Problem in the World

Over the last 20 years, 16 Million Leprosy patients have been cured
The prevalence rate in 1985: 21.1 cases per 10,000 population
The prevalence rate in 2020: 0.25 cases per 10,000 population
In 2020, there were 1,92,713 leprosy patients worldwide

Problem in India
The prevalence rate in 1981: 57.6 cases per 10,000 population
The prevalence rate in 2005: 1.0 cases per 10,000 population
In 2020, there were 88,166 leprosy patients in India….almost 50% of the cases worldwide

States with poor control of Leprosy: Tripura, Mizoram, Diu and Daman, Lakshsadweep, Bihar, Chhattisgarh
Global Leprosy Strategy 2016-2020:
“Accelerating towards a Leprosy-free world”
• To strengthen Government ownership, coordination and partnership
• To stop Leprosy and its complications
• To stop discrimination

3 Key Targets for all National Leprosy Programmes

1. Zero Grade 2 Disability of children diagnosed with Leprosy
2. New Leprosy cases with Grade 2 Disability to be less than 1 case per million population
3. Zero countries allowing discrimination on basis of Leprosy
World Leprosy Day 2021:
Celebrated on January 30th this year:
THEME: UNITED FOR DIGNITY
…the campaign calls for unity in honouring the dignity of people who have been affected by Leprosy

First World Leprosy Day observed in 1954 by Frenchman, Raoul Follereau as a tribute to
The life of Mahatma Gandhi, who did much work with people affected by Leprosy
National Programmes on Leprosy in India:
National Leprosy Control Progmamme was lauched in 1954-55

Multi-Drug Therapy came into use in 1982

National Leprosy Eradication Programme was introduced in 1983:

• Decentralized integrated leprosy service
• Early detection and treatment
• Surveys for detection of leprosy in children
• Invovement of ASHAs
• Conducting Health Education classes

First World Bank supported project in India in 1993

WHO Classification
Indian Classification:
Deformities occurring in Leprosy
WHO Grade 2 Disabilities
Diagnosis
Leprosy Control:
 National Orientation Meeting
13th Common Review Mission
16th October, 2019
National Leprosy Eradication Programme

Rekha Shukla
Joint Secretary (LEP & VBD)
 Why NLEP is important

• Leprosy if not detected in time and treated, is a

dreadful disease, Causes Grade II disability 21
 Important activities

• Active case detection activities

• Prompt referral, confirmation & treatment

• ABSULS (ASHA Based Surveillance for Leprosy

Suspects)

• FLC (Focussed Leprosy Campaign)

22
 Important activities

• Special plan for Hard to Reach Areas

• MDT (Multi Drug Therapy)

• Post Exposure Prophylaxis (PEP)

• Grade II Disability (G2D) Investigation

• Self Care kits

23
 Important activities
• RCS (Re-constructive Surgeries)

• Trainings of personnel across cadres

• Monitoring and Supervision of ABSULS by ANM,

MO PHCs & CHCs

• Maintenance of Records

• Strong IEC activities

• Submission of monthly reports 24

 Community ToR
DO YOU KNOW
• How leprosy spreads across population

• Leprosy is fully curable

• MDT (Drugs) is available free of cost

• ASHA’s visit to individual households for

Leprosy screening

• ASHA’s screening process

• IEC for leprosy from any media (TV/ News Paper/Radio/Miking/Gram

Sabha/ any other)
25
 Health & Wellness Centre ToR
DO YOU KNOW
• Your role under NLEP

• Leprosy screening, referral and treatment protocols

• Your role for supervision of ASHAs under ABSULS (ASHA Based Surveillance for
Leprosy Suspects)

• If yes, do you conduct sample monitoring visits in

the villages as given in the guidelines

• How to maintain records for Leprosy

• Grade II disability case detection

and investigation protocols

• If any IEC activity done for Leprosy specifically 26

 PHC ToR
DO YOU KNOW
• Your role under NLEP

• Leprosy screening, referral and treatment protocols

• Your role for supervision of ASHAs under ABSULS (ASHA Based Surveillance for Leprosy Suspects)

• If yes, do you conduct sample monitoring visits in the villages as given in the guidelines

• Active case search activities in respect of leprosy

• MDT, MCR footwear & self care kits availability

• How to maintain records for Leprosy

• Grade II disability case detection and investigation

protocols

• If any IEC activity done for Leprosy specifically

27
 CHC ToR
DO YOU KNOW
• Your role under NLEP

• Leprosy screening, referral and treatment protocols

• Your role for supervision of ASHAs under ABSULS (ASHA Based Surveillance for Leprosy
Suspects)

• If yes, do you conduct sample monitoring visits in the villages as given in the guidelines

• Active case search activities in respect of leprosy

• MDT, MCR footwear & self care kits availability

• How to maintain records for Leprosy

• Grade II disability case detection and investigation

protocols

• Complicated case management protocol

• If any IEC activity done for Leprosy specifically 28

 DH ToR
• Is there a Full time DLO with no additional charges?

DLO to be asked
• Awareness regarding various activities of NLEP (eg. LCDC, ABSULS, SLAC etc.)

• Are regular monthly progress reports from Block level being received

• MDT, MCR footwear & self care kits availability

• Are there facilities for Reconstructive Surgery(RCS)

• Grade II disability case detection and investigation mechanism

• Focused Leprosy Campaign (FLC) mechanism

29
 DH ToR

• Training mechanism at all levels starting from ASHAs to ANMs to

MOs

• Mechanism for mapping of hard to reach areas and special strategies

• Mechanism for monitoring of progress under ABSULS

• Maintenance of Records

• Management of Complicated cases

• If any IEC activity done for Leprosy specifically

30
 State ToR
• Is there a Full time SLO with no additional charges?

SLO to be asked
• Awareness regarding various activities of NLEP (eg. LCDC, ABSULS, SLAC etc.)

• Are regular monthly progress reports from district level being received

• MDT, MCR footwear & self care kits availability

• Are there facilities for Reconstructive Surgery(RCS)

• Grade II disability case detection and investigation mechanism

• Focused Leprosy Campaign (FLC) mechanism

31
 State ToR

• Training mechanism at all levels starting from ASHAs to ANMs to

MOs

• Mechanism for mapping of hard to reach areas and special strategies

• Mechanism for monitoring of progress under ABSULS

• Maintenance of Records

• Management of Complicated cases

• If any IEC activity done for Leprosy specifically

32
Take home Messages:
THANK YOU