Final PNG Strategic Plan 2016-2020 (Miriam)

STRATEGIC
PLAN
2016 – 2020
NATIONAL LEPROSY ELIMINATION PROGRAM

NATIONAL DEPARTMENT OF HEALTH
PAPUA NEW GUINEA
TABLE OF CONTENTS
EXECUTIVE SUMMARY...............................................................................................3
I. COUNTRY PROFILE.........................................................................................................6
II. STRATEGY DEVELOPMENT AND HEALTH POLICIES..................................................7
III. HEALTH SECTOR OVERVIEW.................................................................................8
PNG HEALTH CARE SYSTEM

NATIONAL HEALTH PLAN (NHP) 2011 - 2020
HEALTH SERVICE RESOURCES AND MANAGEMENT
IV.LEPROSY IN PNG.....................................................................................................12
LEPROSY HISTORY
NLEP IMPORTANT MILESTONES
V. SUMMARY OF THE NATIONAL LEPROSY PROGRAM REVIEW...........................14
VI.STRATEGIC PLAN DEVELOPMENT..............................................................................21

1. SUMMARY OF THE FINDINGS IN THE LAST 5 YEARS (2011-2015)
VII.STRATEGIC FOCUS AND DIRECTIONS......................................................................24
VIII.MONITORING INDICATORS..................................................................................26
IX.STRATEGIC IMPLEMENTATION PLAN...................................................................27
X.MONITORING AND EVALUATION............................................................................28

1. MONITORING
2. EVALUATION
XI.ACKNOWLEDGEMENT............................................................................................29
ANNEXES.......................................................................................................................25
ANNEX A: PARTICIPANTS IN THE TRAINING/ PLANNING/ PARTNERS MEETING
ANNEX B: NLEP PROGRAM PAPER
ANNEX C: NDOH-NLEP, HIGH, MODERATE AND LOW ENDEMIC PROVINCIAL STRATEGIC PLAN
2016- 2020
FIGURES AND TABLES
Figure 1: PAPUA NEW GUINEA MAP..................................................................................5
Figure 2: THE NDOH NATIONAL LEPROSY ELIMINATION PROGRAM (NLEP)

PAPUA NEW GUINEA..........................................................................................14
Figure 3: PREVALENCE OF LEPROSY IN PNG PER 10,000 POPULATION 2014......................18
Figure 4: NEW CASE DETECTION RATE BY PROVINCE IN PNG 2014.....................................19
Table 1: DISTRIBUTION OF HEALTH FACILITIES IN PNG 2014 (NHIS).....................9
Table 2: HEALTH AND SOCIO ECONOMIC PROFILE OF PNG...................................9
Table 3: SELECTED HEALTH INDICES IN PNG 2010..................................................9
Table 4: DISTRIBUTION OF HEALTH MANPOWER IN PNG 2015..............................10
Table 5: SCHEDULE OF PROVINCIAL VISITS OF NLEP REVIEW TEAM

JUNE 2015.........................................................................................................18
Table 6: TREND OF LEPROSY IN PNG 2010 – 2015...................................................20
Table 7: PROVINCIAL CLUSTER BASE ON PREVALENCE RATE 2014....................22
PNG STRATEGIC PLAN 2016-2020 Page 2

EXECUTIVE SUMMARY
The National Leprosy Elimination Program Strategic Plan 2016 -2020 is based on different
PNG development and health policies and plans such as: Vision 2050, Papua New Guinea
Development Strategic Plan ( PNGDSP) 2010-2030) and The Papua New Guinea National Health Plan
2011-2020 which are all interlinked as well as The World Health Organization’s Global Strategy
for Further Reducing the Leprosy Burden and Sustaining Leprosy Control Activities: 2006-2010 and
the Enhanced Global Strategy for Further Reducing the Disease Burden Due to Leprosy: 2011-2015
policy guidelines.
The Strategic Plan 2016-2020 give particular attentions to ensuring that the quality of leprosy
services is not compromised and that every person affected by leprosy should have easy access
to diagnosis and free treatment with multidrug therapy (MDT). The plan ensures that
sustainable activities are carried out and quality services provided within an integrated set-
up that includes an effective referral network to manage leprosy-related complications
effectively. It addresses the challenge of sustaining the quality of leprosy services and
ensures that all persons affected by leprosy, wherever they live, have an equal opportunity
to be diagnosed and treated by competent health workers without unnecessary delays and
at no cost to patients. In order to achieve this goal, the major thrust is focused on integrating
leprosy into the general health services. Health staff at all levels particularly in the most
peripheral health facilities must be trained the simple methods required to suspect, diagnose
and manage leprosy which will improve coverage and access to leprosy services and reduce
the stigma and discrimination faced by persons affected by the disease
The National Department of Health (NDOH) with the support of The Leprosy Mission PNG,
The Leprosy Mission Australia, Leprosy Mission New Zealand and World Health organization
(WHO), commissioned a second External Review of the National Leprosy Elimination Program
(NLEP) from June 15 to 30, 2015 in order to evaluate the progress made since the last
review, to identify challenges and suggest strategies to enhance the progress. To specifically
address the findings and recommendations of the last program review, The NLEP with the
support of the technical and funding partners conducted a Strategic Planning Workshop last
September 28 – October 09, 2015 to develop a Strategic Plan 2016-2020
The essential key questions that each of the PDCOs pondered and examined deeply in the
development of the strategic plan are the following: a) Where Are We Now – referring to the
current leprosy situations, key epidemiologic, programmatic and logistical issues in each of the
provinces. It is the situational analysis that each of the PDCOs considered at the different
levels of leprosy implementation; provincial, districts, health and sub-health center and Aid post
levels. An objective assessment of the program that highly consider the last program review
findings, conclusion and recommendations, b) Where We Are Going From Here: Referring to
the goals, specific objectives each the provinces would like to “go” or to achieve noting,
“where they are”, considering the National Health and NDOH objectives, WHO and Global
leprosy objectives and targets. This has become the basis for the formulation of the mission
and vision statements as well as the goals and the objectives for the Strategic Plan for 2016-
2020. The conclusion and recommendations of the last program review was highly considered,
c) How Do We Get There: This refers to the different strategies and activities that each of the
provinces should undertake and implement to achieve the
goal and objectives. The observations, findings and conclusion of the last review were all
highly considered. The openness and acceptance of the PDCOs to improve the current
situations and address the programmatic issues identified and to learn from the lessons in
last 5 years were all positive and developmental to the strategic plan formulation , and d)
How Do We Know We Get There: This is identifying and using measurable and objective
indicators to monitor progress of the implementation of identified strategies and activities in
terms of output and outcome and later in terms of impact and relevance.
The Strategic Plan 2016-2020 have the following focus and directions : a) to use innovative
interventions and new technologies to enhance case detection and referral, voluntary
reporting, social media awareness campaign particularly in identified endemic “Hot Spots” in
peri-urban communities, isolated and hard to reach and difficult areas, b) training at the
peripheral health facility level with capacity to suspect and refer leprosy, c) strengthening
community awareness to remove barrier to timely case detection and to remove stigma and
discrimination against people affected by leprosy and their families, d) strengthening
Integration of leprosy activities into general health services and improve program coverage and
referral system e) increasing capacity of health staff particularly in the most peripheral health
facilities through focus task - based training to suspect and refer leprosy particularly in the
identified endemic or hot spots districts or areas , f) strengthening advocacy for increase
political commitment and support as well as to build and sustain local, national and
international partnerships with churches, NGOs, People’s organizations among others, g)
improving clinical case and program management like case holding and treatment completion,
drug supply management, records management and monitoring and evaluation and h) to
strengthen capacity of health staff at all levels for prevention of disabilities (POD) and
rehabilitation
For the strategic objectives to be achieved and deliver better health outcomes the following
key areas was given due attention and priorities a) access: to transform and strengthen the
service delivery and referral system, b) people and systems: Strengthen health systems that
support service delivery including capacity building of the peripheral staff and drug record
management system, monitoring and evaluation and c) community Involvement: promoting
increase community participation and program ownership
Considering the differences in the challenges, limitations, capacities and priorities in each of
the provinces; the provinces are group according to the level of leprosy endemicity: a) High –
Endemic Prevalence rate of 1 and above per 10,000 population, b) Moderate Endemic –
Prevalence rate of 0.5- 0.9 per 10,000 population and c) low Endemic –below 0.5 per 10,000
population. Provinces under the above specific cluster prepared a specific strategic plan
considering the agreed strategic direction and focus. Similarly the NDOH-NLEP central staff
also prepared the national leprosy strategic plan for the next 5 years.
The outcome and impact of the of Strategic Plan 2016-2020 will be measured using
epidemiologic, programmatic and quality indicators. If the required financial and human
resources for the implementation of the NLEP Strategic Plan 2016 - 2020 are mobilized and
identified organizational, policy and operational challenges are address, the achievements will be
substantial by end of 2020.
The NLEP strategic plan 2016 -2020 will be operated on the existing health structure,
policies and system, that will be revisited and new policies and guidelines will be
recommended by the NLEP Leprosy Task Force/TWG to strengthen and ensure the success of
the strategic plan 2016 - 2020. The
continued technical and funding support particularly from WHO, TLM PNG, TLM New Zealand
and TLM Australia are all very essential and critical for the NLEP Strategic Plan to attain its
goal and objectives.
Periodic monitoring and assessment will be done and corrective measures and adjustments will
be implemented as necessary with the support of the NLEP Leprosy Task Force/TWG. A
national program review will be held every 2 years where technical and funding partners and
PDCOs and other stakeholders at national and provincial level will be participating to assess
progress and accomplishment of the strategic plan and subsequently do necessary adjustments
to address gaps and challenges to achieve the set goals and objectives.
The NLEP Strategic Plan 2016 -2020 will help provide the directions and guidance where the
government and partners and all stakeholders including people affected by leprosy could
rally behind and provide the much needed support and commitment to achieve the NLEP goal in
the next 5 years and move forward towards a “ Leprosy -Free PNG”.
Figure1. Map of Papua New Guinea:

I. COUNTRY PROFILE
Papua New Guinea (PNG) is the largest of the Pacific Island nations lies north of Australia and
shares the border with the Indonesian province of West Papua. It has two distinct seasons,
the dry season from around May to October and the wet season from around November to
April. Port Moresby is the capital city located in the National Capital District (NCD), the
center of government, business, trade and commerce (Figure 1).
PNG has a total land area of 471,187 sq.km about 80% is uninhabited with only 20% arable
land. Most parts of PNG is made up of rough and difficult terrain with most areas very
difficult to reach due to high mountains, big rivers and vast areas covered by swamps and
thick forest, where people would walk many hours to reach government services. Although
there are road and sea transport, many areas still has to rely on air transport which is quite
expensive because there is no road network system connecting all provinces. Accessibility is
one of the biggest constraints for the delivery of health services.
The people are divided into 830 different ethnic and cultural groups speaking 800 different
languages. The two main languages spoken in the country are Motu, mainly in Southern Region
and Tok Pisin (Pidgin English) in almost all regions. English remains the main medium for
administration, business, commerce and education. This huge cultural diversity is also a one of
the major challenge towards better service delivery and health outcomes in the country.
II. STRATEGY DEVELOPMENT AND HEALTH POLICIES

The National Leprosy Elimination Program Strategic Plan 2016 -2020 is based as in the last
strategic plan (2011 -2015) on different PNG development and health policies and plans which
are interlinked with each other as well as The World Health Organization’s Global Strategy for
Further Reducing the Leprosy Burden and Sustaining Leprosy Control Activities: 2006-2010 and the
Enhanced Global Strategy for Further Reducing the Disease Burden Due to Leprosy: 2011-2015 policy
guidelines.
a) Vision 2050- The Vision 2050 maps out PNG’s development initiatives for the
next 40 years and identifies seven strategic pillars underpinning economic growth
and development.
b) Papua New Guinea Development Strategic Plan (PNGDSP) 2010-2030- The PNGDSP
translates the seven strategic focus areas of Vision 2050 into directions for
economic policies, public policies and sector interventions with clear objectives,
targets and indicators.
c) The Papua New Guinea National Health Plan 2011-2020 was developed in the
framework of the government’s National Vision 2050, which is linked to the Papua
New Guinea Development Strategic Plan 2010-2030. The National Health Plan 2011-
2020 reflects Papua New Guinea’s international commitments, and identifies eight
explicit national priorities: (1) improve service delivery (2) strengthen partnership
and coordination with stakeholders (3) strengthen health systems, (4) improve child
survival,
(5) improve maternal health,( 6) reduce the burden of communicable diseases,
and( 7) promote healthy lifestyles( 8) Improve preparedness for disease
outbreaks and emerging population health issues
Although the National Health Plan 2011–2020 did not directly identify leprosy as a
major health concern in Papua New Guinea, where it has been eliminated as a
public health problem at the national level, however leprosy is still being reported
in all the 20 provinces and still highly endemic in 6 provinces. The National
Leprosy Elimination Program (NLEP) objectives and strategies have been defined
within National Health Plan 2011–2020 Key Result Area 1, Improve Service delivery.
Key Result Area 2 - Strengthen partnership and coordination with stakeholders, Key
Result Area 3 - Strengthen health systems and Key Result Area 6- Reduce the
burden of communicable diseases
d) The World Health Organization’s Global Strategy for Further Reducing the Leprosy
Burden and Sustaining Leprosy Control Activities: 2006-2010 and the Enhanced Global
StrategyforFurtherReducingtheDiseaseBurdenDuetoLeprosy:20112015
e) Focuses on sustaining the gain made so far and on reducing the disease burden
further in all endemic communities.
At the same time, particular attentions are given to ensuring that the qualities of Leprosy
services are not compromised. Every person affected by leprosy should have easy access to
diagnosis and free treatment with multidrug therapy (MDT). There is a need to ensure that
sustainable activities are carried out and quality services are provided within an integrated
set-up that includes an effective referral network to manage leprosy-related complications
effectively.
The challenge is to sustain the quality of leprosy services and to ensure that all persons
affected by leprosy, wherever they live, have an equal opportunity to be diagnosed and
treated by competent health workers without unnecessary delays and at no cost to patients.
To achieve this goal, the major thrust must be focused on integrating leprosy into the general
health services. Health staff at all levels particularly in the most peripheral health facilities
must be trained the simple methods required to suspect, diagnose and manage leprosy
which will improve coverage and access to leprosy services and reduce the stigma and
discrimination faced by persons affected by the disease
III. HEALTH SECTOR OVERVIEW

PNG gained independence from Australia on September 16th 1975 and adopted a
parliamentary system of government. People elect the 109 members every 5 years and the
party with members invited to nominate candidate for prime minister which is then elected by
the parliament. The Head of the State who represents the Queen is appointed by national
Executive Council (NEC) making PNG a member of the Commonwealth Countries.
The Country is divided into four regions (Southern, Momase, Highlands and Islands) and 22
provinces. Each of these provinces is further divided into 89 districts, with 309 communes
and 22,206 villages with a population density of 16 per square Km.
Initially all functions and powers were centralized at national level. In 1985 there was a major
government shift in policy to decentralize certain functions and powers down, to the
provinces
under the Organic Law on provincial and Local Level Government (OLPLLG) (1985). Some
health functions were decentralized to the provinces through devolution.
In 1995 the government passed again another law called Organic Law on Provincial
Governments and Local Level Governments Act (Amended 1995) which made it mandatory to
further decentralize government services including services to the districts. This directly
affected TB / leprosy program including family health programs and other rural health
services.
PNG Health Care System
After independence in the late 1970s and early 1980s adopted a unified health system. Until
the passage of the Organic Law on Provincial and Local Level Government (OLPLLG) in
1985 and amended in 1995 where health functions and responsibilities were designated
either as national functions or a decentralized functions at the provincial or district levels,
operating in a three system, thus the health department is divided into; a) national or
delegated functions, b) provincial functional and c) functions under Local Level Government
responsibility. The OLPLLG section 42, made a provision for Health Department to develop a
legal framework under National Health Administration Act (1997) that gave rise to two
different boards to manage the health system in the provinces. The Act paved the way to
establish two entities, a) Hospital Board under Public Hospitals Act (1994) with the responsibility
to coordinate and manage the operations of the public hospitals and b) Provincial Health
Boards to coordinate the operations of the health facilities and provisions of public health
services and programs in the provinces.
The decentralization makes the Local Government responsible in securing and ensuring
adequate funding to be made available for implementation of health services, programme
and maintain facilities and equipment, while the national health department is responsible for
the policy, standards, training, and medical supplies, public hospitals and monitoring which was
spelt out in the National Health Plans 2011 – 2020.
There are number of challenges in operating under two (2) systems. Firstly, the public
hospital is under the Chief Executive Officer (CEO), while the Provincial Health is headed by a
Provincial Health Advisor. Staff in district health facilities are under the district administration
and not answerable to the provincial health advisor or the Chief Executive Officer (CEO) of
the public hospital.
Secondly, curative services in health facilities right down to aid posts are under the provincial
health command. Hence, a senior clinician in a public hospital cannot hold a health worker
accountable for his performance at any health facility, outside the public hospital.
Thirdly, supervisory visit to district health facilities by provincial health officer and public
hospital staff have declined in the last 10 years. Visits have not been made in the fear of
trending someone’s turf.
Given the challenges of operating under the Public Hospital Act (1994) and the National
Health Act (1997), the Provincial Health Authority Act (2007) was developed to bring two (2)
systems under one legal authority.
Under the PHA Act (2007) the public hospital and provincial health administrator were under a
Chief Executive Officer (CEO) who is the overall health leader in the province. Currently,
seven (7) out of 22 provinces are implementing the PHA with another four (4) provinces in the
planning stage. PHA is voluntary and the provincial governor has to express interest by
writing to the Health Minister for the province to implement this system. The aid posts at the
periphery will now be upgraded to be known as Community Health Post (CHP) and will be
staffed by three (3) Community Health Workers
compare to only one before. One of the staff will be responsible for health promotion while
the other 2 will be responsible for clinical and delivery of health services to the patient.
The health service providers in the country are composed of government and its institutions,
churches and non – government organizations, private sector and traditional health providers.
The health facilities include; hospitals, health centers, health sub – centers, urban clinics and
2000 plus aid posts at the lowest level of the health care system providing health care to the
community. (Table 1).
Table 1: Distribution of Health Facilities in PNG 2014 (NHIS)
Health Facility Government Mission Other Total

Hospital 20 7 2 29
Health Centers 145 53 4 202
Health Sub 166 274 10 450
Centers
Urban Clinics 505 119 15 639
Total 836 453 31 1320
PNG Health Status
During the first 15 years of independence from Australia, PNG made considerable progress
against a number of social indicators and in reducing burden of some disease. Currently,
PNG is faced with many challenges in improving the health status of the country. Evidence
shows that mothers are still dying unnecessarily, children are dying of common preventable
and immunizable disease like Pneumonia and measles and the services are not reaching those
who need the services most. Table 2 and 3.
Table 2: Health and Socio Economic Profile of PNG
Literacy level and Education

Literacy Rate 68% (2011 National Census)
Total GDP 25,837.2 (billions Kina)
GDP per capita 2,371.2 (kina)
Total Public Health Expenditure as a % 3.5 (% and figures for 2004
of
GDP
Per Capita Health Expenditure 82.7 (Kina)
Health Sector Expenditure as per share 8.7 (%)
of
Gov. Expenditure
Table 3: Selected Health Indices in PNG 2010
PNG’s Life Expectancy 62.5 years (2011)

Neonatal Mortality Rate 29 Deaths /1000 live births
Infant (<1 yr) Mortality Rate 57 Deaths per 1000 live births
Under 5 years Mortality Rate 75 Death per 1000 live births
Maternal and Mortality Rate 733 Maternal Deaths per 100 000
live births
Total Fertility rate 4.4
Crude Birth Rate 32 per 100, 000
Apart, from the common infectious and degenerative disease, PNG is also concern with the
new emerging diseases like HIV/AIDS and the re – emerging one like Tuberculosis. The top
10 leading causes of morbidity and mortality in the country are as follows (2014).
Morbidity Mortality
1. Simple Cough 1. Conditions pertaining to perinatal period
2. Malaria 2. Malaria
3. Skin Disease 3. Sepsis
4.Diarrhea and diseases of the 4.
Tuberculosis Digestive system
5. Pneumonia 5. Pneumonia
6. Accidents 6. Diarrhea
7. Other Respiratory 7. Obstetric and maternal conditions
8. Ear Infection 8. Chronic respiratory diseases
9. Eye Infection 9. Anemia
10.Genital conditions 10. Cardiovascular diseases
National Health Plan (NHP) 2011 – 2020
The National Health Plan (NHP) 2011 – 2020 was developed in response to the issues that the
health services were not reaching the majority of the people in the rural areas. Its direction
and goals are derived from the policy framework and directives of PNG’s 2050 Vision and
the PNG Development Strategic Plan (PNG DSP) 2010 – 2030.
The NHP 2011 – 2020 would ensure improvements in health service delivery at all levels by
identifying strategic Key Results Areas (KRAs) that would address specific health outcomes
including leprosy at the end of plan period. Leprosy control program goals and objectives are
included in KRA1 (Improve Service Delivery), KRA 2 (Strengthening Partnerships and
Coordination with Stakeholders, KRA 3 (Strengthen Health Systems) and KRA 6 (Reducing the
Burden of Communicable Diseases). In order to improve service delivery (KRA1) throughout
the country, the plan proposes to address the health system building block (KRA3) as critical
inputs. This will improve quality of service and in turn lead to increase access and utilization of
health services. Consequently, as increase in utilization of such service can lead to reduce
mortality and morbidity, improve wellbeing and ultimately, a healthy nation of PNG.
Table 4: Distribution of Health Manpower in PNG as of 2010
Health Manpower in PNG as of 2010
Medical officers 609

Health Extension officers 652
Nurses 4,300
Midwives 567
Community Health Workers 5,609
Other Allied health workers 6,121
Health Service Resources and Management
PNG has a basic health infrastructure with health facilities reaching the minimum standard
of 1 health centre for every 10,000 population. However, the population of Papua New
Guinea has uneven access to health care and essential drugs. Key issues affecting access to
health care include geography, finance, human resources and poor quality of care. PNG has
harsh, ragged terrain which makes it very costly for health and other services to be delivered
to and be accessed by the population. People living in remote rural areas face significant
financial and non-financial barriers in accessing basic health services. The main problem is
transport. Papua New Guinea’s infrastructure is poorly developed, with a limited road
network that is not well maintained.
The country's geography is similarly diverse and in places, extremely rugged. A

spine of mountains runs the length of the island of New Guinea, forming a populous
highlands region. Dense rainforests can be found in the lowland and coastal areas. This
terrain has made it difficult for the country to develop transportation infrastructure. In
some areas, planes are the only mode of transport. Only 3% of the roads are paved and
many villages can only be reached on foot. Provincial capitals are accessed from Port
Moresby by air, PNG has 22 airports and 95 percent of rural airstrips have been closed some
time ago. The country also lacks adequate public water transport between islands and coastal
areas. Seventeen (17) commercial ports, mostly very small, and innumerable small wharves,
jetties and beach landings provide the basic infrastructure for maritime services, but the
majority of these are in poor condition and carry very little traffic. As a result, the cost of
transportation is very high. For these and other reasons, many rural areas are relatively
inaccessible, and a significant proportion of the rural population does not have easy access
to basic services such as health and education, safe drinking water, and modern sanitation.
Approximately 90 percent of the populations do not have access to electricity, and the
progress in providing electricity to rural PNG has been slow. In some cases the level of
electricity services has been deteriorating because of insufficient funding for maintenance.
Taking into account the negative impact of the poor transportation to provision of adequate
services to population, PNG has set some priority actions to address this problem. One of the
identified priorities is to construct the national road network integrated with the development
of water and air transport linkages which will support economic development in rural PNG,
connecting fertile lands and fishing communities with major markets, and will improve the
access of communities to health and education facilities, as well as to clean water and
sanitation. In addition, a national, well maintained electricity grid will support the investment
of entrepreneurs in rural locations. By the end of 2015, 200 rural health posts will be electrified
through renewable energy systems (wind, solar etc).
In order to achieve the PNGDSP goal for health by 2030, the Government will over the next
5 years focus on getting ‘back to basics’ with rehabilitation of the foundations of its primary
and preventative health care system. Key deliverables during the next five years will include
rehabilitation of aid posts, the trialing of community health posts in strategic locations and
rehabilitation of health centres and district hospitals. Alongside these deliverables will be
improvements in the storage, distribution and procurement of basic drugs, vaccinations and
medical equipment. These interventions will be enhanced through the implementation of the
provincial health authority reforms, which will commence during MTDP 2011-2015 and will be
rolled out across the country over the next ten years.
IV. LEPROSY IN PNG
Leprosy History
Leprosy is endemic in Papua New Guinea and the disease occurs in major pockets along the
coastal, Inland and highland regions, and in the peripheral Islands. The origin and spread of
leprosy in Papua New Guinea are to be found in the earliest references published in a)
Annual Report on British New Guinea 1888-1889 (to the Governor of Queensland) and 1890, b)
Report to the League of Nations on the Administration of the Territory of New Guinea 1921-
1922,
The disease assumed real significance in 1929-1930 when a focus of leprosy patients was
discovered in Lavongai Island, now known as New Hanover in New Ireland. In 1930, 120 patients
from this Island were isolated and by 1936 a total of 567 cases were isolated at the Kaveing
Leprosarium in New Ireland.
The first combined hospital for Leprosy and Tuberculosis in Papua was established in Gemo
Island in 1940 and by 1945 various other Isolation hospitals were established elsewhere.
During that time, eight (8) Institutions in New Guinea and four (4) in Papua were established.
The Colonial Administration was responsible for the cost and maintenance of Institutions but
the day to day management of patients was conducted by various missions organizations
specially interested in leprosy work. From 1956 onwards, compulsory segregation was
replaced by selective isolation preferably on a voluntary basis whereby non infectious cases
(early cases) are not sent to leprosarium but managed on a domiciliary basis particularly with
the availability of dapsone.
The approach to the management of leprosy has been through the development of Area
Leprosy Control Units in each of main geographically district regions of the country namely
Southern, Highlands, Momase and New Guinea Islands regions. The area leprosy control units
function in close relationship with various leprosaria and major district hospitals where leprosy
case registers are maintained. It also conducted leprosy surveys, regulated the admission and
discharge of patients in the leprosaria and initiated and supervised domiciliary treatment
schemes.
A major change in leprosy control policy was outlined at Provincial Health Conference in
November 1971.The provincial health officers were expected to organize leprosy control
programmes, according to the national policy in their respective provinces. The regional leprosy
control units were organized and played an important role in leprosy control under the
supervision of the senior specialist medical officer in leprosy. These units were concerned
mainly with case detection surveys, the management of complication, maintaining of registers,
supervision, training and evaluation of programmes, coordination of leprosy control between
provinces and investigation of the reported problems.
Through the years greater emphasis was made on the integration of leprosy treatment within
the general health services with increased promotion of domiciliary care and the treatment of
the
maximum number of known cases with dapsone monotheraphy. As a result, all sections of
the health services, including the various mission organizations were expected to be cognizant
with the diagnosis and management of leprosy. This was being promoted through special
teaching seminars and leprosy training for all levels of health personnel. In 1983, the
government integrated the leprosy programme into general health services.
In 1984-1985, the government introduced the Multi-drug therapy (MDT) as pilot projects in
three provinces namely NCD, Central and Madang and expanding the implementation nationwide
by 1987. In 1989-1990, the national guidelines for leprosy elimination were finalized and
presented to the World Health Organization (WHO) The Leprosy Mission International (TLMI)
and The Sasakawa Memorial Health Foundation (SMHF) for funding support to implement the
National Leprosy Elimination Program (NLEP) of the Department of Health.
PNG has national leprosy prevalence rate of 14/10,000 population when the National
Leprosy Elimination Program started in 1991. The goal of the National Leprosy Elimination
Programme (NLEP) was to reduce the leprosy prevalence rate to less than one case per ten
thousand population by year 2000, as set by WHO which Papua New Guinea (PNG) achieved
with a prevalence rate of 0.7/10,000 population, with 14 provinces also attaining sub-national
elimination. A 2001-2015 strategy was put in place that sustain the national leprosy
elimination as a public health problem , however there are still 6 remaining provinces that
has still to achieve the target.
The elimination of leprosy as a public health problem at the national level is only an interim
goal to reduce the disease burden that even after reaching the goal new cases of leprosy will
continue to occur at low levels of transmission characterized by clustering of cases and uneven
distribution with pockets of endemicity at the district level. It also noted that while the disease
burden goes down the diagnostic expertise and general awareness of the community are
likely to decline, a serious challenge since new cases may occur without being detected and
treated on time.
During the post elimination period a considerable number of cured patients with disabilities
still need physical, socio-economic, and psychological rehabilitation necessitating sustaining
activities that will address care after cure and further prevention of new and progression of
existing disabilities and provisions of self - care and self - help aiming at inclusion and
participation of people affected by leprosy and their families toward empowerment and
dignity.
It is also a concern that if leprosy is no longer a public health problem, complacency and low
priority is accorded to the disease. This will also lead to diminish or weaken political
commitment and constrict resources.
NLEP Important Milestones

• 1987-Introduction of MDT Country wide
• 1988- Formulation of national guidelines for Leprosy elimination.
• 1991- Implementation of National Leprosy Elimination Plan.
• 2000: PNG reached Leprosy Elimination at National level including 14 sub-national levels.
• 2001-2010: National priority and approaches for leprosy services after reaching Elimination.
• 2011: First External review of National Leprosy Elimination Program and the development
of 5 year strategy plan 2011 -2015.
• 2015: Second External review of National Leprosy Elimination Program and the
development third 5 year strategy plan 2016 – 2020.
Figure 2: The NDOH National Leprosy Elimination Program (NLEP) Papua New
Guinea
Current Organizational Chart of NLEP

Ministry of Health
Secretary
NLEP Partners (TLMPNG, WHO)
Deputy Sec. NHSS Deputy Sec. NHP&CS
EM Public Health
Manager – DC&SB
TB/Leprosy/NTD
Provincial Hospitals Provincial Administrator
Provincial Health Advisor
PDCO
DA DHM DDCO
OIC HC
OIC AP
V. SUMMARY OF THE NATIONAL LEPROSY REVIEW

The second external review of the National Leprosy Program prior to this strategic plan
development was conducted in June 2015 to evaluate progress made in implementation of the
NLEP Strategic Plan (2011-15) and identify challenges and suggest strategies to enhance the
progress. The summary recommendations of the external review were as follows:
A. A planning workshop to be participated by ALL (Provincial District Health Offices,

Provincial Leprosy Offices, NLEP lead staff, Leprosy Task Force and Partners). ALL key
stakeholders of the NLEP should meet before the end of 2015 to develop a more
focused 5 year strategic plan (2016 -2020).
B. The delivery of quality leprosy services at the district and peripheral health facility
level should be strengthened with the support of province (PDCO). There is a need to
urgently address the following concerns: defaulters, treatment outcome, recording
and reporting, diagnosis and treatment, monitoring and supervision, capacity
building, MDT drug management, referral system and decentralization of leprosy
services.
C. To advocate with policy makers and government officials at national, provincial and
district levels for budgetary and human (personnel) support to strengthen NLEP
implementation and attained objectives.
D. The partnership with existing international technical and funding partners should be
strengthened through improved coordination and to build new partnership with local,
national and international agencies like NGOs, churches, POs in the delivery of
quality leprosy services to reduce the leprosy burden especially in identified 6
endemic provinces Western, Sandaun, NCD, Central, East New Britain, Gulf).
E. To strengthen community awareness activities using appropriate IEC materials and

campaign strategies to include media advocacy and other innovative methodologies
in close collaboration with Health Promotions Department and other health programs
with the support of partners especially in the identified provinces and districts.
F. To establish leprosy specific advisory group – the NLEP Leprosy Task Force that will
function as a Technical Working Group (TWG). This will be composed of WHO, TLM
PNG, Dermatology Clinic, NOPS / CPHL The terms of reference would be to support
and participate in the planning and implementation, monitoring and evaluation of the
strategic plan and to ensure harmonization, collaboration, effective and efficient
implementation of the strategies and activities outlined in the strategic plan to ensure
better outcome and impact.
G. New NLEP leprosy register reporting forms should be rolled out after field testing and
initial piloting with NCD and Central Province and hands-on training of PDCOs and
DDCOs in the country.
H. Monitoring and supervision of the NDOH - NLEP to the province and the province to
the District to peripheral health facility level particularly in the identified 6 endemic
provinces should be strengthened.
I. The MDT drug management should be reviewed. Policies, guidelines and processes in
the inventory, replenishment and distribution mechanism from NLEP to provinces,
provinces to districts and districts to lower health facilities should be strengthened.
Collaboration with partners and other programs like TB should be done to assure
timely availability of all MDT drugs to health facilities at all levels.
J. The Dermatology Clinic with the assistance of NLEP should initiate consultation with
medical services in developing protocol and guidelines on the prescribing / use of
Prednisolone being under Category B in the management of leprosy reactions
(Reversal /ENL).
K. To promote the participation of people affected by leprosy in the delivery of leprosy

services and provide assistance for their empowerment and development.
L. To broaden and strengthen partnerships between the NLEP and the disability and
development sectors in PNG. These partnerships should advocate for the inclusion
of people affected by leprosy into existing and new Community Based Rehabilitation
and development programs and DPOs.
M. Provincial Health Board/Authority and PDCOs should include leprosy activities based on
the Province strategic plan (2016 -2020) in their Annual Implementation Plan and to
appropriate human and funding resources. That the NDOH - NLEP should assist,
coordinate, collaborate with PDCOs and DDCOs in the preparation of leprosy activities
in the AIP particularly the
identified 6 endemic provinces and to coordinate with funding partner/s for mobilizing
resources needed
N. Training needs assessment at the lower health facility levels in the endemic districts must
be regularly done. To conduct capacity building activity through training base on task,
roles and responsibilities with active support of NLEP Leprosy Task Force and partners
should be done particularly in the endemic “hot spots” districts / lower health facilities.
To integrate training with other health programs like TB, HIV AIDS, and Malaria.
O. To strengthen the Dermatology Clinic in PMGH as national leprosy referral centre for
training, validation of diagnosis and relapse, management of leprosy reactions (Reversal
Reaction, ENL) and difficult cases. The dermatologist could also assist the NDOH - NLEP
in the program monitoring, supervision and evaluation.
P. The NLEP Leprosy Task Force should assist the NDOH - NLEP and PMGH Dermatology
Clinic in the development of policies and SOP in the utilization of Slit Skin Smear
microscopy with regard to diagnosis, classification and relapse
Q. To develop effective and functional referral system between NLEP, provinces and districts
with NOPS to address the provision of assistive devices to disabled patients
secondary to leprosy
R. To request the WHO and TLM Australia, TLM New Zealand to provide continuous
technical and funding support to NLEP PNG
In addition to newer innovative approaches in line with the Global Leprosy Strategy (2016-
2020), these review recommendations were taken into due consideration while developing the
current Strategic Plan (2016-2020) in the following chapters.
VI. STRATEGY PLAN DEVELOPMENT

To specifically address the findings and recommendations of the last program review, The NLEP
with the support of the technical and funding partners (WPRO, TLM New Zealand, TLM
Australia and TLM-PNG) conducted a Program Review and Strategic Planning Workshop which
the PDCOs of the different provinces were invited to present the leprosy status, program
implementation and challenges in their respective provinces and likewise participated in the
strategic planning workshop last September 28 – October 09, 2015 (Annex A ).
The PDCOs with provincial leprosy TB officers in some provinces discussed and clarified
many programmatic and logistics issues affecting the leprosy program implementation,
highlighting the observations, findings and recommendations of the last external program
review. (Annex B).
The key questions asked to each of the PDCOs to ponder and examined deeply in their
provinces prior to the planning workshop are the following:
1. Where Are We Now – referring to the current leprosy situations, key

epidemiologic, programmatic and logistical issues in each of the provinces. It is the
situational analysis that each of the PDCOs should consider and look deeply at the
different levels of leprosy
implementation; provincial, districts, health and sub-health center and Aid post
levels. An objective assessment of the program and to highly consider the last
program review findings, conclusion and recommendations.
2. Where We Are Going From Here: Referring to the goals, specific objectives
each the provinces would like to “go” or to achieve noting, where they are,
considering the national health and NDOH objectives, WHO and Global leprosy
objectives and targets. This will become the basis for the formulation of the
mission and vision statements as well as the goals and the objectives for the
strategic plan for 2016-2020. The conclusion and recommendations of the last
program review will be highly considered in its formulation or reply to the
question.
3. How Do We Get There: This refers to the different strategies and activities that
each of the provinces should undertake and implement to achieve the goal and
objectives. The observations, findings and conclusion of the last review should be
considered. The openness and acceptance of the PDCOs to improve the current
situations and address the programmatic issues identified and to learn from the
lessons from the program implementations in last 5 years and the necessity to
identify and implement innovative solutions in addressing the identified challenges
are important considerations and are highly essential.
4. How Do We Know We Get There: This is identifying and using measurable and
objective indicators to monitor progress of the implementation of identified
strategies and activities in terms of output and outcome and later in terms of
impact and relevance.
Summary of the Findings in the Last 5 years (2011-2015):
 Increasing number of new cases in last 4 years- (281 in 2010 to 540 in 2014)
 6 remaining provinces still to eliminate leprosy as public health problem- reporting

90 percent of new cases (Western, Central, NCD, Sandaun, East New Britain,
Gulf)
 increasing number of children proportion among new cases – 25-28 %
 Increased advance type of Leprosy (MB) among new cases – 81%
 New cases with Grade 2 disabilities - Underestimate (4%) – poor reporting

(capacity of health staff)
 Existing endemic pockets – in all provinces
 Low treatment completion rates - 53% in 2014 – ( in accurate due poor

understanding in identifying the cohort population)
 Decreasing leprosy skills /expertise – fast turnover of staff, mis - diagnosis, mis -
classification, poor diagnosis and management of leprosy reaction
 Decreasing commitment /partnership –
 No budget in provinces and districts – no activity

 PDCO not putting leprosy activities in AIP
 TLM-PNG / WHO- existing funding /technical partner
 Limited /non coordination / non - utilization of local partners – Christian

Health Services, Schools, other NGOs
 Operational /programmatic decline
 Drug supply management – absence of MDT drugs in the lower health facilities
 Delivery problem – province to districts / lower Health Facilities
 No stocks in the province- poor stock management and untimely /

irregular requisition to NDOH -NLEP
 Record management
 Inaccurate, untimely and incomplete records/reports
 New forms to roll out needing training/field testing
 Lack of knowledge and skills to accomplish the forms at the lower
health facilities levels
 Poor data analysis by PDCO
 Monitoring Evaluation supervision – very limited to absent
 National to Province
 Province to Districts
 Districts to the Lower health facility
 Limited Community Awareness activities
 Limited IEC materials
 Limited awareness campaign
 Limited case detection activities
 Contact tracing – very limited or not done
Figure 3: Prevalence of Leprosy in PNG per 10,000 population 2014
Figure 4: New Case Detection Rate by Province in PNG 2014

Table 6: Trend of Leprosy in PNG 2010- 2014
INDICATORS 2010 2011 2012 2013 2014
Registered case 580 542 592 650 519

Prevalence
rate/10,000 0.8 per 0.8 per 0.8 per 0.8 per 0.6 per
10,000 10,000 10,000 10,000 10,000
New cases detected 281 302 276 381 540

New Case detection
rate/100,000 4.1 per 4.3 3.8 per 5.1 per 6.2per
100,000 100,000 100,000 100,000 100,000
New Cases
MB 68% 77% 79% 78% 81%

(%)
Grade 2 5% 2% 4% 2% 4%
Disabilities
(%)
Child (%) 28% 28% 20% 21% 25%
Female (%) 34% 34% 34% 34% 35%
PB 85% PB 53% PB 36% PB 45% PB 58%

Cure Rate
MB 45% MB 31% MB 36.5 % MB 20% MB48%
Number completed
treatment
195 98 163 81 223
VII. STRATEGIC FOCUS AND DIRECTIONS

A) To use innovative interventions and new technologies to enhance case detection
and referral, voluntary reporting, social media awareness campaign particularly in
identified endemic “Hot Spots” in peri-urban communities, isolated and hard to reach
and difficult areas.
 Internet / social media
 Electronic Data base / Web- based reporting
 Use of mobile phones for Tele-Dermatology and referral and reporting
 GIS mapping – to identify clustering and occurrence of new cases in the villages
for follow up and contact surveillance.
 Formation of community Health Volunteers /mobilizers for advocacy and

community awareness activities and referral of suspects. (District Health
Centers, sub – Health Center and post)

B) To train staff at the peripheral health facility level with capacity to suspect and refer
leprosy.
C) To strengthen community awareness to remove barrier to timely case detection and

to remove stigma and discrimination against people affected by leprosy and their
families.
D) To strengthen Integration of leprosy activities into general health services and

improve program coverage and referral system
E) To increase capacity of health staff particularly in the most peripheral health facilities
through focus task - based training to suspect and refer leprosy and at district and
provincial level for validation and referral strengthening networking particularly in the
identified endemic or hot spots districts or areas.
F) To strengthen advocacy for increase political commitment and support as well as to

build and sustain local, national and international partnerships with churches, NGOs,
People’s organizations among others.
G) To improve clinical case and program management like case holding and treatment
completion, drug supply management, records management and monitoring and
evaluation.
H) To strengthen capacity of health staff at all levels for prevention of disabilities (POD)
and rehabilitation
For the strategic objectives to be achieved and deliver better health outcomes the following key
areas must be given due attention and focus:
A. Access: to transform and strengthen the service delivery and referral system
B. People and Systems: Strengthen health systems that support service delivery
including capacity building of the peripheral staff and drug record management
system, monitoring and evaluation.
C. Community Involvement: promoting increase community participation and program

ownership
Each of the PDCOs presented the provincial, health structure and resources, leprosy situation
and accomplishments and challenges met in implementing the leprosy activities. The findings
presented validated the observations and findings of the program review which was
presented prior to the strategic planning workshop.
Considering the differences in the challenges, limitations, capacities and priorities in each of
the provinces; the provinces are group according to the level of leprosy endemicity: a) High –
Endemic Prevalence rate of 1 and above per 10,000 population, b) Moderate Endemic –
Prevalence rate of 0.5- 0.9 per 10,000 population and c) low Endemic –below 0.5 per 10,000
population. Provinces under the above specific cluster prepared a strategic plan considering
the strategic direction and focus earlier discussed.
Similarly the NDOH-NLEP central staff represented by the National Program Manager and the
central staff prepared the national leprosy strategic plan for the next 5 years as well. Each of the
provincial group clusters are assisted by the funding partners in the development of the 5 year
strategic plan 2016 – 2020.
Table 7: Provincial Cluster Base on Prevalence Rate 2014
High Endemic: Moderate Endemic: Low Endemic:

PR = 1 and Above PR= 0.5 - 0.9 per PR = < 0.5 per 10,000
/10,000 population 10,000 Population
Population
1. West Sepik 1. East Sepik 1.Oro
2. NCD 2. Milne Bay 2. Southern Highland
3. Western 3. New Ireland 3. Enga
4. Gulf 4. Manus 4. Western Highland
5. Central 5. Madang 5. Simbu
6. East New Britain 6. AROB 6. West New Britain
7. Morobe
The NDOH-NLEP, High, Moderate and Low Endemic Provincial Strategic Plan 2016-
2020 is attach as Annex C.
VIII. MONITORING INDICATORS
The following indicators will be used to measure the different strategic objectives:
a) Prevalence rate per 10,000 populations

b) New case detection rate / 100,000 populations
c) the absolute number of new cases detected
d) Proportion Grade 2 disabilities, proportion children (<15 years old),
proportion of Multibacillary (MB), proportion with Grade 2 disabilities and
proportion of female
e) Grade 2 disability rate /100,000 population
f) Quality of patient management: treatment completion, proportion correct
diagnosis, proportion treatment defaulters, number of relapses, proportion
new disabilities during MDT, leprosy reaction rate and proportion of reactions
treated on time and adequately.
IX. STRATEGIC IMPLEMENTATION PLAN
The NLEP strategic plan 2016 -2020 will operate on the existing health structure, policies and
system. However existing policies and guidelines will be revisited and new policies and
guidelines, SOP will be recommended by the NLEP Leprosy Task Force/TWG to strengthen and
ensure the success of the strategic plan 2016 - 2020. The continued technical and funding
support particularly from WHO, TLM PNG, TLM New Zealand and TLM Australia are all very
essential and critical for the NLEP Strategic Plan to attain its goal and objectives.
The critical tasks should include:
a. Development of Annual Implementation Plan (AIP) at the national, provincial

and district level with defined timeframe and budgets using the 5 year strategic
plan (2016-2020) as reference and guide.
b. Lobbying to Member of Parliament and Executive officials at the national level

and to , Provincial and District Health administrators, provincial and district
officials to solicit support for funding and human resources by the NDOH- NLEP
and to be assisted by the NLEP Leprosy Task Force/TWG.
c. Critical Analysis of financial requirements and resource mobilization for financial

gaps must be done and coordinated with funding partners by the NLEP Leprosy
Task Force.
The NLEP through the National Program Manager (NPM) should provide
guidance in the formulation of the Provincial and District Annual
Implementation Plan to consider the Strategic Plan 2016-2020. A copy of the
AIP must be secured and be reviewed and funding gap of critical activities
particularly in the 6 identified endemic provinces must be identified and
prioritize. The NLEP Leprosy Task Force in turn deliberates and mobilizes
and prioritize needed resources as necessary and available.
d. Institution of appropriate organizational and management reforms at central

and district health levels including definition of roles, functions and
responsibilities.
The NLEP Leprosy Task Force/TWG is a very valuable support unit to NLEP,
which would assist the later in the review and formulation of policies and
guidelines as well in the monitoring and evaluation of the program at the central
and provincial level.
The Task Force should meet quarterly to discuss and review accomplishments
based on targets and indicators set. Meeting could be called as need arises
.The NLEP National Program Manager should act as secretariat. All meeting
must have a prepared agenda and minutes of meeting should be properly filled
The National Dermatology Clinic of the PMGH should be considered as a

treatment and reporting facility for leprosy that will be provided or allocated with
MDT drugs. The Dermatology Clinic shall also submit quarterly reports as in
other provinces to NLEP.
The Dermatology Clinic should pursue the plan (as described in the Strategic
Plan 2016-2020) to decentralize the daily leprosy activities in the clinic and
develop the capacity of the provincial leprosy services in Central, NCD and Gulf
provinces to
manage the leprosy cases. The Dermatology Clinic must set specific timeframe to
be developed as NLEP referral center as stated in the plan.
e. Building and sustaining local, national and international partnerships
The NLEP with the assistance of the Leprosy Task Force should strengthen the
participation of the Church Health Services, defining its roles and
responsibilities as well as inclusion in all leprosy activities including monitoring,
supervision and evaluation.
The National Leprosy Elimination Program (NLEP) is headed by the National Program
Manager (NPM) who would continue to implement, monitor and evaluate the leprosy control
program at the national level and coordinating and collaborating with the provinces and
districts.
In each Provinces and Districts Provincial Disease Control Officer (PDCO) and District Disease
Control Officer (DDCO) and corresponding peripheral health staff at health center, sub health
centers and Aid post will be responsible for the effective and efficient program
implementation of the leprosy services in the lower level and shall work closely with the NDOH-
NLEP National Program Manager to effectively implement the program.
X. MONITORING and EVALUATION
1. Monitoring
It will be the responsibility of the Director of Public Health of NDOH through the National
Leprosy Elimination Program Advisory to monitor the progress of the implementation of the
NLCP Strategic Plan 2016-2020 at all levels. Periodic review, monitoring and assessment will be
done and corrective measures and adjustments will be implemented as necessary with the
support of the NLEP Leprosy Task Force/TWG.
Monitoring would be based on the target sets in the National, Provincial and District Annual
Implementation Plan, which will be derived from this NLEP Strategic Plan 2016-2020. At each
level of the health structure, particularly at the provincial and district levels, specific
monitoring function will be instituted noting the objectives based on the endemicity or
clustering.
2. Evaluation
A national program review will be held every 2 years (2018 and 2020) as part of the NDOH
NLEP Strategic Plan 2016 -2020, where technical and funding partners and PDCOs and other
stakeholders at national and provincial level will be participating to assess progress and
accomplishment of the strategic plan and subsequently do necessary adjustments to address
gaps and challenges to achieve the set goals and objectives. It is paramount important to
invite the Provincial Health Administration as well.
Epidemiological and operational indicators will be used to evaluate the program. The
accomplishment for each individual strategy and activities is measured against the set
targets enumerated or listed in the strategic plan 2016-2020.
XI. ACKNOWLEDGEMENT
The National Leprosy Elimination Program (NLEP) sincerely acknowledge and appreciates the
very valuable contribution of the PDCOs and all the health staff of the provinces in the
implementation of the leprosy services and activities despite the many limitations and
challenges.
This is also to acknowledge the technical and funding support and assistance of the TLM-PNG,
TLM New Zealand, TLM Australia and WHO in sustaining quality leprosy services to further
reduce leprosy burden in PNG
Special thanks to the provincial and district leaders, Christian Health Services and All local
partners and community health volunteers for their active participation and collaboration to
increase leprosy service coverage and access.
Thanks to Dr Arturo C. Cunanan, Jr., WHO consultant for the leadership, guidance and
technical inputs and for finalizing the Strategic Plan 2016-2020
ANNEX A
PARTICIPANTS IN THE TRAINING/ PLANNING/ PARTNERS MEETING
1. PDCO - 20 provinces
2. TLMI - London Base -Mr. Philip Hamilton
3. TLM- New Zealand – Mr. Andrew Harding
4. TLM – Australia –Mr. James Montgomery
5. TLM-PMG -Mr. Bert Van Der Waal / Natalie Smith / Jacqueline Pil
6. NDOH –
a. Disease Control & Surveillance – Dir. Lucy John / Dr Paul Aia
b. National Leprosy Elimination Unit – Miriam Pahun / Wendy Houinei /

Abel Marome
7. Christian Church Services –Mr. Bernard Rutmat
8. National Dermatology Clinic - Dr Warpuai /Dr. Agebigo
9. National Orthotics Prosthetics Services (NOPS) – Mr. Elias Darius
10. WHO –PNG – Dr. James Wangi
FACILITATOR’S CONTACTS
NDOH – NLCP
Miriam Pahun Technical Advisor Leprosy – 3013741/
71582259
1. Mr Abel Marome Technical Officer Leprosy 301 3731/
73820603
2. Wendy Houinei Technical Officer NTD – 301 3732/
71247511
PMGH – SKIN CLINIC – 324 8284
1. Dr Tiotam Towarpuai Chief Dermatologist – 71522930
2. Dr Nicholas Agebigo Dermatologist – 71710404
3. Dr Cynthia Kuanch Dermatologist Registrar – 70130300
4. Dr Laurei Petau Dermatologist Registrar – 70764174
PMGH NOPS
1. Mr Elias Darius Technical Officer NOPs – 71835311
TLMPNG
1. Ms Maggie Taupa Training Officer – 71675001
2. Ms Jacqueline Pil Project Manager 422 2565
REGISTRATION OF PARTICIPANTS FOR LEPROSY ANNUAL REVIEW, STRATEGIC PLANNING WORKSHOP & TLM ACL 28/09/2015 - 09/10/2015
CONTACT
NO NAMES GENDER DESIGNATION ORGANIZTION NUMBER CONTACT ADDRESS EMAIL ADDRESS
1 Barbara Kevea F CHW DC Health - Gulf 7175 1917 P.O.Box 60, Kerema
Lealea Disable
2 Robert Kauga M Community Leader Association 7690 4596
3 Pana Rim M PDCO Health - Central 72161748 PMB Konedobu panar86@gmail.com
4 Marea Beremu M DDCO - Hiri District Health - Central 7908 1169 PMB Konedobu
5 Kiso Kiso M DDCO - Rigo Distrct Health - Central 7610 0559 PMB Konedobu
6 Steven Show M PDCO Health - Chimbu 7240 3689 P.O.Box 192, Kundiawa
7 Hurivaka Tehoku F TB/Leprosy Officer ABG Health - AROB 7375 1210 P.O. Box 318, Buka, AROB hurivak.momia@gmail.com
8 Mary Bate Gale F Nursing Officer WNBPHA 7326 9796 P.O. Box 428, Kimbe, WNBP
9 Jackson Appo M PDCO EHPHA 7357 5296 P.O. Box 392, Goroka jacksonappo@gmail.com
10 Bokung Wenani M PDCO Health - Madang 7295 9256 P.O. Box 2615, Madang
11 Janet Pongone F HEO - Clinic NCD Health Services 7396 4608 P.O. Box 1630, NCD janethpongone@gmail.com
Manager
12 Roselyn Gatana F PDCO ABG Health - AROB 7025 5280 P.O. Box 318, Buka, AROB roselyngatana@gmail.com
13 Lucy Morris F DD - DTHS Health - Western 7150 8697 P.O. Box 1, Daru, Western
14 Caspar Armin M PDCO WSPHA 7938 8257 P.O. Box 331, Vanimo caspara55@gmail.com
15 Ruby Mirinka F BHCP Director BHCP ABG Health 7164 7461 P.O. Box 738, Buka AROB r-mirinka@hotmail.com
16 Mary Kuweh F DCO - CHW Manus PHA 7245 6790 P.O. Box 42, Lorengau mary.kuweh@gmail.com
17 Ian Kaileledi M OIC - DCU MBPHA 7275 7378 Locked Bag 402, Alotau ikkemoa@gmail.com
18 Randy Dott M PDCO WHPHA 7021 5131 P.O. Box 129, Mt Hagen
19 Wilbert Jake M TB/Leprosy Officer Health - Madang 7179 4998 P.O. Box 2115, Madang
20 Conrad Kambi M PDCO Health - East Sepik 7095 5906 P.O. Box 395, Wewak
21 Elvis Pyrikah M PDCO Health - Gulf 7399 1345 P.O. Box 60, Kerema pyrikahelvis98@gmail.com
Health - Southern
22 Ken Siki M TB/Leprosy Officer Highlands 72106384 P.O. Box 63, Mendi
23 Mangom Luna F Nursing Officer Angau Hospital 73982195 P.O. Box 457, Lae
24 Regina Visia F Nursing Officer WSPHA 7366 3806 P.O. Box 331, Vanimo
25 Karen Yamani F TB/Leprosy Officer Health - Morobe 7367 7183 P.O. Box 458, Lae yamanikaren@gmail.com

26 David Lapun M PDCO Health - Manus 7310 7632 P.O. Box 42, Lorengau lapundavid@gmail.com
Geraldine
27 Towaira F TB/Leprosy Officer NCD Health Services 7168 8593 P.O. Box 1630, NCD geraldine_towaira@ncdhs.gov.pg
28 Betty Tameluk F LLG Health Health - New Ireland 7012 0919 P.O. Box 103, Kavieng
Manager
29 Maria Sabok F PDCO Health - New Ireland 7989 1669 P.O. Box 103, Kavieng maria.sabok@gmail.com
30 Elsie Buka F HEO/OIC - RTC Health - ENB 7252 0198 P.O. Box 464, Kokopo elsiestanley240@gmail.com
31 Alida Sagem F Nursing Officer Modilon Hospital 7193 5682 P.O. Box alisagem@yahoo.com
32 Gibson Kungene M PDCO Health - Oro 7173 0427 P.O. Box 93, Popondetta gkungene@gmail.com
Andrew
33 Kumogene M A/PDCO WNBPHA 7360 2733 P.O. Box 428, Kimbe, WNBP
Dr Alexander Nonga Base
34 Maha M Physician Hospital 7257 3215 FMB #3, Kokopo almah8@gmail.com
- ENBP
35 Likas Lakain M PDCO Health - Enga 7211 4043 P.O. Box 110, Wabag likaslakain@gmail.com
Catholic Health
36 Rhondy Maso F Clinic Manager Services 7059 7531 Arch Diocese POM r.maso@yahoo.com.au
37 Nicholas Larme M Health Advisor Health - ENBP 7380 0883 nlarme4804@gmail.com

ANNEX B

REVIEW, STRATEGIC PLANNING WORKSHOP 2016-2020, TRAINING
UPDATE AND ANNUAL COUNTRY LEARNING MEETING.
PORT MORESBY
September 28TH to October 9TH, 2015

National NLEP Review, Strategic Planning & Annual Country Learning Meeting
Port Moresby
September 28th to October 9th,
2015
Date Time Topic/Activities Facilitator

Day 1 Agendas: LEPROSY REVIEW Secretariat:
08:00 -08: 20 Arrival of participants & facilitators/ registration
08:25 – 08: 30 Opening prayer NDOH
DAY 1 08: 30 – 08: 55 Self - Introduction Participants & Facilitators
09: 00 – 09: 30 Opening Remarks & official opening of the meeting NDoH/TLM PNG
Monday 9:30 – 10:00 Meeting objectives Abel Marome
10:00 – 10:15 Morning Tea Break
September 28th, 2015 10:15 – 10:30 Leprosy global/regional update WHO STC- Dr. Cunanan
10:30 – 11:00 Leprosy mission update Country Leader TLM PNG
11:30 – 12:00 NTDs Regional update WHO – PNG NPO
12:00 – 13:00 Lunch Break
13:00 – 13:30 Leprosy situation PNG update Miriam Pahun
13:30 – 14:00 TLM PNG and partnership project update Jacqueline Pil
14:00 – 14:30 NTDs PNG update Wendy Houinei
14:30 – 15:00 NOPS PNG update Elias Darius
15:00 – 15:15 Afternoon Tea Break
15:15 – 15:45 Morobe Provincial Presentation PDCO
15:45 – 16:15 Madang Provincial Presentation PDCO
16:15 – 16:45 East Sepik Provincial Presentation PDCO
16:45 – 17:15 Sandaun Provincial Presentation PDCO
2
Port Moresby
2015

Day 2 Agendas: LEPROSY REVIEW Chairperson:
DAY 2 8:00 – 8:30 Opening prayer/Recapitulation Momase region
8:30 – 9:00 Oro provincial presentation PDCO
Tuesday 9:00 – 9:30 Milne Bay Provincial Presentation PDCO
9:30 – 10:00 National Capital District presentation TB/Leprosy Officer
September 29, 10:00 – 10:15 Morning Tea Break
10:15 – 10:45 Central Provincial Presentation PDCO
2015 10: 45 – 11: 15 Gulf Provincial Presentation PDCO
11:15 – 12:15 Western Provincial Presentation PDCO
13:00 – 13:30 Manus provincial presentation PDCO
13:30 – 14:00 New Ireland provincial presentation PDCO
14:00 – 14:30 East New Britain provincial presentation PDCO
14:30 – 15:00 West New Britain provincial presentation PDCO
15:15 – 15:45 AROB presentation PDCO
15:45 – 16:15 Lessons learnt Bougainville HCP presentation Program Director BHCP
16:15 – 16:45 Lessons learnt Integrated partnership presentation Dr. Nicholas Agebigo- Dermatologist
16:45 – 17:00 Questions & Clarifications Facilitator
Port Moresby
2015

Day 3 Agendas: LEPROSY REVIEW Chairperson:
Day 3 8:00 – 8:30 Opening prayer and recapitulation Southern Region
8:30 -9:00 SHP provincial presentation PDCO
Wednesday 9:00 – 9:30 Enga provincial presentation PDCO
September 30th, 2015 9:30 – 10:00 Questions & Clarifications PDCO
10:15 – 10:45 WHP provincial presentation PDCO
10:45 – 11:15 Simbu provincial presentation PDCO
11:15 – 11:45 EHP provincial presentation PCDCO
11:45 – 12:00 Questions & Clarifications Facilitator
13:00 – 13:30 Group discussions- Southern region
13:30 – 14:00 Group discussions – Momase region
14:00 – 14:30 Group discussions- Highlands region
14:30 -15:00 Group discussions- Islands region
15:15 – 15:45 Group planning presentation Southern region
15:45 – 16:15 Group planning presentation Momase region
16:15 – 16:45 Group planning presentation Highlands region
16:45 – 17:15 Group planning Presentation Islands region
Port Moresby
2015

Day 1 Agendas: Strategic Planning workshop Chairperson:
Day 4 8:00 – 8:30 Arrival participants, facilitators & Registration All
8:30 – 8:45 Prayer/Devotion & registration
Thursday 8:45: 9:15 Welcome and Introduction Miriam
October 1st, 2015 9:15 – 10:00 Objectives of the workshop Miriam
10:15 – 11:00 Highlights of 2015 Review Recommendations & Miriam
Conclusions
11:00 -12:00 Planetary session All
12:00 -13:00 Lunch Break
13:00 – 14:30 Identify the key issues of the review recommendations
14:30 – 15:30 Group Presentations
Port Moresby
2015

To be pleted by the external facilitator

com
Day 5 10:00 – 10:15 Morning Tea Break
Friday
October 2nd, 2015


Port Moresby
2015

To completed by the external litator

be faci
Monday
October 5th, 2015


Port Moresby
2015

Day 1 : Leprosy Training update Chairperson:
8:00 – 8:30 Arrival of participants
8:30 – 9:00 Devotion and Registration
9:00 – 9:30 Introduction of the workshop Miriam Pahun
90:30 – 10:00 Objectives of the training Miriam Pahun
Day 7 10:15 – 12:00 How to Diagnose Leprosy Dr. Cynthia Kuanch
1. Signs of Leprosy
Tuesday 2. Which signs are not Leprosy
3. How to examine a patient for Leprosy
October 6th, 2015 4. How to test for sensory loss
13:00 – 14:00 How to Treat Leprosy Dr. ToWarpuai
1. How to classify Leprosy
2. Five Simple Steps to Start MDT
3. MDT Regimens
4. Information for patient
14:00 – 15:00 Management of Complications Dr. Nick Agebigo
1. Leprosy Reactions
2. Common Side Effects of Leprosy
3. Simple Measures to Prevent Disabilities
15:15 – 15:45 Leprosy Case Detection, Case Holding & Monitoring Indicators Miriam
15:45 – 16:30 Records management with introduction of New Reporting Leprosy Reporting forms Abel Marome
16:30 – 17:00 Planetary Session
Port Moresby
2015

Day 1 Agenda: TLMPNG Annual Country Learning Chairperson:
8:30 – 9:00 Registration of participants All
9:00 – 9:20 Devotion
9:20 – 9:40 Welcome, Introduction and objectives of the workshop Bert
Introduction of participants
9:40 – 10:00 Introduce TLM Global Strategy – Mission/Value & Strategic Priorities Philip
10:30 – 10:40 People affected by leprosy – sharing experiences & ongoing challenges
Wednesday 10:40 – 10:50 Presentations: What new country trends are influencing people in PNG in relation
to
October 7th, 2015 leprosy, NTDs & Disability?
10:50 – 11:20 Planetary sessions Q & A following presentation Bert
11:20 – 12:30 Significant challenges/Celebrations and lessons learnt Provincial Health Advisors
13:30 – 14:30 Group Work
Questions to Discuss
a) What are the major challenges working in partnership together in
your provinces?
b) How can we overcome these challenges?
Each group to complete one point up to 5 green cards & present one key point
14:30 – 14:40 Presentation: Dermatologist at PMGH Dermatologist
The significant challenges/celebrations and lessons learnt in 2015
14:40 – 15:00 Presentations: How is the local church seeking to meet the needs of the
local communities and the people affected by leprosy and disability?
Q & A following the presentations
Port Moresby
2015
15:20 – 15:30 Presentation: National Orthotic & Prosthetic Services (NOPS) Elias Darius
15:30 – 16:45 Group Work: Bert/Philip
Questions to discuss: What are the challenges affecting TLMPNG stakeholders?
Each group to complete one point on up to 5 blue cards & present key
points
16:45 – 17:00 Reflection on the day & close meeting in Prayer

Day 2 Agendas: TLMPNG Annual Country Learning Chairperson:
9:00 – 9:05 Introduction Bert
9:30 – 10:00 Presentation: What are the expectations and priories of TLM PNG supporting
countries and institutional donors?
Planetary discussion for Q&A following the presentation
10:30 – 12:00 Group Work
Thursday Questions to discuss: How can we develop more effective partnership to meet
the needs of those affected by leprosy, disability and NTDs in PNG?
October 8th, 2015 Each group to complete one point on up to 5 green cards and present key points
12:00 – 12:15 Prioritization Exercise
What are the most important issues to address in the next five years to meet the
needs of people affected by leprosy, disability and NTDs?
Each stakeholder to have 5 stickers in which to identify the priority issues raised.
12:15 – 12:30 Reflection on Annual Country Learning Bert
13:30 – 15:00 Outcome of the prioritization exercise – What responses/How effective? – Analysis
of top five priority areas identified by stakeholders for TLMPNG.
What strategic partnerships should TLMPNG be perusing more?
Were there any areas left out in setting priorities for partnership development
in the future.
What are we already doing well/what gaps are there in the capacity?
(Strengths/Weaknesses?)
Port Moresby
2015

15:30 – 17:00 Next Steps
What strategic priorities can be defined for TLM PNG?

Day 3 Agendas: Annual country learning Chairperson:
9:00 -9:05 Introduction of the day’s events and planning Bert
9:20 – 10:30 What dose TML Global Mission, Values and strategic focus areas mean to TLM
PNG? What stands out? / What is achievable for TLM PNG? What TLM PNG is
already doing in
Day 10 the TLM Global Strategy? / What is not doing?
Friday 11:30 – 12:30 What does TLM Global Vision, Mission, Values & Strategic focus areas mean to TLM
PNG?
October 9th, 2015 (continued)
13:30 – 15:00 Global Strategy – Key Performance Indicators
How can we integrate the measurements of these indicators into TLM PNG’s
ongoing activities?
Which KPI will be feasible to measure in 2015? / Which will not be?
What other priority areas should TLM PNG be focusing on in 2016
onwards? (Reflection on Day 1 – 2 priorities identified)
15:30 – 16:00 Final Remarks, Official Closing of the Workshop & Group Photos
ANNEX C
NATIONAL LEPROSY ELIMINATION
PROGRAM PAPUA NEW GUINEA
STRATEGIC PLAN 2016 -2020
Vision: Transformed, Leprosy-Free communities and families, where people affected by leprosy
have equal opportunities and rights and better quality of life
Mission: NLEP through the Provincial and District Health System will implement quality leprosy
services to further reduce disease burden and sustain elimination of leprosy as a public
health problem in PNG
Goal: To eliminate leprosy as a public health problem ((prevalence rate to < 1 per 10,000
population) in all provinces of PNG by 2020 and sustain provision of quality leprosy services
including rehabilitation services to all affected persons ensuring the principles of access,
equity and social justice to further reduce leprosy burden.
Strategic Objectives:
1. To eliminate leprosy as a public health problem in the remaining 6 high endemic provinces as
of 2015 (Western, Gulf, Central, NCD, Sandaun & ENBP on or before 2020.
2. To improve clinical case management by increasing national and provincial cure rate
(Treatment Completion Rate) from less than 50% in 2015 to at least 80% by the end of
2020.
3. To strengthen capacity building through training of health staff particularly at the

peripheral health facilities of the identified “hot spots” in the districts.
4. To strengthen Information and Education Communication (IEC) campaigns in the villages

particularly in the identified “hot spots” areas especially in the 6 high endemic provinces
5. To strengthen quarterly monitoring and supervision visits from the NDOH to the province
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6. To strengthen Integration and referral system especially from the periphery health facilities in identified “hot spot” villages /areas
to the district , provincial and national level
7. To strengthen prevention of disabilities (POD) and Improved referral to disability services leading to reduce stigma and
discrimination of people affected by leprosy
8. To improve political commitment and support and build and sustain partnership at local, national and International levels.
9. To improve leprosy program management specifically a) case detection, b) case holding, c) drug supply management, and d)
records management, in all provinces to further reduce Leprosy burden in Papua New Guinea
10. To strengthen the collaboration and functionality of the Leprosy Task Force( Leprosy TWG) to provide directions \ polices and
monitoring and evaluation of the NLEP.
11. To strengthen the Dermatology Clinic in PMGH as national leprosy referral centre for training, validation of diagnosis and
relapse, management of difficult cases and monitoring of the program.
PAPUA NEW GUINEA
NDOH-NLEP STRATEGIC PLAN 2016 -2020
Respons- Co-
Objective Strategies Activities Target Time- ible respons- Budget Fundi Expected Monitoring Remarks
frame Person/ ible Unit/ Needed ng Outcome Indicators
Unit person Source
1. To 1.1 To 1.1.1 To All districts Yearly NLEP –NDOH Leprosy As part NDOH endemic areas No of Leprosy
reduce improve identify and and 2016- PDCO task Force of GIS in provinces provinces/districts map is
disease timely case do prevalence provinces in 2020 DDCO TLM –PNG mapping and districts Where endemic updated
burden detection and map of leprosy the country. budget(s TLMPN identified areas identified
and
eliminate prompt endemic areas ee G and mapped and mapped
leprosy as treatment. or pockets in strategy disseminat
a public high, 3.2) ed to
health moderate & provinces.
problem in low endemic
five provinces
remaining All contacts Quarterl NLEP -NDOH Leprosy K20,000 NDOH No of No of Strong
provinces 1.1.2To of new y task per year provinces contacts coordinatio
(NCD, advocate, cases and 2016- force motivated detected with n with
Western, assist and post 2020 TLM-PNG Assisted leprosy PDCOs and
Gulf, guide treatment (during To conduct. DDCOs and
Central. provinces to Of MB monitori Screening of Grade 2 disability local
Sandaun, do Cases in ng visit contacts. among new cases partners
ENBP) household high, mod. to from contact assessment
contact and low province screening of
1.2 To examination endemic s) NLEP –NDOH K 50,000 NDOH -Increase in usefulness
conduct provinces. WHO PDCO per year timely No IEC and impact
leprosy 1.2.1 To DDCO voluntary Materials of IEC
community intensify All high, Health K50,000 TLMPN reporting of distributed materials
awareness leprosy moderate Yearly Promotion per year G new cases printed and posted used
through awareness and low 2016- Officers -Decrease in key sites in \-Field
distribution campaign to endemic 2020 grade 2 provinces and testing of
of IEC identified provinces. disability districts IEC
Materials endemic among new materials
areas/districts Health seeking
in an
Respons- Co-
Unit person Source
integrated NLEP -NDOH Leprosy K20,000 NDOH cases behavior of PNG to to be
approached. Dermatology Task per year -Decrease leprosy published. developed
unit, Force/TW stigma
Monitoring G K30,000 TLMPN
1.3 To identify 1.3.1 To -High Year research TLM-PNG per year G -Health Proper
barriers to conduct an moderate, 2017 branch PDCOs seeking coordinatio
timely case operational and low Health K30,000 WHO behavior of n with
detection research on endemic Promotion per year PNG citizen to WHO
and health seeking provinces Unit leprosy To look for
treatment behavior to (a protocol identified profession
compliance obtain in PNG will be -Barriers to als and
and identify developed) case detection agencies
level causes -To be ,case holding who will do
of leprosy commissione and treatment the study.
stigma in d compliance
PNG identified and
1.4.1 To PDCOs 2016- NLEP -NDOH Leprosy K20,0000 NDOH understood No of provinces
assist DDCOs 2020 TLMPNG Task force per year -effect and assisted
1.4 To provinces in Local Four Dermatolo extent of No of staffs
improve conducting Partners province gy Init K30,0000 TLMPN leprosy stigma trained
capacity of basic leprosy per year NOPS per year G identified Grade 2 disabilities
health staff and refresher Clinical among new cases
at the training Laboratory -% correct
provinces based on Improve diagnosis and
task to knowledge, classification.
clinical, awareness and
nursing /public skills of
health staffs peripheral
of treatment health staff in
facilities endemic
nearest to hot districts
spot
areas/villages
Respons- Co-
Unit person Source
1.5 to build 1..5.1 Conduct International 2016- NLEP-NDOH Manager K10,000 DOH -No of advocacy -The
,strengthen inventory National 2020 Disease per year meeting provinces
and /listing and Provincial Annually Control conducted and district
sustain advocacy District Leprosy K2O,000 TLMPN -Local and -No of local and
will identify
partnership meeting to LLGS Task per year G international international
available, Community Force/.TW technical and partners identified key staff to
existing Levels Pos, G funding and participating be trained
technical and NGOs, TLM -PNG. partners persons attended at different
funding Churches identified, and meetings. levels
partners at Schools/othe sensitized especially
various levels. r agencies. - functional those at
TWG/Leprosy partnership
the
Task Force
NDOH endemic
hot spots
2016- NLEP,NDOH Dir of K1,000 DOH NLEP No of
1.5.2 To 2020 And other Public per year directions meetings held
sustain the Quarterl agencies Health and program No of members
functionality of y representati NDOH K1,000 TLMPN evaluation Attended/particip
the Technical meetings ves NPM PER year G done ated
working TLM PNG -Programmatic
group/Leprosy WHO ,logistics,\polic
task force y and admin
Issues and
concerns
attended
/addressed
2. To 2.1 To 2.1.1 To 2.1.1.1 2016- NLEP –NDOH PDCO K30,000 NDOH Improved Accurate and Priority for
improve improve provide regular 3 high 2020 Leprosy Task DDCO per year /strengthened complete monitoring
program treatment monitoring and endemic Quarterl Force program recording to be done
manageme compliance supervision Provinces y K20,000 TLMPN Performance and timely in High
nt and reduce visit to 3 per year G reporting. endemic
defaulter rate. provinces. Moderate Programmatic Provinces
and low issues -improve,
endemic addressed defaulter / cure
provinces rate
districts.
Respons- Co-
Unit person Source
-correct diagnosis
and classification
Standard MDT
Treatment is
maintained
2.2 To 2.2.2 To do 2.2.2.1.Natio 2016- NLEP Unit PDCO Data Records are PDCO/DDC
improve data data cleansing nal 2020 DDCO K10,000 NDOH performance is accurate and O and
management. and update Provincial Quarterl TLM-PNG per year improved at all complete and lower
and provide and y reporting is timely. health
levels.
feedback. treatment facility
facility levels. must e
Electronic data oriented
2.2.3 National(ND 2016 NLEP NDOH TLM-PNG K 10,000 TLM base\installed /trained on
Recording and
Application of OH-NLEP WPRO Leprosy per year and operational the use o
data
Electronic Pilot task new forms
data base Provinces Force K30,000 NDOH management
(Central/NCD per and reporting Prior
/ Year and analysis coordinatio
Bougainville) improved n with
K20,000 WHO WPRO
per (Dr Nobu)
year
2.3 Effective 2.3.1To 2.3.1.1. Quarterl NLEP –NDOH PDCO K5,000 TLMPN Drugs Cure rate NPM to
MDT drug establish MDT National, y DDCO per year G available at Defaulter rate coordinate
management inventory Provincial 2016- WHO treatment Drug inventory with WHO-
supply at all register update and district 2020 Leprosy facilities at all Quarterly Headquart
levels. and maintain facility levels. Task Force times ers
buffers stocks Pharmacy Improve regarding
availability at treatment MDT drug
all levels. compliance supply
/cure rate adjustment
s
Respons- Co-
Unit person Source
3.0 To 3.1 To 3.1.1 The use High Endemic 2016 NLEP –NDOH Leprosy K20,000 NDOH Improve -no of Use of
sustain improve of and Hard to (Piloting) Dermatology Task Force per year referral of provinces MDT Drug
quality referral Tele - reach Unit case for using Tele Inventory
system using Dermatology areas/district Province(pilo WHO K30,000 TLMPN diagnosis and Dermatology form
leprosy
innovative using Smart s t) per year G management - decrease
services. technology. Phones/mobile of reactions disability rate The leprosy
phones for -timely, complete task force
reporting and . and accurate will
referral reporting develop
protocol
and
identify
province
that will be
included in
the pilot
3.2 to Improve 3.2.1 to use 3.2.1.1 2016- NLEP-NDOH WHO K10.000 NDOH Easy Mapping of -to
follow- GIS mapping to All high, 2020 Leprosy task per year identification endemic pockets coordinate
up/case identify hot moderate Force PDCO Of location of in province and with
holding and spots and and low TLM-PNG K20,000 TLMPN disease district available Malaria
data analysis mapping of endemic DDCO per year G burden unit for the
using new cases provinces Prioritization Pilot provinces experience
innovative for mapping of case doing GIS mapping in GIS and
technology of hot spots detection and of new cases other
contact health
Piloting for tracing. programs
Mapping of using GIS
new case
detected
Respons- Co-
Unit person Source
3.3 To assess 3.3.1 to do ALL 6 High 2016- NLEP-NDOH PDCO K20,000 NDOH Status of AIP -no of monitoring use of
progress and regular Endemic 2020 Leprosy task per year implementatio visits done monitoring
directions of monitoring and Provinces Annually Force Local n determined check-list
annual leprosy supervision Partners K30,000 TLM - use of
Implementatio per year PNG Program epidemiological,
n plan direction in program and Monitoring
the province quality of the
assessed Indicators moderate
and low
Accomplishme No. of staff endemic
nts known coached and provinces
and reviewed supervised is subject
with on
targets -No. of on job availability
training done of funds
Staff
supervised N0. of The leprosy
and coached local Task force
Challenges partners needs to
identified and Participatin assessed
addressed which of
- Annual Program moderate
On the job review held and low
training done provinces
- No of may need
participating monitoring
PDCOs and and
partners supervision
visits
Respons- Co-
Unit person Source
3.4 To review 3.4.1 ALL High, Bi- NLEP-NDOH PDCO K100,000 NDOH Case and NLEP program Integrated
l status & To conduct Moderate annual Leprosy task Program reviewed by Mixed monitoring
accomplishme NLEP annual and Low (2017 Force National management monitors (internal visit with
nts program Endemic and and Local strengthe and external) other
of the 5 year review/evaluat Provinces 2019) Partners K100,000 TLM programs
strategic Plan ion PNG Review findings in
presented and Moderate
K100,000 WHO completed and low
Strategic Plan endemic
3.5 To 3.5.1 As identified Mid year NLEP-NDOH status and provinces
Leprosy
determine To conduct in the Review 2020 WHO accomplishme could be
Task
impact , Mixed program Protocol (3 nt reviewed done.
outcome& review (to be weeks) Force/TW
relevance of (External and determined) G SWOT analysis Best
the 5 year Internal) of done practices
strategic plan the NLEP PDCO presented
2016-2020 Challenges
and assessed National identified and Re-
real situation and Local solutions planning
on the Partners provided included
ground
Re-planning
done Must be
Properly
Strategic Plan plan and
status and coordinate
accomplishme d with
nt reviewed technical
(WHO) and
SWOT analysis funding
done partners
Challenges
identified and
solutions
provided
PAPUA NEW GUINEA
HIGH ENDEMIC CLUSTER
Provinces: 1.Central 4. West Sepik
2. NCD 5. Western
3. Gulf 6. East New Britain

Time Frame Responsi Co-respons-
Objective Strategie Activities Target ble ible Unit/ Budget Funding Expected Monitoring Remarks
2016
2017
2018
2019
2020
s Person/ person Needed Source Outcome Indicators
Unit
To To Periodic Trained Increase / Defaulter rate

improve improve Review Provinc 60% 60 70 80 80 PDCO/ HW at improved Cure rate
case treatme and e/ % % % % DDCO different NONE Treatment
manage nt cleaning of District/ HF Completion/ -No. of
ment complian registry Health Cure rate by Defaulter
ce and Identificati lower -local Partners 80 percent at tracing done
Reduce on of HF (Existing Orgs end of 2020 -
Defaulte Patients at In the districts No. of Local
r Rate risk of x province/) partners
defaulting X X X X participating for
-Defaulter case holding
action X activities
- to X X X X
identify
and
advocate
& work
with
partners
Regular 6 2 2 2 2 2 NDOH TWG/Leprosy K34,000 NDOH -Improved -timely and Target
Monitoring endemi Task Force per year program accuracy/compl endemic
and c Provi Management eteness of province for
supervisio provinc nce PDCO K2,000 TLM- -Correct report/record monitoring
n es per PNG diagnosis and - cure rate decided on
-On job province classification -Drug supply Task Force
training x2= of cases management Meeting
K4,000 - -correctness of
Per year diagnosis
K15,000 Provinc
per e
province
x2=
K30,000
Per year
Unit
2016
2017
2018
2019
2020
Identifi 2 2 2 2 2 PDCO DDCO K145, 000 Provinc Improved -timely and Districts for
ed Dist Di Di Di Di Lower HF per year e program accuracy/compl monitoring
Endemi st st st st in 6 prov. Management eteness of to be
c -Correct report/record decided by
districts C-K5,000 diagnosis and - cure rate PDCO in
N-K5,000 classification -Drug supply consultation
S-K60,000 of cases management s with
W-K -correctness of DDCOs
50,000 diagnosis
G-
K20,000
E-K5,000
Per year
Program 6 -Issues and No of program PDCO must

Evaluation endemi PDCO Other _ concern review coordinate
As part of c /DDCO Provincial NONE address evaluation done with DPH in
provincial provinc Program -Program per year the
Disease es health staff status province
Review Assessed,
Quarterly as integrated
evaluation with other diseases
in the province
Continuo request of 6 K95,000 Provinc Adequate No. of Blister NPM must

us and MDT drugs endemi NDOH PDCO/DDCO per year e MDT Dugs packs available secure MDT
adequat to include c NPM Available in in the field vs. drug
e supply Buffer provinc Local Partners No all categories No of patients including
of MDT stocks for es TLM-PNG budget on treatment the buffers
drugs 1 quarter needed Defaulters in WHO on
Quarterly Request
using the for C, N, rate/ cure -No of timely
drug E rate diagnosed manner
request – use patient not
form transport started on MDT Province
available treatment responsible
for
W- transporting
K50,000
2016
2017
2018
2019
2020
Unit
G- MDT drugs
K30,000 to lower HF
S-K15,000
Per year Partners
like Church
Health
Services
can help in
the
transporting
of stocks to
HF
Timely Referral of 6 PDCO DDCO/ NONE Timely - No. filled -clarity on

and patients in endemi MO Lower HF referral and Referral use of
adequat reactions c staff management forms prescribing
e a) to MO provinc of reactions - availability of of
manage for es - decrease prednisolone prednioslon
ment of prednisolo PDCO DDCO/ To be occurrence of in the e
Leprosy ne Dermato Lower HF determin TLM- disability on treatment -
reactions Treatment logy staff ed PNG cases facility
Clinic - disability rate Leprosy
b) National MO among cases Task Force
dermatolo on treatment to develop
gy Center - reaction rate Pilot
using project to
referral include
form high
endemic
(Tele- province in
dermatolo tele-
gy) Dermatolog
y
2016
2017
2018
2019
2020
Unit
Hospital 6 PDCO DDCO/ K26,000 -prior

Admission endemi MO Lower HF per year Provinc -do- -do- understandi
of cases c staff e ng with
with provinc C-K1,000 Hospital
severe ENL es N-Free regarding
-Transport E- Free availability
W- of hospital
K10,000 beds for this
G- purpose
K10,000
S-K5,000
Strengthen NCD leprosy cases -total no of The DPH
ing Central 40% 50 60 70 80 PDCO NDOH NONE - adequately cases in the and head
Integration Gulf % % % % DPH NPM managed in province being Dermatolog
of leprosy Dermato the province managed in the y center
services logy province with
into the Center HF engaged -Total number support of
general in leprosy of cases being NPM
health (% total cases detected and control managed in /NDOH to
services activities Dermatology have
currently in dermatology clinic to
dialogue
be transferred to the province for the new
process/dir
ection
To To Distributio 6 PDCO/D HF staff K25,000 TLM- Improved -availability of WHO
eliminate strength n and provinc DCO per year PNG Knowledge , leprosy posters provides
leprosy en posting of es (Develop awareness in clinics and free
as a Commun posters in ment of and practices other places Posters to
public ity key areas 350 osters per rovince local in the No. of cases the
health Awarene in the p p per posters) community voluntary program
problem ss districts/vil year about leprosy reporting .NDOH/NP
in the 6 lages Increase M is
remainin voluntary responsible
g high reporting of to secure
endemic cases IEC
2016
2017
2018
2019
2020
Unit
provinces Reduction materials/p

( Central, stigma and osters
Gulf, discriminatio Role of
NCD, n against community
Western, affected mobilizers –
West persons and discussions
Sepik and their families with TLM-
ENB) by PNG-
2020 by Review of
strengthe TOR
ning
timely
case
detection
activities.
Use Radio 6
broadcast provinc PDCO DDCO/Trained K25,000 Provinc Same as No. of cases
for es 4 adcast per ar Health staff per year e above voluntary
Leprosy bro ince ye per Health N- K5,000 reporting
Awareness prov promotion/ad Per year No of leprosy
vocacy unit Radio spots per
K20,000/ TLM- year
per year PNG
To Advocacy 6 PDCO
sustain campaign Provinc DDCO
quality A) World es Last Sunday of January
leprosy Leprosy
services
in 6 PDCO
identified DDCO
endemic B)Special
provinces Events/ 1 /prov.
by festivities per
providing
2016
2017
2018
2019
2020
Unit
capacity Schools G-
building principals K45,000
to further c) School W-
reduce Campaign K15,000
leprosy (schools 4 oolsin prov. E-K2,000
burden in located in sch each S-K5,000
PNG endemic Per year
district/hot
spots area
Active Household MB PDCO Trained health K114,000 Provinc - Timely Total Number of Household
Case Contact Househ DDCO staff per year e Detection of contacts contact
Detectio Examinatio old Local partners -K40,000 new cases examined listing is
100 Contacts of cases residing
n n of New Contact Like Church G- - cut Total number of necessary
Cases(inde s near and accessible per year Health K40,000 transmission new cases as new
x cases) Detecte per province for index cases Services S-K10,000 - detected from cases is
d in C-K2,000 the household detected
2015 - N-K2,000 contacts
50 Contacts of cases residing
2016 E-K2,000 Disability grade
onward far and inaccessible per year of new contacts
per Children
province proportion
among new
Training To conduct PDCO / NOPS K540,000 Provinc Increase cases Role of
PDCO
Basic DDCO TLM PNG per year e Knowledge community
NDOH
Leprosy HW in WHO K20,000 NDOH awareness No of trained mobilizers
training treatme 1 training per province per year per and skills of conducted
/Refresher nt province Health staff No of Role of
on case centers per year Correct participants Village
and (prioriti Dermato diagnosis and trained Health
program zing logy K 10,000 TLM- classification Volunteers
manageme HW Center per PNG Of disease
nt from staff province PDCO/DDC
(training endemi Per year Timely, O will
2016
2017
2018
2019
2020
Unit
based on c areas) accurate, recommend

Task school K60,000 WHO complete based on
Roles) of per records and training
nursing province report need
tutors Per year assessment
Cost for participants
technical NDOH with
Consultan WHO
t consultant
to provide
training
syllabus and
programme
Participatio
n of higher
Building Advocacy Govt PDCO NDOH Adequate No of meetings level offices
and meeting policy DPH Leprosy Task MDT Drug Conducted is necessary
sustainin makers PHA Force/ TWG NONE supply The NLEP
g / To be Increase Increase in Task Force
Partners planner determi awareness funding can assist in
2 meetings per year per
hip s, ned and allocations this activity
province
NGOS knowledge Increased in
POs about leprosy Human resource
Health issues among available
and key partner
non_ stakeholders support for
Health implementing
sectors Increase activities
at political -
nationa Commitment
l, and support
provinci
al,
district
and LLG
2016
2017
2018
2019
2020
Unit
level
Review Nursing Leprosy PDCO Updating/pro Inclusion of
/Inclusion School Task NLEP Task viding new Leprosy
of Leprosy/ Admin Force Force/TWG NONE information /updating
updates /TWG skills to Leprosy in
into NDOH nursing nursing
nursing student curriculum
curriculum Lobbying To start in
2016 onward
Participati Medical NDOH K 10,000/ provinc Leprosy No of

on in Associa Dermato year e updates presentations
Medical tion logy provided to made
Symposiu Clinic Medical staff
m PDCO
Increase
One session per year
participation
in leprosy
program
PAPUA NEW GUINEA
Moderate Endemic Cluster

(PR= 0.5 -0.9 per 10,000 Population)
Provinces: 1. East Sepik 4. Manus
2. Milne Bay 5. Madang
3. New Ireland 6. AROB

Objective Strategies Activities Target Timeframe
2018
2017
2016
2019
2020
To To sustain Targeted District/H PDCO NDCO B– Provinc Increase No. of PDCO/DD
improve Leprosy basic ealth Leprosy 30,000 e case training CO target
case Capacity & leprosy center/Su 1 Prov. Training per year task Force ES – detection conducte HF in
holding of Knowledge training at b-Health 33,000 Improved d endemic
cases on in hotspot provincial Center
2 district training per yr.
treatment districts and district Aid-post
- increase level health
cure rate facilities:
to 75% (case and
and program
reduce manageme
defaulter nt)
rate to
25% by
2020 in all Refresher Prov./Dist PDCO NDOH NONE HF staff Same as Will be
6 Course/ori rict & DDCO updated on above integrated
provinces entation in selected leprosy with other
Annual r prov.
leprosy HF Increase training or
pe
case and KAS orientatio
program Improve n courses
manageme case and in the
nt program provinces
manageme and
nt districts
Respon- Co-
Objective Strategies Activities Target Timeframe sible respons- Budget Fundin Expected Monitori Remarks
Person/ ible Neede g Outcome ng
Unit Unit/per d Source Indicator
son s
2018
2017
2016
2019
2020
Increase Community General PDCO Health To be Improve No. of
case Awareness populatio DDCO Promotio determi knowledge radio
detection Campaign n 4 broadca st year in ll n officers ned , broadcast
especially awareness held per
province per a
in Local and year in
-a) Radio endemic partners practices in each
broadcast districts the province
community
about No of new
leprosy cases
reported
Increase voluntaril
voluntary y
reporting
Report on
Improve stigma
case and
holding discrimina
tion
against
PAL and
their
families
2018
2017
2016
2019
2020
b) Leprosy 1. High PPDCO Health NONE Improve No.of PDCO
meeting School /DDCO promotio leprosy schools /DDCO
lectures/ 1 school per quarter n office Knowledge oriented / will
orientation per province School awareness campaign prioritize
/ administr and conducte schools to
Assembly ators practices in d be
Local students No on oriented
Partners new prioritizing
-increase cases those in
voluntary detected endemic
reporting thru areas
of cases voluntary
2. MCH 1 orientation per quarter DO Other
(integrate Program None
per province
d patrols) coordinat
ors in Improve
Province integration No of
and of program leprosy
district activities orientatio
ns
Sharing of conducte
resources d per
year
-higher
coverage
3. World To be and better Assembly
Last Sunday of January
Leprosy DO determi program campaign
annually
Day NDOH ned implement Done
TLM_PNG ation
Leprosy
task Force
Local
Partners Improve No of
leprosy partners
2018
2017
2016
2019
2020
OPD Knowledge participat
clinics, awareness ed
hosp Annually as it comes and
markets, from NDOH and TLM in practices
bus all prov. in
stations, community
schools
Build and
sustain
Leprosy partnership
cases on PDCO Trained None /
c) posting MDT As new /old cases comes DDCO Heal staff participatio NDOH to
/distributio for treatment at lower n secure
treatment
n of IEC Facility needed
and family Improve
Materials Health leprosy
(treatmen Promotio case posters
t partner n officers detection from WHO
Local and other No of and TLM-
partners program posters PNG
implement posted
ation
role of
PDCO -DO- NONE Presence Village
d) Health DDCO of IEC Health
education Voluntary materials Volunteers
to Patient reporting in target
and of cases places
Family/trea
tment Improved
partner treatment
completion
Decrease
disabilities
2018
2017
2016
2019
2020
Stop
transmissio
n
Improved
motivation
of staff and
patients
Same as
above
Strengthen Household Househol PDCO Trained B– Provinc Timely No of new PDCO/
ed case Contact d /DDCO Health 25,000 e detection cases DDCO
detection tracing Contacts Local Staff ES – of new detected should
of active Partners 40,000 cases generate
and post NDOH Man – No of Household
treated On going, Dermatol 20,000 Stop contacts contact
MDT 100 percent contacts to ogy clinic Mad – transmissio examined listing
patients be examined 60,000 n
From NIP – Involveme
2010 50,000 nt of
MB - Church
60,000 Health
services
and
Village
Health
volunteers
Improve Regular PDCO Decrease No of 100%
drugs drug DDCO Quarterly review of PDCO NDOH NONE defaulting drug Stock
supply inventory Lower drug inventory and DDCO Increase supply supply of
manageme updates Peripheral cases on Cure rate deliveries MDT
nt through units treatment Decrease available
use of Drug disabilities No of for rural
2018
2017
2016
2019
2020
reporting among defaulters cases
forms cases due to PB – 6
Increase absence m
motivation of drugs o
of health n
staff and - t
patients Increasing h
CR 75% s
&Redut25 MB – 12
% by mon
2020. ths
Strengthe Regular Integrated HF PDCO, Health B– Provinc Improve No of PDCO/DD

ned Monitoring monitoring At the DDCO, staff 40,000 e leprosy monitorin CO must
Leprosy and supervision endemic clinicians ES – case and g and properly
Program supervisio visits district Church 30,000 program supervisio coordinate
Managem n Quarterly monitoring and health Man – Manageme n and plan
ent On job supervision per year services 30,000 nt conducte the
training Mad – d activities
Local 20,000 Sustain
health NIP – partnership No. of
partners 50,000 Improve partners
MB - integration participati
30,000 ng
Per year
Improved Strengtheni PDCO PDCO Dermatol Improve No. of The NLEP

Referral ng referral DDCO DDCO ogy Clinic NONE case referrals Task force
system pathway HF staff MO NDOH diagnosis made at Will
using new PDCO Leprosy and different develop
referral Task force treatment level protocol
forms Timely and and pilot
Improve NDOH complete setting for
2018
2017
2016
2019
2020
communica Leprosy manageme Tele
tions task force nt dermatolo
Tele- of gy
Dermatolo reactions
gy
Building Enhanced a) NGOs, PDCO NDOH NONE Local Available
and local inventory Pos, DDCO NLEP Task partners listing of
sustaining partnershi of existing Churches, Force identified local
Partnershi ps organizatio Non 2 x a year in all provinces organizati
p ns health and Available ons in
Health support for province
organizati program and
ons in the Implement districts
Provinces ation and their
and profiles
Districts Wider,
better
coverage,
Same as program
above PDCO NDOH NONE support
b) 2 x a year in all provinces DDCO NLEP Task
Advocacy Force Partners No of
Campaign/ identified advocacy
meetings and built meetings
Leprosy conducte
orientation Available d
s support for
program No of
implement partnershi
ation p built
with local
partners
PAPUA NEW GUINEA
Low Endemic Cluster

(PR= < 0.5 per 10,000 Population)
Provinces:
1. Oro
2. Southern Highland
3. Enga
4. Western Highland
5. Simbu
6. Eastern Highland
7. West New Britain
8. Morobe
Respons Co- Expected
Objective Strategie Activities Target Timeframe ible responsi Budget Fundin Outcome Monitor Remarks
s Person/ ble Neede g ing
Unit Unit/per
2017
2020
2016
2018
2019
d Source Indicato
son rs
To train To Targeted District/Health 60% 70% 80% 90% 100 PDCO NDCO Increase No. of PDCO/DD
ALL Health develop basic leprosy center/Sub- % Leprosy To be To be case training CO target
Facility and training Health Center task Force determi detection conducte HF in
staff at sustain (case and Aid-post ned determi Improved d endemic
hot spots Leprosy program Reporting Ann ual prov. TLM-PNG ned case and districts/h
areas by Capacity management leprosy in last per program No of ot spots
the end & ) 5 years manageme participa areas.
of 2020 Knowledg nt nts Training is
e in trained focus on
hotspot roles and
districts No of responsibi
new lities
cases
detected To
consider
Defaulter village
/Cure health
rate volunteer
s
Refresher Prov./District HF staff Will be
Course/orien & selected PDCO NDOH NONE updated Same as integrated
tation in HF DDCO on leprosy above with other
leprosy case Annual perprov. Increase training or
and program KAS orientatio
management Improve n courses
case and in the
program provinces
manageme and
nt districts
Objective Strategie Activities Target Timeframe
s
2017
2016
2018
2019
2020
To Enhanced a) inventory NGOs, Pos, PDCO NDOH NONE Local Available Enhanced
strengthen local of existing Churches, Non 2 x a year in all provinces DDCO NLEP Task partners listing of local
partnershi partnershi organizations health and Force identified local partnershi
p and ps Health
advocacy organizations
at all in the
levels Provinces and
Districts
Same as above
Village
b) Advocacy organizati
Campaign/ 2 x a year in all provinces PDCO NDOH NONE Wider and No of ons and
meetings DDCO NLEP Task better advocacy schools
Leprosy Force coverage meetings
orientations and conducte
program d
support No of
and partners
performan hip built
ce with
Partners local
identified partners
and
partnershi
p built
Available
support
for
program
implement
ation
Wider and
better
coverage
and
program
support
Objective Strategie Activities Target Timeframe
s
2017
2016
2018
2019
2020
To Communit b) Radio 1. general PPDCO Health To be Improve No.of PDCO will
improve y Broadcast population /DDCO promotio determi leprosy broadcas identify
Informatio Awarenes 2 x a year per n office ned Knowledge t done / schools
n and s/IEC province School awareness Conduct especially
Education campaign administr and ed those in
Communic ators practices hot spots
ation (IEC) Local in comm- No on areas or
at all level Partners unity new previously
cases endemic
-increase detected area
voluntary thru
2. MCH and reporting voluntar
other DO Other None of cases y
programs(integ 4 x a year per
rated patrols) province
-higher
coverage
3. Schools OPD and better
clinics, hosp program
markets, bus Annually as it comes from PDCO Trained None implement No. of
stations, DDCO Heal staff ation schools
NDOH and TLM in all prov.
schools at lower improve covered
Facility leprosy
Health Knowledge No of
Promotio awareness partners
n officers and participa
Local practices ted
partners in comm-
Unit Unit/per d Source Indicato
son rs
2017
2016
2018
2019
2020
unity
c) posting Improve No of NDOH to

/distribution case posters secure
of IEC detection posted needed
Materials and other leprosy
program Presence posters
implement of IEC from
ation materials WHO
Voluntary in target and TLM-
reporting places PNG
of cases
To Strengthe Household Household PDCO Trained To be Timely No of PDCO/

improve ned case Contact tracing Contacts of /DDCO Health determi detection new DDCO
Case detection active and Local Staff ned of new cases should
detection post Partners cases detected generate
activities treated NDOH Househol
and MDT On going, Dermatol Stop No of d contact
improve patients 100 percent contacts to ogy clinic transmissi contacts listing
Case From 2010 be examined on examine
holding d Role of
Improve Regular drug PDCO Decrease No of To

drugs inventory DDCO Quarterly review of PDCO NDOH NONE defaulting drug coordinat
supply updates Lower drug inventory and DDCO Increase supply e with
managem through use Peripheral cases on Cure rate deliverie local
ent of Drug units treatment Decrease s partners
reporting disabilities like
forms among No of church
cases defaulter health
2017
2020
2016
2018
2019
son rs
Increase s due to services
motivation absence for drug
of health of drugs distributio
staff and n and
patients - village
Increasin health
g CR 75% worker
&
-Reduced
DR to
25% by
2020.
Improved Regular Integrated HF PDCO, Health B– Provinc Improve No of PDCO/DD

Record Monitorin monitoring At the endemic DDCO, staff 40,000 e leprosy monitori CO must
Managem g and supervision district Quarterly monitoring and clinicians ES – case and ng and properly
ent & supervisio visits Christian 30,000 program supervisi coordinat
supervision per year
Enhanced n health Man – Manageme on e and plan
Monitoring On job services 30,000 nt conducte the
and training Mad – d activities
Evaluation Local 20,000 Sustain
systems health NIP – partnershi No. of
partners 50,000 p partners
MB - Improve participa
30,000 integration ting
Per year
2017
2020
2016
2018
2019
son rs
Improved Strengthenin PDCO PDCO Dermatol NONE No. of The NLEP

Referral g referral DDCO DDCO ogy Clinic referrals Task force
system pathway HF staff MO NDOH made at Will
using new PDCO Leprosy different develop
referral Task level protocol
forms force and pilot
setting for
Improve Tele
communicati dermatolo
ons gy
Tele-
Dermatology
Financial Summary
Year
Agency
2016 2017 2018 2019 2020
NDOH 295.000 395,000 295,000 395,000 295,000
TLM PNG 300,000 400,000 300,000 400,000 300,000
WHO 110,000 170,000 110,000 170,000 110,000
High Endemic
918,000 918,000 918,000 918,000 918,000
Provinces
Moderate
746,000 746,000 746,000 746,000 746,000
Endemic Provinces
Low Endemic
200,000 200,000 200,000 200,000 200,000
Provinces
Total 2,569.000 2,829.000 2,569.000 2,829.000 2,569.000

Final PNG Strategic Plan 2016-2020 (Miriam)

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Final PNG Strategic Plan 2016-2020 (Miriam)

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STRATEGIC

NATIONAL LEPROSY ELIMINATION PROGRAM

II. STRATEGY DEVELOPMENT AND HEALTH POLICIES..................................................7

III. HEALTH SECTOR OVERVIEW.................................................................................8

PNG HEALTH CARE SYSTEM

V. SUMMARY OF THE NATIONAL LEPROSY PROGRAM REVIEW...........................14

VI.STRATEGIC PLAN DEVELOPMENT..............................................................................21

VII.STRATEGIC FOCUS AND DIRECTIONS......................................................................24

IX.STRATEGIC IMPLEMENTATION PLAN...................................................................27

X.MONITORING AND EVALUATION............................................................................28

ANNEX A: PARTICIPANTS IN THE TRAINING/ PLANNING/ PARTNERS MEETING

ANNEX B: NLEP PROGRAM PAPER

Figure 1: PAPUA NEW GUINEA MAP..................................................................................5

Figure 2: THE NDOH NATIONAL LEPROSY ELIMINATION PROGRAM (NLEP)

Figure 3: PREVALENCE OF LEPROSY IN PNG PER 10,000 POPULATION 2014......................18

Figure 4: NEW CASE DETECTION RATE BY PROVINCE IN PNG 2014.....................................19

Table 1: DISTRIBUTION OF HEALTH FACILITIES IN PNG 2014 (NHIS).....................9

Table 2: HEALTH AND SOCIO ECONOMIC PROFILE OF PNG...................................9

Table 3: SELECTED HEALTH INDICES IN PNG 2010..................................................9

Table 4: DISTRIBUTION OF HEALTH MANPOWER IN PNG 2015..............................10

Table 5: SCHEDULE OF PROVINCIAL VISITS OF NLEP REVIEW TEAM

Table 6: TREND OF LEPROSY IN PNG 2010 – 2015...................................................20

Table 7: PROVINCIAL CLUSTER BASE ON PREVALENCE RATE 2014....................22

PNG STRATEGIC PLAN 2016-2020 Page 2

Figure1. Map of Papua New Guinea:

II. STRATEGY DEVELOPMENT AND HEALTH POLICIES

III. HEALTH SECTOR OVERVIEW

PNG Health Care System

Table 1: Distribution of Health Facilities in PNG 2014 (NHIS)

Health Facility Government Mission Other Total

PNG Health Status

Literacy level and Education

Table 3: Selected Health Indices in PNG 2010

PNG’s Life Expectancy 62.5 years (2011)

National Health Plan (NHP) 2011 – 2020

Table 4: Distribution of Health Manpower in PNG as of 2010

Health Manpower in PNG as of 2010

Medical officers 609

The country's geography is similarly diverse and in places, extremely rugged. A

IV. LEPROSY IN PNG

NLEP Important Milestones

Current Organizational Chart of NLEP

Deputy Sec. NHSS Deputy Sec. NHP&CS

V. SUMMARY OF THE NATIONAL LEPROSY REVIEW

A. A planning workshop to be participated by ALL (Provincial District Health Offices,

E. To strengthen community awareness activities using appropriate IEC materials and

K. To promote the participation of people affected by leprosy in the delivery of leprosy

VI. STRATEGY PLAN DEVELOPMENT

1. Where Are We Now – referring to the current leprosy situations, key

Summary of the Findings in the Last 5 years (2011-2015):

 6 remaining provinces still to eliminate leprosy as public health problem- reporting

 increasing number of children proportion among new cases – 25-28 %

 Increased advance type of Leprosy (MB) among new cases – 81%

 New cases with Grade 2 disabilities - Underestimate (4%) – poor reporting

 Existing endemic pockets – in all provinces

 Low treatment completion rates - 53% in 2014 – ( in accurate due poor

 No budget in provinces and districts – no activity

 TLM-PNG / WHO- existing funding /technical partner

 Limited /non coordination / non - utilization of local partners – Christian

 Operational /programmatic decline

 Delivery problem – province to districts / lower Health Facilities

 No stocks in the province- poor stock management and untimely /

Figure 4: New Case Detection Rate by Province in PNG 2014