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ANNUAL REPORT LEPROSY

NATIONAL LEPROSY ERADICATION PROGRAMME. ANNUAL REPORT LEPROSY. UTTARANCHAL - Dec. 2004. Supported By - Netherlands Leprosy Relief. Prepared By. Dr. S.R.S. RANA Dr. V.S. PAL Dr. D.S. BIST

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ANNUAL REPORT LEPROSY

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  1. NATIONAL LEPROSY ERADICATION PROGRAMME ANNUAL REPORT LEPROSY UTTARANCHAL - Dec. 2004 Supported By - Netherlands Leprosy Relief Prepared By Dr. S.R.S. RANA Dr. V.S. PAL Dr. D.S. BIST (S.L.O.) (STATE COORDINATOR) (EPIDEMIOLOGIST)

  2. CONTENTS Slide number 1 – Introduction 3 - 4 2 – Health Facilities 5 3 – Staff position 6 4 – Staff training status 7 5 – Epidemiological development 8 - 10 6 – Indicators 11 - 16 7 – District wise case load 17 8 – Major achievement and constrains 18 9 – Conclusion 19 10 – Recommendation 20

  3. INTRODUCTION - UTTARANCHAL AT A GLANCE Existence on9th November 2000 Area 53484 Sq Km Forest cover 34434 Sq Km Capital Dehradun Population 9092366 Sex ratio 964 fem. : 1000 m. Population density 170 / Sq Km (159/Sq Km 2001) Boundaries International --China, Nepal National -- U.P. , Himanchal Per capita income > Rs – 14808 /- Source of Income Hydro power ,Forestry,Herbal Tourism, Pilgrim tourism Ores: Lime , Magnesite, Gypsum

  4. HEALTH FACILITIES UTTARANCHAL STATE

  5. STAFF POSITION UTTARANCHALDecember - 2004

  6. TRAINING STATUS GHS in LEPROSY 3 Days / 1 Day JULY - 2004 82.8% 95% 87.7% 100% 100% 79.3%

  7. STATE WISE LEPROSY CASE LOAD - INDIA Source of information -- lea Jul. – Dec. 2004

  8. UTTARANCHAL LEPROSY PREVALENCE RATES (/10,000 pop.) DECEMBER 2004

  9. TRENDS IN PREVALENCE RATES - UTTARANCHAL

  10. ESSENTIAL INDICATORS FOR LEPROSY - UTTARANCHAL(December 2004) 1 - PR -------- 1.2 2 - NCDR -------- 1.1 3 - MB Proportion -------- 45 % 4 - Nr. Of Registered cases -------- 1,062 5 - Deformity Gr 2 -------- 1.2 % 6 - Child rate -------- 8.6 % 7 - Nr. of female cases -------- 323 (31 %) 8 - Treatment completion rate -------- 90.7 % On Mar.2004 9 - Nr. of patients treated with steroids -------- 31

  11. MB PROPORTION YEAR WISE

  12. CHILDREN AMONG NEW CASES

  13. DISTRICT WISE INDICATORS DECEMBER - 2004 Deformity Cases Gd-2 Balance Case Child Cases Population (estimated) Female Cases NCDR New Cases Female Rate Child Rate PR

  14. CASE LOAD BY DISTRICTS IN UTTARANCHAL - December AS ON 2004 PAURI DEHRADUN 4% U.S.NAGAR 14% 20% TEHRI BAGESHWAR 1% CHAMOLI 1 % 1% CHAMPAWAT 1% R.PRAYAG 1% PITHORAGARH 2% UTTARKASHI 1% NAINITAL HARIDWAR 10% ALMORA 43% 1%

  15. MAJOR ACHIEVEMENTS 2004 • Integration: all Hospitals & Health Centres provide leprosy services • High cure rates: 88% MB, 96% PB • Uttaranchal likely to reach the target of 1/10,000 (elimination goal) by March 2005 (Note: sustainable services will be needed for new cases for years to come) • Counseling given to 40 cases during BLAC, 26 new cases confirmed at Laksar and Narsan blocks in Haridwar District • During SAPEL in four blocks of Haridwar District, 87 cases detected • IEC in 10 out of 13 Districts of Uttaranchal • POD camps: Planned 190, Executed 172 • SAPEL done in ZERO-case Blocks: only ONE new case detected (Kot block - Pauri)

  16. MAJOR CONSTRAINTS • Vacancies of GHS staff (MO, NMA ,NMS,HEO, Health supervisors) • Newly appointed MOs and other staff untrained • Printed SIS booklets are still lacking in some HF, they are only using photo copies of sample. • Drug management is not up to mark: large proportion of MDT expired February 2005 • Poor VMT and MOD

  17. CONCLUSION • Tehri, Uttarkashi and has more D.G. 2 deformity (but only 02 & 01 cases) • Female rate <25 in Chamoli, Bageshwar, Champawat and Pauri • High PR in Haridwar, US Nagar, Nainital and Dehradun due to increased activity • PD ratio > 1 in Chamoli, Rudraprayag, Uttarkashi, Haridwar, Almora, Nainital, Pithoragarh and Bageshwar • Proportion of MB 44.7 • Bit high number of defaulters in US Nagar • Block wise PR 1-2 (14) , 2-5 (07) >5 (02) • Expiry of MDT 17.2 % it has to be looked after. MB(A) is going to expire on Feb 05 • Guide in health facilities 8.% only • Three indicators calculation at least only in 9.1 % HF

  18. RECOMMENDATION – • ( MAJOR INITIATIVE TO BE TAKEN DURING -2005 ) • Innovative action plan to be made at all level to identify cases in high PR blocks • Action plan to increase the awareness in community by mass media and other IEC • Thorough integration of vertical leprosy staff to GHS • Effective implementation of SAPELs and POD • Very active and effective support by NLR • Strong supervisory tiers to be prepared and trained for monitoring • Training of untrained staff with Reorientation training to all • Urban leprosy plan to be initiated THANK U

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