Integrated Disease Surveillance Programme (IDSP)

The Government of India has started a decentralized, state based Integrated Disease Surveillance Programme (IDSP) in year 2005-06 in response to a long felt need expressed by various expert committees. IDSP (Phase I) was launched by Govt. of India in Nov 2004. Gujarat state was included in phase II of the project and IDSP had been launched in Gujarat on 8th Nov 2005

The disease surveillance system which was started in Kutch district after the earthquake (2001) was later expanded to cover entire state with the help of GOG and EC. Government of India launched Integrated Diseases Surveillance Programme on 8th November 2005. The Gujarat State is front runner in implementation of IDSP. Analysis of weekly surveillance data on regular basis, providing feedback to reporting units and early & timely initiation of appropriate actions by reporting units has led to containment of diseases ultimately reducing mortality and morbidity. Before the IDSP was established, the disease surveillance data was being reported on monthly basis.

The mortality and morbidity due to communicable diseases have drastically reduced in Gujarat state over last few years. This is evident from the weekly surveillance data collected, compiled and analyzed under Integrated Disease Surveillance Programme implemented in the state since 2003.


  • To establish State based a comprehensive surveillance information system covering public and private sector (Active surveillance by paramedical staff of rural and Urban and passive surveillance by Govt. And private hospitals and laboratories)
  • build capacities to analyze and use surveillance information at all levels to identify communicable disease outbreaks early.
  • Ensure that all outbreaks will have high quality investigation by multi-specialty rapid response team supported by laboratory confirmation.
  • Deployment of epidemiologist at all 33 districts and 8 Corporation
  • Ensure functional IT systems & on-line data entry and analysis.
  • District supported by a well performing laboratory with EQAS and State Referral Laboratory Network.
  • Training of Municipal Corporation staff to strengthen Urban Surveillance.
  • Training of BHOs and M&E for data analysis


  • To integrate and decentralize surveillance activities.
  • To establish systems for data collection, reporting, analysis and feedback using information technology.
  • To strengthen laboratory services for epidemic prone diseases to support disease surveillance.
  • To develop Human resources and capacity building for disease surveillance and action.
  • To involve all stakeholders including private sector and communities in surveillance.


  • Decentralization: Currently, the process of data entry is being performed only at district and state level; however, in near future the facility could be extend to the block level to make the process of surveillance more accurate and simple.
  • Co-ordination: All the relevant agencies should have health coordination to make the process of surveillance and outbreak investigation more accurate.
  • Capacity building of the staff: Ongoing training and education is necessary to improve the quality of task performed by public health staff.
  • Rapid Response Teams at District & Peripheral Level: Ideal RRT (Rapid Response Team) should be formed and active throughout the district to improve the quality of outbreak investigation along with preventing and controlling measures.
  • Integration of all activities from grass root level (sub centre) up to the state is most important. Integration of private and public health care agencies, integration of all health programs with IDSP, integration of both communicable and non communicable diseases, integration of both rural and urban health system and lastly integration of both private and public medical colleges.
  • Strengthening labs: Recently the referral lab network plan has been implemented in State in July 2010.
  • Strong connectivity through use of IT.
  • IDSP using broadband, VSet, Tollfree no 1075and EDUSET for fast communication.

Rapid Response

System of three tier Rapid Response is in place to respond to any outbreak or unusual syndrome

Local Level : In case of local outbreak District Rapid Response Team responds in real time, investigate the outbreak & take all preventive measures. Physician / Pediatrician, Epidemiologist/DMO, Pathologist / Microbiologist are the members of DRRT (District Rapid Response Team).

Regional Level : If outbreak is of serious nature, RRT (Rapid Response Team) from Regional Medical College will assist District Response Team to control the epidemic

State Level : In case of Major epidemic situation, State RRT (Rapid Response Team) responds immediately. This includes, Representatives from Department of : Preventive & Social Medicine, Medicine, Pediatric, & Pathology departments

All the 33 Districts RRT (Rapid Response Team) is in place. RRT (Rapid Response Team) Members are identified & trained.

State Referral Network Laboratory Plan

1. To improve laboratory support for disease surveillance

Integrated Disease Surveillance Programme in Gujarat plans to strengthen the public Health Laboratories in the state at various levels in phased manner to provide diagnostic facilities for epidemic prone diseases. In the first phase, referral lab network has developed in 8 medical colleges and two priority district reference laboratories at District Hospital Mahesana and Sabarkanthha. Strengthening of these Priority district reference laboratories, Microbiologists are appointed on contract basis for these two laboratories. All the Head of Department were participated in capacity development workshop conducted by CSU.

To provide access to diagnostic facilities for epidemic prone diseases to the remaining districts and to provide referral diagnostic services to the state, functional laboratories at Govt. Medical colleges and private sector has to identify and to link them to adjoining districts. In this regard, following laboratories are identified as reference laboratories both from Govt. sector as well as from Municipal Corporation. Referral Lab Network plan has been implemented in Gujarat.

2. Progress & Achivements Under State Referral Lab Network Plan

Test for Cholera has done 5%, Total test for Typhoid is 33091. Out of this 31094 test has done through Widal (Slide/ Tube) and 1997 Typhidot. 19% sample is positive through Widal and 7.2% sample result is positive through Typhidot. 22.14% of samples are positive through Igm ELISA and 37.79% of samples are positive through Rapid Test for Leptospira Serology. For Dengue Serology 15% (Rapid Test) of 16.2% (Igm ELISA) samples are positive. 16% samples (Igm ELISA) are positive for JE. Total 138 numbers of Measles Samples are tested through Igm ELISA, out of this 104 samples are positive and rest of samples are negative means more than 75% of samples are positive. 20% of samples (125 /614 positive/ total samples) are positive for Diphtheria. 9.5% samples are tested for Hepatitis – A and found positive. 31.8% of samples are positive for Hepatitis – E. More than 3.35% of Samples are positive for Malaria test done by microscopy & Rapid antigen Test. 6.94% of samples are positive for

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