What is the primary purpose of immediate case-based reporting?
A. To monitor yearly disease trends
B. To ensure funding for health programs
C. To facilitate early detection and response to outbreaks ✅
D. To calculate mortality rates
What type of data is shared in immediate case-based reporting?
A. Weekly summaries
B. A single case’s details ✅
C. Laboratory testing procedures
D. Regional reports
What is aggregate reporting primarily used for?
A. Early outbreak detection
B. Routine health checkups
C. Monitoring trends of priority conditions ✅
D. Investigating a single case
If no case is reported for a priority condition in a week, what should be recorded?
A. Leave it blank
B. “No case”
C. ZERO ✅
D. N/A
What is the major data source for both immediate and weekly aggregate reports?
A. OPD register
B. Community survey
C. Rumor/outbreak log ✅
D. Pharmacy stock card
🏥 Section B: Reporting Responsibilities
Who is responsible for immediate reporting at the community level?
A. Surveillance officer
B. Medical director
C. Community health worker (CHW) ✅
D. Laboratory technician
Who is responsible for weekly aggregate reporting at the community level?
A. CHW
B. DSO
C. Health facility in-charge ✅
D. None
At the facility level, who ensures reporting continues if the in-charge is unavailable?
A. Patient relatives
B. Surveillance or data focal person ✅
C. Pharmacist
D. Cleaner
What is the role of the DSO in reporting?
A. Conduct lab tests
B. Record patient vitals
C. Respond to immediate reports from CHWs and facilities ✅
D. Administer vaccines
Which of the following should the DSO maintain for effective communication?
A. Register of supplies
B. Contact details of each CHW and facility reporter ✅
C. Patient medical histories
D. Regional meeting minutes
📄 Section C: Immediate Case-Based Reporting
When should immediate reports be submitted?
A. At the end of the week
B. Within 24 hours of detection ✅
C. After lab confirmation
D. Monthly
What happens when an immediate report is submitted?
A. It is archived automatically
B. The regional health director is notified
C. It triggers an alert in the system ✅
D. Nothing
Who verifies whether an alert meets the case definition?
A. Lab assistant
B. District PHO ✅
C. Facility in-charge
D. Community leader
Which field is NOT mandatory in the immediate case report form?
A. Reporting site name
B. Age
C. Final classification ✅
D. Date of onset
What is the consequence of submitting an incomplete form?
A. The system automatically fills the blanks
B. The form is rejected
C. It cannot be submitted until mandatory fields are filled ✅
D. It is escalated to the ministry
🗓 Section D: Weekly Aggregate Reporting
When is the weekly report due?
A. Friday before 5 PM
B. Sunday evening
C. Monday before midday ✅
D. Tuesday morning
Which form is used for weekly reporting?
A. Outbreak investigation form
B. Weekly aggregate surveillance summary form ✅
C. Lab requisition form
D. Data quality audit form
If multiple sources (e.g., OPD, IPD) are used in weekly reports, what must be avoided?
A. Using the rumor log
B. Collaboration
C. Multiple counting of same cases ✅
D. Submission before noon
Who reviews and edits the submitted weekly data online?
A. CHW
B. Health facility guard
C. District PHO ✅
D. Patient's guardian
Which system automatically aggregates weekly reports?
A. Excel
B. IDSR-Desktop
C. DHIS2 ✅
D. EMR
🧪 Section E: Case Study & Errors
In the case of Xalima, what was the suspected disease?
A. COVID-19
B. Measles
C. Avian Influenza ✅
D. Dengue
What form should be filled after Xalima’s death?
A. Discharge form
B. Laboratory request
C. Immediate case-based reporting form ✅
D. Birth certificate
Which critical information is missing in Xalima’s report?
A. District PHO’s name
B. Vaccine doses received ✅
C. Age
D. Exposure history
Which of the following is NOT a source for data verification in weekly reporting?
A. Rumor log
B. OPD registers
C. IPD registers
D. Pharmacy receipts ✅
Which death was included in Xalima’s possible exposure history?
A. Neighbor’s death
B. Grandfather’s death
C. Mother’s death from viral pneumonia ✅
D. Poultry dealer’s death
✅ Section F: Prioritization & Conditions
Which of the following must be reported immediately?
A. Malnutrition
B. Measles ✅
C. Hypertension
D. Dental abscess
Which condition is reported weekly but NOT immediately?
A. Maternal death ✅
B. Cholera
C. Measles
D. AFP
What is the reporting rule for cholera?
A. Only report when lab confirmed
B. Report weekly only
C. Report immediately ✅
D. Report monthly
Is Acute Flaccid Paralysis a priority condition for immediate reporting?
A. No
B. Yes ✅
C. Only in children
D. Only if confirmed
Which concept applies when no cases are reported, but a ZERO is recorded?
A. Blank reporting
B. Passive surveillance
C. Zero reporting ✅
D. Sentinel surveillance
🛠 Section G: Supervision & Quality Assurance
Who should conduct periodic checks on data quality at the facility level?
A. Cleaner
B. CHW
C. Facility in-charge ✅
D. Watchman
How often should DSO conduct a supportive supervision visit to each facility?
A. Every month
B. Every 6 months
C. Every quarter ✅
D. Once a year
What feedback frequency is expected from the DSO to CHWs and facilities?
A. Annually
B. Irregularly
C. Regularly ✅
D. Weekly
What is the purpose of assigning unique patient identifiers?
A. For billing purposes
B. To avoid patient mix-up
C. To link clinical and lab data and avoid multiple counting ✅
D. To identify family members
What should facilities provide CHWs with for effective reporting?
A. Medicines
B. Airtime and data ✅
C. Vaccines
D. ID cards
📈 Section H: System Strengthening
What is the primary function of DHIS2 in IDSR?
A. Generate case definitions
B. Train health workers
C. Aggregate and display surveillance data ✅
D. Print ID cards
What happens if weekly reports are not submitted by Monday midday?
A. They’re accepted any time
B. The system flags it as delayed ✅
C. They are escalated to WHO
D. Nothing
What does SOP on page 35 outline?
A. How to detect cases
B. Weekly reporting procedure ✅
C. Community outreach planning
D. Budget monitoring
What is the use of rumor/outbreak log during reporting?
A. Register for medicine stocks
B. Log suspected priority conditions for reporting ✅
C. Record staff attendance
D. Document training sessions
What should happen during facility meetings regarding data quality?
A. Financial audits
B. Hiring discussions
C. Review and improve reporting ✅
D. Celebrate top performers only