NATIONAL LEPROSY ERADICATION PROGRAMME.pptx

IT IS USEFUL

1. NATIONAL LEPROSY ERADICATION PROGRAMME

2. BACKGROUND: National Leprosy Eradication Programme (NLEP) , 1983. Strategy of NLEP: Reduction in the burden of infection in the population R eduction in source of infection B reak in the chain of disease transmission India achieved the goal of elimination of leprosy as a public health problem, defined as less than 1 case per 10,000 population, at the National level in December 2005.

3. Four Research & Training Institutes established under DGHS: Central Leprosy Training and Research Institute Institutes (CLTRI) at Chengalpattu Regional Leprosy Training and Research Institute (RLTRI) at Raipur Regional Leprosy Training and Research Institute (RLTRI) at Gauripur Regional Leprosy Training and Research Institute (RLTRI) at Aska. A Training Centre at Agra under ICMR. 

4. VISION : Leprosy-free India MISSION : T o provide quality leprosy services free of cost to all sections of the population, with easy accessibility, through the integrated healthcare system, including care for disability after cure of the disease.

5. To reduce Prevalence rate less than 1/10,000 population at sub national and district level. To reduce Grade II disability % < 1 among new cases at National level. To reduce Grade II disability cases < 1 case per million population at National level. Zero disabilities among new Child cases. Zero stigma and discrimination against persons affected by leprosy. OBJECTIVES:

6. STRATEGY: Integrated anti-leprosy services through General Health Care system
Early detection and complete treatment of new leprosy cases
Carrying out household contact survey for early detection of cases
Involvement of ASHA in the detection and completion of treatment of Leprosy cases on time To be contd …

7. Strengthening of Disability Prevention and Medical Rehabilitation (DPMR) services
Information, Education and Communication (IEC) activities to improve self-reporting to PHC and reduction of stigma
Intensive monitoring and supervision at Health and Wellness Centers and Block PHC/ CHC STRATEGY:

8. Case Detection and Management Disability Prevention and Medical Rehabilitation (DPMR) Information, Education and Communication (IEC) Human Resource and Capacity building Programme Management P ROGRAMME COMPONENTS:

9. SALIENT FEATURES OF NLEP: A centrally sponsored scheme of Government of India Under National Health Mission (NHM) Follows decentralized health planning and funds sent to the states through State Health Societies Quality of services and sustainability Disability Prevention & Medical Rehabilitation (DPMR) Removal of stigma and discrimination

10. ACTIVITIES UNDER NLEP: Diagnosis and treatment of leprosy - Free of cost Services for diagnosis and treatment (MDT) Referral to District Hospital for further management Capacity building - Annual t raining of MO, Health Workers, Health Supervisors, Laboratory Technicians and ASHAs IEC activities - via mass media, outdoor media, rural media and advocacy meetings To be contd …

11. ACTIVITIES UNDER NLEP: Disability Prevention and Medical Rehabilitation Dressing Material, Supportive Medicines And Micro-cellular Rubber (MCR) Footwear Reconstructive surgeries (RCS): Free of cost with paid welfare allowances ; under 60 Govt. Institutions and 52 NGO institutions To be contd …

12. ACTIVITIES UNDER NLEP: Supervision and Monitoring  – Monthly progress reports, Field visits and programme review meetings Assessment of New Case Detection and Treatment Completion Rate and proportion of grade II disability among new cases Visits by Joint monitoring Teams with members from GoI , ILEP and WHO NGO services under SET(Survey, Education and Treatment ) scheme - IEC, Prevention of Impairments and Deformities, Case Detection and MDT Delivery

13. ACHIEVEMENTS DURING 2020: Percentage of Grade II Disability (G2D)/visible deformity among new cases decreased from 3.05% in 2018-19 to 2.39% (2019-20).
The G2D amongst new cases/ million population decreased from 2.65/million population as on 31 st March, 2019 to 1.94/million population as on 31 st March 2020. Child cases percentage has reduced from 7.67% as on 31 st March 2019 to 6.86 % as on 31 st March 2020.

14. NEW INITIATIVES: Active Case Detection and Regular Surveillance strategy Convergence of leprosy screening for targeting different age groups like under  RBSK  (for 0-18 yrs ),  RKSK  (13-19 yrs ), and Ayushman Bharat (above 30+ yrs population).  P revention of leprosy amongst contacts : Post Exposure chemoprophylaxis administration (PEP) To be contd …

15. NEW INITIATIVES: Awareness Activities:   Routine IEC activities Sparsh Leprosy Awareness Campaigns  (SLAC) Appropriate messages from District Magistrates and appeals from Gram Sabha Pramukh School children encouraged to spread awareness about the disease through plays, posters etc.

16. THANK YOU