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NATIONAL LEPROSY ELIMINATION PROGRAMME 2001 2005

NATIONAL LEPROSY ELIMINATION PROGRAMME 2001 2005. NLEP. STATUS OF NLEP IN UTTRANCHAL. 2004-2005. BACK GROUND. One of the newly formed state. It has got 13 districts out of which 7 districts are high Himalaya, 4 districts are mid Himalaya & 2 districts are plain.

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NATIONAL LEPROSY ELIMINATION PROGRAMME 2001 2005

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  1. NATIONAL LEPROSY ELIMINATION PROGRAMME 2001 2005 NLEP STATUS OF NLEP IN UTTRANCHAL 2004-2005

  2. BACK GROUND • One of the newly formed state. • It has got 13 districts out of which 7 districts are high Himalaya, 4 districts are mid Himalaya & 2 districts are plain. • Total Area of the State is 53,204 Sq. Km. • Total Est. population of State on 2004 90,92,366 • The State specific constraints – - Difficult hilly terrains - Poor road connections - Lack of man power & infrastructure - Sparsely populated villages. All contribute problems of access to health service delivery.

  3. OBJECTIVE • The objective of the project was to reduce the PR of leprosy to 1 or below 1/10,000. • The PR of the Uttranchal as on March 2004 was 1.37/10,000. Status as on January 2005 • Total districts 13. • PR – 1 or below 1 10 Distts. • PR – 1 – 2 2 Distts. (D.Dun, U.S.Nagar) • PR – 2 – 5 1 Distt. (Haridwar) • Prevalence Rate as on January 2005 - 1.09 per 10,000

  4. UTTARANCHAL LEPROSY STATUS AS ON MARCH 2004 14 (0.58) 24 (0.77) 22 (0.56) 10 (0.38) 66 (0.48) U t t a r K a s h i 31 (0.63) PR/10,000 Popll. Rudra Prayag D e h r a d u n C h a m o l i 41 (0.64) T e h r i G a r h w a l P i t h o r a g a r h PR <1\10000 r HARDWAR Pauri B a g e s w a r PR 1-2\10000 A l m o r a PR>2-5 604 (3.96) 20 (0.30) N a i n i t a l C h a m p a w a t 83 (1.13) U. S. Nagar 15 (0.63) 65 (0.80) 231 (1.77)

  5. PROGRESS OF NLEP IN LAST 5 YEARS (New Cases)

  6. PROGRESS OF NLEP IN LAST 5 YEARS (Balance Cases)

  7. COMPARATIVE PR FOR LAST 5 YEAR 2.26 2.22 2.5 1.85 2 2000-01 1.37 1.5 2001-02 1.09 2002-03 1 2003-04 Upto Jan. 2005 0.5 0 PR

  8. COMPARATIVE CHART OF DEFORM CASES FOR THE LAST 5 YEARS

  9. COMPARATIVE CHART OF CHILD CASES FOR THE LAST 5 YEARS

  10. Proportion of MB Case Among New Cases

  11. NCDR Trends Uttranchal

  12. NLEP INDICATORS OF UTTRANCHAL

  13. High PR Blocks of Uttranchal has been identified by calculating PR of all 95 blocks. In September 2004 Only 19 blocks has PR > 1, which needs more attention. March04 Sept04 • Total No. of Blocks 95 95 • PR < 1 72 76 • PR between 1 – 2 14 10 • PR between 2 – 5 7 9 • PR between 5 – 10 2 0 • Zero PR Blocks 9 20

  14. Priority District Haridwar • Haridwar is our top priority District. It has 6 blocks containing 503 villages. PR of all the villages having balance cases as on March 03 identified, necessary action taken due to which significant reduction of PR achieved as shown by the Comparative village wise PR given below: March 03 Sept 04 • Nos of vill. with PR >10 114 71 • Nos of Vill. with PR 5-10 55 65 • Nos of Vill. With PR <5 70 42 • Total Vill. Affected 239 178 • % of affected Vill. 47.5% 35.3% Out of 178 villages 69 are newly affected villages.

  15. Priority District U.S. Nagar • This district has second highest number of leprosy cases. There are 7 blocks in the district. The comparative block wise PR as on March 04 & Sept 04 is as under: March04 Sept04 • Total No. of Blocks 7 7 • PR < 1 0 1 • PR between 1 – 2 4 2 • PR between 2 – 5 3 4 • PR between 5 – 10 0 0

  16. Village wise PR of U.S. Nagar • U.S. Nagar being the 2nd district having more number of leprosy cases were again taken up for calculating village wise prevalence rate, so that high risk pockets can be identified for effective implementation of the programme. Sept 04 • Total Nos of Villages 910 • Nos of vill. with PR >10 73 • Nos of Vill. with PR 5-10 25 • Nos of Vill. With PR <5 19 • Total Vill. Affected 117 • % of affected Vill. 12.8%

  17. TO ACHIEVE THE NLEP GOAL FOLLOWING ACTIVITIES ARE BEING TAKEN UP DURING 2004-05 • More emphasis on detection of new cases in high risk blocks & prompt treatment with MDT • Completion of SAPEL Projects : • Total nos of SAPEL projects allotted. - 53 • Total nos of SAPEL projects sanctioned. - 53 • Total nos of SAPEL projects completed - 53 • Total Population examined – 18, 76,742 • Total New Case Detected – 633 MB-157, PB-476, Female Cases-186, Child Cases-32, Deformity Cases-16

  18. Completion of Balance POD Camps : • Total 190 POD camps were planned. Out of which 172 POD camps organized, where 583 leprosy patients & 1186 GHC staff have been trained. POD to be completed in 2004-05 – 18.

  19. INTEGRATION • Most of the general health staff has been trained. • MDT services being provided at all the health centers on all working days. • Reverse integration of vertical staff is under process. • Simplified Information System is implemented. The analysis of the SIS reports are being carried out at state level & corrective actions are being taken up. • In the general health care system the un-trained MOs, Pharmacist, HWs & newly appointed MOs will be given training during 2004-05.

  20. INTEGRATION (Continued) • Functional Integration • Training : Most of the GHS staff are trained & the 493 newly recruited MOs & remaining 1429 Paramedical are to be trained during 2004-05. • Availability of the SIS Format in all Health Facilities • Availability ofMDT 100% • Organizational Integration • Integration of vertical staff with GHS is under • process

  21. URBAN LEPROSY CONTROL PROGRAMME Hiding attitude in urban population is a major problem in controlling the leprosy programme. Special efforts are to be taken for the same. The PR of the urban areas is 1.04/10000 as on March 2004. Following are few illustrative steps for elimination of leprosy in Urban Areas • Identification of Govt./Semi Govt. & Private Health Facilities • providing training to MOs & other related paramedical staff. • Distribution of MDT drugs through all such HFs. • Supply of SIS formats. • Involvement of NGOs.

  22. IEC • Intensive IEC throughout the year & monitoring as per the checklist circulated. • BLAC ( Block Leprosy Awareness Campaign ) – is being under taken in two blocks (Luxer & Narsan ) of district Haridwar which have PR more than 5. Total 53 leprosy Counseling Centers established, 26 new leprosy cases detected during BLAC. • Other Activities • More emphasis on villages having leprosy cases, by concerning field staff: • Follow up of leprosy cases for completion of treatments. • Follow up of RFT cases. • Constant watch on the new cases detected & their family members. • Validation of new cases by DTST/Distt. Level officers. • Proper record maintenance & cleaning of registers.

  23. Monitoring of the programme & Management of MDT, Supply of SIS in urban area will be done by the nucleus team of the district. Conclusion We hope by effective implementation of all above activities the state will achieve the level of elimination i.e. PR < 1 by march 2005 positively. Thanks. Dr. S.R.S. Rana SLO Uttranchal

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