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IDSP Related
IDSP Brief
The concept of improving the disease surveillance
has been under active consideration of Government of India. Various technical
and political committees have provided considerable support to the concept.
Based on the recommendations of these high powered
expert committees, including the National Apical Advisory Committee
(constituted in 1996), a pilot project called the National Surveillance
Programme for Communicable Diseases (NSPCD) was 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. The main objectives of the programme
were capacity building at district and state levels. The programme
is currently being implemented in 101 districts of the country through the
existing infrastructure and surveillance system that has been strengthened
under the programme through training of medical and
paramedical personnel, up-gradation of the laboratories, communication and
data processing systems.
By implementing NSPCD as a Pilot Project, it has
been possible to know limitations of disease surveillance activity in the
country. Building upon the experience of NSPCD and parallel reporting systems
the Government of India initiated a decentralized state based Integrated
Disease Surveillance Project (IDSP) in the country –launched on 8th
November 2004.
IDSP aims to establish a system of surveillance for communicable and
non-communicable diseases, so that timely and effective public health actions
can be initiated in response to health challenges in the country at the state
and national level. This is also expected 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. The project would seek information from Government
as well as Voluntary and Private Sectors, that will
improve the sensitivity of surveillance data.
The Project will monitor a limited number of
conditions based on state perceptions including 13 core and 5 state priority
conditions for which pubic health response is available.
Government of India will provide financial
support to the Project by providing grant-in-aid to societies for
up-gradation and running of public health laboratories, training, remunerations for incremental personnel, IEC and
operational expenses. Commodity assistance in the form of IT hardware and
software, laboratory equipment and consumables and set up web-enabled
connectivity. Monitoring and quality assurance would be an integrated
component of the Project. Independent evaluation of various activities would
be carried out for mid-course corrections.
The organization of this World Bank funded project
is essentially a cooperative structure at all levels where all stakeholders
such as the health sector, Department of Environment, Police Department,
NGOs, Private Sector, Media, Panchayat Raj Institutes, Professional Medical Associations and
Community Leaders would be partners.. The Central Surveillance Unit would
have continuous collaboration with national institutes like NICD, ICMR, NIE
and others.
To ensure appropriate support an elaborate network
of laboratories is envisaged in the surveillance system. The project will
support this network through provision of –incremental infrastructural
support; additional equipments and reagents; communication and networking and
capacity building to carry out high quality work. The laboratory network will
be established at 5 levels of functioning, viz. Peripheral labs (Level 1);
District public health labs (Level2); Disease based state labs (Level 3);
Regional labs of IDSP and Quality Control labs (Level 4) and Disease based
reference labs (Level 5).
The project has already been launched; it will be
implemented in 3 phases to cover all the districts of the country by March of
2007.
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