Indian Integrated Disease Surveillance Program

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    Indian Integrated DiseaseIndian Integrated DiseaseSurveillance ProgramSurveillance Program

    Workshop on Sharing knowledge on Evidence, Impact and PolicyWorkshop on Sharing knowledge on Evidence, Impact and Policy

    implications onimplications on ICTsICTs for Disease Surveillance and Notificationsfor Disease Surveillance and Notifications

    22nd October, 201022nd October, 2010

    RichmondeRichmonde Hotel, Pasig City, Manila, Philippines,Hotel, Pasig City, Manila, Philippines,

    M. Ganesan

    IITMs Rural Technology and Business Incubator, IndiaEmail: [email protected]

    This work was carried out with the aid of a grant from the International

    Development Research Centre, Canada

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    Integrated Disease Surveillance Programme India

    Launched Honble Union Minister of Health &Family Welfare in November 2004 with World

    Bank Assistance Decentralized, State based Surveillance

    Program

    Central Surveillance Unit

    State Surveillance Unit

    District Surveillance Unit

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    IDSP Administrative Structure(Central, State and District levels)

    SurveillanceCommittee

    SurveillanceUnit

    Major policy decisions,

    Review physical &financial progress,

    coordination withall relevant ministries,

    departments & organizations

    Responsible for

    implementing

    various activities

    envisaged

    under the Project

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    Central Surveillance Unit (CSU)

    Project Director(Joint Director)

    National Project Officer

    Consultant (HRD & IEC)Consultant (IT)Consultant (Procurement)

    Director/Deputy Secretary

    Under Secretary (IDSP)Accounts OfficerConsultant (Finance)

    Data Manager

    Data Processing AssistantsData Entry OperatorsStatistical Assistant

    Steno/Office Assistant

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    State Surveillance Unit (SSU)State Surveillance Unit (SSU)

    State SurveillanceState Surveillance

    Officer (Joint Director)Officer (Joint Director)Administrative

    Assistant

    Data ManagerConsultant(Finance)

    Consultant(Technical)

    Data EntryOperator

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    District Surveillance Unit (DSU)District Surveillance Unit (DSU)

    District

    Surveillance

    Officer

    Epidemiologist

    Microbiologist

    Clinicians

    Administrative

    AssistantAccountant

    Data Manager

    Data Entry

    Operator

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    Rapid Response TeamRapid Response Team EpidemiologistEpidemiologist

    Clinician (Physician/Pediatrician)Clinician (Physician/Pediatrician)

    Laboratory OfficerLaboratory Officer(Microbiologist/Pathologist/Senior Lab(Microbiologist/Pathologist/Senior LabTechnician)Technician)

    EntomologistEntomologist

    Animal Health ExpertAnimal Health Expert

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    CSU

    SSU

    DSU

    HSC PHC

    District Hospital,Pvt. Hospital/clinic,

    Taluk hospitals,Medical colleges

    Patients

    Information Flow

    Data Reporting SystemData Reporting System

    Form S (Suspected Cases)Form S (Suspected Cases)Health worker (HSC)Health worker (HSC)

    Form P (Probable Cases)Form P (Probable Cases)

    --Doctors (PHC, Hospitals)Doctors (PHC, Hospitals)

    Form L (Lab ConfirmedForm L (Lab Confirmedcases) Laboratoriescases) Laboratories

    Frequency of reportingFrequency of reporting Weekly (Monday to Sunday)Weekly (Monday to Sunday)

    Data Compilation/AnalysisData Compilation/Analysis

    and responseand response

    -- at district/state levelat district/state level

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    Reporting Formats

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    FormFormPP

    Weekly reportingWeekly reporting -- IDSPIDSP AcuteAcute DiarrhoealDiarrhoeal DiseaseDisease

    Bacillary DysenteryBacillary Dysentery

    Viral HepatitisViral Hepatitis

    Enteric FeverEnteric Fever

    MalariaMalaria Dengue /DHF/DSSDengue /DHF/DSS

    ChikungunyaChikungunya

    Acute Encephalitis SyndromeAcute Encephalitis Syndrome

    MeningitisMeningitis

    MeaslesMeasles

    DiptheriaDiptheria PertusisPertusis

    Chicken PoxChicken Pox

    Fever of Unknown OriginFever of Unknown Origin

    Acute Respiratory Infection (AR)Acute Respiratory Infection (AR)

    PeneumoniaPeneumonia LeptospirosisLeptospirosis

    Acute Flaccid Paralysis

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    Form SForm S

    Reporting forReporting for SyndromicSyndromic SurveillanceSurveillance

    II. Fever. FeverFever < 7 daysFever < 7 days

    Only FeverOnly Fever

    With rashWith rash

    With bleedingWith bleeding

    With daze/With daze/semiconsciousnesssemiconsciousness/unconsciousness/unconsciousness

    Fever >7 daysFever >7 days

    II. Cough with or without feverII. Cough with or without fever

    3 weeks

    III. Loose watery stools of less than 2 weeks durationIII. Loose watery stools of less than 2 weeks duration

    With some/much dehydrationWith some/much dehydration

    With no DehydrationWith no Dehydration

    With Blood in StoolWith Blood in Stool

    IV. Jaundice cases of Less than 4 weeks durationIV. Jaundice cases of Less than 4 weeks duration

    Cases ofCases of ActueActue JaundiceJaundice

    V. AcuteV. Acute FlacidFlacid Paralysis Cases in Less than 15 years of ageParalysis Cases in Less than 15 years of age Cases of AcuteCases of Acute FlacidFlacid ParalysisParalysis

    VI. Unusual symptoms leading to death or hospitalization that doVI. Unusual symptoms leading to death or hospitalization that do not fit into the abovenot fit into the above

    VII. LeprosyVII. Leprosy

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    Form LForm L

    (Weekly reporting(Weekly reporting IDSP)IDSP)

    Dengue/DengueDengue/Dengue HomarageHomarageFever/Dengue ShockFever/Dengue ShockSyndromeSyndrome

    ChikungunyaChikungunya JapanesJapanes EncepalitisEncepalitis

    MeningococalMeningococal MeningitisMeningitis

    Typhoid FeverTyphoid Fever

    DiptheriaDiptheria

    CholeraCholera ShigellaShigella DysenteryDysentery

    Viral Hepatitis AViral Hepatitis A

    Viral Hepatitis EViral Hepatitis E

    LeptospirosisLeptospirosis

    MalariaMalaria

    TuberculosisTuberculosis HIVHIV

    LeprosyLeprosy

    NameName

    of testof testdonedone

    DiagnoDiagno

    sis (sis (LabLab

    confirmconfirm

    eded

    AddresAddres

    ss

    SexSexAgeAgeNameName

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    Location wise consolidated reports in Excel Format

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    Healthcare System in Rural India

    State HealthDepartment

    HealthCare Services

    Family Planning

    and Reproductive

    Healthcare

    PHC

    HSC

    Households

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    ReferencesReferences

    IDSP. Training Manual for State and District Surveillance OfficeIDSP. Training Manual for State and District Surveillance Officer,r,http://idsp.nic.in/idsp/nicd/IDSP_2WeekCourse_DSO_Sept08/Resourchttp://idsp.nic.in/idsp/nicd/IDSP_2WeekCourse_DSO_Sept08/Resources_filees_files/DistrictSurvMan/Module2.pdfs/DistrictSurvMan/Module2.pdf

    http://www.idsp.nic.in/http://www.idsp.nic.in/

    RTBP field visit process documentation reportsRTBP field visit process documentation reports Meeting with IDSP staff at district levelMeeting with IDSP staff at district level

    Meeting with NIC staff at State levelMeeting with NIC staff at State level

    VishwanathVishwanath et al., Handheld computers for rural healthcare: Experienceset al., Handheld computers for rural healthcare: Experiencesfrom research concept to global operations.from research concept to global operations.

    http://kaash.sourceforge.net/doc/dyd02.pdfhttp://kaash.sourceforge.net/doc/dyd02.pdf

    THANK YOU


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