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

Integrated Disease Surveillance Project Launched in Nov. 2004 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

IDSP – INDIA : Structure Central Surveillance Unit (CSU) State Surveillance Unit (SSU) District Surveillance Unit (DSU) Reporting Unit (RU)

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 12- 15 Outbreaks reported every week 4

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

Information & Communication Technology (ICT) Components Network Data Centres Training Centres Video Conferencing System Software / IDSP Portal (www.idsp.nic.in) 24 X 7 Call Center E-Learning

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

Current Status of IT Connectivity Data Centre equipments installed at 750 locations Broadband connectivity established at 559 locations Training Centre Equipments installation: NIC 218 / 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)

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.

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

Software / IDSP Portal www.idsp.nic.in

Data Entry on IDSP Portal

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)

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.

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

Way Forward Strengthening of 800 sites network across the country Use of toll free No. 1075 (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