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DEFINITION

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... elimination are Bihar, UP, Jharkhand, West Bengal, Chattisgarh and D & N Haveli. ... Jharkhand , Maharashtra, Uttar Pradesh, Chhattisgarh and West Bengal. ... – PowerPoint PPT presentation

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Title: DEFINITION


1
ACHIEVEMENTS IN LEPROSY ELIMINATION AND FUTURE
LEPROSY PROGRAMMEDr. D.M.THORATCentral
Leprosy Division Directorate
General of Health Services
2
MILESTONES IN NLEP IN INDIA
  • Launched National Leprosy Control
  • Programme
  • Launched National Leprosy
    Eradication Programme and introduced MDT
  • 1991 WHO declaration to eliminate
    leprosy at global level by 2000.
  • 1993 World Bank supported
    NLEP I
  • 2001 World Bank supported
    NLEP II
  • Integration of Leprosy services with General
    Health Care System
  • 2002 - National Health Policy
    Statement Elimination of Leprosy by 2005
  • Dec.2005 Elimination of leprosy as public
    health problem at National level.
  • Since 2005 Programme continues with GOI
    support since January 2005.

3
Trend of Leprosy Prevalence Annual New
Case Detection (ANCDR) Rates
4
STATEWISE PREVALENCE
As on 1981 PR 57.60/10,000
As on Mar.2001 PR 3.74/10,000
As on Mar.2007 PR 0.72/10,000
Elimination achieved in 28 out of 35 States/Union
Territories
5
STATEWISE CONTRIBUTION OF NEW LEPROSY CASES
DURING YEAR 2006-07
Figures in brackets indicate proportion of state
population to total population
6
EPIDEMIOLOGICAL SITUATION
  • India achieved goal of leprosy elimination in
    December 2005.
  • 30 states/UTs achieved elimination.
  • 6 states / UTs yet to achieve elimination are
    Bihar, UP, Jharkhand, West Bengal, Chattisgarh
    and D N Haveli.
  • 80 of districts, 75 blocks and 70 of urban
    localities have PR lt 1.
  • 19 districts, 275 blocks and 49 urban areas have
    PR gt 2.

7
EPIDEMIOLOGICAL SITUATION (contd..)
  • Indicators March 2007
    December 2007
  • PR/10,000 - 0.72 (82,801) 0.83
    (95,212)
  • ANCDR/1,00,000 - 12.07 (1,39,252) 11.7
    (135,277)
  • MB - 45.0
    46.7
  • Child - 10.1 9.5
  • Female - 34.2
    34.2
  • Gr. I deformity - -
    5.8 (6,022)
  • Gr. II deformity - 2.2 (3,130)
    2.3 (2,485)
  • Cure rate - 90.6
    91.2

  • (151601/137340) (96530/88076)

8

EPIDEMIOLOGICAL SITUATION (contd..)
  • During 2007-08 (upto Dec.07), 106182 new cases
    were detected compared to 110157 cases detected
    in corresponding period of previous year.
  • 64 of recorded cases as in Dec.07 and 65 of new
    cases detected during April Dec.07 are
    contributed by Bihar , Jharkhand , Maharashtra,
    Uttar Pradesh, Chhattisgarh and West Bengal.
    However these 6 states contributed to 46.6 of
    countrys population.

9
YEAR-WISE ENDEMICITY STATUS OF STATES
10
YEAR-WISE ENDEMICITY STATUS OF
DISTRICTS
124 districts yet to achieve elimination.
11
LEPROSY ELIMINATION STRATEGY
  • Decentralization of NLEP services
  • Integration of NLEP with General Health
    Care System
  • Capacity building of GHS functionaries
  • Timely diagnosis prompt MDT
  • Intensified IEC using Local and Mass Media
  • Prevention of Disability Medical
    Rehabilitation
  • Monitoring Evaluation
  • M.I.S.
  • Independent Evaluation
  • Leprosy Elimination Monitoring (LEM)

12
FACTORS HELPED IN REACHING ELIMINATION
  • Strong political commitment.
  • Availability of adequate resources.
  • Support from partners in NLEP like WHO, World
    Bank, ILEP, The Nippon Foundation, Novartis, and
    NGOs.
  • Strategic planning and timely implementation of
    the activities.
  • Special campaigns in vulnerable areas
    MLEC/BLAC/ULSAC

13
Aims Objectives of 11th Five Year Plan
  • Further reduce leprosy burden in the country
  • Provide quality leprosy services through GHC
    system
  • Enhance Disability Prevention and Medical
    Rehabilitation services
  • Enhance advocacy to reduce stigma and
    discrimination
  • Capacity building of GHC staff
  • Strengthening monitoring supervision

14
NEW PARADIGMS CHANGES
  • New paradigms are in conformity with WHO
    Operational Guidelines 2006-2010
  • Providing quality services
  • Sustainable Leprosy services through the PHC
    System .
  • Referral services and long term care

15
Contd ..
  • Prevention and management of impairment
    disabilities
  • Measurement of persons with disabilities
  • Comprehensive approach to rehabilitation in
    co-ordination with MOSJE
  • Community based rehabilitation
  • Expanding facilities for reconstructive surgery

16
Contd ..
  • - Increased access to DPMR services at first,
    second and third level Institutions.
  • - Payment of Rs. 5000/- to poor patients for
    each major RCS to compensate for wage loss.
  • - Reimburse funds upto Rs. 5000/- for each
    surgery to Govt. Hospitals to facilitate RCS
    operations.

17
Programme Monitoring
  • Primary indicator
  • Annual New Case Detection Rate
  • Treatment Completion Rate (cohort analysis)

18
Programme Monitoring (contd)
  • Indicators for case detection
  • Proportion of new cases with Gr II disability
  • Proportion of child cases among new cases
  • Proportion of MB cases among new cases
  • Proportion of Female cases among new cases

19
Programme Monitoring (contd)
  • Indicators for quality of service
  • Proportion of new cases correctly diagnosed.
  • Proportion of defaulters.
  • Number of relapses during a year.
  • Proportion of cases with new disabilities.

20
TOWARDS ACHIEVING LEPROSY FREE INDIA
  • Campaign theme Leprosy Free India
  • Reduction in stigma and discrimination.
  • Early detection and complete treatment
  • Prevention of disabilities by early reporting,
    protection and self care.
  • Correction of disabilities by RCS.

21
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22
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