattern by
paramedical personnel and members of
community
• Presumptive
 Diagnosis is made on typical history and clinical
examination by medical officers
• Confirmed
 Clinical diagnosis by medical officer and or
positive laboratory identification
Conditions under regular surveillance
Type of disease Disease
Vector borne diseases •Malaria
Water borne diseases •Diarrhea (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
•Respiratory distress
•Hemorrhagic fever
Other conditions under surveillance
Type of surveillance Categories Conditions
Sentinel surveillance •STDs •HIV/HBV/HCV
•Other
conditions
•Water quality
•Outdoor air quality
Regular surveys •Non
communicable
disease risk
factors
•Anthropometry
•Physical activity
•Blood pressure
•Tobacco, blood pressure
•Nutrition
•Blindness
Additional state priorities •Up to five diseases
State-specific diseases
• Madhya Pradesh, Uttaranchal
 Diphtheria, neonatal tetanus, leprosy
• Maharashtra
 Diphtheria, neonatal tetanus, leptospirosis
• Andhra Pradesh
 Filariasis
• Karnataka
 Filariasis, KFD & HGS, leptospirosis
• Tamil Nadu
 Leprosy, leptospirosis
• Kerala
 Leptospirosis
• Mizoram
 Cancer, substance abuse, acid peptic disease, pneumonia
The limited number of conditions
under surveillance
• Limited number of core diseases
 Improves quality of surveillance
 Reduces workload
• Diseases of regional importance
 Under surveillance in addition to the core list
• Review and modification of the list according to
needs at least once in two years
• Viral hepatitis and acute respiratory tract infection
 Also under consideration at various levels
 May be included subsequently
Activities Periphery District State
Detection and notification of cases +++ ++ -
Consolidation of data + +++ +++
Analysis and interpretation + +++ +++
Investigation and confirmation +++ +++ +
Feedback + +++ ++
Dissemination + ++ ++
Action ++ +++ +
Surveillance activities at each level
Reporting units for disease surveillance
Public sector
(Exhaustive)
Private
(Sentinel)
Rural •Community health
centres
•District hospitals
•Practitioners
•Hospitals
Urban •Urban hospitals
•ESI
•Railways
•Medical colleges
•Nursing homes
•Hospitals
•Medical colleges
•Laboratories
Role of district surveillance officers
and medical officers
• Supervision and quality control of active surveillance
by field staff
• Passive surveillance for diseases on the list
• Supervision of compilation and transmission of
periodical reports
• Integration of sentinel private practitioners
• Emergency response to surveillance reports received
• Facilitation of outbreak investigation and response
Phases of implementation for the
Integrated Disease Surveillance Project
• Phase I (2004-05)
 Madhya Pradesh, Andhra, Himachal, Karnataka, Kerala,
Maharashtra, Mizoram, Tamil Nadu & Uttaranchal
• Phase II (2005-06)
 Chattisgarh, Goa, Gujarat, Haryana, Orissa, Rajasthan,
West Bengal, Manipur, Meghalaya, Tripura, Chandigarh,
Pondicherry, Nagaland, Delhi
• Ph III (2006-07)
 UP, Bihar, J&K, Punjab, Jharkhand, Arunachal, Assam,
Sikkim, A&N Island, D&N Haveli, Daman & Diu,
Lakshadweep

More Related Content

PPTX
IDSP- Dr. Dharmendra Gahwai
PPTX
Integrated Disease Surveillance Project
PPTX
Integrated diseases surveillance program.pptx
PPTX
Integrated Diseases Surveillance Project - IDSP India
PPT
IDSP.ppt 1002347483834848power point prestn
PPTX
PDF
idspfinal-161225030439 (1).pdf
PPTX
Integrated Disease Surveillance Project (IDSP)
IDSP- Dr. Dharmendra Gahwai
Integrated Disease Surveillance Project
Integrated diseases surveillance program.pptx
Integrated Diseases Surveillance Project - IDSP India
IDSP.ppt 1002347483834848power point prestn
idspfinal-161225030439 (1).pdf
Integrated Disease Surveillance Project (IDSP)

Similar to Introduction to the Integrated Disease Surveillance Project (20)

PPTX
Critical review of idsp
PPTX
Integrated Disease Surveillance Programme (IDSP).pptx
PPTX
Public health surveillance is a systematic and ongoing collection, analysis, ...
PPTX
IDSP :- integrated disease survillance program
PPTX
survillance .pptx
PPTX
Surveillance.pptx“The continuous, systematic collection, analysis, interpreta...
PPTX
IDSP- Integrated Disease Surveillance Programme
PDF
IDSP(INTEGRATED DISEASE SURVEILLANCE PROGRAMME...
PPTX
Surveillance & IDSP
PDF
integrated disease surveiiance project.pdf
PPTX
IDSP-a critical analysis
PPTX
Integrated Disease Surveillance Programme (IDSP) in India: Launch, Vision & E...
PPTX
Public Health Surveillance: Framework, Types and Applications
PPTX
Challeng NCD Survei Pandemicvvbhhnn .pptx
PPTX
Surveillance
PPTX
Surveilance
PPTX
Unit-IV Health Surveillance ANP m.sc I year.pptx
PPTX
Disease surveillance and Monitoring.pptx
PPTX
Integrated disease surveillance program.pptx
PDF
Challeng NCD Survei Pand.cghgchgfccfghhbvfff
Critical review of idsp
Integrated Disease Surveillance Programme (IDSP).pptx
Public health surveillance is a systematic and ongoing collection, analysis, ...
IDSP :- integrated disease survillance program
survillance .pptx
Surveillance.pptx“The continuous, systematic collection, analysis, interpreta...
IDSP- Integrated Disease Surveillance Programme
IDSP(INTEGRATED DISEASE SURVEILLANCE PROGRAMME...
Surveillance & IDSP
integrated disease surveiiance project.pdf
IDSP-a critical analysis
Integrated Disease Surveillance Programme (IDSP) in India: Launch, Vision & E...
Public Health Surveillance: Framework, Types and Applications
Challeng NCD Survei Pandemicvvbhhnn .pptx
Surveillance
Surveilance
Unit-IV Health Surveillance ANP m.sc I year.pptx
Disease surveillance and Monitoring.pptx
Integrated disease surveillance program.pptx
Challeng NCD Survei Pand.cghgchgfccfghhbvfff
Ad

More from Chelsea19706 (20)

PPTX
Health Management Information Systems(HMIS).pptx
PPTX
nrhm.pptx national rural health mission government of India
PPTX
Common Review Mission Mandate and Methodology Ministry of Women and Chil...
PPTX
Health Management Information System (HMIS)
PPTX
Ayushman Bharat Implementation of of Blood services & Blood Disorders interv...
PPTX
Ayushman Bharat Karnataka Initiatives NHM
PPTX
Ensuring Child Friendly Quality Services in Public Health Facilities.pptx
PPT
NON COMMUNICABLE DISEASE SURVEILLANCE IN IDSP
PDF
Measurement System An Initiative to improve the Quality of Child Health Services
PDF
MusQan: Ensuring Child Friendly Services In Public Healthcare Facilities
PPT
IDSP training module for state and district surveillance officers
PPTX
1. Steps in Implementation of IHIP. pptx
PPTX
Examination of Nerves. Leprosy Clinical examination
PPTX
NACP-HIV AIDS control programme Epidemiology
PPT
Monitoring, supervision and quality control
PPT
Reporting units, participants and their roles
PPT
Human resources development in the integrated disease surveillance project
PPT
Basic epidemiology for disease surveillance.
PPT
Monitoring, supervision and quality control
PPT
Analysis and interpretation of data infectious diseases
Health Management Information Systems(HMIS).pptx
nrhm.pptx national rural health mission government of India
Common Review Mission Mandate and Methodology Ministry of Women and Chil...
Health Management Information System (HMIS)
Ayushman Bharat Implementation of of Blood services & Blood Disorders interv...
Ayushman Bharat Karnataka Initiatives NHM
Ensuring Child Friendly Quality Services in Public Health Facilities.pptx
NON COMMUNICABLE DISEASE SURVEILLANCE IN IDSP
Measurement System An Initiative to improve the Quality of Child Health Services
MusQan: Ensuring Child Friendly Services In Public Healthcare Facilities
IDSP training module for state and district surveillance officers
1. Steps in Implementation of IHIP. pptx
Examination of Nerves. Leprosy Clinical examination
NACP-HIV AIDS control programme Epidemiology
Monitoring, supervision and quality control
Reporting units, participants and their roles
Human resources development in the integrated disease surveillance project
Basic epidemiology for disease surveillance.
Monitoring, supervision and quality control
Analysis and interpretation of data infectious diseases
Ad

Recently uploaded (20)

PPTX
Approach to chest pain, SOB, palpitation and prolonged fever
PDF
Gynecologic Malignancies.Dawit.pdf............
PPT
Rheumatology Member of Royal College of Physicians.ppt
PDF
OSCE SERIES - Set 7 ( Questions & Answers ).pdf
PDF
The Digestive System Science Educational Presentation in Dark Orange, Blue, a...
PDF
AGE(Acute Gastroenteritis)pdf. Specific.
PPTX
Impression Materials in dental materials.pptx
PDF
Muscular System Educational Presentation in Blue Yellow Pink handdrawn style...
PPTX
Critical Issues in Periodontal Research- An overview
PDF
New-Child for VP Shunt Placement – Anaesthetic Management - Copy (1).pdf
PPTX
Mitral Stenosis in Pregnancy anaesthesia considerations.pptx
PPTX
abgs and brain death dr js chinganga.pptx
PPT
neurology Member of Royal College of Physicians (MRCP).ppt
PPT
Infections Member of Royal College of Physicians.ppt
PPT
Blood and blood products and their uses .ppt
PPTX
Wheat allergies and Disease in gastroenterology
PPTX
ANESTHETIC CONSIDERATION IN ALCOHOLIC ASSOCIATED LIVER DISEASE.pptx
PPTX
HYPERSENSITIVITY REACTIONS - Pathophysiology Notes for Second Year Pharm D St...
PDF
Glaucoma Definition, Introduction, Etiology, Epidemiology, Clinical Presentat...
PDF
MNEMONICS MNEMONICS MNEMONICS MNEMONICS s
Approach to chest pain, SOB, palpitation and prolonged fever
Gynecologic Malignancies.Dawit.pdf............
Rheumatology Member of Royal College of Physicians.ppt
OSCE SERIES - Set 7 ( Questions & Answers ).pdf
The Digestive System Science Educational Presentation in Dark Orange, Blue, a...
AGE(Acute Gastroenteritis)pdf. Specific.
Impression Materials in dental materials.pptx
Muscular System Educational Presentation in Blue Yellow Pink handdrawn style...
Critical Issues in Periodontal Research- An overview
New-Child for VP Shunt Placement – Anaesthetic Management - Copy (1).pdf
Mitral Stenosis in Pregnancy anaesthesia considerations.pptx
abgs and brain death dr js chinganga.pptx
neurology Member of Royal College of Physicians (MRCP).ppt
Infections Member of Royal College of Physicians.ppt
Blood and blood products and their uses .ppt
Wheat allergies and Disease in gastroenterology
ANESTHETIC CONSIDERATION IN ALCOHOLIC ASSOCIATED LIVER DISEASE.pptx
HYPERSENSITIVITY REACTIONS - Pathophysiology Notes for Second Year Pharm D St...
Glaucoma Definition, Introduction, Etiology, Epidemiology, Clinical Presentat...
MNEMONICS MNEMONICS MNEMONICS MNEMONICS s

Introduction to the Integrated Disease Surveillance Project

  • 1. Introduction to the Integrated Disease Surveillance Project IDSP training module for state and district surveillance officers Module 1
  • 2. Learning objectives • Define surveillance and explain important terminology in surveillance • List all the components of the surveillance activities • Specify the major objectives of the Integrated Disease Surveillance Project • List types of surveillance carried out under the Integrated Disease Surveillance Project by different categories of staff • Name all reporting units in the rural and urban areas of a district • List all conditions under surveillance through primary health centre/community health centresystem
  • 3. Health goals - India • Eradicate polio 2005 • Eliminate leprosy and yaws 2005 • Establish IDSP, NHA/Health Stats 2005 • Zero-level growth of HIV/AIDS 2007 • Eliminate Kala-Azar 2010 •  Mortality by 50% - TB, malaria and other 2010 •  Prevalence of blindness to 0.5% 2010 •  IMR to 30/1000, MMR to 100/100,000 2010 • Eliminate lymphatic filariasis 2015
  • 4. Public health surveillance Surveillance is defined as the ongoing systematic collection, collation, analysis and interpretation of data and dissemination of information to those who need to know in order that action be taken
  • 5. Important information in surveillance • Who get the disease? • How many get them? • Where they get them? • When they get them? • Why they get them? • What needs to be done as public health response?
  • 6. Why do we need to do surveillance? (1/2) • Recognize cases or cluster of cases to trigger intervention to prevent transmission or reduce morbidity and mortality • Assess the public health impact of health events or determine and measure trends • Demonstrate the need for public health intervention programme and resources during public health planning
  • 7. Why do we need to do surveillance? (2/2) • Monitor effectiveness of prevention and control measures and prevent outbreaks • Identify high risk groups or geographical areas to target interventions an guide analytic studies • Develop hypotheses that lead to analytic studies about risk factors for disease causation, propagation or progression
  • 8. Key elements of a surveillance system • Detection and notification of health events • Investigation and confirmation • Collection of data • Analysis and interpretation of data • Feedback and dissemination of results • Response – Action for prevention and control
  • 9. 1997-8: National Surveillance Programme for Communicable Diseases (NSPCD) • Nodal point  National Institute for Communicable Diseases • Implementing agencies  States and union territories • Main components  Infrastructural strengthening - Laboratories  Human resources development  Uniform and regular reporting  Monitoring and evaluation • Operational - 101 districts (Merged in IDSP Phase-I)
  • 10. Objectives of NSPCD • Strengthen district and state capabilities to promptly identify and respond to disease outbreaks • Establish an early warning mechanism • Laboratory strengthening and networking for rapid confirmation of diagnosis • Effective use of surveillance data using rapid means for communication • Institute appropriate and timely response for prevention and control of outbreaks
  • 11. Objectives of NSPCD • Improving technical capabilities of medical and paramedical personnel • Up-gradation of laboratories at district, state and regional level • Improving communication and data processing system • Constitution of rapid response teams at district and state levels for early response • Collaboration with ICMR, WHO and other concerned agencies/departments
  • 12. Weaknesses in disease surveillance • Lack of integration of private sector • Poor laboratory capacity • Blind spots in urban areas • Slow, inefficient sharing of surveillance information at district level • Limited capacity to undertake analysis and response at district level • Non-inclusion of non communicable diseases
  • 13. Surveillance strategy in the Integrated Disease Surveillance Project (1/2) • District level is the basic functional unit for integrating surveillance functions • All surveillance activities are coordinated and streamlined • Resources are combined to collect information from single focal point at each level • Several activities are combined into one integrated activity to take advantage of similar surveillance functions, skills, resources and target populations
  • 14. Surveillance strategy in the Integrated Disease Surveillance Project (2/2) • Integrates public and private sector by involving private practitioners and communities • Addresses communicable and non communicable diseases • Covers both rural and urban health systems • Collaborates with private and public medical colleges
  • 15. Objectives of the Integrated Disease Surveillance Project • To establish a decentralized district based system of surveillance for communicable and non- communicable diseases so that timely and effective public health actions can be initiated 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
  • 16. Important components where additional inputs will be provided • Strengthening of laboratories • Improved information management system • Human resource development • Developing supporting structure for integration
  • 17. What is integration? • Sharing of surveillance information of disease control programmes • Developing effective partnership with heath and non health sectors in surveillance • Including communicable and non communicable diseases in the surveillance system • Working with the private sector and non governmental organization • Bringing academic institutions and medical colleges into disease surveillance
  • 18. Classification of surveillance in IDSP • Syndromic  Diagnosis made on the basis clinical pattern by paramedical personnel and members of community • Presumptive  Diagnosis is made on typical history and clinical examination by medical officers • Confirmed  Clinical diagnosis by medical officer and or positive laboratory identification
  • 19. Conditions under regular surveillance Type of disease Disease Vector borne diseases •Malaria Water borne diseases •Diarrhea (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 •Respiratory distress •Hemorrhagic fever
  • 20. Other conditions under surveillance Type of surveillance Categories Conditions Sentinel surveillance •STDs •HIV/HBV/HCV •Other conditions •Water quality •Outdoor air quality Regular surveys •Non communicable disease risk factors •Anthropometry •Physical activity •Blood pressure •Tobacco, blood pressure •Nutrition •Blindness Additional state priorities •Up to five diseases
  • 21. State-specific diseases • Madhya Pradesh, Uttaranchal  Diphtheria, neonatal tetanus, leprosy • Maharashtra  Diphtheria, neonatal tetanus, leptospirosis • Andhra Pradesh  Filariasis • Karnataka  Filariasis, KFD & HGS, leptospirosis • Tamil Nadu  Leprosy, leptospirosis • Kerala  Leptospirosis • Mizoram  Cancer, substance abuse, acid peptic disease, pneumonia
  • 22. The limited number of conditions under surveillance • Limited number of core diseases  Improves quality of surveillance  Reduces workload • Diseases of regional importance  Under surveillance in addition to the core list • Review and modification of the list according to needs at least once in two years • Viral hepatitis and acute respiratory tract infection  Also under consideration at various levels  May be included subsequently
  • 23. Activities Periphery District State Detection and notification of cases +++ ++ - Consolidation of data + +++ +++ Analysis and interpretation + +++ +++ Investigation and confirmation +++ +++ + Feedback + +++ ++ Dissemination + ++ ++ Action ++ +++ + Surveillance activities at each level
  • 24. Reporting units for disease surveillance Public sector (Exhaustive) Private (Sentinel) Rural •Community health centres •District hospitals •Practitioners •Hospitals Urban •Urban hospitals •ESI •Railways •Medical colleges •Nursing homes •Hospitals •Medical colleges •Laboratories
  • 25. Role of district surveillance officers and medical officers • Supervision and quality control of active surveillance by field staff • Passive surveillance for diseases on the list • Supervision of compilation and transmission of periodical reports • Integration of sentinel private practitioners • Emergency response to surveillance reports received • Facilitation of outbreak investigation and response
  • 26. Phases of implementation for the Integrated Disease Surveillance Project • Phase I (2004-05)  Madhya Pradesh, Andhra, Himachal, Karnataka, Kerala, Maharashtra, Mizoram, Tamil Nadu & Uttaranchal • Phase II (2005-06)  Chattisgarh, Goa, Gujarat, Haryana, Orissa, Rajasthan, West Bengal, Manipur, Meghalaya, Tripura, Chandigarh, Pondicherry, Nagaland, Delhi • Ph III (2006-07)  UP, Bihar, J&K, Punjab, Jharkhand, Arunachal, Assam, Sikkim, A&N Island, D&N Haveli, Daman & Diu, Lakshadweep