IDSR Reporting Protocol_Version 001_2023

PROTOCOL ON IDSR002 REPORTING AT THE HEALTH FACILITIES GUIDED BY THE

NEW IDSR TECHNICAL GUIDELINE, 3RD EDITION
INTRODUCTION

The approach to IDSR reporting has been revised following the revision of the IDSR Technical
Guideline to its 3rd Edition in 2019/2020. This has necessitated the need for training or re-
orientation of all surveillance officers, review of the data reporting tools and commencement
of the new reporting approach. In a bid to provide updates to the health facilities across the
country on the new IDSR reporting paradigm, NCDC has, therefore, gone further to produce
a redacted version of the technical guideline and made available same to the health facilities
through the state epidemiologists. On this note, this protocol is laid to provide snapshots and
proper guidance on how to report, when to report and to whom to report using the different
reporting tools.

OBJECTIVE

This protocol aims to provide a quick guide to the health facility surveillance officers and
stakeholders on the new paradigm of IDSR reporting and to ensure conformity in reporting
across the country.

REPORTING TOOLS

IDSR reporting is in three (3) different categories namely:

1. Immediate or Case-Based Reporting: This is expected to be done using the immediate or

case-based notification forms, which are divided into IDSR001A (Case Investigation
Form), IDSR001B (Laboratory Reporting Form) and IDSR001C (Line-list). The timeline for
this reporting is “immediately” or as soon as the cases are identified.
2. Weekly Reporting: This is expected to be done using the IDSR002 form and the reporting
timeline is Mondays of every epidemiologic week.
3. Monthly Reporting: This is expected to be done using the IDSR003 form, and the timeline
is every 1st week of the month.

REPORTING PROCESS

A. How to Report: The Health Facility Surveillance Focal Person should report using the
following tools and processes.
i. IDSR001 Forms (Immediate or Case-based forms):
- IDSR001A form: Use this form to report case-based diseases immediately they are
detected at the facility. This form should carry all the patient-level information of the
detected case and it is then to be used to notify the LGA DSNO that oversees the
health facility.
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- IDSR001B form: Following the collection of sample(s) or specimen(s) for this case,
use this form to take the laboratory information of the case and send it along with
the sample collected to the laboratory directly or through the LGA DSNO.
- IDSR001C form: Only use this form to line list cases in the event of an outbreak of
any of the case-based diseases in an outbreak or epidemic situation. An example of
such an instance is during cholera or measles outbreak.
ii. IDSR002 Forms (Weekly forms):
Use this form to report aggregate counts of diseases prioritized to be reported
weekly. It is just but a summary sheet for reporting aggregate counts of all the eleven
(11) diseases. The sheet is sectioned into counts of suspected, lab-confirmed and
death cases. These diseases include Acute viral hepatitis, Diarrhoea with
dehydration, Diarrhoea with blood, Schistosomiasis, Human African
Trypanosomiasis, Human Immunodeficiency Virus (new), Non-neonatal tetanus,
Snakebite, Soil-transmitted Helminths, Malaria and Typhoid fever.
iii. IDSR003 Forms (Monthly forms):
Use this form to report aggregate counts of diseases prioritized to be reported
monthly. It is also a summary sheet for reporting aggregate counts of nine (9)
diseases. The sheet is sectioned into counts of out-patient, in-patient cases, total of
in-patient and out-patient, age groups disaggregation and death cases. The diseases
prioritized for monthly reporting here include Sexually Transmitted Diseases (vaginal
discharge, Genital ulcer, Urethral discharge and other STIs), AEFI, Diabetes mellitus,
Hypertension, Injuries (road traffic accident), Malnutrition (in children under 5
years), MNS disorder (Epilepsy, Schizophrenia, Depression, etc), Severe pneumonia
(in children under 5 years) and Sickle cell disorder (new cases)
B. When to Report: The timelines for all reporting categories at the health facility level are
as follows:
i. Immediate or case-based reporting (IDSR001) is to be done immediately or within
24 hours of the detection of the case.
ii. Weekly reporting (IDSR002) is to be done on Mondays of every epidemiologic
week.
iii. Monthly reporting (IDSR003) is to be done every 1st week of the month.
C. To Whom to Report: The Health Facility Surveillance Focal Person is expected to send
every report to the LGA DSNO of the LGA where the health facility is located and not
through any other means. The contact details of the LGA DSNOs can be retrieved from the
State Epidemiologist or the State DSNO.
D. Data Sources: The data sources for reporting all the priority diseases include:
i. NHMIS In-patient Register
ii. NHMIS Out-patient Register (for tertiary and secondary facilities consider registers
from paediatric, general, A & E, ANC, etc.)
iii. Laboratory Register
iv. Antenatal Care Register
v. Rumour Log
vi. Hospital Improvised Registers, etc.
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E. Annexes: Please refer to the IDSR Extract for the list of diseases prioritized to be reported
immediately as case-based diseases. For any further clarifications, please contact the
State Epidemiologists, State DSNO or the LGA DSNOs of your state.