Integrated Disease Surveillance Programme Under umbrella of National - - PowerPoint PPT Presentation

Integrated Disease Surveillance Programme

 Under umbrella of National Rural Health Mission (NRHM)  Objective: Strengthening of Disease Surveillance System for

epidemic prone diseases to detect and respond to outbreaks

 Integrated Disease Surveillance Project was launched with

World Bank assistance in Nov 2004; restructured and extended upto March 2012

 From April 2010, World Bank funds for Central Surveillance

Unit (CSU) and 9 identified States (Andhra Pradesh, Gujarat, Karnataka, Maharashtra, Punjab, Rajasthan, Tamil Nadu, Uttarakhand and West Bengal), domestic funds for 26 States/UTs

 To continue during 12th Plan as Integrated Disease Surveillance

Programme (IDSP) with domestic budgetary support with proposed outlay of Rs. 851.50 Crore

Establishment of Surveillance Units, Recruitment and Training

• f Human Resources

Establishment

• f

Surveillance Units

• Surveillance units established in all states/districts
• Central/State/district surveillance units (CSU/SSU/DSU) and
• ther important institutes (776 sites) connected through IT

network with help of NIC and ISRO

• DSUs collect weekly data on epidemic prone diseases from

health facilities, compile and analyze to detect rise in cases

• Increase in cases/outbreaks are investigated and responded

to by district/state Rapid Response Team (RRT)

• SSO/DSO should be dedicated or primarily for IDSP
• IDSP should be frequently monitored by State Health Secretary/NRHM/DHS

Recruitment and Training of Human Resources

• Overall 301/646 epidemiologists, 61/85 microbiologists,

22/35 entomologists recruited by states/districts

• State/district surveillance officers (SSO/DSO) and RRTs

have been trained by CSU

• All states need to expedite recruitment of contractual manpower
• States may give additional list of officers to be trained by CSU

Human Resource IDSP – States/Districts (Upto Sept 2012) - 1

S.No. Name of States Epidemiologists Microbiologists Entomologist

Sanctioned post In position Sanctioned post In position Sanctioned post In position 1 Andhra Pradesh 24 22 3 3 1 1 2 Gujarat 26 21 3 3 1 1 3 Karnataka 27 4 3 1 1 1 4 Maharashtra 36 18 3 2 1 5 Punjab 21 17 2 2 1 1 6 Rajasthan 33 26 3 3 1 1 7 Tamil Nadu 31 1 3 3 1 8 Uttarakhand 14 11 3 2 1 1 9 West Bengal 19 9 3 3 1 1 10 A & N Nicobar 3 2 2 1 11 Arunachal Pradesh 17 14 2 1 1 1 12 Assam 27 13 2 2 1 1 13 Bihar 39 21 2 2 1 1 14 Chandigarh 2 2 2 1 1 15 Chhattisgarh 18 2 1 1 16 D & N Haveli 2 2 1 1 1 17 Daman & Diu 2 2 2 1 1

Note: Some States like Karnataka have recently recruited (22) Epidemiologists.

S.No. Name of States Epidemiologists Microbiologists Entomologist

Sanctioned post In position Sanctioned post In position Sanctioned post In position 18 Delhi 10 2 2 1 19 Goa 3 1 3 1 1 1 20 Haryana 21 20 3 3 1 1 21 Himachal Pradesh 13 0* 3 1 22 Jammu & Kashmir 15 3 2 2 1 1 23 Jharkhand 22 13 2 1 1 24 Kerala 15 6 3 3 1 1 25 Lakshdweep 2 2 1 1 26 Madhya Pradesh 51 20 2 1 1 27 Manipur 10 3 2 1 28 Meghalaya 7 2 2 1 1 29 Mizoram 9 2 3 3 1 1 30 Nagaland 9 7 3 3 1 1 31 Orissa 31 7 2 2 1 32 Puducherry 5 1 2 2 1 33 Sikkim 5 2 2 1 1 34 Tripura 5 2 1 35 Uttar Pradesh 72 39 3 1 1

Total 646 301 85 61 35 22

Note: Some States like Karnataka have recently recruited (22) Epidemiologists.

Human Resource IDSP – States/Districts (Upto Sept) - 2

Strengthening of District Public Health Labs and Referral Lab Network

Strengthening of District Public Health Labs

• 35/50 identified district public health labs

strengthened and made functional

• All States need to make identified district public health labs functional
• Strengthen more district public health labs under NRHM; Health Ministry has

already written to states about it.

• At least 350 district public health labs (cumulative) to be strengthened by March

2017 Strengthe ning/ use

• f

Referral Lab Network

• Referral lab network established linking 65 medical college labs with

adjoining districts in 9 states (Andhra Pradesh, Karnataka, TN, Maharashtra, Gujarat, Uttarakhand, Punjab, Rajasthan, WB) to support diagnosis of epidemic prone diseases during outbreaks

• 25 labs in 8 states to be included in 2012-13 (Kerala-5, Haryana-2,

Bihar-6, Orissa-3, Assam-3, J&K-3, Tripura-2, Manipur-1)

• Referral lab network should be fully used in all states
• 8 identified states should make functional the referral lab network quickly
• At least 190 referral labs (cumulative) to be networked by March 2017
• Medical colleges should be fully involved in all activities (data reporting, training,

lab support, members of RRT; Need for Coordination between DHS and DME

Reporting of Surveillance Data and Outbreaks

Reporting of weekly surveillance data through portal

• Overall 90% districts and 75% Reporting Units report data

through portal every week

• 50% or less districts reporting in A&N, Lakshadweep,

Mizoram, Nagaland

• 50% or less Reporting Units reporting in P Format in A&N,

Delhi, MP, Manipur, Meghalaya, Mizoram, Nagaland, Tripura

• All reporting Units in all districts to report through portal every week
• Data should be analyzed and used at all levels

Reporting of

• utbreaks

(including nil report)

• A&N, Chandigarh, Puducherry, Manipur, Meghalaya, Delhi,

Lakshadweep gave reports for less than 50% of weeks

• 30-35 outbreaks reported every week (553 in 2008; 799 in

2009; 990 in 2010; 1675 in 2011; 1339 in 2012 upto 7 Oct)

• All states need to report outbreaks (including nil report) every week
• Samples in all outbreaks should be sent to labs for diagnosis
• Need to prepare complete outbreak investigation report

Finance Status

Received from following states/UTs Audit Report 2010-11 All States/UTs except Delhi and UP which have given incomplete and unacceptable audit reports Audit Report 2011-12 Andhra, D& NH, Gujarat, HP, Jharkhand, Maharashtra, Manipur, Meghalaya, Mizoram, Nagaland, Orissa, Puducherry, Punjab, Sikkim, TN, Tripura, Uttarakhand, WB (18) FMR- 1st Qr, 2012-13 All states/UTs except Uttar Pradesh, Lakshadweep (33) FMR 2nd Qr, 2012-13 A&N, Andhra, Chandigarh, D&D, Goa, Gujarat, Haryana, Jharkhand, Kerala, MP, Manipur, Puducherry, Punjab (13)

• Remaining States/UTs are requested to provide the audit report for 2010-11

and 2011-12, FMR upto Sept 2012 to release the funds.

• Audit UC is pending for 2010-11 from Kerala, and for 2009-10, 2010-11 and

2011-12 from Delhi to release the funds.

• Rajasthan and Karnataka must provide audit report for 2011-12 immediately

as same is required by the World Bank and DEA.