Integrated Disease Surveillance Programme Haryana
The integrated disease surveillance project was launched in Haryana State in the second phase in April 2005 with the support of World Bank to establish decentralized State based system of surveillance. The aim was to detect early warning signals of impending outbreaks and help in initiating an effective response in a timely manner. IDSP detects Early Warning Signals of impending Outbreaks and help initiate an effective response in a timely manner so that spread of infection can be controlled in effective manner. Main Objectives of the Program is to strengthen/maintain Decentralized Laboratory diagnosis based IT enabled Disease Surveillance system for Epidemic Prone Diseases to monitor Communicable Disease trends, to detect and respond to Outbreaks in early rising phase through trained Rapid Response Team (RRT) and to integrate existing Surveillance Activities so that valid and reliable data is available for effective health decision making at the various levels i.e the District, State and National Levels.
The Haryana state has been able to achieve, improved surveillance and strengthening of data quality, analysis, improved laboratory Support and links to action. Trained stakeholders under IDSP have been able to increase disease surveillance, coordination and rapid action in cases of outbreak.
- Surveillance: - Supporting a surveillance preparedness to enhance immediate reporting of outbreaks, regular surveillance and weekly reporting. Emphasis on provisional diagnosis by medically trained staff from public and private sectors, to generate early warning signals for appropriate and timely public health actions.
- Reporting:- Districts with fully functional IT systems with on-line data entry and analysis, referral laboratories & priority laboratories undertaking routine laboratory surveillance. Further strengthening Outbreaks detected by system within one week of first case diagnosis in Outbreaks /rumors reported by other system/media Verified within 48 hours. District undertaking weekly surveillance analysis of data including graphs for trends over time and maps of incidence by area. Further training for district epidemiologist and data manager on use of the portal. Demonstrating timeliness and improved quality of outbreak investigation and response in the state. The number 1075 call center will be re-publicized to health professionals, and would particularly serve as an important supplement source of information and outbreaks especially in remote areas.
- Community Participation:-The community health workers such as ASHA, PRIs, and Religious leaders to be encouraged and trained for outbreak reporting to the surveillance teams at District level, so that timely action taken can be maintained to control the epidemic. The DSO/Epidemiologist will have the regular meetings with the active community members with encouragement in the form of cash/non cash. This meeting will be done at the time of regular monthly meetings of CHCs and PHCs.
- Outbreak Detection: In 2019, Till date Total 5 outbreaks are detected under IDSP, 2 of Diarrhoea from (1 Kaithal, 1 Yamunanagar), 1 Jaundice from Yamunanagar, 2 Cholera from (Panchkula) and managed in a timely manner.
- Co-ordination with other Departments: State and District Surveillance committee are constituted, for the co-ordination with other Departments.
- H1N1 death Audit committee: State & District level Death Audit committee has been constituted to review the cause of the death occur in H1N1 positive cases.
- Human Resource: Recruitment has been done against approved posts for the District.
- H1N1 Vaccination: High risk health care workers are to be Immunized for H1N1prevention as per GOI Guidelines.
- Lab Strengthening: All District labs are going to be strengthened under IDSP to provide Culture and ELISA testing at the District Hospital.
- Private Sector Reporting : Involvement of private sector (Hospitals, Colleges & Lab) for complete Disease data from Govt. as well as Private sector.
- Strengthening of IDSP:
1. Time to time refresher training of staff of Outbreak Management.
2. Orientation Training of District Medical Officers is proposed.
- Early Detection of cases: Media Verification cell is established at the State.
- Preventive steps for Diahhroea Case Management: No malaria, No diarrhoea month was observed from 26.03.2019 to 26.04.2019.
- Online Reporting through IHIP: Integrated Health Information Platform is going to be implemented at the State to start IDSP reporting through online software at the Anmol Tablet as well as on desktop. State Level IHIP training of 12 Districts have been done and for rest of the Districts it is going to be planned.
The matter of upcoming season of H1N1 was discussed. It was informed that at present there are only 3 labs namely PGIMER Chandigarh, NCDC Delhi, Pt. Bhagwat Dayal Medical College and Institute, Rohtak, are designated in the State for the referral of suspected H1N1 samples for diagnosis. It was decided that appropriate stock of vaccines be maintained by the Districts and the process may be initiated well in advance. The HINI vaccine for all High Risk Health Care Workers to be supplied to the Districts, so that they can be vaccinated, and immunity may develop well in time
The need of devising SOPs for control and reporting of outbreaks was also discussed.
- Put up plan for strengthening of IDSP services.
- Devise SOPs for control and reporting of outbreaks.