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Integrated Disease Surveillance Project (IDSP) 21st October 2008
National Institute of Communicable Diseases (NICD) Directorate General of Health Services, Ministry of Health & Family Welfare Government of India
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Integrated Disease Surveillance Project
Launched in Nov with World Bank Assistance Major Objective: Early detection & response to disease outbreaks Major components: Integration and Decentralization of Surveillance activities Strengthening of Public Health Laboratories Human Resource Development - Training of SSO, DSO, RRT, other medical and paramedical staff Use of Information Technology for collection, collation, compilation, analysis & dissemination of data
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IDSP – INDIA : Structure
Central Surveillance Unit (CSU) State Surveillance Unit (SSU) District Surveillance Unit (DSU) Reporting Unit (RU)
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Data Reporting Form S (Suspect Cases) Health Workers (Sub Centres)
Form P (Probable Cases) Doctors (PHC, CHC, Hospitals) Form L (Lab Confirmed Cases) Laboratories Frequency of reporting – weekly (Monday to Sunday) Data compilation/analysis and response should be at all levels Presently at State/District/Block level Outbreaks reported every week 4
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Information Flow D.S.U. Weekly Surveillance System C.S.U. S.S.U.
Sub-Centres Programme Officers S.S.U. P.H.C.s C.H.C.s D.S.U. Pvt. Practitioners Dist.Hosp. Nursing Homes Private Hospitals Med.Col. Private Labs. P.H.Lab. Other Hospitals: ESI, Municipal Rly., Army etc. Corporate Hospitals
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Information & Communication Technology (ICT) Components
Network Data Centres Training Centres Video Conferencing System Software / IDSP Portal ( 24 X 7 Call Center E-Learning
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IT Network IDSP is establishing linkages with all States/UTs HQ , Districts HQ , all Government Medical Colleges and Premier Institutions on a satellite Broadband Hybrid Network across the country IDSP ICT project is a network of 800 interactive terminals This network enables speedy Data Transfer, Video Conference and e-learning under IDSP
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Current Status of IT Connectivity
Data Centre equipments installed at 750 locations Broadband connectivity established at 559 locations Training Centre Equipments installation: NIC / 400 sites on Broadband ISRO 297 / 400 sites on Satellite Interactive Terminal (SIT) 38 Hi-End VC Equipments being installed for enabling Multi conference facility (5 nodes) between CSU and States/UTs HQ (including Nirman Bhawan, CSU NICD & NIC CGO)
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Video Conferencing (VC) Facility
Video conferencing is being used for the following: Outbreak, Investigation, Verification and Documentation weekly VC with expert panels Project Reviewing / Monitoring for different aspects Training of Data Managers & Data Entry Operators on Data Reporting and Analysis Every Wednesday VC has been fixed with Center for Disease Control (CDC), National Informatics Center (NIC) and IDSP at 5 PM to discuss IT issues.
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IT Manpower Data Managers at State HQ/District HQ
Job Responsibilities: Data Management under IDSP Maintenance of IT hardware, software and WAN Organize information received from District Surveillance Units Data Entry Operators at State HQ/District HQ/Medical Colleges/Premier Institutions/ ID Hospitals To assist State Surveillance Officer and other officials in carrying out project activities To carry out the above mentioned tasks of Data Manager as & when required
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Software / IDSP Portal
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Data Entry on IDSP Portal
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Alerts through IDSP Call Centre
Call Centre operational with 1075 toll free number since February 2008 Call received as on 8th October 2008 : 18,872 No. of Health Alerts : 60 Led to detection of 5 outbreaks (Cholera, Acute Diarrhoeal Disease and Chickenpox)
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e–Learning (New Initiative)
The objective of e-learning is to enhance the skills to a wide arena of health personnel. Proposed components: Discussion Forums Online Survey & Assessment Feedback FAQs Currently e-learning modules are being prepared.
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Media Scanning Cell (New Initiative)
Objective: To provide the supplemental information about outbreaks Method: National and local newspapers, Internet surfing, TV channel screening for news item on disease occurrence. Benefits of Media Scanning: Increases the sensitivity & strengthen the surveillance system Provide early warning of occurrence of clusters of diseases
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Way Forward Strengthening of 800 sites network across the country
Use of toll free No (24 x 7 call centre) for reporting of any unusual event and outbreak Analysis and use of data at all levels Usage of e-learning and video conferencing to enhance the skills of manpower Use of IDSP IT network by other public health programme
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