DISEASE SURVEILLANCE
Dr. Srinivas MD
Prof and Head Epidemiology
The Tamil Nadu Dr. M.G.R. Medical University
�IDSP TO AN INTEGRATED HEALTH INFORMATION PLATFORM (IHIP) �
Launched in project mode (World Bank supported 2004)
Later became program mode & renamed as IDSP
IDSP is a decentralized, state-based surveillance system; lowest reporting unit is sub-centre
Intended to detect early warning signals for selected communicable diseases & respond within a reasonable time to reduce morbidity and mortality
IDSP – KEY CHALLENGES
IHIP
A web enabled near real-time reporting system accessible at all levels from villages to national level.
Integrates data from various ’registries’ to provide real-time information on health surveillance
Uses the latest technologies and digital health initiatives.
From across India for decision-makers to take action. The platform has been implemented in 7 states of the country in pilot mode
Although structurally the same as the IDSP, there are some significant functional changes to achieve the original objectives envisaged for the IDSP
IHP CONT…
The ANM daily (real-time) feeds syndromic, case-wise (disaggregated) information through tablets (Namely ANMOL tablets) along with the geocoded location of the cases for geographic reference.
Such data is synchronized directly to the server.
System captures real-time disaggregated data (case-based surveillance) and links data from S, P, L & EWS forms to cover 33+ disease conditions
Therefore, the district, state, and central surveillance unit (DSU, SSU, and CSU) will be able to view and analyze the data immediately, & act
ORGANIZATION STRUCTURE
SCALING UP & ENHANCING QUALITY
Surveillance activities have developed in an uneven way;
Establishing surveillance in vertical programs allows many activities to be gathered allowing surveillance control function (different methods, terminology, forms, schedules); specialized surveillance
Eradication programs may require very active surveillance
Dropping non-specific & high volume conditions (e.g. AGE except Cholera), data to be driven by the need to use the data
Appropriate feedback from the higher unit to the lower unit
Enhanced ability to analyse & act on information being generated
Adequate supportive supervision for the ANMs/MOs, and the ethical challenges associated with dealing with case-based information, like data confidentiality
HOW CAN SURVEILLANCE DATA BE USED?
Estimates of a health problem – including changes in trends, patterns
Natural history of disease
Detection of epidemics
Distribution and spread of a health event
Hypothesis testing
Evaluating control and prevention measures
Monitoring change
Detecting changes in health practice
Facilitate planning
SURVEILLANCE IS OUTCOME ORIENTED
EVALUATION - SYSTEM ATTRIBUTES
SENSITIVITY/SPECIFICITY AND PREDICTIVE VALUE +/- (PVP/PVN)
IDSP
STATE/UT WISE P FORM COMPLETENESS % FOR JUNE 2022
STATE/UT WISE L FORM COMPLETENESS % FOR JUNE 2022
NO. OF ENTERIC FEVER CASES REPORTED UNDER P & L FORM DURING JUNE 2020 -22
WEEKLY OUTBREAK REPORT