Transcript IDSP Module 3

Reporting units, participants
and their roles
IDSP training module for state and
district surveillance officers
Module 3
Learning objectives
• List the reporting units involved in surveillance in
Integrated Disease Surveillance Project in your
district: In public and private sectors; rural and
urban areas
• List the key functionaries in reporting units
responsible for surveillance related activities and
describe their roles
• Fill the specific reporting formats without error
from various reporting units
• Draw a flow diagram of the process and dynamics of
timely flow of information
Surveillance:
A systematic, ongoing process
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Data collection
Transmission
Analysis
Feedback
Action
Reporting unit
• Nature
 Health facility / individual in private/ public
sector
 Located in rural or urban area
• Function
 Collects information of health conditions
identified in specified formats
 Transmits these in pre-specified timely manner to
the next higher level
Reporting units for disease surveillance
Public sector
(Exhaustive)
Private
(Sentinel)
Rural
•Community health
centres
•District hospitals
•Practitioners
•Hospitals
Urban
•Urban hospitals
•ESI
•Railways
•Medical colleges
•Nursing homes
•Hospitals
•Medical colleges
•Laboratories
Other sentinel reporting sites
1. Antenatal clinic

HIV, HBV, HCV
2. Water board
3. Pollution control board
4. District police

Road traffic injuries
Active and passive reporting
• Active reporting
 Health workers
• House visits
• Passive reporting
 All other reporting units
Three levels of case definitions
for three levels of actors
Level
Actor of the surveillance
system
•Syndromic
(Form “S”)
•Health workers
•Presumptive
(Form “P”, probable)
•Medical officers *
•Confirmed
•Laboratories
* Except for malaria and tuberculosis
Reportable diseases for multi-purpose
health workers and health assistants
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Diarrhea
Jaundice
Fever
Cough
Acute flaccid paralysis
Unusual events (Death, hospitalization)
Reportable diseases for medical officers
• Diarrhea
• Jaundice
• Fever
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Malaria
Typhoid
Japanese encephalitis
Dengue
Measles
• Cough
 Tuberculosis
• Acute flaccid paralysis
• Unusual events (Death, hospitalization)
Zero reporting
• Do not mix up:
 Zero
 Missing information
• Zero reporting is important to confirm that
the condition was looked for and not found
Unusual clustering of cases OR health
event causing death in a
short span of time
• Report immediately
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Telephone
Fax
Email
Special messenger
Police wireless
• Follow with written report
Quality check before reporting
1. Filling of forms by health care workers
2. Review by senior staff
3. Transmission to the higher level

Copy kept in the facility
Person responsible for data
compilation and transmission
Levels
Person responsible
•Primary health centres
•Pharmacists
•Community health centres
•Computer / pharmacists
•Sentinel private providers
•Medical officers
•District hospitals
•Computer / pharmacists
•Medical colleges
•Statistical officer
•Laboratories
•Medical officer / technician
Time sequence
Day of the week
Event
Monday
•Primary health centre
reports to community
health centre
Tuesday
•Community health centre
reports to district
Statistical assistant at the district level
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Receives data from reporting units
Enters data into computer
Checks data validity
Generates reports
Submits report to surveillance officer
Prepares a report summarizing the analysis
Submits report to state surveillance officer
Case
Feedback
Reporting unit
Immediately
Lab slip
Outpatient
register
Inpatient
slip
Weekly
Lab register
+ve slides +
sample -ves
Form L
Common
reporting
form P
Weekly
Inpatient
register
Weekly
District
public
health
laboratory
Computer
(District)
District
surveillance
officer
Points to remember (1/3)
• A reporting unit is a health facility / individual
collecting the information and transmitting it to the
next higher level
• Reporting health facilities will be from both rural
and urban settings in public and private sectors
• All public health facilities in rural and urban areas
will report
• Only sentinel sites will report in the private sector
Points to remember (2/3)
• Other sites from where sentinel surveillance
data will be used will consist of ANC Sites
NACO, the water board, the pollution control
board and the police (Road traffic accidents)
• All reporting centres are required to provide
zero reporting
• All medical officers will report presumptive
diagnosis in the absence of confirmation by
the laboratory
Points to remember (3/3)
• There will be no linking of clinical and laboratory
diagnoses
• Any unusual clustering of cases or any health event
causing death must be reported immediately
 Verbal reports must be followed by a written report
• All reporting units are required to send the regular
surveillance data in pre-specified formats every
week to the district surveillance unit