Programmes

Leprosy Elimination

Introduction

Leprosy is a chronic infectious disease caused by M. Leprae, an acid-fast, rod shaped bacillus. The disease mainly affects the skin, the peripheral nerves, mucosa of the upper respiratory tract and also the eyes, apart from some other structures.

Leprosy has afflicted humanity since time immemorial. It once affected every continent and it has left behind a terrifying history and human memory of mutilation, rejection and exclusion from society.

National Leprosy Control Programme (NLCP) in Gujarat was started from 1955. With the advent of MDT (Multi Drug Treatment) this national programme was re-designated as National Leprosy Eradication Programme (NLEP) in the year 1983.

In 1983 MDT was introduced in phase manner and the whole Gujarat state was covered by MDT in the year 1991. The goal of NLEP was to reduce the prevalence rate to less than 1 per 10,000 populations by 2005

The goal of leprosy elimination is achieved in Oct-04 by having PR 0.95 at State level. Multi Drug Treatment available in all Government Hospitals free of cost.

During 2013-14 Special Activity Plan carried out in 67 block of 10 high endemic district and 3 blocks of low endemic district, during this activity total 3472 new leprosy cases detected. Prevalence Rate of State is 0.64/10000 population in March-2018. Aims of state are to achieve elimination of leprosy at district & sub district level.

Out of total 33 districts, 24 districts achieved elimination stage but 09 districts of Surat and Vadodara zone having PR > 1. These districts are Dahod, Panchmahal, Narmada, Bharuch, Tapi, Navsari, Dangs, Valsad, Chhota Udepur.

National Goal for 12th Five Year Plan Period (2012-17)

Goal of NLEP is to eliminate leprosy from the state. Elimination means to reduce the proportion of leprosy cases to very low levels specifically below the level of one case/10000 population. Through the effective application of technology i.e. MDT, leprosy are not remain as major public health problem.

Global Goal

Reducing the rate of new cases with Grade-II disabilities per 100000 populations at least 35% in next five years and provide qualitative disabilities services and reconstructive surgery to leprosy affected persons.

Special Activity Plan

Following activities are carried out in Special Activity Plan:
  • House to House visit by search team of ASHA, General Health Care Staff for suspecting case.
  • Confirmation of Suspects by team of MO PHC and District Nucleus Team (DLO, DNMO).
  • Intensive IEC activity prior to house visit

Leprosy Case Detection Campaign (LCDC)2016-17:

Leprosy Case Detection Campaign (LCDC) carried out in 12 high endemic districts of Vadodara & Surat Zone during 3rd to 21st October (except Mamata Diwas), Total 3539 new leprosy cases were detected.

Leprosy Case Detection Campaign- Special Activity Plan (LCDC-SAP)2017-18:

Leprosy Case Detection Campaign- Special Activity Plan (LCDC-SAP) carried out in 12 high endemic districts of Vadodara & Surat Zone during 3rd to 12th October-2017 (except Mamata Diwas), Total 1716 new leprosy cases were detected.

Leprosy Case Detection Campaign (LCDC) 2017-18:

Leprosy Case Detection Campaign (LCDC) carried out in 11 high endemic districts of Vadodara & Surat Zone during 19th to 27th February- 2018 (except Mamata Diwas), Total 1368 new leprosy cases were detected.

Focus Leprosy Campaign (FLC)2017-18:

Focus Leprosy Campaign was conducted in hotspots in low-endemic districts during which 1 new case was detected during 18/1/2018.

Special Survey in Hard to Reach Areas 2017-18:

A special survey was planned in Hard to Reach Areas as a part of intensive case detection activities. Total 14 new leprosy cases were detected during 18/1/2018.

Disability Prevention and Medical Rehabilitation DPMR Services

  • Reactions Management: During 2016-17, 508and current year 2017-18(Up to March 18) ,460 reaction cases managed at PHC and District Hospital.
  • Ulcer Care: During 2016-17, 2034and current year 2017-18(Up to March 18) ,2835 ulcer care kits are provided to needy leprosy affected persons.
  • MCR Foot wear Distribution: During 2016-17,11951 and current year 2017-18(Up to March 18) ,10802 MCR foot wear provided to needy leprosy affected persons.
  • Reconstructive Surgery: During 2016-17, 115and Current year 2017-18(Up to March 18) ,92 Major reconstructive surgeryoperation are carried out to Gr.II needy leprosy affected persons.

Recognized Reconstructive Surgery centers:

  • Civil Hospital, Asarva, Ahmedabad
  • SSG Hospital, Vadodara
  • New Civil Hospital, Majura Gate, Surat

Present NGOs working in NGO SET scheme

Sr. No. Name of Trust Address Contact No Email ID
1 Shram Mandir Trust

Sindhrot, Vadodara, District Vadodra, Gujarat

0265-6452660
0265-6451659
-
2

Sahyog Kusth Ygna Trust

Rajendranagar, Raigadh, Himatnagar-Shamlaji Highway, District : Sabarkantha, Gujarat

02772-254337
02772-254537
sahyogtrust@ymail.com
3

Gujarat Rakpit Nivaran Seva Sang

Tarsali, Dhaniyavi Raod, Ta: Dist: Vadodara, Gujarat

0265-2646361 sevatirth@yahoo.com
4

Swavlamban Trust

Himavan, Paladi, Ahmedabad

079-26587623 -
5

Sulochana Memorial Health and Education Trust

31, Yogeshwar Nagar Society, Opp. Dharnidhar Derasar, Bhattha, Paladi, Ahmedabad 380007 079-65459933
079-25622207
-

New NGO Scheme

New NGO scheme are implement as per GOI guideline from 1st April 2014.

Details of schemes are as below:
Scheme 1A - Designated Referral Centres (DRC 1A) Out-patient facility
Scheme 1B - Designated Referral Centres (DRC 1B) Out-patient and In-patient
Scheme 1C - Designated Referral Centres (DRC 1C) Out-patient, In-patient and RCS
Scheme 2 - Comprehensive Care for Underserved Areas
Scheme 3 - Contact Survey and Home Based Self Care
Scheme 5 - Advocacy Communication and Social Mobilisation with activities to reduce Stigma and Discrimination in Leprosy
Scheme 6 - Partnering with community for elimination of leprosy

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National Disease Control Programmes(NDCPs)

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