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 12 th 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 of Human Resources  Surveillance units established in all states/districts Establishment of  Central/State/district surveillance units (CSU/SSU/DSU) and Surveillance other important institutes (776 sites) connected through IT Units 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  Overall 301/646 epidemiologists, 61/85 microbiologists, Recruitment and Training of 22/35 entomologists recruited by states/districts Human  State/district surveillance officers (SSO/DSO) and RRTs Resources 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 Sanctioned Sanctioned post In position In position In position post post 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 0 5 Punjab 21 17 2 2 1 1 6 Rajasthan 33 26 3 3 1 1 7 Tamil Nadu 31 1 3 3 1 0 8 Uttarakhand 14 11 3 2 1 1 9 West Bengal 19 9 3 3 1 1 10 A & N Nicobar 3 0 2 2 1 0 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 0 2 2 1 1 15 Chhattisgarh 18 0 2 1 1 0 16 D & N Haveli 2 0 2 1 1 1 17 Daman & Diu 2 0 2 2 1 1 Note: Some States like Karnataka have recently recruited (22) Epidemiologists.

Human Resource IDSP – States/Districts (Upto Sept) - 2 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 0 1 0 19 Goa 3 1 3 1 1 1 20 Haryana 21 20 3 3 1 1 21 Himachal Pradesh 13 0* 3 0 1 0 22 Jammu & Kashmir 15 3 2 2 1 1 23 Jharkhand 22 13 2 1 1 0 24 Kerala 15 6 3 3 1 1 25 Lakshdweep 2 0 2 0 1 1 26 Madhya Pradesh 51 20 2 1 1 0 27 Manipur 10 3 2 0 1 0 28 Meghalaya 7 0 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 0 32 Puducherry 5 1 2 2 1 0 33 Sikkim 5 0 2 2 1 1 34 Tripura 5 0 2 0 1 0 35 Uttar Pradesh 72 39 3 1 1 0 Total 646 301 85 61 35 22 Note: Some States like Karnataka have recently recruited (22) Epidemiologists.

Strengthening of District Public Health Labs and Referral Lab Network  35/50 identified district public health labs Strengthening of 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  Referral lab network established linking 65 medical college labs with Strengthe ning/ use adjoining districts in 9 states (Andhra Pradesh, Karnataka, TN, of Maharashtra, Gujarat, Uttarakhand, Punjab, Rajasthan, WB) to support Referral diagnosis of epidemic prone diseases during outbreaks Lab  25 labs in 8 states to be included in 2012-13 (Kerala-5, Haryana-2, Network 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  Overall 90% districts and 75% Reporting Units report data Reporting of weekly through portal every week surveillance  50% or less districts reporting in A&N, Lakshadweep, data Mizoram, Nagaland through  50% or less Reporting Units reporting in P Format in A&N, portal 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  A&N, Chandigarh, Puducherry, Manipur, Meghalaya, Delhi, Reporting of outbreaks Lakshadweep gave reports for less than 50% of weeks (including  30-35 outbreaks reported every week (553 in 2008; 799 in nil report) 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 All States/UTs except Delhi and UP which have given 2010-11 incomplete and unacceptable audit reports Audit Report Andhra, D& NH, Gujarat, HP, Jharkhand, Maharashtra, 2011-12 Manipur, Meghalaya, Mizoram, Nagaland, Orissa, Puducherry, Punjab, Sikkim, TN, Tripura, Uttarakhand, WB (18) FMR- 1 st Qr, All states/UTs except Uttar Pradesh, Lakshadweep (33) 2012-13 FMR 2 nd Qr, A&N, Andhra, Chandigarh, D&D, Goa, Gujarat, Haryana, 2012-13 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.