National Leprosy Eradication programme.pdf

This ppt contains all the information about National Leprosy Eradication programme (NLEP). It is useful for students of the medical field learning Preventive and social medicine, Swasthavritta (Ayurved) and everyone who is interested in in knowing about it

1. National Leprosy
Eradication Programme
(NLEP)
Dr. ShubhangiS. Kshirsagar
Assistant professor
Department of Swasthavritta& Yoga
[email protected]

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3. Milestones
▪1955 -National Leprosy Control Programme NLCP
Objective-Early detection of cases.
Treatment with Dapsonemonotherapy.
▪1980 -GOI declared to Eradicate leprosy by the end of
2000
▪1983-National Leprosy Eradication Programme
✓Multi Drug Therapy (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.
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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
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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.
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6. ❑TheaidprovidedunderDPMRareasfollows:
a.Dressingmaterials,supportivemedicinesand
ulcerkitsareprovidedtoleprosyaffectedpersons
withulcersandwoundsaswellasleprosyaffected
personsresidinginselfsettledcolonies.
b.Micro-cellularrubberfootwearisprovidedfor
protectionofinsensitivefeet.
c.41NGO’s&42govt.medicalcollegesare
strengthenedforprovidingreconstructive
surgery.
d.Rs.5000/-incentivetoleprosyaffectedperson
fromBPLfamilyundergoingReconstructive
surgery.
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7. 4. ASHAs involvement -in bringing out suspected
leprosy cases from their villages for diagnosis and
treatmentat 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/-
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8. 5.Thereare612selfsettledcoloniesinthe
countrywheremorethan50,000leprosy
affectedpersonsreside.
✓Freemedicalfacilitieslikecareofulcers,self
caretraining,counselingandMCRfootwear
areprovided.
6.IntensiveIECcampaignwithatheme–
“TowardsleprosyfreeIndia”.
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9. Major initiatives in brief
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10. Disability Prevention & Medical
Rehabilitation (DPMR) activities
1.ImplementationofDPMRasperguidelines&
reportingitsoutcome.ex.Treatmentofleprosy
reaction,ulcers,RCS,physiotherapy
2.IntegratingDPMRservicewithNRHM
3.Todevelopreferralsystem
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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.
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13. Programme implementation plan for
12
th
plan period 2012-13 to 2016-17
1.Eliminationofleprosyi.e.Prevalence
<1/10000populationinalldistrict.
2.StrengthenDPMRofpersonaffectedby
leprosy.
3.Reductioninthelevelofstigmaassociated
withleprosy.
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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 IIdisability rate
in % of new cases
3.04% 35% reduction
1.98%
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15. Programmestrategy
1.Integratedleprosyservicethroughgeneralhealthcare
system.
2.Earlydetectionandcompletetreatmentofnewcases.
3.House-holdcontactsurveyforearlydetectionofcases.
4.InvolvementofASHAindetection&completionof
treatmentontime.
5.StrengtheningofDPMRservice.
6.IECincommunitytoimproveselfreportingtoPHC
andstigmareduction.
7.Intensivemonitoring&supervisionatblockPHC&
CHC.
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16. Case detection & management
1.Toimproveaccesstoservices.
2.Toinvolvewomenincludingleprosyaffected
personincasedetection.
3.Toorganizeskincamp.
4.Contactsurveytoidentifysources.
5.IncreaseawarenessthroughANM,AWW,
ASHAandtomotivateforearlyreportingto
medicalofficer.
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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, naxaliteareas & other
geographically difficult locations
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18. Sparshleprosy awareness campaign
▪Launchedin2017throughGramSabhaand
carriedoutwiththehelpofPanchayata&
Villagehealth&sanitationcommittee.
▪Aim–
✓Togenerateawareness
✓Reducestigma
✓Improveselfreportingofcases
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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
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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.
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21. Information ,Education & communication
(IEC/BCC)
▪Focusonbehavioralchangesingeneralthe
stigma,discrimination.
▪Makingthepublicawareaboutavailabilityof
MDT,correctionofdeformitythroughsurgery
andleprosyaffectedpersoncanliveanormal
lifewiththefamily.
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22. ▪RecentlyWHOhasannouncedGloballeprosy
strategy2016-2020–“Acceleratingtowardsa
leprosyfreeworld”forfurtherreducingthe
diseaseburden.
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23. ILEP agencies
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