Integrated Disease Surveillance Project (IDSP)

BACK GROUND
National Surveillance Programme for communicable diseases launched in 1997-98

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 no. of disease conditions of public health importance.
Communicable & 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 & non-communicable diseases, so that timely & 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 & facilitate sharing of relevant information with the health administration, community & other stakeholders so as to detect disease trends over time & 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 & 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/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.

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