Private sector participation in disease surveillance : Private sector participation in disease surveillance IDSP training module for state and district surveillance officers
Module 4 www.medicos11.com
Learning objectives : Learning objectives List the reporting units involved in surveillance in the Integrated Disease Surveillance Project in your district
In public and private sectors
In rural and urban area
List the key functionaries in reporting units responsible for surveillance related activities and describe their roles
Fill the specific reporting formats without error from various reporting units
Draw a flow diagram of the process and dynamics of timely flow of information
Involvement of the private sector in the Integrated Disease Surveillance Project : Involvement of the private sector in the Integrated Disease Surveillance Project Challenges
Managerial
Leadership
Patience
Perseverance Outcome
Better surveillance
Early outbreak detection
Better control over health problems
Topics discussed : Topics discussed Need for private sector participation
How to initiate partnership
Criteria for selection
Data collection
Surveillance sensitivity
Integrating private sector
Sustaining partnership
Need for private sector participation in disease surveillance : Need for private sector participation in disease surveillance Most patients (>70%) go to private sector
Private physicians are the preferred first contact
Private sector is more likely to detect early warning signs of outbreak
Lack of public sector service provider especially in urban areas
Initiating partnership : Initiating partnership MOU (memorandum of understanding) with IMA/IAP/other professional bodies
National/State/District level
Training
Criteria for inclusion : Criteria for inclusion Reporting units
Hospitals
Nursing homes
Clinics
Various systems of medicine
Geographical distribution
Involve professional associations
Indian Medical Association
Indian Academy of Pediatrics
Expected numbers of practitioners to include : Expected numbers of practitioners to include Rural areas
15-45/100,000 population
Urban areas
15-30/100,000 population
Increase the number in phases
More private practitioners in rural areas
Increasing sensitivity : Increasing sensitivity Involving more private practitioners through rumour registry
Give paid post cards to report any unusual trends/disease
No need for zero reporting
Slide 10 :
Integrating private sector: Role of the health inspector : Integrating private sector: Role of the health inspector Supervision of every reporting site by a health inspector
Regular visits
Once a week/fortnight
Assistance to collate information from sentinel sites
Provision of assistance to reporting sites
Data collection : Data collection Only ‘probable’ cases
No laboratory confirmation
More flexibility possible
Number of diseases
Mode of reporting
Weekly reporting necessary
Zero reporting mandatory
Sustainability : Sustainability Reimburse actual costs
Provide support time
Include name in network directory
Ensure representation in the district surveillance committee
Give feedback
Provide Continuing Medical Education credits
Sustainability: The personal touch of the district surveillance officer : Sustainability: The personal touch of the district surveillance officer Motivate
Sensitize
Educate
Train
Make them feel important
Summary : Summary Involvement of the private sector is crucial for effective surveillance
The district surveillance officer has an important role in involving the private sector
The human touch will make all the difference!
Leader : Leader “A leader is a person who has the ability to get other people to do what they don’t want to do, and like it.”
Harry S Truman
Points to remember (1/3) : Points to remember (1/3) State surveillance officer should specify the number and criteria for selection of sentinel private providers required in each state
The district and state surveillance units will develop a master list of private health providers in each district using existing databases
The district surveillance officer will finalize the list of sentinel private providers based on criteria through consultation initiated IMA and IAP
Written understanding with each sentinel private providers must be ensured
Points to remember (2/3) : Points to remember (2/3) The district surveillance officer will train all partners to ensure quality of reporting in the private sector
State surveillance office will specify the role of Health inspectors / Leprosy inspectors in integration of sentinel private providers
The district surveillance officer should distribute pre-paid post cards through sensitization meetings to wider groups of health providers in formal and informal sector to report unusual health events and changing trends of disease
Points to remember (3/3) : Points to remember (3/3) The district and state surveillance units should ensure that partnership is sustainable and mutually beneficial by regular feedback, privacy, respect of partners and timely re-imbursements of costs and incentives
The district and state surveillance units should ensure that internal and external evaluations of private sector is carried out in time and feed back provided to all stakeholders