Transcript MEETING OF STATE HEALTH SECRETARIES, MISSION …

Review Meeting with State Health
Secretaries
on
11th & 12th September, 2012.
National Leprosy Eradication Programme (NLEP)
Current Leprosy Situation
• All States/UTs except Chhattisgarh and Dadra & Nagar
•
•
•
•
Haveli achieved elimination.
445 (69.53%) out of 640 districts have achieved
elimination.
At the end of March 2012, there were 83687 leprosy cases
on record (under treatment), giving Prevalence Rate (PR)
of 0.68/10,000 population.
In 2011-12, total 1,27,295 new leprosy cases were
detected and put under treatment, giving Annual New
Case Detection Rate (ANCDR) of 10.35 per 1,00,000
population.
2548 reconstructive surgeries were conducted in 2011-12
for correction of disability in leprosy affected persons.
Prevalence & Incidence
Prevalence & ANCDR
1.6
1.4
1.4
1.2
1.2
1.2
1.1
1.1
1
0.8
0.84
0.72
0.74
PR
ANCDR
1.0
1.0
0.72
0.71
0.69
0.68
2009
2010
2011
2012
0.6
0.4
0.2
0
2006
2007
2008
Year (March End)
Achievements during 11th Plan
Indicators
Prevalence
Rate
(PR)
<
Outcome expected
Achievement till
by March 2012
March 2012
35 States/UTs
33 States/UTs
1/10,000 in States/ UTs
Prevalence
Rate
(PR)
(94.3%)
<
640 Districts
1/10,000 in Districts
Annual New Case Detection
542 Districts
(84.69%)
< 10/100,000
10.35/100,000
>95%
90.56%
>97%
95.28%
Rate(ANCDR)
Cure Rate for Multi Bacillary
Leprosy (MB)
Cure Rate for Pauci Bacillary
Leprosy (PB)
Programme Issues - (1)
1. High Endemic Districts
 209 districts in 16 States/UTs identified for Special Activity
Plan (SAP) during 2012-13.
 Special Activity Plan (SAP) includes
(i) Active search
(ii) Capacity building of staff
(iii) Awareness drive
(iv) Enhanced monitoring and supervision
(v) Validation of Multibacillary (MB) and child cases
 Posting of Dedicated District Leprosy Officer in each high
endemic district.
Action Points
• Preparation of detailed SAP in prescribed formats and
submission to Central Leprosy Division.
• Conduct SAP activities under strict supervision and monitoring.
Programme Issues - (2)
2. Disability Prevention and Medical Rehabilitation (DPMR)
•
Two types of disability in leprosy
Grade-I –insensitivity in hands and feet
Grade-II – visible deformity in hands, feet and eyes
• Services under DPMR cover reaction management,
supply of self-care kit & MCR Footwear, referral services
for management of complications and Reconstructive
Surgery (RCS).
• GoI recognized RCS Centres - 92 (Govt. 51 and NGO 41).
• Minimum target for RCS is 3000 during 2012-13.
Programme Issues - (2) Cont...
Action Points:
• To reduce Grade II disability in new cases by 35%
during 12th Plan.
• Early detection of cases through ASHA before nerve
involvement and development of deformity.
•
Recognized centres need to perform atleast 40 RCS
per year.
• Performance of RCS centres should be monitored.
Programme Issues (3)
3. Stigma and Discrimination
• Leprosy is associated with high degree of stigma and
discrimination
• People living in leprosy colonies need regular services
particularly for ulcer care and reaction. Regular Medical services
in the colonies need to be provided by the nearest health centre.
Action Points
• Guidelines for reduction of stigma and discrimination against
Persons Affected by Leprosy (PAL) need to be followed.
• Involvement of cured PAL in planning and implementation of
NLEP. They may be considered for
inclusion in the
State/District/Village level NRHM Committees.
Incentives for services (1)
Item
Existing
Proposed
(12th Plan period)
ASHA i)Diagnosis

Case detected - Rs.
100/-


ii)
Completion
treatment
• Paucibacillary
(PB) – Rs. 200/• Multibacillary
(MB) – Rs. 400/-
Case
detected
with
disability - Rs. 100/Case
detected
without
disability – Rs. 200/-
of
Case
Case
• Paucibacillary
400/-
Case
–
Rs.
•Multibacillary Case – Rs. 800/-
Incentives for services (2)
Item
Existing
Reconstructiv i)
Leprosy
cases
e Surgery
undergoing RCS
(RCS)

Only to case from
BPL Families – Rs.
5000/-
Proposed
(12th Plan period)

To all cases – Rs.
8000/-
ii) Approved Institutions
conducting RCS
• To
Govt.
Institutions only- Rs.
5000/- per RCS
• To
all
GoI
recognized
Institutions
Rs.
5000/- to 10, 000/per RCS