Management structure of the Integrated Disease Surveillance

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					     Management structure of the
Integrated Disease Surveillance Project

    IDSP training module for state and
       district surveillance officers

                Module 2
             Learning objectives

• List the members of the district surveillance
  committee
• Describe the functions of the district and
  state surveillance units
• Describe the functions and roles of the
  district surveillance officer in integration of
  the Integrated Disease Surveillance Project
Organizational structure
National surveillance committee
  Central surveillance unit


 State surveillance committee
   State surveillance unit


District surveillance committee
    District surveillance unit
                    District surveillance committee
                                                                CMO
                                                             (Co. Chair)
                            District Program Manager                                        Representative
                           Polio, Malaria, TB, HIV - AIDS                                    Water Board




            Chief District PH                                                                                Superintendent
              Laboratory                                                                                        Of Police



        District Data Manager
                 (IDSP)
                                                    Chairperson*                                                  IMA
                                                                                                              Representative

                                          District surveillance committee
         Representative
         Pollution Board
                                                                                                                 NGO
                                                                                                             Representative



           District Training Officer
                     (IDSP)
                                                                                                  Medical College
                                                                                                  Representative
                                                                                                      if any
                                    District Panchayat
                                       Chairperson

* District collector or                                     District Surveillance Officer
                                                                (Member Secretary)
  district magistrate
 District surveillance unit
    Chief medical and health officer
                                              Response team
              District surveillance           •Epidemiologist
                      officer                 •Microbiologist
                                              •Clinicians



                                  Administrative
 Accountant
                                    assistant




 Data entry
operators (2)
Functions of the district surveillance unit

• Centralize and analyze data from all reporting units
• Constitute rapid response teams and their
  deputation
• Implement and monitor all project activities
• Coordinate with laboratories, medical colleges, non
  governmental organizations and private sector
• Send regular feedback to the reporting units
• Organize training and communication activities
• Organize district surveillance committee meetings
            Functions of district
          surveillance officer (1/2)
• Appraise status to collector, CMO, CEO Zila Parishad
• Organize meetings of district surveillance
  committee
• Collate and analyze data from all reporting units
• Ensure timely access and use of data by programmes
• Send reports on disease surveillance to state
  surveillance unit and stakeholders
• Coordinate activities of rapid response teams
            Functions of district
          surveillance officer (2/2)
• Implement and monitor all project activities
• Coordinate with public health laboratories, medical
  college, non governmental organizations and private
  sector
• Send regular feedback to reporting units
• Organize training and communication activities in
  the district
• Print and disseminate reports on disease
  surveillance
• Facilitate non communicable diseases risk factor
  surveillance
     District epidemic investigating team (DEIT)

                                                                        Clinician
                                       Epidemiologist                (Pediatrician/
         Microbiologist
                                       (Nodal officer)*                Physician)




                                                           Support Staff:
                        District
                                                          Entomologist**
                     administration
                                                         Health assistants
                       nominee
                                                       Laboratory technician

* Selected from programme officers other than district surveillance officer, based on disease

** Only when vector borne disease is suspected
        Information flow of the weekly
              surveillance system
Sub-centres
                              Programme
                                officers                  C.S.U.
               P.H.C.s                         S.S.U.

               C.H.C.s                            Pvt. practitioners
                                D.S.U.
              Dist. hosp.                          Nursing homes

                                                   Private hospitals
              Med. col.
                                                   Private labs.
               P.H. lab.    Other Hospitals:       Corporate
                             ESI, Municipal         hospitals
                             Rly., Army etc.
                  State surveillance committee
                                        Director Public Health
                                              (Co. Chair)               Director Medical Education

            Director Health Service


                                                                                           Representative
                                                                                            Water Board

  State Program Managers
Polio, Malaria, TB, HIV - AIDS
                                                                                                        NGO




State Data Manager IDSP
                                              Chairperson*
                                           State surveillance
                                                                                                 Medical Colleges
                                               committee                                         State Coordinator
    Head, State Public
       Health Lab


                                                                                         Representative
                                                                                       Department of Home
           State Training Officer


                                                                                    IMA
                                                                                Representative
                        Representative
                   Department of Environment

                                                                                 * State health secretary
                                                 State Surveillance Officer
                                                    (Member Secretary)
         State surveillance unit
              Director health services


                       State
                    surveillance         Steno       Helper
                       officer



Consultant          Consultant              Data
(Technical)         (Finance)              manager




                                          Data entry
                                         operators (2)
    Functions of state surveillance unit

• Collate and analyze data received from districts
• Coordinate activities of rapid response teams
• Monitor and review the activities of district
  surveillance units
• Coordinate with state public health laboratories,
  medical colleges and other state level institutions
• Feedback trend analysis to district surveillance units
• Organize and coordinate training activities
• Organize meetings of the state surveillance
  committee
           National surveillance committee
                                                         Director General
                              Director General                 ICMR
                              Health Services                                        JS & PD
                                 (Co. Chair)                                          (IDSP)


  National Program Managers
  Polio, Malaria, TB, HIV - AIDS
                                                                                                     JS
                                                                                               (Family Welfare)


        IMA                                Chairperson*
    Representative
                                       National surveillance                                               AS (FA)

                                            committee
         NGO
                                                                                                       Director
                                                                                                        NICD

        Consultants
    (IndiaCLEN / WHO                                                                            Director
/ Medical College / others)                                                                       NIB



                         Representative                                           Representative
                     Ministry of Environment     National Surveillance Officer   Ministry of Home
                                                     (Member Secretary)

                                                                                        * Secretary health and
                                                                                       secretary family welfare
              Central surveillance unit

                                         Project
                                         director



                   National
                                                                 Deputy
                   project
                                                                secretary
                    officer



Consultant     Consultant         Consultant      Under         Consultant      Accounts
 (Training)       (IT)           procurement     secretary       (Finance)       officer




                               Data             Stenographers          Office assistants
                              manager                (2)                      (2)



 Data processing                           Data entry
  assistants (2)                          operators (2)
    Functions of central surveillance unit

• Execute the approved annual plan of action
• Monitor progress of implementation
• Obtain reports and statements of expenditure
• Seek reimbursement from the World Bank
• Report to the national surveillance committee
• Procure goods and services at central level
• Analyze data and send feedback to states
• Coordinate with NICD, ICMR and others
• Organize non communicable diseases surveys
• Conduct periodic review meetings with state surveillance
  officers
• Organize independent evaluation studies
• Produce guidelines, manuals and modules
 Linkages of the central surveillance unit
           at the central level
                             Outbreak investigation
             W.H.O.           and rapid response              E.M.R.


                                     NICD
Non communicable
     diseases                                            MIS and report
    surveillance

                      ICMR           CSU              CBHI




                                    National    RCH          NACO
           NVBDCP      RNTCP
                                   Programs


                              Programme monitoring
      Linkages between IDSP and the National
            Rural Health Mission (NRHR)

         DSU                   PHC                Sub-            Village
                                                 Centre
                              /CHC


     DSO, Urban
    Hosp./Med.Col.              MO &            Health               ASHA/
       and PPs                 Rural PPs        Workers            Volunteers



Project management       OPD surveillance
                                               Compile data      Collect data
Data entry & analysis    Report to DSO
                                               Collect samples   Recording
Outbreak investigation   Outbreak response
                                               Report to PHC     Report to SC
Outbreak response        Training & IEC
                                               Early response    Awareness
Training & IEC           Monitoring