A PRESENTATION ON- NATIONAL LEPROSY CONTROL PROGRAM AYANSH SINGH

1. BY- AYANSH SINGH
B.PHARM 4TH YEAR

2. INTRODUCTION
• Chronic infectious disease caused by
Mycobacterium leprae.
• It usually affects the skin and peripheral nerves.
• Long incubation period, generally 5-7 years.
• Classified as paucibacillary and multibacillary.
• Permanent disability.

3. History
The National Leprosy
Control Program (NLCP)
was launched in 1955 in
order to control the
number of leprosy
infections.
In 1983, the strategies for
leprosy control were
changed and National
Leprosy Eradication
Program was launched.
In the same year,
multidrug therapy was also
launched.

4. Contd. • 1955: NLCP
Aim: early case detection and treatment
with dapsone monotherapy.
• 1982: introduction of MDT
Aim: leprosy eradication
• 1983: NLEP
Aim: to reduce the case load to 1 or less
than 1 case per 10,000 population.

5. Components of NLEP
Case detection and management
Disability prevention and medical rehabilitation
Information, education and communication including behaviour
change communication.
Human resource and capacity building.

6. Major programme Initiatives
Focus on new case detection.(it is the main indicator for programme
monitoring).
Treatment completion rate has been taken as an important indicator.
More emphasis is given on providing DPMR(DISABILITY PREVENTION AND
MEDICAL REHABILITATION) services to leprosy affected patients.
Involvement of ASHA

7. Case of
leprosy
At least one of the following unique signs must be present to
diagnose leprosy.
A) hypo-pigmented or reddish skin lesion(s) with definite sensory
deficit;
B) involvement of the peripheral nerves, as demonstrated by
definite thickening with loss of sensation and weakness /paralysis
of the corresponding muscles of the hands, feet or eyes;
C) demonstration of M leprae in the lesions.
Case of leprosy: A person with at least one cardinal sign of
leprosy and yet to complete full course of MDT may be called as a
“case of leprosy”

8. LEPROSY
CASE
DETECTIO
N
CAMPAIG
N (LCDC)
House to house visit made by a team comprising of 1 ASHA
and 1 male volunteer/ field level worker for search of
leprosy cases
Intensive IEC activities undertaken through miking and
display of banners and posters
Case detection is done mainly on clinical ground
Leprosy is also classified as pauci bacillary or multi bacillary
based on clinical presentation.
Post treatment surveillance is done by clinical examination
at the time of completion of treatment and subsequently
annually for 2 years in PB and 5 years in MB cases

9. INVOLVEME
NT OF ASHA
• ASHAs are involved in bringing out
suspected leprosy cases from their
villages for diagnosis and treatment at
PHCs
• To facilitate involvement, they are
being paid an incentive as below:
• On confirmed diagnosis of case
brought by them – Rs. 250/-
• On completion of full course of
treatment of the case within specified
time – pauci bacillary (PB) leprosy case
– Rs. 400/- and multibacillary (MB)
leprosy case – Rs. 600/-.The scheme
has been extended to involve any other
person who brings in or reports a new
case of leprosy.

10. THANK YOU