ISSUES UNDER NATIONAL LEPROSY ERADICATION PROGRAMME ISSUES STATUS

ISSUES UNDER NATIONAL LEPROSY ERADICATION PROGRAMME

ISSUES STATUS OF MANPOWER CASE DETECTION & TREATMENT ASHA INVOLVEMENT HIGH ENDEMIC BLOCKS DPMR SERVICES LEPROSY COLONIES FINANCE & AUDIT

STATUS OF MANPOWER v State Leprosy Officers looking after only leprosy are in 9 states ie. Andhra Pradesh, Gujarat, Goa, Jharkhand, Karnataka, Kerala, Orissa, Tamilnadu and West Bengal v Out of 311 sanctioned posts of DLO in 523 districts of 20 states , only 195 posts are filled and 116 posts are vacant v Few states are in process of filling up of the vacant posts of DLOs eg. Andhra Pradesh, Orissa , West Bengal and Uttar Pradesh by March 2010

STATUS OF POSTING OF DISTRICT LEPROSY OFFICER S. NO. Name of State Districts 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Andhra Pradesh Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jharkhand Jammu & Kashmir Karnataka Kerala Madhya Pradesh Maharashtra Orissa Punjab Rajasthan Tamil Nadu Uttar Pradesh Uttarakhand 23 38 16 2 25 20 12 24 22 29 14 48 34 30 20 33 30 71 13 20 West Bengal Total 19 523 DLO posts to DLO posts in DLO posts A ction on hand to Sanctioned be created position vacant fill up Posts 2 months 23 11 12 13 25 11 2 8 8 1 7 1 1 1 0 8 17 8 0 20 20 0 3 9 3 0 17 7 11 6 0 22 0 0 27 2 21 6 14 11 3 15 33 6 9 18 16 17 1 Mar 2010 30 4 16 4 0 4 29 4 0 20 10 12 8 Mar 2010 71 41 30 3 10 1 2 15 311 14 212 13 195 2 116 Create 4 post & fill up 2 post in 1 mth

ACTION POINTS FOR THE STATES v Creation of additional post of District Leprosy Officers v Filling up vacant posts v Action Plan to be reflected in PIPs

CASE DETECTION AND TREATMENT v Low TCR reported by Haryana (71. 7%), Himachal Pradesh (75. 3%), & West Bengal (83. 2%) IEC v Low utilization of IEC budget in 2008 -09 was reported by Bihar, Jammu & Kashmir, Kerala, Chhattisgarh and Jharkhand TRAINING v Bihar & Haryana reported very low expenditure in 2008 -09

ASHA INVOLVEMENT v NRHM fourth training module does not include leprosy v Half-day training of ASHAs in leprosy is being conducted by states as per module developed by GOI v ASHA training Uttarakhand not and conducted West Bengal. by Rajasthan, Uttarakhand informed that training is on and will be completed by 31 st March 2010 v In HP and TN , work assigned for ASHA is being looked after by AWW and VHN who should also be trained in leprosy and paid incentive money v In West Bengal, ASHAs are working only for RCH and training not organized for disease control programmes

STATEMENT SHOWING STATUS OF INVOLVEMENT OF ASHA IN NLEP S. NO. Name of State ASHA in position ASHA Trained in leprosy 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Andhra Pradesh Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jharkhand Jammu & Kashmir Karnataka Kerala Madhya Pradesh Maharashtra Orissa Punjab Rajasthan 70363 24939 60683 24488 11362 - 40964 3917 39145 31154 43743 43155 38838 15600 43288 31815 16064 30037 18125 1870 - 5000 771 16140 14109 24485 9616 11200 7772 0 17 18 19 20 Tamil Nadu Uttar Pradesh Uttarakhand West Bengal Total 136183 8878 24697 661397 128320 0 0 315324

HIGH ENDEMIC BLOCKS v Out of 5902 blocks, only 3334 blocks have ANCDR < 10 per 100, 000 . All the blocks should achieve the goal of ANCDR < 10 per 100, 000 v 468 blocks have ANCDR > 30 per 100, 000 in 200809. These blocks deserve priority attention and intense supervision v SLOs should review block level situations during DLOs meeting and incorporate in Action Plan in PIP of 2010 -11 indicating line of action

STATUS OF LEPROSY INCIDENCE IN BLOCKS DURING 2008 -09 S. No. State / UT No. of Blocks as per ANCDR/100, 000 Total No. of Blocks <10 10 to 20 > 20 -30 > 30 -50 > 50 1127 507 416 133 58 17 1 Andhra Pradesh 2 Bihar 500 106 193 111 78 12 3 Chhattisgarh 147 49 21 24 29 24 4 Goa 28 28 0 0 5 Gujarat 223 157 7 15 24 20 6 Haryana 156 155 1 0 0 0 7 Himachal Pradesh 70 67 3 0 0 0 8 Jharkhand 195 57 69 49 17 3 9 Jammu & Kashmir 111 0 0 10 Karnataka 177 129 42 4 1 1 11 Kerala 189 187 2 0 0 0 12 Madhya Pradesh 313 247 48 13 5 0 13 Maharashtra 368 174 119 34 27 14 14 Orissa 314 135 99 36 34 10 15 Punjab 158 151 6 1 0 0 16 Rajasthan 204 0 0 17 Tamil Nadu 386 303 77 4 2 0 18 Uttar Pradesh 805 290 338 143 33 1 19 Uttarakhand 95 86 7 1 1 0 20 West Bengal 336 191 54 34 41 16 5902 3334 1502 602 350 118 56. 49 25. 45 10. 20 5. 93 2. 00 Total Percentage

DPMR SERVICES v States are conducting about 3000 RCS every year but Institution wise report of RCS not submitted by states v MCR footwear not provided to leprosy affected persons by Haryana, Himachal Pradesh and Kerala in 2008 -09 v Few states are not paying incentive to LAPs for undergoing RCS for not producing BPL cards while guidelines says that patient belonging to BPL should be paid incentive after verification by DLO

LEPROSY COLONIES v Weekly/fortnightly visits to colonies by MO PHC/paramedical staff to be conducted for provision of ulcer care, supportive drugs, MCR footwear and dressing materials v Record of visits to colonies must be maintained by all visiting officers at respective levels v States to carry out survey to record the actual number of colonies and their inhabitants. Authentic information to be submitted to CLD on priority

LEPROSY COLONIES STATE NO. OF LEP. COLONIES NO. OF LAPS RES. IN COLONIES ANDHRA PRADESH BIHAR CHHATTISGARH GOA GUJARAT HARYANA HIMACHAL PRADESH 83 27 14 17 14 8 5378 734 1521 1632 564 130 J& K ( JAMMU DIV. ) 1 82 J& K ( KASHMIR DIV. ) JHARKHAND 1 51 95 8207 KARNATAKA 26 590 3 1024 MADHYA PRADESH 10 1134 MAHARASHTRA 32 4374 ORISSA 79 2056 PUNJAB 33 2192 RAJASTHAN 9 398 TAMIL NADU 47 2839 UTTAR PRADESH 63 2701 UTTARANCHAL 29 863 WEST BENGAL 35 8536 KERALA

FINANCIAL STATUS v States reporting low expenditure in 2008 -09 : Bihar (4. 3%), HP (44%), J & K (36%), Kerala (25%), Haryana (34. 2%), Jharkhand (52%), & Uttaranchal (56%) v States reporting low expenditure in current financial year : Andhra Pradesh, Bihar , Chhattisgarh, Haryana, Himachal Pradesh, Jammu , Jharkhand, Kerala, Punjab and West Bengal v Audit report 2008 -09 not submitted by Chhattisgarh, Himachal Pradesh, Kashmir, Kerala , Uttar Pradesh and West Bengal v Combined audit carried under NRHM delays sending of audit report of NLEP

Financial status and Audit (Rs. in. Lakhs) S. No. States Release Allocation 1 2 3 4 5 6 Andhra Pradesh Bihar Chhattisgarh Goa Gujarat Haryana 7 8 Himachal Pradesh J& K (Jammu) 9 10 11 12 J& K (Kashmir) Jharkhand Karnataka Kerala 13 14 15 16 17 18 19 20 21 Madhya Pradesh Maharashtra Orissa Punjab Rajasthan Tamil Nadu Uttar Pradesh Uttaranchal West Bengal Total Expenditure Audited Percentage Status as on Account of 2008 -09 Expenditure 214. 67 260. 67 159. 79 12. 42 179. 27 107. 00 147. 38 0. 00 47. 50 2. 56 130. 80 64. 50 42. 81 28 25. 22 5. 28 57. 74 19 Received Awaited Received 19. 94 11 15. 78 42. 51 32. 21 13 September December September November December 71. 80 40. 69 17. 75 20. 00 13. 34 4. 83 Awaited Received 18. 58 11. 87 November September 44. 85 172. 00 170. 32 110. 00 12. 00 0. 00 100. 00 12. 5 21. 41 74. 38 5. 87 Awaited Received Awaited 28 12. 45 43. 67 5. 34 December November December September 257. 08 300. 34 186. 25 130. 30 163. 73 200. 26 576. 80 70. 89 247. 55 3676. 68 59. 50 192. 00 97. 00 66. 00 142. 33 45. 00 375. 00 47. 00 133. 00 1699. 32 83. 1 132. 55 90. 8 31 106. 81 77. 86 159. 06 20. 4 64 1075. 96 Received Received Awaited 32. 3 44. 13 50 23. 79 65. 24 38. 88 27. 58 28 26 29. 26 December November December September December December

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