Transcript Contact Management

Contact management
INDONESIA;
What has been done and challenges
NLR Indonesia
Vivian Velema - Andyka
Currently target of visiting 20 contacts in first
month after finding a new leprosy case
Activity
•
Contact home visit by HC leprosy staff - a routine part of
active case finding and health promotion, done in first
month after diagnosis and under supervion of the district
leprosy staff
•
The main target: household contact and neigbouring
contact, with the average around 20 contacts per each
leprosy patient
•
The purpose: to increase the knowledge, awareness and
support of contacts towards the patient/people affected
by leprosy in order to ovoid stigma and increase
treatment compliance, and to provide basic counseling
support to family and/ or neighbours
Target
Purpose
Contact coverage is part of national plan and
funded by the Ministry of Health
Contact coverage in
medium term plan
National data
collected
Operational
funding
•
The contact coverage is an indicator in national health
strategy plan (just started this year, after leprosy become
one of indicator in Medium Term of National Plan).
•
The contact information is in national electronic
recording and reporting system
•
Operational funding is covered in the HC operational
budget as an integrated part of HC operational funding
from MoH
New initiatives
Pilot with
chemoprophylaxis
•
Pilot single dose rifampicin chemoprophylaxis for contacts
(is wider than routin contact which include social
contacts)
•
Active participation of people affected by leprosy in
supporting screening process (PerMaTa)
Self screening approach by pimary school children to
their family
Community Participatory screeening approach - Leprosy
Friendly Village
Self screening
(small scale initiative)
•
•
Best practice
sharing
•
Exchange/sharing best practice among province/district
leprosy manager in regional meeting set up
Screening efforts in percentage
% index case in 2013 and 2012 average
100
90
80
70
60
50
40
30
20
10
-
%contact in 2013 and 2012 average
60
89
52
50
76 76 75
63
Average 2013 56%
56
47
2012 54.5%
41Average
39
31
40
45
45
Average 2012 35%
35
33
30
20
20
20
Average 2013 26%
11 12 12
10
-
12
4
Decline in average number of new cases
found from 10.5% in 2012 to 9% in 2013
30
% of cases found through screening contacts in 2013
26
25
20
15
22
21
19
13
11
10
5
-
Average 2012 10.5%
9
7
6
6
6
6
6
6
6
5
Average 2013 9%
4
2
1
1
Challenges and issues
•
Community
•
•
•
Health Centre:
Management and
support
•
•
Stigma in community and/or self stigma; patient and
family reluctant to receive visit from HC staff
Participatory of people affected by lerposy in health
screening is not yet seen/ acknowldge as an important
approach by MoH
PerMaTa still need support in the strengthening at
organisational level
Low coverage, due to HC leprosy staff motivation and/ or
limitation: difficult to reach area, one staff in charge of
many programmes
Inadequate monitoring and guidance from district leprosy
staff, mainly due to limited supervision activities due to
limited budget from the goverment
Budgeting issue: The integrated HC fund often misinterpreted & focus only for the MDGs target
WAY FORWARD for Indonesia
• Community participation and engagement of women
and men affected by leprosy who are already cured
in the contact screening process
need: COMMITMENT & COLLECTIVE
RESOURCE MOBILIZATION