National Leprosy Eradication programme.pdf
- 1. National Leprosy Eradication Programme (NLEP) Dr. Shubhangi S. Kshirsagar Assistant professor Department of Swasthavritta &Yoga drssksagar@gmail.com
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- 3. Milestones ▪ 1955 - National Leprosy Control Programme NLCP Objective - Early detection of cases. Treatment with Dapsone monotherapy. ▪ 1980 - GOI declared to Eradicate leprosy by the end of 2000 ▪ 1983- National Leprosy Eradication Programme ✓ Multi DrugTherapy (MDT) ✓ Aim- To reduce case load 1or <1/10,000 population. ▪ 1993-World Bank supported project phase I ▪ 2001-02-World Bank supported project phase II ▪ 2002-03 – Integrated with general health care system. 4/26/2022 3
- 4. Components of NLEP 1. Decentralized integrated leprosy services through general health care system. 2. Capacity building 3. Intensified IEC 4. Intensified monitoring & supervision 5. Prevention of disability & medical rehabilitation 4/26/2022 4
- 5. Major initiatives 1. More focus on new case detection than prevalence. 2. Treatment completion rate - important indicator. 3. Disability prevention and medical rehabilitation (DPMR) services. 4/26/2022 5
- 6. ❑The aid provided under DPMR are as follows: a. Dressing materials, supportive medicines and ulcer kits are provided to leprosy affected persons with ulcers and wounds as well as leprosy affected persons residing in self settled colonies. b. Micro-cellular rubber footwear is provided for protection of insensitive feet. c. 41 NGO’s & 42 govt. medical colleges are strengthened for providing reconstructive surgery. d. Rs. 5000/- incentive to leprosy affected person from BPL family undergoing Reconstructive surgery. 4/26/2022 6
- 7. 4.ASHAs involvement - in bringing out suspected leprosy cases from their villages for diagnosis and treatment at PHC and follow up of confirmed cases for their treatment completion. ▪ Incentives for ASHA- a. On confirmed diagnosis of case brought by them - Rs 250/- b. On completion of full course of treatment of the cases within specific time – ✓ PB leprosy case - Rs 400/- ✓ MB leprosy case - 600/- c. Early case before onset of visible deformity –Rs. 250/- d. New case with visible deformity in hands, feet or eye- Rs. 200/- 4/26/2022 7
- 8. 5. There are 612 self settled colonies in the country where more than 50,000 leprosy affected persons reside. ✓ Free medical facilities like care of ulcers, self care training, counseling and MCR foot wear are provided. 6. Intensive IEC campaign with a theme – “Towards leprosy free India”. 4/26/2022 8
- 9. Major initiatives in brief 4/26/2022 9
- 10. Disability Prevention & Medical Rehabilitation (DPMR) activities 1. Implementation of DPMR as per guidelines & reporting its outcome. ex. Treatment of leprosy reaction, ulcers, RCS, physiotherapy 2. Integrating DPMR service with NRHM 3.To develop referral system 4/26/2022 10
- 11. DPMR activities are carried out in a three tier system- 1. Primary level care PHCs, CHCs, sub-divisional hospitals, urban leprosy centers 2. Secondary level care District head quarter hospitals, district nucleus units 3.Tertiary level care Central Government institutes, ICMR institute JALMA,Agra, ILEP supported hospitals, Department of medical colleges. 4/26/2022 11
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- 13. Programme implementation plan for 12th plan period 2012-13 to 2016-17 1. Elimination of leprosy i.e. Prevalence <1/10000 population in all district. 2. Strengthen DPMR of person affected by leprosy. 3. Reduction in the level of stigma associated with leprosy. 4/26/2022 13
- 14. Targets for the plan period 2012-13 to 2016-17 Sr. no. Indicator Baseline 2011-12 Target 2017 1. Prevalence rate <1/10000 543 districts (84.6%) 642 districts (100%) 2. Annual case detection rate <10/10000 445 districts (69.3%) 642 districts (100%) 3. Cure rate – MB 90.56% >95% 4. Cure rate –PB 95.28% >97% 5. Grade II disability rate in % of new cases 3.04% 35% reduction 1.98% 4/26/2022 14
- 15. Programme strategy 1. Integrated leprosy service through general health care system. 2. Early detection and complete treatment of new cases. 3. House-hold contact survey for early detection of cases. 4. Involvement of ASHA in detection & completion of treatment on time. 5. Strengthening of DPMR service. 6. IEC in community to improve self reporting to PHC and stigma reduction. 7. Intensive monitoring & supervision at block PHC & CHC. 4/26/2022 15
- 16. Case detection & management 1. To improve access to services. 2. To involve women including leprosy affected person in case detection. 3. To organize skin camp. 4. Contact survey to identify sources. 5. Increase awareness through ANM, AWW, ASHA and to motivate for early reporting to medical officer. 4/26/2022 16
- 17. NLEP strategy 2016-17 1. Leprosy case detection campaign (LCDC) Aim – early case detection & timely treatment 2. Focused leprosy campaign House to house survey in village/ urban areas 3. Special plan for hard to reach areas Aim –To find the case in population in areas of difficult terrains, naxalite areas & other geographically difficult locations 4/26/2022 17
- 18. Sparsh leprosy awareness campaign ▪ Launched in 2017 through Gram Sabha and carried out with the help of Panchayata & Village health & sanitation committee . ▪ Aim – ✓ To generate awareness ✓ Reduce stigma ✓ Improve self reporting of cases 4/26/2022 18
- 19. Survey education & treatment (SET) scheme Under SET scheme, NGOs are involved in - ✓ Disability prevention and ulcer care ✓ IEC ✓ Referral of suspected cases ✓ Referral for RCS ✓ Research ✓ Rehabilitation 4/26/2022 19
- 20. Incentive to patient ▪ An incentive of Rs. 8000/- to leprosy affected patient undergoing RCS irrespective of their financial status. ▪ The payment will be made by district leprosy officer. 4/26/2022 20
- 21. Information ,Education & communication (IEC/BCC) ▪ Focus on behavioral changes in general the stigma, discrimination. ▪ Making the public aware about availability of MDT, correction of deformity through surgery and leprosy affected person can live a normal life with the family. 4/26/2022 21
- 22. ▪ Recently WHO has announced Global leprosy strategy 2016-2020 – “Accelerating towards a leprosy free world” for further reducing the disease burden. 4/26/2022 22
- 23. ILEP agencies 23
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