Integrated Disease Surveillance Project(IDSP)

Background
National Surveillance Programme for communicable diseases launched in 1997-1998

  • To strengthen the disease surveillance system so that early warning signals of outbreaks are recognized and
  • Appropriate timely follow up action is initiated
  • Coordinated by NICD

Evolution of IDSP in India
 In 1998 GOI requested World Bank to support preparation of a , which will have the following characteristics

  • To cover a limited number of disease conditions of public health importance.
  • Communicable and non-communicable diseases
  • System will use different methods of surveillance
  • Action oriented and timely response
  • Integrate all existing surveillance activities
  • Use of modern information technology

Project Development Objectives
The project development objective is
To improve the information available to the government health services and private health care providers on a set of high-priority diseases and risk factors, with a view to improving the on-the-ground responses to such diseases and risk factors

Project Aims

  • To establish a decentralized state based system of surveillance for communicable and non-communicable diseases, so that timely and effective public health challenges in the country at the state and national level.
  • To improve the efficiency of the existing surveillance activities of disease control programs and facilitate sharing of relevant information with the health administration, community and other stakeholders so as to detect disease trends over time and evaluate control strategies.

In the State of Meghalaya In the State of Meghalaya, the Project Implementation Plan (PIP) was prepared and a Memorandum of Understanding (MOU) made on the 23rd March 2006 between the Government of India and the State of Meghalaya, following which implementation of the Project started in April 2006.

The Project Structure
At the State Level there is the State Surveillance Committee headed by the Principal Secretary, Health and FW Dept. and the State Surveillance Unit (SSU) consisting of the State Surveillance Officer (SSO) with supporting staff.
At the District Level there is the District Surveillance Committee headed by the Deputy Commissioner and the District Surveillance Unit (DSU) consisting of District Surveillance Officer (DSO) with supporting staff.

Connectivity
All the Districts HQs.(except Baghmara)are connected to the State by Internet and there is also Video-Conference facility for connecting the Districts and the State with the Central Surveillance Unit, Delhi.

Reporting System
Reports are being collected from Sub-Centres and PHCs or CHCs in hard copy and sent to the District. The Districts sent reports to the State either by Fax or internet. The State sends report to the Central Surveillance Unit, Delhi, by internet.
As of now the reports are being received and sent regularly on weekly basis and on daily basis when there is outbreak of any disease.

Laboratory Network
Laboratory Network is being strengthened at the State level, all Districts and in selected CHCs in terms of infrastructure, materials or supply, equipments and manpower to enable to detect outbreak at the earliest for early response.