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

National surveillance committeeCentral surveillance unit

State surveillance committee State surveillance unit

District surveillance committee District surveillance unit

Organizational structure

Chairperson* District surveillance committee

District Surveillance Officer (Member Secretary)

CMO(Co. Chair)

RepresentativeWater Board

Superintendent Of Police

IMA Representative

NGORepresentative

District PanchayatChairperson

Chief District PHLaboratory

Medical CollegeRepresentative

if any

RepresentativePollution Board

District Training Officer(IDSP)

District Data Manager(IDSP)

District Program ManagerPolio, Malaria, TB, HIV - AIDS

* District collector or district magistrate

District surveillance committee

District surveillance officer

AccountantAdministrative

assistant

Data entry operators (2)

Response team•Epidemiologist•Microbiologist•Clinicians

Chief medical and health officer

District surveillance unit

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

Epidemiologist (Nodal officer)*

District administration

nominee

Support Staff:Entomologist**

Health assistantsLaboratory technician

Clinician(Pediatrician/

Physician)Microbiologist

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

** Only when vector borne disease is suspected

District epidemic investigating team (DEIT)

Information flow of the weekly surveillance system

Sub-centres

P.H.C.s

C.H.C.s

Dist. hosp.

Programmeofficers

Pvt. practitioners

D.S.U.

P.H. lab.

Med. col.

Other Hospitals: ESI, Municipal Rly., Army etc.

S.S.U.C.S.U.

Nursing homes

Private hospitals

Private labs.

Corporate hospitals

Chairperson* State surveillance

committee

Director Health Service

Director Public Health(Co. Chair) Director Medical Education

RepresentativeWater Board

NGO

Medical CollegesState Coordinator

RepresentativeDepartment of Home

State Program ManagersPolio, Malaria, TB, HIV - AIDS

Head, State Public Health Lab

IMA Representative

RepresentativeDepartment of Environment

State Surveillance Officer(Member Secretary)

State Training Officer

State Data Manager IDSP

* State health secretary

State surveillance committee

State surveillance

officer

Consultant (Technical)

Consultant(Finance)

Data manager

Data entry operators (2)

Steno Helper

Director health services

State surveillance unit

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

Chairperson*National surveillance

committee

Director General Health Services

(Co. Chair)

Director General ICMR

JS & PD (IDSP)

JS (Family Welfare)

AS (FA)

Director NICD

Director NIB

National Program ManagersPolio, Malaria, TB, HIV - AIDS

Consultants(IndiaCLEN / WHO

/ Medical College / others)

NGO

IMA Representative

RepresentativeMinistry of Home

RepresentativeMinistry of Environment National Surveillance Officer

(Member Secretary)

* Secretary health and secretary family welfare

National surveillance committee

Project director

National project officer

Deputy secretary

Under secretary

Consultant (Training)

Consultant (IT)

Consultant procurement

Consultant (Finance)

Accounts officer

Data manager

Data processingassistants (2)

Data entryoperators (2)

Stenographers(2)

Office assistants(2)

Central surveillance unit

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

ICMR

NationalPrograms

CBHI

NICD

CSU

Outbreak investigation and rapid response

Non communicable diseases

surveillanceMIS and report

Programme monitoring

NVBDCP RNTCP RCH NACO

W.H.O. E.M.R.

Linkages of the central surveillance unit at the central level

Sub-Centre

VillageDSU PHC/CHC

ASHA/Volunteers

HealthWorkers

MO &Rural PPs

DSO, Urban Hosp./Med.Col.

and PPs

Project managementData entry & analysisOutbreak investigationOutbreak responseTraining & IEC

OPD surveillanceReport to DSOOutbreak responseTraining & IECMonitoring

Compile dataCollect samplesReport to PHCEarly response

Collect dataRecordingReport to SCAwareness

Linkages between IDSP and the National Rural Health Mission

(NRHR)