NATIONAL LEPROSY ERADICATION CONTROL PROGRAMME (NLEP)
The strength of NLEP in Mizoram is the active participation of ASHA’s regarding case detection in various parts of the state. Capacity building of various staffs from the level of Medical Officers up to the level of ASHA’s is another contributing factor.Three medical officers from three different districts were sent for TOT training on Leprosy during the month of February 2014 at RLTRI,Gauripur, West Bengal. Various awareness programmes at different parts of the State has contributed in alleviation of stigma and discrimination of people affected with Leprosy. The State Leprosy Officer is also an active participant in various local TV talk shows and radio talk shows to talk about Leprosy and to create more awareness among the masses.
The State of Mizoram is unique in the fact that stigma and discrimination of Leprosy patients in the State is almost non-existent as compared to other States of India. The State Govt. is very compassionate towards cured Leprosy patients regarding their rehabilitation and is currently employing nine (9) cured Leprosy patients under the State Government on Muster-roll basis in different districts of the State under Health Department.
It had come to the SLO’s notice that, some border areas of Mizoram had been infiltrated with cases from neighboring states. This problem could pose as a threat for insurgence of new cases in these areas. Hence, we had conducted active search of these cases and had given MDT to those identified.
NEW INITIATIVES PROPOSED:-
1.To conduct mass awareness campaign in the endemic areas of the State like Tlabung under Lunglei district , Kawrthah under Mamit district and Chawngte under Lawngtlai District at least twice a year. This will enable the State to identify the early symptoms of Leprosy , as the people living in these areas are very backward and uneducated.
2.To hire PMW on contractual basis, in the high endemic regions of the State.In Mizoram, Lawngtlai district has been recorded as a high endemic district with ANCDR of 9.3 per 100,000 population in 2012-2013, and ANCDR of 23 per 100,000 during 2013-2014.
3. To conduct review meetings with the PMW’s of the state at the State capital on quarterly basis for better functioning of the programme and and to conduct training for newly recruited PMW’s and to conduct re-orientation training for the already existing 8 PMW’s
II. PERFORMANCE UNDER NLEP.
|S.No.||Indicators||2009-2010||2010 - 11||2011 -12||2013-14||2014-15 (till Jan’15)|
|1.||No. of new cases detected (ANCDR/100,000)||10 (0.9%)||21 (1.9%)||17 (1.5%)||18 (1.6%)||39 (3.36%)|
|2.||No. of cases on record at year end (PR/10,000)||19 (0.17%)||20 (0.18%)||18 (0.16%)||27 (0.24%)||44 (0.37%)|
|3.||No. of Grade II disability among new cases (%)||0||0||0||0||0|
|4.||Treatment Completion Rate||MB- 70% PB- 75%||MB-77% PB-66%||MB- 81% PB- 68%||MB-61% PB-75%||MB-91.6% PB-100%|
|5.||Reconstructive Surgery conducted||0||0||0||0||0|
|National Leprosy Eradication Programme|
|State specific Goals and Targets for the year 2015-16|
|S.No||Goals & Target||September'15||March 2016|
|1||Elimination at District level||8 Districts||9 Districts|
|2||Case detection through ASHA||15||15|
|3||Special activity plan in blocks||House to House survey||Mass Awareness Campaign|
|4||MCR footwear procurement & supply||NA||NA|
|6||Development of leprosy expertise||2 Mos for ToT||2 Mos for ToT|
|7||Treatment Completion Rate assessment for the year 2014-15||100%||100%|
|8||Audited Report for the year 2014-15||Submission|
|9||Expenditure incurred against approved plan budget||80%|