Tracking the implementation to identify gaps in integrated disease surveillance program in a block of district jhajjar (haryana).
BACKGROUND
To strengthen the surveillance system in India, Integrated Disease Surveillance Program (IDSP) was launched in 2004. The frequent occurrence of epidemics even after the launching of the IDSP was an indication toward inadequacy of the system. The responsibility for effective implementation of IDSP at the sub-center level lies with the health workers.


OBJECTIVE
The aim of the following study was to assess the knowledge and practice of health workers regarding IDSP and to assess the quality of IDSP reports at the sub-center level.


METHODS
It was cross-sectional study carried out in the area under Community Health Center Dighal which is the rural field practice area attached to Post Graduate Institute of Medical Sciences, Rohtak in the State of Haryana, India.


METHODS
All the 24 sub-centers in the area were visited and 46 health workers (22 male; 24 female) who met the inclusion criteria i.e. who had completed 1 year of their service or had been trained for IDSP, were included in the study. Data were collected on a self-designed, semi-structured and pre-tested schedule by interviewing the study subjects and observation of the records/reports.


METHODS
Percentages and proportions.


RESULTS
Only 14/46 (~30%) of the workers could expand the abbreviation "IDSP" correctly. Only 4/46 (~9%) workers could narrate any of the trigger events and none could tell all the trigger events. Only at 12 such sub-centers, diagnoses were being written in their out-patient registers according to the defined syndromes. 43/46 (~93%) workers were not aware of the zero reporting.


CONCLUSIONS
The surveillance system is much less alert and intense than the desired level and needs to be strengthened.
Department of Community Medicine, Shaheed Hasan Khan Mewati Government Medical College, Nalhar, Mewat, India.
Arun
A
Kumar
Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India.
Manish Kumar
MK
Goel
Department of Community Medicine, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
Ram Bilas
RB
Jain
Department of Community Medicine, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
Pardeep
P
Khanna
Disease; gaps; integrated disease surveillance program; surveillance; track