national leprosy elimination programme 2001 2005
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
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.
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
OBJECTIVE
UTTARANCHAL LEPROSY STATUS
C h a m o l i
U t ta r K a s h i
Pauri
P i th o r a g a r h
A lm o r a
N a in it a l
T e h r i G a r h w a l
D e h r a d u n
rHARDWAR B a g e s w a r
U. S. Nagar
C h a m p a w a t
RudraPrayag
AS ON MARCH 2004
PR/10,000 Popll.
PR <1\10000
PR 1-2\10000
PR>2-5
24(0.77)
22(0.56)
31(0.63)
10(0.38)
14(0.58)
66(0.48)
41(0.64)
604(3.96)
83(1.13)
20(0.30)
15
(0.63)65(0.80) 231
(1.77)
PROGRESS OF NLEP IN LAST 5 YEARS (New Cases)
1894
25412246
1917
1093
0
500
1000
1500
2000
2500
3000
NEW CASES
2000-01
2001-02
2002-03
2003-04
Upto Jan 2005
PROGRESS OF NLEP IN LAST 5 YEARS (Balance Cases)
1449
1913
1655
1226993
0200400600800
100012001400160018002000
BALANCE CASES
2000-01
2001-02
2002-03
2003-04
UP TO Jan 05
COMPARATIVE PR FOR LAST 5 YEAR
2.26 2.22
1.85
1.37 1.09
0
0.5
1
1.5
2
2.5
PR
2000-012001-02
2002-03
2003-04Upto Jan. 2005
11.90%
2.30%2% 1.80%
1.20%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
DEFORM CASES
2000-012001-022002-032003-04Upto Jan. 05
COMPARATIVE CHART OF DEFORM CASES FOR THE LAST 5 YEARS
COMPARATIVE CHART OF CHILD CASES FOR THE LAST 5 YEARS
2.67%
7.75%8%
6.50%
8.80%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
8.00%
9.00%
CHILD CASES
2000-012001-022002-032003-04Upto Jan. 05
Proportion of MB Case Among New Cases
46.53 45.93
38.2534.99
37.1944.73
0
10
20
30
40
50
60
70
80
MB CASES
1999-002000-012001-022002-032003-04Jan 05
NCDR Trends Uttranchal
1.09
2.76
2.23 2.14
1.74 1.78
2.26
1.8
2.21
1.37
2.962.51
2.56
1.88
0
0.5
1
1.5
2
2.5
3
3.5
97-98 98-99 99-2000 2000-01 2001-02 2002-03 2003-04
NCDR
PR
NLEP INDICATORS OF UTTRANCHAL
Indicators
National Status as on
March 04
Uttranchal Status as on
March 04
Uttranchal Status as on Jan.05
PR/10,000 2.44 1.37 1.09
PR<1 in districts 42% 76.92% 76.92%
VD among New Cases 1.40% 1.25% 1.18%
ANCDR 3.3% 2.14% 1.2%
MB Proportion 39% 37.19% 44.73%
Female Proportion 35% 36.67% 30.74%
Child Proportion 13.77% 6.46% 8.78%
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 Sept04Total No. of Blocks 95 95PR < 1 72 76PR between 1 – 2 14 10PR between 2 – 5 7 9PR between 5 – 10 2 0Zero PR Blocks 9 20
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 04Nos of vill. with PR >10 114 71Nos of Vill. with PR 5-10 55 65Nos of Vill. With PR <5 70 42Total Vill. Affected 239 178% of affected Vill. 47.5% 35.3%
Out of 178 villages 69 are newly affected villages.
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 Sept04Total No. of Blocks 7 7PR < 1 0 1PR between 1 – 2 4 2PR between 2 – 5 3 4PR between 5 – 10 0 0
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 04Total Nos of Villages 910Nos of vill. with PR >10 73Nos of Vill. with PR 5-10 25Nos of Vill. With PR <5 19Total Vill. Affected 117% of affected Vill. 12.8%
NLEP PHYSICAL PROGRESS REPORT JANUARY 2005
S.No.
Name of Districts
Nos of Cases
at the at the Beginning
of the Year 2004-05
Nos of Newly Detected Cases During the Current
Financial YearUpto Jan.2005 RFT
Cases
Nos of Cases
Balance at the end of Jan. 2005
PR Jan. 2005
Per 10,000
PB MB Total
1 PAURI 46 1 8 9 59 52 0.7
2 DEHRADUN 146 4 2 6 83 145 1.06
3 TEHRI 13 0 0 0 45 13 0.2
4 CHAMOLI 12 0 0 0 16 12 0.3
5 RUDRAPRAYAG 13 0 0 0 10 13 0.53
6 UTTARKASHI 12 0 0 0 21 11 0.35
7 HARIDWAR 450 9 2 11 598 418 2.7
8 ALMORA 9 0 0 0 20 8 0.12
9 NANITAL 101 1 5 6 28 70 0.86
10 PITHORAGARH 25 0 1 1 28 25 0.5
11 CHAMPAWAT 14 1 1 2 22 14 0.58
12 BAGESHWAR 7 1 0 1 7 8 0.3
13UDHAM SINGH NAGAR 214 11 3 14 224 204 1.54
TOTAL 1062 28 22 50 1161 993 1.09
TO ACHIEVE THE NLEP GOAL FOLLOWING ACTIVITIES ARE BEING TAKEN UP DURING 2004-05
1. More emphasis on detection of new cases in high risk
blocks & prompt treatment with MDT
2. 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
3. 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.
4. 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.
INTEGRATION (Continued)
1. 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 of MDT 100%
2. Organizational Integration
• Integration of vertical staff with GHS is under process
5. 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.
6. 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.
7. Other ActivitiesMore 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.
8. 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