Integrated Health

Information
Platform (IHIP)

PRESENTERS: Sandra Fernandez

Jyothi S
MODERATOR: Prof. Brogen Singh Akoijam
 OVERVIEW OF PRESENTATION

 Background of IHIP  Articulation of IHIP

 Mandates of IHIP  Data reporting on IHIP
 Understanding IHIP through IDSP  Revisiting IDSP & IHIP
 Key features of IHIP  SWOT analysis
 Geospatial epidemiology  Conclusion
 IHIP & one health  References
 Data flow of IHIP
 MORTALITY, MORBIDITY

 1988 cholera outbreak in Delhi

 1994 plague outbreak in Surat
ECONOMIC CONSEQUENCES

Collection of information for action: SURVEILLANCE

What is surveillance?
• French word “surveiller” which means

“ Watch with attention, suspicion, and authority”

Public Health Surveillance is defined as the
ongoing systematic collection, analysis, and
interpretation of data (disease/health event) essential
for planning, implementation & evaluation of public
health practice

- CDC
 Why do we need to work on disease surveillance system?

Immediately Stop Disease Understand Improve our Keep People

Detect Disease Before it Disease Preventive & Healthy
Spreads Epidemiology Control Measures
Milestones
1997-98: National Surveillance Program for Communicable Diseases (NSPCD)

2004: World bank funded Integrated Disease Surveillance Project (IDSP)

2007-08: IDSP as a part of National Rural Health Mission (NRHM)

2012-17: Approved as “Integrated Disease Surveillance Programme”

2018: Integrated Health Information Platform (IHIP) launched

 Integrated Health
Information Platform
(IHIP)
Background

• Development in the already existing IDSP

• Launched by the Ministry of Health & Family Welfare

• Pan-India basis from 1st April 2021

• IHIP is a real-time, web-based platform which provides information

on health surveillance from anywhere on any electronic device
 IHIP is an information platform that
integrates data from various registries to
What is IHIP?
provide real-time information on health
surveillance from all across India for
decision-makers to take action
• All data contained in IHIP has the public health surveillance attributes:

(time, place & person)

• All data are geocoded

• The design & development of this platform are attributed to the

strengthening of India’s Public Health Surveillance System
 Mandates of IHIP
Integration & decentralization of surveillance activities through establishment
of surveillance units at Centre, State & District level

Human resource development

Information Communication Technology

Strengthening of public health laboratories

Understanding
IHIP through
IDSP
Integrated Disease Surveillance Project (IDSP)

• Decentralized, state-based surveillance project, launched by Union

Minister of Health and Family Welfare in November 2004

• Detect early warning signals of impending outbreaks & help initiate an

effective response in a timely manner

• Provide essential data to monitor progress of on-going disease control

program and help allocate health resources more efficiently
IDSP WAS LAUNCHED IN 3 PHASES

Phase 1 (2004-05)
Madhya Pradesh, Andhra, Himachal, Karnataka, Kerala,
Maharashtra, Mizoram, Tamil Nadu & Uttaranchal

Phase 2 (2005-06)
Chattisgarh, Goa, Gujarat, Haryana, Orissa, Rajasthan, West Bengal,
Manipur, Meghalaya, Tripura, Chandigarh, Pondicherry, Nagaland, Delhi

Phase 3 (2006-07)
UP, Bihar, J&K, Punjab, Jharkhand, Arunachal, Assam, Sikkim,
A&N Island, D&N Haveli, Daman & Diu, Lakshadweep
Organizational structure
Central
• Integrated with NCDC
Surveillance
Unit • Senior officer from NCDC
State
Surveillance is designated as NPO
• One SSU in each state/ UT
Unit
• State Surveillance Officer
• One DSU in each district
District
(SSO)
Surveillance • District Surveillance
Unit
Officer (DSO)
Information flow of the weekly surveillance system
Sub-centers
Programme
officers C.S.U.
P.H.C.s
S.S.U.
C.H.C.s
Pvt. practitioners
Dist. hospital D.S.U.
Nursing homes
Private hospitals
Med. college
Private labs.
Other Hospitals:
Corporate hospitals
ESI, Rly., Army
etc.
 Type of Disease Surveillance under IDSP
Surveillance under IDSP

Type Syndromic Presumptive Lab Confirmed

Diagnosis based on signs Based on clinical history Clinical diagnosis confirmed

Definition and symptoms and examination by lab test

Type of Form Form S Form P Form L

Responsibility Health Workers Medical Officers Lab Technicians

Integrated Disease Surveillance Project (IDSP)
Conditions under IDSP
Syndromes under surveillance

Fever <7 days without localizing signs

Rash
Altered sensorium/ convulsions
Bleeding from skin or mucous membrane
>7 days with or without localizing signs
Cough >3 weeks, Acute Flaccid Paralysis, Diarrhoea, Jaundice
Unusual events causing death or hospitalization
Conditions under IDSP
Vector borne disease Malaria
Water borne diseases ADD (cholera), Typhoid
Respiratory Tuberculosis
Vaccine preventable disease Measles
Disease under eradication Polio
Other conditions Road Traffic Accidents
International commitments Plague
Unusual clinical syndromes Meningoencephalitis, respiratory distress,
hemorrhagic fever
Other conditions under surveillance
Sentinel surveillance
STD/ blood borne HIV/ Hep B/ Hep C
Others Water quality monitoring, outdoor air quality
Regular periodic surveys
NCD risk factors Anthropometry, physical activity, blood
pressure, tobacco, nutrition
Additional state
Up-to five diseases
priorities
Joint Monitoring Mission, 2015
Committee recommended re-designing the IDSP surveillance system

 Re-prioritization of the list of diseases under IDSP

 Assessing the need for collecting more epidemiological data

 Re-defining the required surveillance deliverables

 Integration of other diseases surveillance platforms

Key features of IHIP
• Real time reporting, accessible at all levels

• GIS-enabled graphical representation of data into an integrated

dashboard

• Geo-tagging of reporting health facilities

• Role & hierarchy-based feedback mechanism

• Scope for data integration with other health programs

Data will be provided in real-time through:

Healthcare workers through their gadgets (Tablets/ mobile)

Doctors at the PHC/CHC/DH when the citizens seek healthcare

Diagnostic labs which will provide data of the tests carried out
 Geospatial
epidemiology Can describe & analyse
geographic variations among
diseases

NIC portal:
• Maintains data of public health
assets such as schools, airport
locations, road networks, geographic
& political boundaries
• Hosts vast amount of high-resolution
satellite imageries that are of use to
emergency preparedness & response
activities
 Ministry of Health &
One
health Family Welfare
approach
Ministry of
Agriculture &
Ministry of Electronics Farmers Welfare
& Information
Technology
IHIP Ministry of Home
Affairs
Ministry of Earth One Health:
Sciences Interconnectedness of human
Ministry of Environment,
health, animal health and the
Forest and ecosystem
Climate
Change(MoEFCC)
Conditions listed under IHIP: IDSP
DATA FLOW PROCESS
 IHIP real-time data flow process
Mobile reporting
Sub Center or Health Sub center Village
Primary Health Center (655075)
Data Entry
Computer
Portal access
Mobile Reporting Laboratory Presence

PrimaryPHC
Block Health
orCenter
Community Health
Community
Center Health Center Sub-district
Data Entry
Computer Broadband (6267)
Connectivity

Laboratory Presence
Portal access
Mobile Reporting District Surveillance Unit
Broadband
District
Data Entry
Connectivity (707)
Computer

Laboratory Presence
State Surveillance Unit
Portal access
Mobile Reporting
Broadband and
PH-EOC State
Satellite-based
Connectivity (36 States/UTs)
Data Entry 24-HOUR CALL CENTER
Computer Data Center

Proposed System: Portal access allows reporting of all data from

DSU, CSU, SSU to CSU/IDSP in near real-time. Mobile reporting is both store and forward and near real-time. Data analytics and results will be accessible at all levels for action.
Articulation of IHIP
 Ensure sustained financing & continued
IDSP/IHIP Envision integrated near real-time eSurveillance

Empower public health surveillance

ICT
Master
IDSP
Plan Functional 3
Needs components

leadership
workforce

IDSP Data
and IDSP Portal
Information Users
Products

4
pillars Embed innovation for data quality, accessibility
Data reporting
process in IHIP
 Requirements for data reporting

• Working computer systems & regular internet connectivity

• Adequate manpower trained for IHIP at every level

• Proper mechanism to capture & record the requisite data for entering
into IHIP including mandatory fields
 Data reporting on IHIP

2 phases/steps

Step-I: Verification Step-II: Reporting of

of master data of disease surveillance data
health facilities
 Step-I: Verification of
master data of health
facility

Examination of
Creation of user Creation of health
user IDs and
profiles facility directory
password
 A) Examination of User IDs & Password

• Cross-check whether the User ID and password for each health

facility have been received or not [https://ihip.nhp.gov.in/#!/]

• Check the functionality of each User ID & Password

• After logging in, confirm that the appropriate form (S, P & L) & and
relevant user access have been provided
 B) Creation of User Profiles

• To identify the user/personnel associated with the User IDs

• To get details of the password, in case it is forgotten

• Fill in relevant details in the user profile

Name
Age
Gender
Contact details
 B) Creation of User Profiles (Cont…)
Account Sr. No Type of User User profile details
1 Sub Centre ANM or whoever is doing S form entry
Primary Health Center Medical Officer I/c (In-charge) or whoever is
2 (P Form) doing P form entry
Primary Health Center Medical Officer I/c (In-charge) or whoever is
3 (L Form) doing L form entry or Lab technician
Health facility Other health facilities In-charge of health facility or official
4 (P Form) designated for P form data collection
e.g. CHC, SDH, DH, MCH (Physician) or whoever is doing P form entry
Other health facilities In-charge of health facility or official
(L Form) designated for L form data collection
5
e.g. CHC, SDH, DH, MCH (Microbiologist/ Lab technician) or whoever is
doing L form entry
6 Block (Sub-district)* Block Health officer
Administrative District District Surveillance Officer
7
office
8 State State Surveillance Officer

*to be issued yet

 C) Creation of a health facility directory

• Cross-check the total number of health facilities & their different types
as available in the IHIP vs that actually existing in the State in terms of
numbers & types

• Examine & cross-check the mapping

 PHC to SCs
 SC to Villages
 C) Creation of Health facility directory (Cont…)

• Health facility details including name, mobile, landline, and email

ID of officer in charge of health facility need to be updated from
“edit/update health facility” option

• Health facility can update Essential medicine list, emergency medicine

list, equipment supplies, health workforce details and can also
request new user IDs for health facility
 C) Creation of Health facility directory (Cont…)

Account Sr. Health Facility (type of user) Officer In-charge details

No
Sub centre (S form user) Medical Officer In-charge of the PHC to
1
which the Health Sub Center belongs
2 Primary Health Center (P Form user) Medical Officer In-charge of the PHC
3 Primary Health Center (L Form user) Medical Officer In-charge of the PHC
Health facility
Other health facilities (P Form user) In-charge of health facility or official
4
e.g. CHC, SDH, DH, MCH etc. designated as Nodal person for IDSP
Other health facilities (L Form user) In-charge of health facility / lab or official
5 e.g. CHC, SDH, DH, MCH etc. designated as Nodal person for IDSP
6 Block (Sub-district)* Block Health officer
Administrative
7 District(DSO user &District admin user) District Surveillance Officer
office
8 State (SSO user &State admin user) State Surveillance Officer

*to be issued yet

 C) Creation of Health facility directory (Cont…)

• State and District user need to check different types & numbers of
health facilities available in IHIP through health facility dashboard
from Administration menu

• State and District user can add new health facility / add new RRT /
update health facility details / delete health facility through
Administration Module
 Step II-Reporting of
disease surveillance data

Mobile app Desktop version

S Form S Form P Form(Data entry) L Form

(Data entry) (Event Alert) PForm(Event Alert) (Data Entry)

Suspected case Form Add patient Record

Death Form Add Death Record
Record Aggregate data
S form entry (Android app)

‘http://ihip.nhp.gov.in/idsp/downloadapk’
 Desktop version:
L form entry

https://ihip.nhp.gov.in/idsp/#!/login
Desktop version- EWS form entry
https://ihip.nhp.gov.in/idsp/#!/login
What are the essential differences between previous and
new IDSP portal?
IDSP Capture aggregate data IHIP Capture disaggregate data at
only all levels
Paper-based data Analysis provided on mobile
collection phones
Not to link data from S, P Link data from S, P, L, EWS
& L forms forms
Weekly surveillance Integrate with ongoing
surveillance programs
Monitor only 18 health
Monitor >33 health
conditions
conditions
Capture real-time data,
geocoded
 SWOT analysis
STRENGTHS WEAKNESSES

-Secure and confidential storage of data/records -Network issues

-Hotspots can be identified -Possibility of fake entry by the ANM

-Duplication of the data

OPPORTUNITIES IHIP
-Better surveillance coverage
-Improved continuous monitoring
-Revamp public-private partnerships
-Enable evidence-based policymaking
THREATS
-Individual data portals for different programs
-Low doctor-patient ratio or the health worker-
patient ratio
-Delay to get approval from the state for the
constitution of a RRT
 CONCLUSION

• To facilitate better continuity of care and diagnosis and prevention of

epidemic-prone diseases

• Aids in changing the pace of data collection with real-time monitoring

• Strengthened disease surveillance and response activities by providing

a centralized platform
 REFERENCES
• Tanu T, Sagar V, Kumar D. IHIP - A Leap into India's Dream of Digitalizing
Healthcare. Indian J Community Med. 2023 Jan-Feb; 48(1):201. doi:
10.4103/ijcm.ijcm_739_22. Epub 2023 Feb 1. PMID: 37082408; PMCID:
PMC10112761.
• idsp.mohfw.gov.in
• Drishtiias. (2011). Integrated Health Information Platform. Retrieved
fromhttps://www.drishtiias.com/pdf/1627581535-integrated-health-information-
platform.pdf
• Disesase, I., Programme, S., Of, S., 2018. Guidelines for soft launch of integrated
disesase surveillance programme segment of integrated health information
platform.
• Blanchard J; Washington R; Becker M; Vasanthakumar N; Madangopal K; Sarwal
R. et al. Vision 2035: Public Health Surveillance in India. A White Paper. NITI
Aayog. December 2020.
THANK YOU