1. Management structure of the Integrated Disease Surveillance Project
IDSP training module for state and district surveillance officers
Module 2

2. Learning objectives
List the members of the district surveillance committee
Describe the functions of the district and state surveillance units
Describe the functions and roles of the district surveillance officer in integration of the Integrated Disease Surveillance Project

3. Organizational structure
National surveillance committee
Central surveillance unit
State surveillance committee
State surveillance unit
District surveillance committee District surveillance unit

4. District surveillance committee
CMO
(Co. Chair)
District Program Manager
Polio, Malaria, TB, HIV - AIDS
Representative
Water Board
Chief District PH
Laboratory
Superintendent
Of Police
District Data Manager
(IDSP)
Chairperson*
District surveillance committee
IMA
Representative
Representative
Pollution Board
NGO
Representative
District Training Officer
(IDSP)
Medical College
Representative
if any
District Panchayat
Chairperson
* District collector or district magistrate
District Surveillance Officer
(Member Secretary)

5. District surveillance unit
Chief medical and health officer
Response team
Epidemiologist
Microbiologist
Clinicians

6. Functions of the district surveillance unit
Centralize and analyze data from all reporting units
Constitute rapid response teams and their deputation
Implement and monitor all project activities
Coordinate with laboratories, medical colleges, non governmental organizations and private sector
Send regular feedback to the reporting units
Organize training and communication activities
Organize district surveillance committee meetings

7. Functions of district surveillance officer (1/2)
Appraise status to collector, CMO, CEO Zila Parishad
Organize meetings of district surveillance committee
Collate and analyze data from all reporting units
Ensure timely access and use of data by programmes
Send reports on disease surveillance to state surveillance unit and stakeholders
Coordinate activities of rapid response teams

8. Functions of district surveillance officer (2/2)
Implement and monitor all project activities
Coordinate with public health laboratories, medical college, non governmental organizations and private sector
Send regular feedback to reporting units
Organize training and communication activities in the district
Print and disseminate reports on disease surveillance
Facilitate non communicable diseases risk factor surveillance

9. District epidemic investigating team (DEIT)
Microbiologist
Clinician
(Pediatrician/
Physician)
* Selected from programme officers other than district surveillance officer, based on disease
** Only when vector borne disease is suspected

10. Information flow of the weekly surveillance system
Sub-centres
Programme
officers
C.S.U.
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

11. State surveillance committee
Director Public Health
(Co. Chair)
Director Medical Education
Director Health Service
Representative
Water Board
State Program Managers
Polio, Malaria, TB, HIV - AIDS
NGO
Chairperson*
State surveillance committee
State Data Manager IDSP
Medical Colleges
State Coordinator
Head, State Public
Health Lab
Representative
Department of Home
State Training Officer
IMA
Representative
Representative
Department of Environment
State Surveillance Officer
(Member Secretary)
* State health secretary

12. State surveillance unit
Director health services
Steno
Helper

13. Functions of state surveillance unit
Collate and analyze data received from districts
Coordinate activities of rapid response teams
Monitor and review the activities of district surveillance units
Coordinate with state public health laboratories, medical colleges and other state level institutions
Feedback trend analysis to district surveillance units
Organize and coordinate training activities
Organize meetings of the state surveillance committee

14. National surveillance committee
Director General
ICMR
Director General
Health Services
(Co. Chair)
JS & PD
(IDSP)
National Program Managers
Polio, Malaria, TB, HIV - AIDS JS
(Family Welfare)
Chairperson*
National surveillance committee
IMA
Representative
AS (FA)
NGO
Director
NICD
Consultants
(IndiaCLEN / WHO
/ Medical College / others)
Director
NIB
Representative
Ministry of Environment
Representative
Ministry of Home
National Surveillance Officer
(Member Secretary)
* Secretary health and secretary family welfare

15. Central surveillance unit
Stenographers
(2)
Office assistants
(2)
Data processing
assistants (2)
Data entry
operators (2)

16. Functions of central surveillance unit
Execute the approved annual plan of action
Monitor progress of implementation
Obtain reports and statements of expenditure
Seek reimbursement from the World Bank
Report to the national surveillance committee
Procure goods and services at central level
Analyze data and send feedback to states
Coordinate with NICD, ICMR and others
Organize non communicable diseases surveys
Conduct periodic review meetings with state surveillance officers
Organize independent evaluation studies
Produce guidelines, manuals and modules

17. Linkages of the central surveillance unit at the central level
Outbreak investigation
and rapid response
W.H.O.
E.M.R.
NICD
Non communicable diseases surveillance
MIS and report
ICMR
CSU
CBHI
National
Programs
RCH
NACO
NVBDCP
RNTCP
Programme monitoring

18. Linkages between IDSP and the National Rural Health Mission (NRHR)
DSU
PHC
/CHC
Sub-
Centre
Village
DSO, Urban
Hosp./Med.Col.
and PPs
MO &
Rural PPs
Health
Workers
ASHA/
Volunteers
Project management
Data entry & analysis
Outbreak investigation
Outbreak response
Training & IEC
OPD surveillance
Report to DSO
Outbreak response
Training & IEC
Monitoring
Compile data
Collect samples
Report to PHC
Early response
Collect data
Recording
Report to SC
Awareness