20th January 2018

GHSA Projects in India

  1. All India Institute of Medical Sciences (AIIMS), Delhi
    Anti-Microbiological Resistance (AMR)

    Activities planned on four different aspects of AMR quality assurance and surveillance of healthcare-associated infections (HAI) with ICMR NCDC AMR networks
    1. EQAS
    2. Laboratory Strengthening
    3. Surveillance and strengthening of HAIs
    4. Antimicrobial stewardship

  2. Ministry of Health and Family Welfare, International Health Under Directorate General of Health Services (MOHFW-IH)
    Strengthening of workforce at airports, ports and ground crossings & surveillance and response coordination through web portal IHR for strengthening Global Health Security at Points of Entry

  3. National Centre for Disease Control (NCDC)
    Total nine activities under different action packages.
    1. Prevent antimicrobial resistance (AMR): Strengthening detection of AMR pathogens and prevention/containment of AMR in India; 12 referral laboratories have been identified to initiate surveillance on four organisms: Klebsiella, Escherichia coli, Staphylococcus aureus, and Enterococcus species.
    2. Prevent zoonotic diseases by strengthening intersectoral coordination for prevention and control of zoonotic diseases
    3. Strengthen workforce development: India Epidemic Intelligence Service (EIS) Programme.
    4. Strengthen laboratory systems for influenza and ARI.
    5. Strengthen laboratory systems: Establish lab QMS In IDSP Labs.
    6. Strengthen viral hepatitis surveillance in India.
    7. Strengthen emergency management and establish Emergency Operations Centers-Strategic Health Operations Centre (SHOC) and its expansion to states.
    8. Strengthen and revitalize the public health system: Enhancing management capacity of IHR /GHSA in India.
    9. Training in biorisk management for medical laboratories with the goal of strengthening biosafety and biosecurity in the country.

  4. National Institute of Epidemiology, Chennai (NIE)
    “Model District for Public Health Preparedness, Surveillance and Response: Multi- Strategic Integrated Approach in Tiruvallur District, Tamil Nadu, India.”
    1. Strengthen public health workforce capacity
    2. Strengthen/establish facility based syndromic surveillance for Acute Diarrheal Disease, Acute Respiratory Tract Infection and Acute Febrile Illness.
    3. Strengthen AMR surveillance.
    4. Establish community based events surveillance for AFI, ADD, ARI
    5. Strengthen public health preparedness, surveillance and response during mass gatherings.
    6. Develop a district level data management platform to improve data capture and data analysis of key data sources.
    7. Establish emergency operations center at district and state level.

  5. National Institute of Health and Family Welfare, Delhi (NIHFW)
    “Public Health Systems Capacity Building in India.”
    1. Rapid Response Team Trainings (RRT).
    2. Public Health Management (PHM) trainings.
    3. 3-month Frontline Epidemiology Trainings.

  6. National Institute of Mental Health and Neurosciences, Bangalore (NIMHANS)
    “Providing laboratory support for surveillance of Japanese encephalitis in India.” To establish a network of JE laboratories to provide much needed laboratory support for strengthening JE and AES surveillance in highly affected regions of India.
    Sites - UP, WB, Assam

  7. National Institute for Research in Tuberculosis, Chennai (NIRT)
    Building laboratory, Surveillance and Work force capacity to detect, respond to and prevent drug resistant tuberculosis in India.
    Activities include:
    1. Development of next generation sequencing (NGS) platform and molecular epidemiology laboratory.
    2. Develop drug resistant TB surveillance system: entry of laboratory testing data into Nikshay and analysis of existing data to assess resistance patterns.
    3. Develop laboratory capacity to assess early bactericidal activity, laboratory capacity to accurately determine the minimum inhibitory concentration of each drug is needed assess patterns of drug resistance.
    4. Conduct molecular epidemiological investigations of MDR-TB transmission in India building on existing laboratory capacity at NIRT to conduct molecular epidemiology assessments.
    5. Develop MDR-TB case-based distance learning training center

  8. National Institute of Virology, Pune (NIV)
    “Enhancing biorisk mitigation awareness in public health community and creating laboratory networks for enhanced diagnostic capabilities to deal with surveillance and outbreaks of viral hemorrhagic fever and respiratory illness diseases.”
    1. Increasing awareness as well as conducting various levels of teaching and training programs on biorisk management and engineering controls required for biomedical laboratories and infection control practices in the hospital settings.
    2. Creation of a laboratory network to enhance diagnostic capabilities for surveillance, outbreaks and epidemic investigations of viral pathogens causing viral hemorrhagic fevers (VHFs).
    3. Consolidating a laboratory network for enhancing diagnostic capabilities for surveillance, outbreaks and epidemic investigations of high‐risk group viral pathogens causing respiratory infections (RIs).

  9. Christian Medical Association of India (CMAI)
    “Labs for Life”. CMAI is improving the quality of services of 20 identified labs, by at least two additional stars/grades/levels.
    1. Strengthen specimen referral mechanism and linkages between various levels of facilities.
    2. Enhance capacity for diagnosis of communicable diseases.
    3. Surveillance and strengthening of HAIs
    4. Ensure sustainability of interventions through local, state-level and country ownership.
    5. Conduct workshops:
      1. Sample Collection and Pre-Analytical Best Practices
      2. Onsite Facility Management and Safety
      3. Equipment Management
      4. Quality Control

  10. Manipal University
    Hospital-based surveillance study for cases of acute febrile illness (AFI) in India (Influenza, Dengue, Malaria, Scrub Typhus, Kyasanur Forest Disease & ZIKA)
    Sites- Karnataka, TN, Maharashtra, Goa, Assam, HP, Gujarat, Odisha ,Jharkhand, Kerala

  11. Public Health Institute (PHI), USA
    Advancing detection, treatment and prevention of critical AMR pathogens in Tamil Nadu, India. The project has three priority areas-
    1. Improve antimicrobial stewardship.
    2. Establish effective infection prevention and control (IPC) practices to reduce healthcare-acquired infections.
    3. Build the capacity of district and state public health laboratories to conduct AMR surveillance.

  12. SHARE
    Building Institutional Capacity to Improve TB laboratory quality, airborne infection control, health care worker surveillance, DR TB treatment and adherence in Mumbai.
    1. Improved quality assured diagnostics for early detection of drug resistant TB (DR-TB).
    2. Explore new strategies to improve treatment outcomes of patients with DR-TB, including adherence support, to prevent acquired drug resistance and reduce transmission
    3. Increase efforts to prevent transmission in nosocomial and community settings
    4. Enhanced surveillance of TB and DR-TB to better understand overall burden, geographic distribution, and identify areas of increased transmission
    5. Strengthen the capacities to detect and investigate outbreaks of DR-TB to provide targeted control measures and better understand transmission patterns

  13. World Health Organization – India
    Strengthening IHR core capacities to enhance India’s contribution to enhance GHSA.
    1. Epidemiological surveillance capacity to detect, assess and respond to IHR threats.
    2. Enhancement of country-wide laboratory capacities to strengthen surveillance; augmenting risk communication capacity of national and state authorities.
    3. Building a robust multi-sectoral national program to combat antimicrobial resistance (AMR).
    4. Strengthening the national immunization program with a focus on eliminating measles in India.

  14. World Health Organization Regional Office
    Addressing Ebola and Other Highly Infectious Diseases Internationally
    1. Capacity building at POEs in the region.
    2. Developing EOCs in regional countries.

  15. National Institute of Veterinary Epidemiology and Disease Informatics, (NIVEDI) Bengaluru
    One Health