ndcp_cd_nlep

Last modified at 20/07/2016 14:38 by hfwnhm

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NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)


INTRODUCTION
National Leprosy Programme is one of the oldest and the most successful National Health Programme. National Leprosy Control Programme was started in 1955. With the advent of Multi Drug Therapy (MDT), the National Leprosy control Programme (NLCP) was redesignated as a National Leprosy Eradication Programme (NLEP) in the year 1983. In the early 1990s the NLEP adopted the goal of elimination of leprosy by the year 2000. Karnataka has achieved the Goal of elimination in the year 2005.
Tremendous achievement was made in the Programme with regard to accessibility and service delivery with the successful implementation of the Programme. The prevalence rate of leprosy dropped from 40/10000 population in the year 1986 to 0.44/10000 population in 2015.
As on today, the goal of elimination i.e., prevalence rate less than 1/100000 population has been achieved in 30 Districts (Chitradurga, Shimoga, Tumkur, Chikmaglur, Dakshina Kannada, Hassan, Kodagu, Bangalore (U), Bangalore ®, Belgaum, , Bagalkot, Haveri, Gulbarga, Uttar Kannada, Gadag, Bidar, Udupi, Mandya, Racihur, Bijapur, Dharwad, Kolar, Mysore, Koppal, Chikkaballapur, Yadagir, Bellary, Davanagere, Chamarajanagar & Ramanagar).
Karnataka is considered as a low endemic state up to end of 30/09/2015. At Present there are 2448 on hand. So far 562430 cases have been cured with MDT since 1986.


Infrastructure facilities available for Eradication Of Leprosy in Karnataka is as follows

InfrastructureNos.
Joint Director (Leprosy)
01
State Survey& Assessment Unit SSAU)
01
DistrictsLeprosy Officers (DLOs)
30
National Leprosy Control Centres (NLCCs)
20
Modified Leprosy Control Units (MLCUs)
09
Urban Leprosy Centres (ULCs)
48
Twenty Bedded Hospital Wards
22
Leprosy Training Centres
02
Leprosy Rehabilitation & Physiotherapy Unit
01
Non Governmental Organizations (NGOs under new NGOs Scheme)
24

Physical Target And Achievements From 1999-2000 to 2015-2016

New Cases Detected

Cases Cured

PR

Deformity
Rate

Year

Target

Ach

%

Target

Ach

%

99-2000

10000

23095

230.95

14000

21154

151.10

3.10

1.07

2000-01

8000

17882

223.52

14000

19986

142.75

2.18

1.02

2001-02

8000

21307

266.34

14000

19584

139.84

2.45

0.79

2002-03

13890

13070

94.09

19720

15340

78.00

1.90

1.00

2003-04

-

10598

-

-

12522

-

1.40

0.79

2004-05

-

6133

-

-

7486

-

1.08

0.40

2005-06

-

5253

-

-

6705

-

0.56

0.42

2006-07

-

4299

-

-

4455

-

0.50

1.23

2007-08

-

4522

-

-

4225

-

0.52

0.92

2008-09

-

4411

-

-

4277

-

0.50

1.60

2009-10

-

4299

-

-

4236

-

0.49

3.30

2010-11

-

3071

-

-

3011

-

0.48

2.79

2011-12

-

3718

-

-

3491

-

0.46

3.63

2012-13

-

3436

-

 

3355

-

0.45

3.28

2013-14

-

3461

-

-

3295

-

0.45

3.72

2014-15

-

3314

-

-

3260

-

0.44

4.41

2015-16 (Up to  end of Sep 2015)

-

1647

-

-

1639

-

0.39

3.48


Budget Allocation and Expenditures From 1999-2015

Govt. of India Cash Assistance 100% CSS (Plan)

State Plan

Year

Budget Allocation 
(in Lakhs)

Actual Release from Govt. of India

Expenditure (in lakhs)

Budget Allocation 
(in Lakhs)

Expenditure 
(in Lakhs)

99-2000

71.00

64.54

44.71

70.66

113.51

2000-01

62.00

55.18

8.50

105.07

125.55

2001-02

62.00

30.00

28.74

155.09

133.32

2002-03

50.00

30.00

14.18

50.00

39.54

2003-04

50.00

22.17

15.11

50.07

41.35

2004-05

50.00

12.50

12.50

42.15

33.70

2005-06

63.25 (ZP)

14.00

14.00

3.50

-

2006-07

56.25

14.29

13.35

3.59

-

2007-08

70.89

-

-

5.59

1.18

2008-09

67.20

13.00

13.00

3.25

-

2009-10

-

-

-

4.00

-

2010-11

-

-

-

4.00

-

2011-12

-

-

-

-

-

2012-13

-

-

-

-

-

2013-14

-

-

-

-

-

2014-15

-

-

-

-

-

2015-16 
Till Sep 2015

-

-

-

-

-



INTEGRATION:
As per Government of India guidelines, during 2002-03 Integration of Leprosy Programme into General Health Care Services has been implemented. All the Leprosy Staff along with Other General Health Care Staff, are involved in the Leprosy Control Work, as part of their duty. With the decreasing case load, running a vertical programme was considered not cost effective. There was restructuring of leprosy control activities, so that they would be offered through the General Health care. For the process of integration to go smoothly, General health care staff were involved by including them in four modified leprosy elimination campaigns (MLECs) between 1997 & 2003 and detected 18911 New cases.
1. The Annual New Case detection Rate was more than10/100000 population in 31 Blocks as on 31st March 2014. The Special Activity is done in all these blocks during this year 2014-15.

Welfare measures for the Persons Affected by Leprosy:
1. 54 Reconstructive Surgery Operations done as on Sep 30th 2015 Rs.8000/- paid (As per Guidelines) incentive for RCS undergone Persons Affected by Leprosy.
2. Micro Cellular Rubber Footwear provided to 1671 Persons Affected by Leprosy ( PALs).
3. 896 Self care kits provided to foot ulcer cases.
4. 243 Lepra reaction cases treated with supportive drugs.
5. Splints crutches and other needed appliances provided.
6. 5% of Group ‘D’ Jobs reserved for the Persons affected by Leprosy during recruitment.
7. Prevention of Deformity (POD) camps conducted regularly in all the Taluk level hospital.
8. Civic amenities and Medical facilities provided to the Persons Affected by Leprosy family member residing in 20 Leprosy colonies in the State.
9. Grant-in Aid is provided by State Govt. for the NGO, hospitals providing treatment to the Persons Affected by Leprosy at the rate Rs.500/bed for adults and Rs,275/bed for children per month.

The main Objectives under NLEP:
1. Elimination of leprosy i.e prevalence of less than 1 case per 10000 population in all the Districtsof the State.
2. Strengthening Disability Prevention & Medical Rehabilitation of persons affected by leprosy.
3. Reduction in the level of stigma associated with leprosy.

NLEP Results proposed to be achieved at the end of the 12th Five Year Plan period:
1. Improved early case detection.
2. Improved case management.
3. Stigma reduced.
4. Development of leprosy expertise sustained.
5. Monitoring supervision and evaluation system improved.
6. Increased participation of persons affected by leprosy in society.
7. Programme management ensured.

Plan of Action for Expected outcomes by 2015-16:
1. IEC activity to be improved.
2. General Health staff to be trained for leprosy and public awareness for the disease is arranged.
3. The Rehabilitation for leprosy disabled persons is arranged in Districts
4. PR rate less than 1/10000 population to be achieved by 2016 in all the Districts State.
5. The detected Leprosy patients are monitored to get early, regular and quality treatment. Cases to get treatment in the nearest hospital and referred to higher hospital for further specialized treatment.

It is expected a world with a reduced burden of leprosy, reduced stigma and discrimination, activities based on the principles of equity and social justice, and strong partnerships based on equality and mutual respect at all levels.​