Evaluation of Diarrhoeal Diseases Surveillance System of District Kangra, Himachal Pradesh, India, 2007

ABSTRACT: Background: In the year 2005, integrated disease surveillance project (IDSP) was launched in Himachal Pradesh
to improve the information available to the healthcare providers on a set of high-priority diseases and risk factors. We
evaluated the programme to identify its strengths and constraints and recommend measures to overcome the constraints
identified. Methods: We identified and interviewed health personnel involved in disease surveillance and reviewed the
documents and records pertaining to implementation plan/guidelines, training records and reports generated by various
reporting units. We assessed the inputs, processes and outputs of the programme across 12 blocks in Kangra. We calculated
the proportion of blocks reporting the surveillance data, proportion of staff of various categories trained in surveillance
activities, number of blocks with medical officers and proportion of laboratories strengthened. Results: Out of 12 blocks, onethird
of the reporting units were sending irregular weekly reports, but timely reports were received from 61% of the blocks.
There were lack of ground infrastructural facilities, funds, non-involvement of private sector and lack of trained human
resource. In the district, 43% of the medical officers, 5% of health workers and no laboratory staff were trained against the
target planned. A total of 23% of the district level laboratories were strengthened from the allotted paltry funds. Conclusions:
Since its commencement in March 2005, IDSP appears to be moving slowly in the right direction with respect to regularity of
reporting. We recommend training of all peripheral level staff with adequate funding for basic infrastructure and appointment
of a dedicated district level surveillance officer.
Keywords: IDSP project, Surveillance, Public health, Kangra

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