National Leprosy Eradication Programme

1. DR. SAURABH SHRIVASTAVA

2.  NLCP – 1955 (Dapsone monotherapy)
 NLEP – 1983 (MDT)
 Aim: reduce case load to < 1/10,000 population
 2005 (Dec) – Achieved national level elimination of leprosy
 States & UTs yet to achieve elimination: only 3 [B,C,D]
 2007-08 – Block / Urban Leprosy Awareness Campaign
(BLAC / ULAC)

3.  Enhanced Global Strategy for further reduction of disease
burden (2011 – 2015)
 Aim – reduction of new cases with grade-2 disability per
1,00,000 population by at least 35% by the end of 2015
(baseline end of 2010)

4. 1) Decentralized integrated leprosy services
2) Capacity building of general health services functionaries
3) Intensified IEC
4) Disability Prevention & Medical Rehabilitation (DPMR)
5) Intensified monitoring & supervision

5.  New case detection rate – main indicator
 Annual treatment completion rate
 DPMR services
 Provision of ulcer kits, dressing material
 Microcellular rubber footwear
 Rs. 5000 incentive for BPL patient & institute where surgery performed
 ASHA
 Diagnosis – Rs. 100
 Completion of treatment: PB – Rs 200 / MB – Rs 400
 IEC campaign – Towards Leprosy Free India
 Self settled colonies

6.  Started in 2005
 Assistance is provided in those areas with population > 1 lac
 Major focus –
 Dense population
 Migration
 Poor health infrastructure
 Rising number of cases of leprosy

7. Activities include
 Reporting of outcome – T/t of leprosy reaction, ulcer,
physiotherapy, reconstructive surgery, MCR footwear
 Integrating DPMR services under NRHM
 Development of an integrated referral system

8.  1st level: Primary level care – PHCs/CHCs/sub-divisional hospitals/ULCs
 2nd level: Secondary level care – District head quarter hospitals, District
nucleus units
 3rd level: Tertiary level care –
 Central Govt. Institutes – CLTRI (Central Leprosy Teaching & Training
Institute - Chengalpet), RLTRI (Regional Leprosy Training & Referral
Institute – Aska {Odisha} / Gauripur {Assam}/ Raipur {Chhatisgarh})
 ICMR Institute JALMA, Agra
 ILEP supported Leprosy Hospitals
 All PMR Institutes & Departments in Medical Colleges

9.  Orthopedics & Plastic surgery department of Medical Colleges
 NGOs (serve in remote, inaccessible areas, urban slums, etc. - Survey
Education & Training activities)
 National Institutes under Ministry of Social Justice &
Empowerment
 Contractual surgeons skilled in reconstructive surgery &
Rehabilitation

10.  Leprosy Control Units (LCU) – a population of one lakh, with a
full time Medical officer and 10 paramedical workers
 Survey Education & Training (SET) centre - A population of
15000 with one paramedic supervised by one part time Medical
Officer
 Human Rights Council had adopted the Resolution 8/13 –
“Elimination of discrimination against persons affected by leprosy
and their family members”

11.  A strategy within general community for the rehabilitation, equalization
of opportunities & social inclusion of all people with disabilities
 Objective: Improvement of the quality of life of people with disability
/ marginalized persons.
 Key principles:
 Equality
 Social justice
 Solidarity
 Integration
 Dignity

12.  Tamil Nadu has achieved the Elimination status since
2005.
 Tamil Nadu was the First State which has integrated the
vertical program with Primary Health Centers in Sept -
1997.

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