SFT Orientation 8 th Feb 2008 NLEP NRHM

SFT Orientation 8 th Feb 2008 NLEP

NRHM FIRST COMMON REVIEW MISSION NATIONAL LEPROSY ERADICATION PROGRAMME

1 STRATEGIES • Infrastructure support where needed. • Further strengthening of integrated services with backup Referral support system in place. • Free supply of MDT. • Higher emphasis on Disability Prevention & Medical Rehabilitation services as per DPMR plan. • Increase IEC coverage with emphasis on inter-personal communication to reduce stigma and discrimination. • Orientation training/capacity building of GHC as well as vertical staff for ensuring sustainable leprosy services.

STATE 2 • State leprosy cell with trained state leprosy officer looking after one-two programmes. • Supported by epidemiologist/another medical officer, BFO, DEO, etc. • Additional support from WHO state/zonal coordinator and ILEP coordinator. • Computer and other office equipments available and in use.

STATE (contd. . ) • Coordination with NRHM authorities. • Regular meeting of the health society. • Availability of adequate fund as per approved annual plan. • Support from local NGOs for disability prevention and medical rehabilitation. 3

4 DISTRICT LEVEL MONITORING • District Nucleus – District Leprosy Officer, Medical Officer – 1, NMS/NMA -2, Physiotherapy Technician – 1, Health educator – 1. • Mobility – Provision for 2 vehicles. • Record maintenance and reporting. • Drug stock management system – 2 months stock for each category of patients ie. MB(A), MB(C), PB(A), & PB(C).

DISTRICT LEVEL MONITORING (contd. . ) 5 • Quarterly assessment of different indicators – ANCDR in September 2007. • Treatment Completion Rate for the year 200607 – to be completed now. • DPMR operational guidelines for primary and secondary level. Action taken on. • IEC plan for 2007 -08 in coordination with NRHM.

DISTRICT HOSPITAL 6 • Availability of a trained dermatologist/medical specialist. • Whether any vertical staff attached to the district hospital for leprosy work. • Whether services provided on daily basis or on a fixed clinic day. • Records and reporting. • Drug stock management. • Whether the hospital works as a referral centre for complicated cases from PHCs. • Coordination with other tertiary care leprosy hospitals / medical colleges for referring patient for management and Reconstructive surgery.

BLOCK PHC / CHC 7 Medical officers in position, trained and ownership of programme. • • System of collecting reports from sector PHCs, compilation of data and submission of report to district. • Maintenance of a master treatment register for all PHCs and regular updating of data. • Drug stock management system. • Involvement of NRHM instituitions. • IEC activities.

PRIMARY HEALTH CENTRE 8 • Medical officer in position, trained and ownership of program. • Case diagnosis by medical officer and treatment initiation and recording in treatment register. Use of patient card. • Involvement of ANM for continuation of treatment for 2 nd dose onward till completion of treatment. • Regular updating of records. • Timely submission of reports to the block PHC / CHC. • Drug stock availability , monthly indents for collection of MDT from block PHC / CHC.

SUBCENTRE 9 • ANM/MPW (male) trained in leprosy, suspect and refer patients to PHC. • Involved for distributing MDT to all patient under treatment , from 2 nd dose onwards , maintains the patient card. • Do IPC during house visit in allotted villages. • Follow up of cases under treatment and retrieval of defaulters.

VILLAGE • The village leaders sensitized on leprosy and about services available from the health centres. • ASHA if available, whether provided training in leprosy and their involvement. • IEC wall painting etc whether available. • Feed back from villagers on past IEC work. 10