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PIDSR:
An Integrated
Approach to
Surveillance
Maria Lourdes Bernadeth V. Manipon, RN, MSN
Philippine General Hospital
Objectives of this lecture
• To know PIDSR and its purpose
• Recognize the importance of having a disease
surveillance in ...
What is Integrated
Disease Surveillance
• A process of coordinating, prioritizing and
streamlining of multiple disease sur...
The Purpose of the Surveillance
• Disease surveillance is recognized as the
cornerstone of public health decision-making a...
The Major Problem
• Four major disease surveillance systems:
 Notifiable Disease Reporting System (NDRS)
 The National E...
Policies that support PIDSR
• Guidelines on the Philippine Integrated Disease
Surveillance and Response (PIDSR) Framework
...
Policies that support PIDSR
• Implementing Guidelines for Formula One for
Health as Framework for Health Reforms
(Administ...
Goal and Objectives of PIDSR
• To reduce morbidity and mortality through an
institutionalized, functional integrated disea...
• The NESSS, EPI
Surveillance and
NDRS shall be
merged into one
surveillance
system. The
merger of these
three systems sha...
Flow of
Notification
• You are a partner.
Fundamental Surveillance Procedures
• Cases or events seen or detected from the health
facilities and communities should b...
Priority Diseases/
Syndromes and Conditions
Epidemic-Prone Diseases Diseases Targeted For
Eradication or
Elimination
Other...
Roles and Responsibilities
• Epidemiology Bureau (EB)
• Bureau of Quarantine
• National Center for Disease Prevention and ...
Hospital’s Responsibility
• Identify cases (active and passive)
• Report cases depending on its Category (I or II)
• Send ...
Monitoring and Evaluation
• Verification of the process
• Internal and external monitoring
• Surveillance indicators
Indicators for Monitoring Quality of
Surveillance and Response
• Case Detection
• Case Registration
• Case Confirmation
• ...
What now?
• Establish your own Surveillance Unit
 Reporting structure
 Dedicated staff
 Reporting methods
 Fax
 Compu...
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by Ms. Ma. Lourdes Bernadeth V. Manipon

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PIDSR

  1. 1. PIDSR: An Integrated Approach to Surveillance Maria Lourdes Bernadeth V. Manipon, RN, MSN Philippine General Hospital
  2. 2. Objectives of this lecture • To know PIDSR and its purpose • Recognize the importance of having a disease surveillance in the Philippines • Be able to identify factors for a successful active surveillance system for each institution
  3. 3. What is Integrated Disease Surveillance • A process of coordinating, prioritizing and streamlining of multiple disease surveillance systems into a unified national disease surveillance system that combines core surveillance activities and support functions into a single, integrated activity for the purpose of making the system more efficient and effective in providing timely, accurate and relevant information for action.
  4. 4. The Purpose of the Surveillance • Disease surveillance is recognized as the cornerstone of public health decision-making and practice. • There was a need to strengthen the disease surveillance in the Philippines • It aims at coordinating and streamlining all surveillance activities and ensuring timely provision of surveillance information
  5. 5. The Major Problem • Four major disease surveillance systems:  Notifiable Disease Reporting System (NDRS)  The National Epidemic Sentinel Surveillance System (NESSS)  Expanded Program on Immunization Surveillance System (EPI Surveillance)  HIV-AIDS Registry
  6. 6. Policies that support PIDSR • Guidelines on the Philippine Integrated Disease Surveillance and Response (PIDSR) Framework (AO 2007-0036) • Law of Reporting of Communicable Diseases (Republic Act 3573) • Resolution WHA48.13 (1995) • International Health Regulations of 2005, Article 5-1 Surveillance
  7. 7. Policies that support PIDSR • Implementing Guidelines for Formula One for Health as Framework for Health Reforms (Administrative Order No. 2005-0023) • Department Personnel Order No. 2005-1585
  8. 8. Goal and Objectives of PIDSR • To reduce morbidity and mortality through an institutionalized, functional integrated disease surveillance and response system nationwide. • Objectives  To increase the number of LGUs able to perform  To enhance capacities at the national and regional levels to efficiently and effectively manage and support local capacity development for disease surveillance  To increase utilization of disease surveillance data for decision making, policy-making, program management, planning and evaluation at all levels.
  9. 9. • The NESSS, EPI Surveillance and NDRS shall be merged into one surveillance system. The merger of these three systems shall be the foundation of PIDSR. Conceptual Framework
  10. 10. Flow of Notification • You are a partner.
  11. 11. Fundamental Surveillance Procedures • Cases or events seen or detected from the health facilities and communities should be reported. • Case-based data collection shall be utilized • Priority diseases/syndromes/conditions targeted for surveillance • Use of Standard Case Definitions for Surveillance
  12. 12. Priority Diseases/ Syndromes and Conditions Epidemic-Prone Diseases Diseases Targeted For Eradication or Elimination Other Diseases Or Conditions of Public Health Importance oAcute Bloody Diarrhea oAcute Encephalitis Syndrome/AMES oAcute Hemorrhagic Fever Syndrome oAcute Viral Hepatitis oAnthrax oCholera oDengue oHuman Avian Influenza oInfluenza-like Illness oLeptospirosis oMalaria oMeningococcal Disease oParalytic Shellfish Poisoning oSARS oTyphoid And Paratyphoid Fever oPoliomyelitis/Acute Flaccid Paralysis oMeasles oNeonatal Tetanus oAdverse Events Following Immunization (AEFI) oDiphtheria oNon-Neonatal Tetanus oPertussis oRabies oHFMD and Severe Enteroviral Disease oZika
  13. 13. Roles and Responsibilities • Epidemiology Bureau (EB) • Bureau of Quarantine • National Center for Disease Prevention and Control • Health Emergency Management Staff • Center for Health Development • Local Government Units • Philippine Health Insurance Corporation
  14. 14. Hospital’s Responsibility • Identify cases (active and passive) • Report cases depending on its Category (I or II) • Send samples for each suspect case
  15. 15. Monitoring and Evaluation • Verification of the process • Internal and external monitoring • Surveillance indicators
  16. 16. Indicators for Monitoring Quality of Surveillance and Response • Case Detection • Case Registration • Case Confirmation • Data Analysis and Interpretation • Reporting • Epidemic Preparedness • Response and Control • Feedback • Compliance with IHR 2005 • Surveillance strategy and coordination • Networking and partnership • Standards and Guidelines • Training • Resources • Supervision and communication • Timeliness • Completeness • Reliability • Usefulness, Simplicity, Flexibility, Sensitivity and Acceptability
  17. 17. What now? • Establish your own Surveillance Unit  Reporting structure  Dedicated staff  Reporting methods  Fax  Computer and software  Cellphone  Monitoring and Evaluation
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by Ms. Ma. Lourdes Bernadeth V. Manipon

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