Integrated Disease Surveillance Project

SUMMARY OF THE PROGRAMME

Background

National Surveillance Programme for communicable diseases launched in 1996-97

  • 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 a Disease Surveillance Project of which will have the following characteristics

  • To cover a limited number 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

  1. The State Surveillance Committee headed by the Commissioner, Health & FW Dept. and
  2. The State Surveillance Unit (SSU) consisting of the State Surveillance Officer (SSO) with supporting staff.

At the District Level there is

  1. The District Surveillance Committee headed by the Deputy Commissioner and
  2. 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.

Laboratory 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.
District Priority Lab has been set up at Civil Hospital,Tura to strengthen Laboratory Network.

ACHIEVEMENT FOR THE LAST FIVE YEARS

OUTBREAK AND RESPONSE:

A total of 29 Outbreak Reported Since 2008 till 2012 and Successfully Control and Take Necessary Actions.

Year No of Outbreaks Disease
2008 10 Meningococcal Meningitis, Chicken Pox, 3 Diarrhea, 3Acute Gastroenteritis, 2 Malaria
2009 5 (H1N1 Flu, Japanese Encephalitis & Rickettial.Rota Virus, Meningococcal Meningitis)
2010 5 Measles in Adult, Japanese Encephalitis, Rickettial,  Rota Virus, Dengue & Chikungunya
2011 5 2Food Poisoning,Cholera,Acute Gastroenteritis,Whooping Cough
2012 4 BirdFlu, Diarrhoea, Japanese Encephalitis, Dengue

1. Manpower :

  1. The contractual manpower at the state surveillance unit is as follows

Sl. No

Post

Sanctioned

Position

Vacant

1

State Epidemiologist

1

0

1

2

State Microbiologist

1

1

0

3

State Entomologist

1

1

0

4

Consultant Finance

1

1

0

5

Consultant Training

1

1

0

6

Data Manager

1

1

0

7

Data Entry Operator

1

1

0

Total

7

6

1

The status of contractual staff in all the districts of Meghalaya is as follows:


Sl No

Post

Sanctioned

Position

Vacant

1

Epidemiologist

7

0

7

2

Microbiologist

1

1

0

3

Data Manger

7

5

2

4

Data Entry Operator

8

8

0

Total

23

15

8

2. Achievement

In collaboration with the State Government Mass Meningococcal Meningitis Vaccination Successfully completed where 10.9 lakhs people have been vaccinated.

  1. In collaboration with the State Government 6275 Health Care personals (Government and Private) were given H1N1 Vaccination.
  2. All Outbreaks were controlled successfully.      

3. Laboratory andDisease investigation

  1. Lab Equipments have been procured for District Priority Lab, Civil Hospital
  2. 2  (Two)  Microbiologist has been appointed for State and District Priority Lab
  3. 1 (One) Entomologist has been appointed

4. Training

  1. Regular Trainings are organised for Doctors, Paramedical Staffs, Lab technicians, Health Workers within and outside the state for capacity building and to tackle any outbreak.
  2. Regular Trainings are being organised for staffs for better reporting and analysis of data.
Dengue and Chikungunya Awareness Programme in West Garo Hills Awareness Programme on Dengue and Chikungunya in West Garo Hills
Dengue and Chikungunya Awareness Programme in West Khasi Hills Focal Spray in West Garo Hills During Dengue and Chikungunya Outbreak
MENINGITIS awareness in coal mine - Jaintia Hills MENINGITIS awareness in Jaintia Hills
MENINGITISposter in Civil Hospital Shillong MENINGOCOCCAL vaccination going on
People waiting for M.M vaccination Awareness Programme on Scrub Typhus at Mawphlang PHC
 
Training of Data Managers and Data Entry Operators