INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)
Integrated Disease Surveillance Programme (IDSP) was launched by Hon’ble Minister of Health & Family Welfare in May 2005. It has ben a decentralised, State based Surveillance Program in the country. The programme design was planned on a pilot basis in 9 States out of which Karnataka was one. The State has designated Surveillance Units in all 26 districts monitoring for the Program out of the 30 districts . Temporary arrangements of monitoring IDSP has been designated under District Vector Borne Disease control Officers in remaining 4 Districts where the District Vector Borne remaining 4 districts Ramanagar, Chikkaballapur Bangalore Urban and Bangalore Rural Districts. However action has been initiated for sanction of District Surveillance units.
The State has seen a tremendous strengthening in the weekly disease reporting system and presently has been through 10 years of experience so far. The Program has enabled to develop the laboratory network for outbreak confirmation and early detection of the same. A well trained team of Epidemiologist, Veterinary Consultant, Microbiologist, Entomologist, Data Manager supported by Data Entry Operators at the State and District levels in coordination with the regular staff of State Govt and under supervision of the State Program Officers, has enabled the program to strive towards achieving its targets.
The program has made the state to understand that it has not only burdened by Water Borne and Food borne diseases outbreaks but many others and further helped us to identify various areas of focus to achieve the goal “Health for All”. The State has done a considerable improvement in strengthening the surveillance activities at the District and Taluka levels and has been working towards strong surveillance mechanism at the periphery.
To establish State based a comprehensive surveillance information system covering public private sector and municipal corporations.
To ensure cent percent recording of disease surveillance data.
To Build capacities to analyze and use surveillance information at all levels to identify communicable disease outbreaks early.
To ensure immediate identification, investigation and management of outbreaks to reduce morbidity and mortality due to communicable as well as non-communicable diseases.
Ensure that all outbreaks are investigated and well documented by entire rapid response team supported by laboratory confirmation.
Deployment of epidemiologist at all 30 districts.
Ensure functional IT Systems & on-line data entry and analysis.
Developing mobile reporting system by ASHA workers during outbreaks and communication of early warning signals at village level.
Developing evaluation strategies for trained staff and reorientation of the staff to ensure correct utilisation of the training in program implementation Training of Municipal Corporation staff to strengthen Urban Surveillance.
Involvement of Taluk Health Officers , Block Health education officers, Asha Mentors in monitoring the program at periphery.
BASIC FEATURES OF IDSP FUNCTIONALITY
To Look at surveillance as a "common" service.
To maintain surveillance and control functions close to one another.
To understand specialized surveillance needs for different diseases.
To develop a functional approach to communicable disease surveillance
To exploit opportunities for synergy in carrying out core functions: data collection, data reporting, data analysis, response surveillance support functions: training and supervision, laboratory strengthening, communications, resource management.
To strengthen existing surveillance networks through regular coordination.
GOALS AND OBJECTIVES
To ensure that each Reporting Unit identified under the program has the capacity to define, detect and respond to communicable public health threats through timely, complete, regular and high quality information from all health care facilities (Govt and Private)
Early detection and prediction of epidemics through early warning disease indicators. Assessment of interventions during epidemics; and Efficient monitoring of intervention programmes under a continued strong surveillance system.
Integration and Decentralisation of Surveillance Activities
Information Technology :
The State and District IDSP head Quarters have sufficient IT infrastructure to support the collection, collation, compilation, analysis and dissemination of data. Web Portal entry of weekly data has been initiated at taluk level in 26 out of 30 Districts. Data reporting of SPL formats has been made online from PHC level. During Outbreaks the State HQ has been in constant communication with the Districts through broadband inter-wise. IDSP has been coordinating with 104 Medical helpline during emergencies and public communication during epidemics.
Human Resource and Capacity Building :
Technical and Non technical staff are recruited at State and District level. Capacity building of the staff is being done under GOI and In -house training by the State /District Surveillance Officers as a continued process during program review. The State Rapid Response teams (2 ) and District Rapid Response teams have been designated under the command and control of State /District health authorities.
Strengthening of Public Health Laboratories :
The State has a good laboratory network with the support of GOI - 8 GOI Medical Colleges as referral Laboratories , 2 District Surveillance Laboratories as District Priority Laboratories and 9 District District Hospitals for Sentinel Surveillance of Communicable Diseases which have been a backbone for identifying the early warning signals during the routine surveillance as well as during the outbreaks.
DISEASE CONDITIONS - SURVEILLANCE PROGRAM
1. Acute Diarrhoeal Disease (including acute gastroenteritis)
2. Bacillary Dysentery
3. Viral Hepatitis
4. Enteric Fever
6. Dengue/Dengue Hemorrhagic Fever(DHF)/ Dengue shock syndrome(DSS)
8. Acute Encephalitis Syndrome( AES)
13. Chicken Pox
14. Fever of Unknown Origin(PUO)
15. Acute Respiratory Infection (ARI)/Influenza Like Illness(ILI)
18. Acute Flaccid Paralysis < 15 years of age
19. Dog Bite
20. Snake Bite
21. Any other state specific disease (check with your district surveillance additional list of diseases)
22. Unusual syndrome (not being captured by any of the above)
OVERVIEW OF THE IDSP IN KARNATAKA:
100 % recruitment of contactual man power.
Monitoring the IT Infrastructure functionality at V-Sat Centres, District and Taluk level IDSP Offices.
Collation and analysis of data received from districts and transmitting Feed back in the form of early warning signals / Alerts prior to the reporting week to District Surveillance Unit RRT’s.
Coordinating activities of District Rapid Response Teams (RRTs) and deputing State RRT to supervise the Surveillance activities and outbreak investigations.
Participating in major outbreaks as a part of review of outbreak investigations at field level by district teams and providing guidance and assistance.
Coordination with Centre in implementing the IDSP Laboratory Network.
Coordinating activities of the District Public Health Laboratories, referral Medical College Laboratories.
IDSP Laboratories registered under EQAS program for Quality reporting at Shankar Netralaya Chennai and other regional referral laboratories.
Monitoring and reviewing validity of data, responsiveness and functioning of the laboratories.
Preparation of action plan for training based on requirement and performance during the overall Surveillance activities.
Organising review and Sensitisation meeting of the technical staff of District level and referral labs.
Preparing the project implementation plans and budget proposals for implementation of the Program.
Grading the Districts based on performance to lay better focus on non performing districts /areas of the project.
Communication of all State and Central guidelines on new emerging diseases and monitoring their surveillance and control activities on daily basis.
Preparation of Annual report and self evaluation of strategies adopted during implementation of the program.
Collecting weekly surveillance reports on S, P, L forms from reporting units where portal entry has not been implemented.
Analysis of reports and assisting the Sub District level Officers in analysis of disease trends and to initiate immediate actions to increasing trends of Diseases.
To impart training to all health staff under IDSP for accurate and timely reporting.
To coordinate weekly basis with other parallel disease programs to ensure integrated approach towards disease surveillance.
To develop a alarm system through weekly data analysis and conduct field investigations to rule out any outbreak.
Participate with the filed staff in containment of outbreaks and instituting remedial measures to ensure non occurrence of similar situation in future.
To communicate to the State level regarding the logistics and budget requirement to carry out continued surveillance activities.
To conduct monthly program review meetings of Taluk Health Officers, Medical Officers, Lab technicians , Health supervisors and Private practitioners under the chairmanship of District Health and Family Welfare officer.
To conduct review meetings with the referral Laboratories to improve the laboratory surveillance at the district level.
Collection of data from reporting units like, subsidiary health centre, sub centre etc
Analysis of weekly reports, monitor the increasing trends of the disease and environmental conditions conducive to initiate outbreaks.
Early management of impending outbreaks with the help of local RRT’s .
Dissemination of information received from District. surveillance unit to health workers.
Conducting Block level sensitisation /review meetings involving Medical Officers, Health Workers, Lab Technicians and ASHA workers.
For more details, visit : www.idsp.nic.in