14-15 July 2011

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14-15 July 2011 Data Management Integrated Disease Surveillance Project (IDSP)

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14-15 July 2011. Integrated Disease Surveillance Project (IDSP). Data Management. Objectives of IDSP. Detection of early warning signals of epidemic prone diseases and help to initiate an effective response in a timely manner. What is a Reporting Unit?. - PowerPoint PPT Presentation

Transcript of 14-15 July 2011

Page 1: 14-15 July 2011

14-15 July 2011

Data Management

Integrated Disease Surveillance Project (IDSP)

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Objectives of IDSP

Detection of early warning signals of epidemic

prone diseases and help to initiate an effective

response in a timely manner.

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What is a Reporting Unit?

A reporting unit is a health facility in private or public sector, located in rural or urban area which collects information of the health conditions identified under IDSP in specified formats and transmits these in pre-specified timely manner to the next higher level.

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Reporting Health Facilities (Sources of data)

 

Public health sector Private health sector

Rural SCs, PHC, CHCs Private Clinics / and hospitals

Urban Hospitals including IDH, ESI / Railway / Medical college hospitals.

Private nursing homes/ hospitals, Medical colleges, Private and NGO laboratories

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What to be reported ?

• Syndromes based Cases

• Probable Cases

• Confirmed Cases

• Outbreaks

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Periodicity of Reporting

• Weekly ( Monday-Sunday)

• Data on outbreaks are collected and analyzed separately and it may be daily/weekly

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How to be Reported? IDSP Forms (Weekly: Monday-Sunday)• Form S : For Syndromic Surveillance Filled by Health Worker of Sub centres• Form P : for Presumptive Surveillance Filled at PHC/CHC, Govt. / Private Hospitals, Private Practitioners

• Form L : Laboratory Surveillance

Filled by PHC/CHC lab, District/ Private lab,

State lab, National lab• In addition , EWS/ Outbreak Report is also required FORM S FORM_P L Outbreak Form

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IDSP Information Flow

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Along with regular and timely collection of data, the regular and timely

analysis and interpretation of data is also important otherwise the very

purpose of ‘early warning signal & outbreak detection and control of

disease burden & disease trend’ gets defeated

The Periodicity of analysis: Daily. Weekly ,Monthly, Annual

Since the quality of surveillance data depends upon regularity of

reports, timeliness and completeness and hence analysis of the data

also include assessment of the quality of information 

Data Analysis

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Data Reporting Status through IDSP Portal

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SUMMARY OF CURRENT REPORTING STATUS (Jan-June 2011)

State 9 Priority States

26 Other States

All 35 States

No. of Districts 225 398 623

Average % District Reporting PForm (208) 92% (271) 68% (478) 77%

Max %District Reporting P in a week (220) 98% (298) 75% (497) 80%

Average % District Reporting L Form (203) 90% (251) 63% (454) 73%

Max % District Reporting L in a week (217) 96% (284) 71% (469) 75%

Total P RUs 17269 11608 28874

Average % Reporting of P Units (11565) 67% (5421) 47% (16985) 59%

Max % P Units Reporting in a week (12979) 75% (6852) 59% (18304) 63%

Total L RUs 12288 6263 18548

Average % Reporting of L Units (8076) 66% (3055) 49% (11132) 60%

Max % L Units Reporting in a week (9123) 74% (3685) 59% (11961) 64%

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State wise Reporting Status of Districts

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Districts Reporting- P Form (Priority States)

S.NO.

StateNo. of Dist.

2010 2011

Apr-Sep Oct-Dec Jan-June

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.No.

Rep.% Rep.

1 ANDHRA 23 8 35% 15 65% 15 65% 17 74% 20 87% 23 100%

2 GUJARAT 26 25 96% 25 96% 25 96% 26 100% 26 100% 26 100%

3 KARNATAKA 27 27 100% 27 100% 27 100% 27 100% 26 96% 27 100%

4 MAHARASHTRA 35 28 80% 31 89% 28 80% 30 86% 28 80% 31 89%

5 PUNJAB 20 15 75% 18 90% 18 90% 20 100% 19 95% 20 100%

6 RAJASTHAN 32 16 50% 24 75% 25 78% 28 88% 29 91% 32 100%

7 TAMIL NADU 30 27 90% 29 97% 27 90% 29 97% 30 100% 30 100%

8 UTTARAKHAND 13 12 92% 13 100% 10 77% 11 85% 12 92% 13 100%

9 WB 19 18 95% 18 95% 18 95% 18 95% 18 95% 18 95%

Total 225 176 78% 193 86% 193 86% 200 89% 208 92% 220 98%

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Reporting percentage increased from 78% to 92% in priority States

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Districts Reporting- P Form (Other States-1)

S.NO. State No. of Dist.

2010 2011Apr-Sep Oct-Dec Jan-June

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

10 A & N 2 0 0% 1 50% 0 0% 0 0% 1 50% 1 50%

11 ARUNACHAL 16 6 38% 9 56% 11 69% 14 88% 15 94% 16 100%

12 ASSAM 27 22 81% 23 85% 22 81% 23 85% 25 93% 27 100%

13 BIHAR 38 30 79% 34 89% 27 71% 29 76% 30 79% 31 82%

14 CHANDIGARH 1 1 100% 1 100% 1 100% 1 100% 1 100% 1 100%

15 CHHATISGARH 18 16 100% 16 100% 15 94% 16 100% 16 89% 17 94%

16 D & D 2 2 100% 2 100% 2 100% 2 100% 2 100% 2 100%

17 DELHI 9 9 100% 9 100% 9 100% 9 100% 9 100% 9 100%

18 D & N 1 1 100% 1 100% 1 100% 1 100% 1 100% 1 100%

19 GOA 2 2 100% 2 100% 2 100% 2 100% 2 100% 2 100%

20 HIMACHAL 12 6 50% 8 67% 8 67% 12 100% 11 92% 12 100%

21 HARYANA 19 7 37% 10 53% 6 32% 7 37% 6 32% 8 42%

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Districts Reporting- P Form (Other States-2)

S.NO. State No. of Dist.

2010 2011Apr-Sep Oct-Dec Jan-June

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

22 JHARKHAND 22 14 64% 16 73% 15 68% 15 68% 17 77% 18 82%23 J & K 14 3 21% 5 36% 2 14% 2 14% 4 29% 4 29%24 KERALA 14 11 79% 14 100% 13 93% 14 100% 13 93% 14 100%25 LAKSHADWEEP 1 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%26 MEGHALAYA 7 1 14% 2 29% 1 14% 3 43% 3 43% 5 71%27 MANIPUR 9 5 56% 7 78% 4 44% 4 44% 7 78% 9 100%28 MP 50 19 38% 24 48% 17 34% 21 42% 22 44% 27 54%29 MIZORAM 9 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%30 NAGALAND 11 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%31 ORISSA 30 13 43% 16 53% 14 47% 17 57% 20 67% 22 73%32 PUDUCHERRY 4 0 0% 2 50% 0 0% 1 25% 1 25% 2 50%33 SIKKIM 4 4 100% 4 100% 4 100% 4 100% 3 75% 4 100%34 TRIPURA 4 2 50% 4 100% 2 50% 4 100% 3 75% 4 100%35 UP 72 45 63% 49 68% 45 63% 48 67% 59 82% 62 86%

Total 398 219 55% 243 61% 221 56% 236 60% 271 68% 298 75%Grand Total 623 395 64% 407 66% 414 67% 436 70% 478 77% 497 80%

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Reporting percentage increased from 55% to 68% in Other States

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Districts Reporting- L Form (Priority States)

S.NO.

StateNo. of Dist.

2010 2011

Apr-Sep Oct-Dec Jan-June

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

1 ANDHRA 23 8 35% 13 57% 14 61% 15 65% 19 83% 22 96%

2 GUJARAT 26 25 96% 25 96% 25 96% 26 100% 26 100% 26 100%

3 KARNATAKA 27 27 100% 27 100% 27 100% 27 100% 26 96% 27 100%

4 MAHARASHTRA 35 27 77% 29 83% 27 77% 29 83% 27 77% 29 83%

5 PUNJAB 20 15 75% 18 90% 18 90% 20 100% 19 95% 20 100%

6 RAJASTHAN 32 15 47% 23 72% 23 72% 27 84% 28 88% 31 97%

7 TAMIL NADU 30 24 80% 27 90% 25 83% 28 93% 28 93% 30 100%

8 UTTARAKHAND 13 12 92% 13 100% 9 69% 10 77% 12 92% 13 100%

9 WB 19 18 95% 18 95% 17 89% 18 95% 18 95% 18 95%Total 225 171 76% 188 84% 185 82% 195 87% 203 90% 216 96%

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Reporting percentage increased from 76% to 90% in priority States

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District Reporting- L form (Other States-1)

S.NO. StateNo. of

Dist.

2010 2011Apr-Sep Oct-Dec Jan-June

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

10 A & N 2 0 0% 1 50% 0 0% 0 0% 0 0% 0 0%

11 ARUNACHAL 16 6 38% 9 56% 10 63% 13 81% 14 88% 16 100%

12 ASSAM 27 22 81% 23 85% 22 81% 23 85% 25 93% 27 100%

13 BIHAR 38 18 47% 21 55% 17 45% 21 55% 22 58% 25 66%

14 CHANDIGARH 1 1 100% 1 100% 1 100% 1 100% 1 100% 1 100%

15 CHHATISGARH 18 16 100% 16 100% 15 94% 16 100% 16 89% 17 94%

16 D & D 2 2 100% 2 100% 2 100% 2 100% 2 100% 2 100%

17 DELHI 9 5 56% 7 78% 5 56% 6 67% 6 67% 8 89%

18 D & N 1 1 100% 1 100% 1 100% 1 100% 1 100% 1 100%

19 GOA 2 2 100% 2 100% 2 100% 2 100% 2 100% 2 100%

20 HIMACHAL 12 5 42% 7 58% 7 58% 11 92% 11 92% 12 100%21 HARYANA 19 7 37% 10 53% 6 32% 7 37% 6 32% 8 42%

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District Reporting- L form (other States-2)

S.NO. State No. of

Dist.

2010 2011Apr-Sep Oct-Dec Jan-June

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

22 JHARKHAND 22 13 59% 16 73% 14 64% 14 64% 16 73% 17 77%23 J & K 14 2 14% 4 29% 2 14% 2 14% 4 29% 4 29%24 KERALA 14 11 79% 14 100% 12 86% 14 100% 13 93% 14 100%25 LAKSHADWEEP 1 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%26 MEGHALAYA 7 1 14% 2 29% 1 14% 2 29% 3 43% 4 57%27 MANIPUR 9 3 33% 4 44% 3 33% 3 33% 5 56% 7 78%28 MP 50 19 38% 24 48% 18 36% 21 42% 23 46% 29 58%29 MIZORAM 9 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%30 NAGALAND 11 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%31 ORISSA 30 13 43% 15 50% 13 43% 15 50% 19 63% 22 73%32 PUDUCHERRY 4 0 0% 2 50% 0 0% 1 25% 1 25% 2 50%33 SIKKIM 4 4 100% 4 100% 4 100% 4 100% 3 75% 4 100%34 TRIPURA 4 2 50% 3 75% 2 50% 4 100% 3 75% 4 100%35 UP 72 34 47% 38 53% 36 50% 39 54% 55 76% 58 81%

Total 398 187 47% 200 51% 193 49% 209 53% 251 63% 284 71%Grand Total 623 358 58% 370 60% 378 61% 414 67% 454 73% 469 75%

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Reporting percentage increased from 47% to 63% in other States

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RUs Reporting- P form (Priority States)

S.NO. State No. of

Rus

2010 2011Apr-Sep Oct-Dec Jan-June

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

1 ANDHRA 2173 295 15% 606 30% 634 31% 788 39% 1110 51% 1448 67%

2 GUJARAT 1998 1666 86% 1715 89% 1707 89% 1713 89% 1766 88% 1843 92%

3 KARNATAKA 2649 1953 74% 2037 77% 1927 73% 2019 76% 2059 78% 2153 81%

4 MAHARASHTRA 2366 1220 51% 1374 57% 1133 47% 1317 55% 1280 54% 1412 60%

5 PUNJAB 1226 463 40% 597 52% 689 59% 944 82% 980 80% 1174 96%

6 RAJASTHAN 2109 538 26% 667 32% 834 40% 1045 50% 1164 55% 1317 62%

7 TAMIL NADU 2845 1534 56% 1681 62% 1559 57% 1694 62% 2152 76% 2430 85%

8 UTTARAKHAND 521 210 41% 268 52% 142 28% 156 30% 244 47% 315 60%

9 WB 1382 825 60% 884 64% 745 54% 866 62% 810 59% 887 64%

Total1726

9 8704 52% 9390 56% 9370 56% 10064 60% 11565 67% 12979 75%

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Reporting percentage increased from 52% to 66% in priority States

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RUs Reporting- P form (other States-1)

S.NO. State No. of Rus

2010 2011Apr-Sep Oct-Dec Jan-June

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

10 A & N 34 0 0% 2 7% 0 0% 0 0% 7 21% 11 32%

11 ARUNACHAL 181 26 15% 39 22% 41 23% 60 34% 54 30% 68 38%

12 ASSAM 1062 852 75% 885 78% 817 72% 882 78% 916 86% 978 92%

13 BIHAR 665 328 50% 380 58% 300 46% 357 54% 409 62% 455 68%

14 CHANDIGARH 57 48 84% 48 84% 45 79% 48 84% 48 84% 48 84%

15 CHHATISGARH 922 522 58% 583 65% 439 49% 530 59% 510 55% 569 62%

16 D & D 10 6 60% 6 60% 6 60% 6 60% 6 60% 6 60%

17 DELHI 436 216 52% 230 55% 202 48% 216 52% 210 48% 245 56%

18 D & N 6 4 50% 5 63% 5 63% 6 75% 6100%

6 100%

19 GOA 67 42 59% 48 68% 33 46% 42 59% 27 40% 47 70%

20 HIMACHAL 601 154 26% 242 40% 214 36% 456 76% 442 74% 475 79%

21 HARYANA 428 164 38% 194 46% 155 36% 189 44% 146 34% 216 50%

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RUs Reporting- P form (other States-2)

S.NO. State No. of

Rus

2010 2011Apr-Sep Oct-Dec Jan-June

Average Reporting Max. Reporting Average

Reporting Max. Reporting Average Reporting Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

22 JHARKHAND 258 99 43% 108 47% 100 43% 110 48% 128 50% 153 59%23 J & K 382 29 8% 58 16% 15 4% 18 5% 74 19% 110 29%24 KERALA 1261 676 54% 1072 86% 707 56% 884 71% 291 23% 950 75%25 LAKSHADWEEP 0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%26 MEGHALAYA 172 15 9% 37 23% 7 4% 19 12% 54 31% 96 56%27 MANIPUR 122 11 9% 17 15% 8 7% 9 8% 22 18% 36 30%28 MP 1473 318 22% 404 28% 297 21% 365 25% 375 25% 470 32%29 MIZORAM 67 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%30 NAGALAND 3 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%31 ORISSA 1674 450 27% 557 34% 440 26% 570 34% 765 46% 889 53%32 PUDUCHERRY 55 1 2% 4 7% 2 4% 25 45% 1 2% 4 7%33 SIKKIM 36 26 74% 31 89% 24 69% 30 86% 18 50% 28 78%34 TRIPURA 111 34 31% 62 56% 30 27% 77 69% 53 48% 82 74%35 UP 1525 575 41% 621 44% 539 38% 582 41% 859 56% 910 60%

Total 11608 4596 40% 5223 46% 4426 39% 5040 44% 5421 47% 6852 59%Grand Total 28874 13300 47% 13837 49% 13796 49% 14834 53% 16985 59% 18304 63%

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Reporting percentage increased from 42% to 47% in Other States

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RUs Reporting- L Form (Priority States)

S.NO. State No. of

Rus

2010 2011Apr-Sep Oct-Dec Jan-June

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

1 ANDHRA 1714 183 11% 351 22% 320 20% 394 24% 731 43% 947 55%

2 GUJARAT 1801 1590 91% 1620 93% 1609 92% 1617 93% 1630 91% 1684 94%

3 KARNATAKA 2254 1652 74% 1713 77% 1598 72% 1682 75% 1761 78% 1865 83%

4 MAHARASHTRA 1658 701 43% 792 49% 691 42% 765 47% 801 48% 922 56%

5 PUNJAB 456 247 55% 397 88% 297 66% 388 86% 382 84% 441 97%

6 RAJASTHAN 1800 457 26% 556 32% 725 42% 941 54% 1033 57% 1185 66%

7 TAMIL NADU 1656 859 56% 977 63% 932 60% 1068 69% 1205 73% 1468 89%

8 UTTARAKHAND 159 92 57% 111 69% 81 50% 87 54% 100 63% 118 74%

9 WB 790 403 50% 438 54% 364 45% 419 52% 433 55% 493 62%

Total 12288 6184 52% 6654 56% 6617 55% 7068 59% 8076 66% 9123 74%

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Reporting percentage increased from 52% to 66% in priority States

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RUs Reporting- L form (other States-1)

S.NO. State No. of Rus

2010 2011Apr-Sep Oct-Dec Jan-June

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

Average Reporting

Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

10 A & N 2 0 0% 2 100% 0 0% 0 0% 0 0% 0 0%

11 ARUNACHAL 165 23 14% 32 20% 42 26% 72 45% 72 44% 87 53%

12 ASSAM 975 701 72% 736 75% 694 71% 758 78% 788 81% 835 86%

13 BIHAR 479 125 27% 146 31% 114 24% 153 33% 205 43% 237 49%

14 CHANDIGARH 40 31 78% 39 98% 32 80% 39 98% 35 88% 39 98%

15 CHHATISGARH 487 175 37% 202 42% 148 31% 178 37% 163 33% 191 39%

16 D & D 9 5 56% 7 78% 6 67% 6 67% 6 67% 6 67%

17 DELHI 154 45 33% 61 45% 55 40% 66 48% 58 38% 74 48%

18 D & N 7 5 56% 6 67% 6 67% 7 78% 7 100% 7100%

19 GOA 50 32 64% 36 72% 26 52% 32 64% 22 44% 37 74%

20 HIMACHAL 224 49 22% 75 34% 68 30% 137 61% 125 56% 143 64%

21 HARYANA 315 115 37% 144 46% 123 40% 150 48% 120 38% 160 51%

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RUs reporting- L Form (other States-2)

S.NO. State No. of

Rus

2010 2011Apr-Sep Oct-Dec Jan-June

Average Reporting Max. Reporting Average

Reporting Max. Reporting Average Reporting Max. Reporting

No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep. No. Rep. % Rep.

22 JHARKHAND 204 93 52% 102 57% 96 54% 107 60% 123 60% 145 71%23 J & K 142 17 12% 38 28% 6 4% 9 7% 44 31% 64 45%24 KERALA 531 238 45% 402 76% 240 45% 304 58% 179 34% 338 64%25 LAKSHADWEEP 0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%26 MEGHALAYA 101 12 12% 32 33% 5 5% 14 14% 35 35% 63 62%27 MANIPUR 52 8 22% 12 33% 6 17% 7 19% 10 19% 18 35%28 MP 776 220 30% 294 40% 183 25% 220 30% 229 30% 302 39%29 MIZORAM 29 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%30 NAGALAND 0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%31 ORISSA 422 97 24% 113 28% 95 23% 112 27% 169 40% 209 50%32 PUDUCHERRY 28 0 0% 2 7% 1 4% 9 32% 1 4% 2 7%33 SIKKIM 34 21 64% 26 79% 20 61% 27 82% 13 38% 25 74%34 TRIPURA 86 17 20% 32 37% 21 24% 57 66% 37 43% 57 66%35 UP 951 316 43% 358 49% 298 41% 343 47% 614 65% 646 68%

Total 6263 2345 40% 2645 45% 2285 39% 2561 44% 3055 49% 3685 59%Grand Total 18548 8529 48% 8800 49% 8902 50% 9562 54% 11132 60% 11961 64%

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Reporting percentage increased from 40% to 49% in other States

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Results Monitoring Indicators for Data Reporting

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Consistency Report

Timeliness is defined as reports obtained within one week after the last date of every reporting week. Minimum expectation is that each reporting unit reports for at least 40 weeks in a year (52 weeks). Or 80% of week at any given time under consideration All identified reporting units must report.

However, for programme purpose, the following definition of consistency may be followed:

• A reporting unit is consistent, if it has reported for at least 40 weeks in a year (or >= 80% of week at any given time).

• A district is consistent at any given time if at least 80% of RUs under the district reported consistently at that point of time.

• A state is consistent at any given time if at least 80% of the district are having consistent reporting RUs.

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Grouping for Consistency Report: - Reports should have desegregated forms of• P {1.PHCs, 2. Other Govt. Hospitals (CHC/ID Hospitals/Medical Colleges/Other Premier Institutes/Public Sector Hospitals) and 3. Private hospitals separately}• L (Government and Private Laboratory) and • S reporting units( Sub centres)

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Consistency of Reporting

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RUs Consistency for P form (Priority States)

S.No. State

PHC CHC/Govt Hosp/MC/ID Private Sector

Total no. of Rus

No. of Consistent Reporting

RUs

%Total no. of Rus

No. of Consistent Reporting

RUs

%Total no.of Rus

No. of Consistent Reporting

RUs

%

1 ANDHRA PRADESH 1743 490 28% 344 39 11% 85 1 1%

2 GUJARAT 1212 1102 91% 420 331 79% 365 294 81%

3 KARNATAKA 2137 1530 72% 296 177 60% 214 76 36%

4 MAHARASHTRA 1848 670 36% 453 86 19% 65 16 25%

5 PUNJAB 955 639 67% 202 158 78% 69 43 62%

6 RAJASTHAN 1561 543 35% 524 176 34% 24 1 4%

7 TAMIL NADU 1616 1305 81% 390 228 58% 843 384 46%

8 UTTARAKHAND 370 96 26% 138 42 30% 13 5 38%

9 WEST BENGAL 1127 468 42% 241 114 47% 12 0 0%

Total 12569 6843 54% 3008 1351 45% 1690 820 49%

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Districts Consistency for P Form (Priority States)

S.No. StateTotal Dist

PHCCHC/Govt

Hosp/MC/IDPrivate

No. of Consistent Reporting

District

%

No. of Consistent Reporting

District

%

No. of Consistent Reporting

District

%

1 ANDHRA PRADESH 23 0 0% 0 0% 0 0%

2 GUJARAT 26 25 96% 18 69% 10 38%

3 KARNATAKA 27 15 56% 4 15% 2 7%

4 MAHARASHTRA 35 8 23% 2 6% 1 3%

5 PUNJAB 20 11 55% 13 65% 5 25%

6 RAJASTHAN 32 7 22% 6 19% 0 0%

7 TAMIL NADU 30 22 73% 11 37% 8 27%

8 UTTARAKHAND 13 3 23% 1 8% 1 8%

9 WEST BENGAL 19 3 16% 3 16% 0 0%

Total 225 94 42% 58 26% 27 12%

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RUs Consistency for -L form (Priority States)

S.NO. State

PHC CHC/Govt Hosp/MC/ID Private Sector

Total no. of Rus

No. of Consistent Reporting

RUs

%Total no. of Rus

No. of Consistent Reporting

RUs

%Total no.of Rus

No. of Consistent Reporting

RUs

%

1ANDHRA PRADESH 1008 203 20% 196 31 16% 114 49 43%

2 GUJARAT 1024 961 94% 344 322 94% 355 323 91%

3 KARNATAKA 1628 1196 73% 288 197 68% 192 115 60%

4 MAHARASHTRA 1011 317 31% 365 90 25% 21 10 48%

5 PUNJAB 186 119 64% 200 169 85% 68 49 72%

6 RAJASTHAN 1200 435 36% 398 147 37% 50 1 2%

7 TAMIL NADU 1025 711 69% 288 178 62% 242 121 50%

8 UTTARAKHAND 39 25 64% 80 34 43% 18 13 72%

9 WEST BENGAL 234 107 46% 311 177 57% 63 47 75%

Total 7355 4074 55% 2470 1345 54% 1123 728 65%

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Districts Consistency for -L form (Priority States)

S.NO.

StateTotal no. of Dist. 

PHCCHC/Govt

Hosp/MC/IDPrivate

No. of Consistent Reporting

District

%

No. of Consistent Reporting

District

%

No. of Consistent Reporting

District

%

1 ANDHRA PRADESH 23 1 4% 0 0% 1 4%

2 GUJARAT 26 24 92% 24 92% 12 46%

3 KARNATAKA 27 9 33% 7 26% 3 11%

4 MAHARASHTRA 35 0 0% 1 3% 1 3%

5 PUNJAB 20 11 55% 16 80% 8 40%

6 RAJASTHAN 32 7 22% 6 19% 0 0%

7 TAMIL NADU 30 12 40% 8 27% 4 13%

8 UTTARAKHAND 13 5 38% 3 23% 3 23%

9 WEST BENGAL 19 4 21% 6 32% 2 11%

Total 225 73 32% 71 32% 34 15%

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SUMMARY OF CURRENT OVERALL AND CONSISTENCY REPORTING STATUS OF 9 PRIORITY STATES (Jan-June 2011)

No. of Districts 225

% District Reporting P Form

92% (208)

% consistent Districts for PHC- P Form

42% (94)

% consistent Districts for CHC/Govt Hosp P Form

26% (58)

% consistent Districts for Pvt Units- P Form

12% (27)

% District Reporting L Form

90% (203)

% consistent Districts for PHC- L Form

32% (73)

% consistent Districts for CHC/Govt Hosp L Form

32% (71)

% consistent Districts for Pvt Units- L Form

15% (34)

Page 43: 14-15 July 2011

RUs Consistency for -P form (Other States-1)

S.No. State

PHC CHC/Govt Hosp/MC/ID Private Sector

Total no. of Rus

No. of Consistent Reporting

RUs

%Total no. of Rus

No. of Consistent Reporting

RUs

%Total no.of Rus

No. of Consistent Reporting

RUs

%

1 A & N 27 2 7% 7 0 0% 0 0 0%2 ARUNACHAL PRADESH 89 5 6% 82 16 20% 10 1 10%3 ASSAM 867 694 80% 145 107 74% 50 33 66%4 BIHAR 467 261 56% 169 64 38% 29 3 10%5 CHANDIGARH UT 40 40 100% 17 8 47% 0 0 0%6 CHHATISGARH 741 240 32% 177 50 28% 4 0 0%7 DAMAN AND DIU 4 3 75% 6 3 50% 0 0 0%8 DELHI 349 102 29% 61 5 8% 25 4 16%9 D & N HAVELI 5 5 100% 1 1 100% 0 0 0%

10 GOA 25 2 8% 10 2 20% 32 0 0%11 HIMACHAL PRADESH 473 280 59% 106 70 66% 22 21 95%12 HARYANA 259 67 26% 131 14 11% 37 0 0%13 JHARKHAND 99 40 40% 140 39 28% 19 15 79%14 JAMMU AND KASHMIR 266 20 8% 73 3 4% 43 0 0%

Page 44: 14-15 July 2011

RUs Consistency for -P form (Other States-2)

S.No. State

PHC CHC/Govt Hosp/MC/ID Private Sector

Total no. of Rus

No. of Consistent Reporting

RUs

%Total no. of Rus

No. of Consistent Reporting

RUs

%Total no.of Rus

No. of Consistent Reporting

RUs

%

15 KERALA 674 16 2% 541 29 5% 46 2 4%16 LAKSHADWEEP 0 0 0% 0 0 0% 0 0 0%17 MEGHALAYA 129 17 13% 39 7 18% 4 1 25%18 MANIPUR 93 2 2% 27 3 11% 2 0 0%19 MADHYA PRADESH 729 91 12% 556 64 12% 185 21 11%20 MIZORAM 45 0 0% 13 0 0% 8 0 0%21 NAGALAND 1 0 0% 1 0 0% 1 0 0%22 ORISSA 1233 361 29% 405 101 25% 36 6 17%23 PONDICHERRY 41 0 0% 10 0 0% 4 0 0%24 SIKKIM 1 0 0% 30 4 13% 5 0 0%25 TRIPURA 60 12 20% 13 5 38% 38 6 16%26 UTTAR PRADESH 766 318 42% 703 345 49% 49 4 8%

Total 7483 2578 34% 3463 940 27% 649 117 18%Grand Total 20052 9421 47% 6471 2291 35% 2339 937 40%

Page 45: 14-15 July 2011

Districts Consistency for -P form (other States-1)

S.No. StateTotal Dist

PHCCHC/Govt

Hosp/MC/IDPrivate

No. of Consistent Reporting

District

%

No. of Consistent Reporting

District

%

No. of Consistent Reporting

District

%

1 A & N 2 0 0% 0 0% 0 0%

2ARUNACHAL PRADESH 16 0 0% 2 13% 0 0%

3 ASSAM 27 21 78% 18 67% 4 15%

4 BIHAR 38 16 42% 8 21% 1 3%

5 CHANDIGARH UT 1 1 100% 1 100% 0 0%

6 CHHATISGARH 18 3 17% 3 17% 0 0%

7 DAMAN AND DIU 2 1 50% 1 50% 0 0%

8 DELHI 9 0 0% 0 0% 0 0%

9 D & N 1 1 100% 1 100% 0 0%

10 GOA 2 0 0% 0 0% 0 0%

11 HIMACHAL PRADESH 12 4 33% 6 50% 2 17%

12 HARYANA 19 3 16% 1 5% 0 0%

13 JHARKHAND 22 3 14% 2 9% 2 9%14 JAMMU AND KASHMIR 14 0 0% 0 0% 0 0%

Page 46: 14-15 July 2011

Districts Consistency for -P form (Other States-2)

S.No. StateTotal Dist

PHCCHC/Govt

Hosp/MC/IDPrivate

No. of Consistent Reporting

District

%

No. of Consistent Reporting

District

%

No. of Consistent Reporting

District

%

15 KERALA 14 0 0% 0 0% 0 0%

16 LAKSHADWEEP 1 0 0% 0 0% 0 0%

17 MEGHALAYA 7 0 0% 0 0% 1 14%

18 MANIPUR 9 0 0% 0 0% 0 0%

19 MADHYA PRADESH 50 1 2% 3 6% 2 4%

20 MIZORAM 9 0 0% 0 0% 0 0%

21 NAGALAND 11 0 0% 0 0% 0 0%

22 ORISSA 30 3 10% 1 3% 3 10%

23 PONDICHERRY 4 0 0% 0 0% 0 0%

24 SIKKIM 4 0 0% 1 25% 0 0%

25 TRIPURA 4 1 25% 1 25% 0 0%

26 UTTAR PRADESH 72 19 26% 24 33% 2 3%

Total Others 398 77 19% 73 18% 17 4%

Grand Total 623 171 27% 131 21% 44 7%

Page 47: 14-15 July 2011

RUs Consistency for -L form (Other States-1)

S.NO. State

PHC CHC/Govt Hosp/MC/ID Private Sector

Total no. of Rus

No. of Consistent reporting

Units

%Total no. of Rus

No. of Consistent reporting

Units

%Total no.of Rus

No. of Consistent reporting

Units

%

10 A & N 0 0 0% 0 0 0% 0 0 0%

11 ARUNACHAL PRADESH 30 4 13% 54 12 22% 38 22 58%

12 ASSAM 717 589 82% 127 102 80% 37 26 70%

13 BIHAR 234 96 41% 74 28 38% 13 0 0%

14 CHANDIGARH UT 31 28 90% 9 8 89% 0 0 0%

15 CHHATISGARH 140 19 14% 167 62 37% 2 1 50%

16 DAMAN AND DIU 3 3 100% 4 3 75% 0 0 0%

17 DELHI 33 2 6% 72 14 19% 13 5 38%

18 D & N HAVELI 5 5 100% 2 2 100% 0 0 0%

19 GOA 22 2 9% 9 0 0% 10 0 0%

20 HIMACHAL PRADESH 83 39 47% 100 48 48% 0 0 0%

21 HARYANA 91 42 46% 114 35 31% 13 0 0%

22 JHARKHAND 60 38 63% 89 39 44% 16 15 94%

23 JAMMU AND KASHMIR 87 9 10% 17 2 12% 2 0 0%

Page 48: 14-15 July 2011

RUs Consistency for –L form (Other States-2)

S.NO. State

PHC CHC/Govt Hosp/MC/ID Private Sector

Total no. of Rus

No. of Consistent Reporting

Units

%Total no. of Rus

No. of Consistent Reporting

Units

%Total no.of Rus

No. of Consistent Reporting

Units

%

24 KERALA 102 9 9% 338 42 12% 10 3 30%

25 LAKSHADWEEP 0 0 0% 0 0 0% 0 0 0%

26 MEGHALAYA 58 12 21% 25 5 20% 2 1 50%

27 MANIPUR 6 1 17% 13 3 23% 0 0 0%

28 MADHYA PRADESH 113 28 25% 314 76 24% 95 18 19%

29 MIZORAM 0 0 0% 0 0 0% 0 0 0%

30 NAGALAND 0 0 0% 0 0 0% 0 0 0%

31 ORISSA 38 12 32% 230 94 41% 10 1 10%

32 PONDICHERRY 1 0 0% 2 0 0% 0 0 0%

33 SIKKIM 1 0 0% 28 1 4% 3 0 0%

34 TRIPURA 38 7 18% 10 5 50% 25 4 16%

35 UTTAR PRADESH 271 176 65% 489 350 72% 18 12 67%

Total 2164 1121 52% 2287 931 41% 307 108 35%

Grand Total 9519 5195 55% 4757 2276 48% 1430 836 58%

Page 49: 14-15 July 2011

Districts Consistency for -L form (Other States-1)

S.NO. StateTotal No. of Dist. 

PHCCHC/Govt

Hosp/MC/IDPrivate

No. of Consistent Reporting

District

%

No. of Consisten

t Reporting

District

%

No. of Consistent Reporting

District

%

1 A & N 2 0 0% 0 0% 0 0%2 ARUNACHAL PRADESH 16 1 6% 1 6% 3 19%3 ASSAM 27 21 78% 20 74% 5 19%4 BIHAR 38 3 8% 4 11% 0 0%5 CHANDIGARH UT 1 1 100% 1 100% 0 0%6 CHHATISGARH 18 2 11% 4 22% 1 6%7 DAMAN AND DIU 2 2 100% 1 50% 0 0%8 DELHI 9 0 0% 0 0% 1 11%9 D & N 1 1 100% 1 100% 0 0%10 GOA 2 0 0% 0 0% 0 0%11 HIMACHAL PRADESH 12 3 25% 2 17% 0 0%12 HARYANA 19 2 11% 2 11% 0 0%13 JHARKHAND 22 6 27% 4 18% 2 9%14 JAMMU AND KASHMIR 14 0 0% 1 7% 0 0%

Page 50: 14-15 July 2011

Districts Consistency for -L form (Other States-2)

S.NO. State Total

no. Dist.

PHCCHC/Govt

Hosp/MC/IDPrivate

No. of Consistent Reporting

District

%

No. of Consistent Reporting

District

%

No. of Consiste

nt Reporting District

%

15 KERALA 14 0 0% 0 0% 2 14%16 LAKSHADWEEP 1 0 0% 0 0% 0 0%17 MEGHALAYA 7 0 0% 0 0% 1 14%18 MANIPUR 9 0 0% 1 11% 0 0%19 MADHYA PRADESH 50 2 4% 8 16% 3 6%20 MIZORAM 9 0 0% 0 0% 0 0%21 NAGALAND 11 0 0% 0 0% 0 0%22 ORISSA 30 1 3% 7 23% 1 3%23 PONDICHERRY 4 0 0% 0 0% 0 0%24 SIKKIM 4 0 0% 0 0% 0 0%25 TRIPURA 4 1 25% 1 25% 0 0%26 UTTAR PRADESH 72 23 32% 31 43% 4 6%

Total Others 398 69 17% 89 22% 23 6%Grand Total 623 142 23% 160 26% 57 9%

Page 51: 14-15 July 2011

SUMMARY OF CURRENT OVERALL AND CONSISTENCY REPORTING STATUS OF OTHER STATES (Jan-June 2011)

No. of Districts 398

% District Reporting P Form

68% (271)

% consistent Districts for PHC- P Form

19% (77)

% consistent Districts for CHC/Govt Hosp P Form

18% (73)

% consistent Districts for Pvt Units- P Form

4% (17)

% District Reporting L Form

63% (251)

% consistent Districts for PHC- L Form

17% (69)

% consistent Districts for CHC/Govt Hosp L Form

22% (89)

% consistent Districts for Pvt Units- L Form

6% (23)

Page 52: 14-15 July 2011

Never Reported District through Portal in 2011- (1)

State No. of Districts

Name of Districts

A & N 1 Nicobar

Bihar 5 Banka, Bhabhua, Buxar, East Champaran, Sheohar

Chhatisgarh 1 Narayanpur

Haryana 10 Ambala, Faridabad, Fathehabad, Gurgaon, Jhajjar, Jind, Karnal, Mahendragarh, Panipat, Bhiwani

J & K 10 Baramula, Doda, Jammu, kargil, Kathua, Kupwara, Leh, Poonch, rajouri, Udhampur

Lakshdweep 1 Lakshdweep

Maharashtra 2 Mumbai, Mumbai City

Jharkhand 3 Garwha, Koderma, Lohardaga

Page 53: 14-15 July 2011

StateNo. of Districts

Name of Districts

Madhya Pradesh

16

Anuppur, Ashok nagar, Badwani, Betul, Chhatarpur, Katni, Khandwa, East Nimar, Khandwa, Narsinghpur, Rajgarh, Rewa, Sidhi, Satna, Tikamgarh, Ujjain, West Nimar.

Meghalaya 1 South Garo Hills

Mizoram 9Aizwal East, Aizwal West, Saiha, Champhai, Kolasib, Lawng, Serchhip, Mamit, Lunglei.

Nagaland 11Dimapur, Kiphire, Kohima, Longleng, Mokochung, Mon, Peren, Phek, Tuensang, Workha, Zunehobeto

Orissa 7Angul, Bolangir, Balasore, Deogarh, Jharsuguda, Keonjhar, Bargarh,

Puducherry 2Karikal, Pondicherry

Never Reported District through Portal in 2011-(2)

Page 54: 14-15 July 2011

StateNo. of Districts

Name of Districts

Uttar Pradesh

9

Ambedkar Nagar, Balia, Baghpat, Fatehpur, Kushi Nagar, Mathura, Sahuji Maharaj Nagar, Sitapur, Mathura.

West Bengal 1 Kolkata

Total 89

Never Reported District through Portal in 2011-(3)

Page 55: 14-15 July 2011

StateNo. of

DistrictsName of Districts

Andhra 3 Hyderabad, Khammam, West Godavari

Assam 2 Baksa, Udalgiri

Bihar 1 West Champaran

Chhattisgarh 1 Bijapur

Himachal 1 Lahul & Spiti

Haryana 4 Kaithal, kurkshetra, Panchkula, Yamunanagar

Jharkhand 2 Godda, Ranchi

Irregular Reported District through Portal in 2011- (1)

Page 56: 14-15 July 2011

StateNo. of

DistrictsName of Districts

Meghalaya 3South Garo Hills, West Garo Hills, West Khasi Hills

Maharashtra 6Buldhana, Gadchiroli, Hingoli, Latur, Satara, Washim

MP 8Dindori, Gwalior, Jhabua, Mandla, Neemuch, Panna, Shadol,

Orissa 2Cuttack, Malkangiri

Puducherry 1 Mahe

Rajasthan 1 Dhoulpur

Tripura 1 North Tripura

Uttrakhand 1 Udham Singh Nagar

Uttar Pradesh 5 Bareilly, Firojabad, Farukhabad, Gonda, Lucknow, Total 42

Irregular Reported District through Portal in 2011- (2)

Page 57: 14-15 July 2011

StateNo. of

DistrictsName of Districts

A & N 1 Nicobar

Maharashtra 1 Mumbai City

Lakshdweep 1 Lakshdweep

J & K 10Baramula, Doda, Jammu, Kargil, Kathua, Kupwara, Leh, Poonch, Rajouri, Udhampur

Jharkhand 3 Garwha, Koderma, Lohardaga

Madhya Pradesh

2 Narsinghpur, Sidhi

Chhatisgarh 1 Narayanpur

Total 19

Never Reported District neither E-mail nor Portal in 2011

Page 58: 14-15 July 2011

Reporting through E-Mail

Page 59: 14-15 July 2011

Sr.No States  Total no. of Districts

2011

No. Reported %

1 ANDHRA 23 23 100%

2 GUJARAT 26 21 81%

3 KARNATAKA 30 30 100%

4 MAHARASHTRA 35 30 86%

5 PUNJAB 20 18 90%

6 RAJASTHAN 32 32 100%

7 TAMIL NADU 30 29 97%

8 UTTARAKHAND 13 11 85%

9 WB 19 17 89%

District Reporting - E-Mail -2011 (1)

Page 60: 14-15 July 2011

Sr.No States

Total no. of

Districts

2011No. Reported %

10 A & N 2 - -11 ARUNACHAL 16 15 94%12 ASSAM 27 24 89%13 BIHAR 38 18 47%14 CHANDIGARH 1 1 100%15 CHHATISGARH 18 11 61%16 D & D 2 - -17 D & N 1 1 100%18 DELHI 9 0 0%19 GOA 2 1 50%20 HARYANA 20 19 95%21 HIMACHAL 12 10 83%22 J &K 14 - -23 JHARKHAND 22 - -

District Reporting - E-Mail -2011 (2)

Page 61: 14-15 July 2011

Sr.No States

 Total no. of

Districts

2011No. Reported %

24 KERALA 14 14 100%

25 LAKSHADWEEP 1 0 0%

26 MANIPUR 9 4 44%

27 MEGHALAYA 7 6 86%

28 MIZORAM 9 6 67%

29 MP 50 44 88%

30 NAGALAND 11 11 100%

31 ORISSA 30 23 77%

32 PUDUCHERRY 4 4 100%

33 SIKKIM 4 3 75%

34 TRIPURA 4 4 100%

35 UP 71 43 60%

District Reporting - E-Mail-2011 (3)

Page 62: 14-15 July 2011

% District Reporting through E-Mail & Portal

Page 63: 14-15 July 2011

Trend Analysis of Data

Page 64: 14-15 July 2011

Week Wise no. of Cases of ADD based on P form for the year of 2009 & 2010 in All States

0

50000

100000

150000

200000

250000

W1W2W3W4W5W6W7W8W9W10W11W12W13

W14

W15W16

W17W18

W19

W20

W21

W22

W23

W24

W25

W26

W27

W28

W29

W30

W31

W32

W33

W34

W35

W36

W37

W38

W39

W40

W41

W42

W43

W44

W45

W46

W47

W48

W49

W50

W51

W52

Weeks

Num

ber

of C

ases

2010

2009

Page 65: 14-15 July 2011

Week Wise no. of Cases of ARI based on P form for the year of 2009 & 2010 in All States

0

100000

200000

300000

400000

500000

600000

700000

W1W2W3W4W5W6W7W8W9W10W11W12W13W14

W15W16

W17W18

W19W20

W21W22

W23

W24

W25

W26

W27

W28

W29

W30

W31W32

W33

W34

W35

W36

W37

W38

W39

W40

W41

W42

W43

W44

W45

W46

W47

W48

W49

W50

W51

W52

Weeks

Num

ber

of C

ases

2010

2009

Page 66: 14-15 July 2011

Week Wise no. of Cases of Typhoid based on P form for the year of 2009 & 2010 in All States

0

5000

10000

15000

20000

25000

30000

W1W2W3W4W5W6W7W8W9W10

W11W12W13

W14W15

W16

W17W18

W19

W20

W21

W22

W23

W24

W25

W26

W27

W28

W29

W30

W31

W32

W33

W34

W35

W36

W37

W38

W39

W40

W41

W42

W43

W44

W45

W46

W47

W48

W49

W50

W51

W52

Weeks

Num

ber

of C

ases

20102009

Page 67: 14-15 July 2011

Week Wise no. of Cases of Malaria based on P form for the year of 2009 & 2010 All States

0

20000

40000

60000

80000

100000

120000

140000

160000

W1W2W3W4W5W6W7W8W9W10W11W12W13W14W15W16W17W18W19W20W21W22W23W24W25W26W27W28W29W30W31W32W33W34W35W36W37W38W39W40W41W42W43W44W45W46W47W48W49W50W51W52

Weeks

Nu

mb

er o

f C

ases

2010

2009

Page 68: 14-15 July 2011

Week Wise no. of Cases of Measles based on P form for the year of 2009 & 2010 in All States

0

200

400

600

800

1000

1200

W1W2W3W4W5W6W7W8W9W10

W11W12

W13

W14

W15W16

W17

W18

W19W20

W21

W22

W23

W24

W25

W26

W27

W28

W29

W30

W31

W32

W33

W34

W35

W36

W37

W38

W39

W40

W41W42

W43

W44

W45

W46

W47

W48

W49

W50

W51

W52

Weeks

Num

ber

of C

ases

20092010

Page 69: 14-15 July 2011

Week wise no. of cases of ARI, Malaria, ADD and Typhoid based on P form during 2010 in All States

0

100000

200000

300000

400000

500000

600000

700000

W1W2W3W4W5W6W7W8W9W10W11W12W13W14W15W16W17W18W19W20W21W22

W23W24

W25

W26W27

W28

W29W30

W31W32W33

W34

W35W36

W37

W38W39

W40

W41W42

W43

W44W45

W46

W47W48

W49

W50W51W52

Weeks

Nu

mb

er o

f C

ases

ARIADDMalariaTyphoid

Page 70: 14-15 July 2011

Monitoring and Actions at District and Higher levels

• Use of IDSP Portal for data entry.

• Finalization of master data files

• Regular Monitoring of reporting of data at each level – Timeliness, Completeness of coverage and other parameters and actions at least to achieve and maintain the consistency level of reporting

• Regular Analysis of data

• Remember to report promptly any unusual clustering of cases or any health event causing death :Action - if any required like activation of RRTs

• Regular Feedback to lower level and reporting to higher level regarding the status, gaps, actions taken or action to be taken

Page 71: 14-15 July 2011

Thank You