IDSP-control of communicable, non-communicable diseases and certain Core conditions-integration at the district level Kadapa
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Introduction: Integrated Disease Surveillance Project is intended to detect early warning signals of impending outbreaks and help to initiate an effective response in a timely manner in urban and rural areas. Communicable diseases, risk factors for non-communicable diseases 3 certain core conditions are included in the project. (1) Malaria (2) acute diarrheal diseases (3) typhoid(4) Tuberculosis(5) measles (6) polio (7) road traffic accidents (8) plague(9) HIV (10) water quality monitoring (10) NCD risk factors-Anthropometry ( physical activity , BP, Tobacco, Nutrition etc .Additional conditions related to health and specific for particular geographical area may also be included for surveillance. Objectives: 1. To promote integration of various service departments at the district level, with medical Integrated Disease Surveillance Program. 2. Surveillance of not only communicable diseases but also assessment of risk factors for NCDs and core conditions mentioned in the project and health, in taking corrective measures against core conditions covered under Methodology: A cross sectional retrospective study was conducted with regard to implementation of integrated disease surveillance project in Kadapa district for the year 2017. The health profile of Kadapa district in Andhra Pradesh was studied by collecting data from IDSP wing of DM&HO for the year 2017 (Jan to Dec) and subjected to Statistical analysis. Though there are many conditions mentioned in the IDSP, only few communicable diseases are given importance. Results and Conclusion: Though disease surveillance appears to be the medical and health subject, for effective control of, disease and improving the health standards, integration of various departments with medical and health and their effective participation is highly essential. District is considered as unit and District Surveillance Units have been established in all districts in the country. Disease surveillance data on epidemic prone diseases are being collected from reporting units such as Sub centers, PHCs, CHCs on S (syndromic) P (probable) L(laboratory) formats through e-mail. The weekly data analyzed for disease trends. While sending information to State Surveillance unit, DM&HO the convener of the District Health Society, during monthly review meetings chaired by the District collector, should present the report in the meeting where all the district officers like Superintendent engineer district rural water supply, project director ICDS, PD-district rural development authority, Medical College, nongovernmental organizations etc. There will be effective participation under the authority of the Collector and DM&HO will get the needed support..There are some core conditions like Road traffic accidents, Pollution checking, Water quality monitoring are not at all considered, though they are mentioned in IDSP as core conditions, DM&HO is not bringing to the notice of the district collector with the result they are not being monitored.
Authors and Affiliations
Dr M. Satyanarayana Raju, Dr T. S. S. Manidhar
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