Damien Foundation Volunteer Presentation

2. 1955

3. Damien Foundation India Trust
-1993
It is a Trust
Dr. Claire was founder of
the trust
Secretary of the trust is
the executor

4. Celebrated 60th anniversary in all DFIT own projects

5. Honoured best performed CSO partners

6. Happy moments in Polambakkam on the occasion of 60 years

7. “International Gandhi award” 2011
Dr. Claire Vellut received award from Vice president

8. “ COMMANDER OF THE LEOPOLD II”
Dr. Krishnamurthy, President DFIT received award from Govt of Belgium in 2013

9. Demographics of India
 Second most populous
country in the world
 Population of around 1.2
billions
 73% living in rural villages
 Lowest HDI among BRICS
countries

10. Demographics of India
• 35 States, 614 Districts, 18 languages,
• 74% literacy rate (Male: 82% female: 64%)
• Reasonably good public health infrastructure
 India reports around 125000 new leprosy cases
and around 1.4 million TB cases every year

11. Our Vision…………
To reach and serve persons affected by
leprosy or TB, medically and socially

12. Our Mission…..
Damien Foundation India trust
offers quality services, both
medical and social, to people in
need, either directly or through
NGOs, Civil Society
organisations or Government.

13. 127295
33955
20023
37802
India
Brazil
Indonesia
Others
Global burden leprosy – 2012

14. 1236687
1377065
5986248
India
China
others
Global TB burden - 2012

15. Personnel…..
Dr. Shiva Kumar
DFIT
(Secretary)
278 staff
Dr. Santhosh
Technical (S)
Dr. Ajay Pandey
Technical (N)
Mr. Prem Kumar
Finance
Mr. Rajkumar
Administration

16. Phase Period Strategy
1 1955-1982 Leprosy service by NGO projects, both field and hospital based
2 1983-1996 Leprosy service by NGO projects and support to government programme in districts
3 1997-2003 Leprosy service by NGO projects, TB Service in field and hospital by NGO projects,
Support to leprosy control in districts
4 2004-2007 Integration of leprosy, support to TB control in Districts, support to POD in districts,
referral services in leprosy
5 2008-2011 Support to TB control including MDR TB in Districts, Support to POD in districts,
Referral services , socio economic rehabilitation, thematic support in leprosy
6 2012 -2016 Support to TB in specific areas like case notification and MDR TB, Support to care
after cure activities in districts through civil society organisations, Socio economic
rehabilitation, tertiary referral services , support to leprosy at State level in thematic
areas
7 2017 onwards Referral services for leprosy and MDR TB, care after cure services and case detection
in underserved population through CSOs, socio economic rehabilitation
Strategies since 1955

17. Project locations in
8 States
Delhi
Bihar
Jharkhand
Maharashtra
Andhra Pradesh
Karnataka
Tamil Nadu
Kerala

18. Annual report 2014

19. Leprosy - direct patient care services in 2014
2012 2013 2014
Out patients 129382 117985 118168
Skin symptomatic - - 26024
Cough symptomatic - - 32895
Leprosy cases diagnosed 307 398 422
TB cases diagnosed 4252 4188 4043

20. Leprosy - direct patient care services in 2014
Type of leprosy cases in 2014
Total leprosy cases 422
Registered for treatment 382 (91%)
Child cases among them 48
G1Disabilities adults 33 (9%)
Adults G2 (visible) Disabilities 88 (23.5%)
Children G2 (visible) Disabilities 6 (12.5%)

22. Leprosy - direct patient care services in 2014
Lepra reaction cases managed in 2014
Total reactions managed 293
Successfully completed treatment 155
Still under treatment 42
Developed new disability 0
Stopped in between 36(12%)
Referred to other districts but no
information
60(21%)

23. Before treatment After treatment
No surgery
Reaction management success stories
Leprosy - direct patient care services in 2014

24. Before treatment After treatment
No surgery
Reaction management success stories
Leprosy - direct patient care services in 2014

25. Leprosy - direct patient care services in 2014
Surgical procedures 2012 2013 2014
Deformity correction
surgeries (RCS)
155 185 338
Septic surgeries for chronic
ulcers
58 97 167

26. Before surgery After surgery
Leprosy - direct patient care services in 2014

27. Leprosy - direct patient care services in 2014
After deformity correction

28. Leprosy - direct patient care services in 2014
After surgeryBefore surgery

29. Leprosy - direct patient care services in 2014
Inpatient care 2012 2013 2014
Leprosy patients admitted for
complications
1344 1572 1968
TB patients admitted for
complications
315 612 423
Bed occupancy in 2014
Leprosy 52%
TB 20%

30. Chronic ulcer Management
Before after
1630 patients with chronic ulcers managed during the year in our projects
Leprosy - direct patient care services in 2014

31. Before After
Chronic ulcer Management
Leprosy - direct patient care services in 2014

32. Leprosy - direct patient care services in 2014
Chronic ulcer Management
At the time of admission

33. Leprosy - direct patient care services in 2014
Chronic ulcer Management
At the time of admission
After one month

34. Leprosy - direct patient care services in 2014
Chronic ulcer Management
BeforeAt the time of admission
After two months
After one month

35. Leprosy - direct patient care services in 2014
Leprosy home in Anandapuram, Polambakkam
Care for terminally ill persons affected by
leprosy started in October 2014.
6 admitted and died after a few days.
18 inmates at present living in Anandapuram
home

36. General physiotherapy facility at Polambakkam
Leprosy - direct patient care services in 2014
Started in February 2015, average 15 patients every day visit the centre

37. Autonomic
nerve
damage
Sensory
nerve
damage
Motor nerve
damage
Loss of
sweat
Dryness and
cracks
Ulcers
Loss of
sensation
Injuries and
carelessness
Ulcers
Loss of
movements
Stiffness of
joints
Deformities
Leprosy and consequences

38. Leprosy - direct patient care services in 2014
Activities During the year
Number of PAL visited 17259
Number practicing self care 10307 (59%)
Number needed MCR footwear 9295
Facilitated to get MCR footwear 8358 (89%)
Persons identified for deformity correction 1273
Persons referred for RCS and done 679
Prevention of disability activities in 51 districts through 15 teams
Number of PAL living with disabilities living in 51 districts = 27509

39. Leprosy - direct patient care services in 2014
Activities During the year
Persons with disabilities visited 17259
Persons identified for Livelihood support 917
Livelihood support given 149 (16%)
Persons receiving pension 7654 (44%)
New leprosy cases under treatment
monitored
2758
New reaction patients identified and
managed
446
Prevention of disability activities in 51 districts through 15 teams
Number of PAL living with disabilities living in 51 districts = 27509

40. Leprosy - direct patient care services in 2014
Involvement of Civil Society Organisations in Prevention of disabilities
Number of districts covered: 29 districts (AP, Bihar, TN, Jharkhand)
Activities During the year
Number of PAL with disabilities beginning of the year 11296
Number added to the list – number deleted 3934 - 2149
Number at the end of year 13081
Number practicing self care 60%
Number of suspects identified and referred 3371
Confirmed leprosy cases 777

41. Leprosy - direct patient care services in 2014
Involvement of Civil Society Organisations in Prevention of disabilities
Number of districts covered: 29 districts (AP, Bihar, TN, Jharkhand)

42. Leprosy - direct patient care services in 2014
Involvement of Civil Society Organisations in Prevention of disabilities
Number of districts covered: 29 districts (AP, Bihar, TN, Jharkhand)

43. Leprosy - direct patient care services in 2014
Socio economic rehabilitation 2012 2013 2014
Total beneficiaries 290 208 248
Type of support Beneficiaries Amount spent (INR)
Houses – new/renovation 49 1728000
Self employment 168 958671
Education support 31 341105
Nutritional supplement 449 1028995
Total 697 4056771

44. Leprosy - direct patient care services in 2014

45. Leprosy - direct patient care services in 2014

46. Chantiers Damien support in 2014
Leprosy - direct patient care services in 2014

47. leprosy colony in Siwan district in Bihar
Leprosy - direct patient care services in 2014

48. Renovated buildings in leprosy colony in East Champaran district in Bihar
Leprosy - direct patient care services in 2014

49. Construction of ward for ulcer management in Amda, Jharkhand
Leprosy - direct patient care services in 2014

50. 2012 2013 2014
TB patients managed 4252 4188 4043
MDR TB patients managed 334 287 231
Tuberculosis - direct patient care services in 2014
Cure rate %
New sputum positive TB cases (2013) 82%
Re treatment cases (2013) 60%
MDR TB patients (2012) 52%

51. TB patient management – success story
Tuberculosis - direct patient care services in 2014

52. TB patient management – success story
Tuberculosis - direct patient care services in 2014

53. Tuberculosis - direct patient care services in 2014

54. Tuberculosis - direct patient care services in 2014
Treatment outcomes of MDR TB patients those received nutritional supplement in 2012
MDR TB patients Treatment success Defaulter Other outcome
Received nutritional
supplement = 51
38 (74.5%) 5 (10%) 8 (15.5%)
Not received = 155
61 (39%) 48 (31%) 46 (30%)

55. Tuberculosis - direct patient care services in 2014
Reference lab support for Drug resistant TB control in AP and Bihar
State Populatio
n covered
Samples
tested for
diagnosis
Samples
tested for
follow up
MDR TB
cases
diagnosed
Andhra
Pradesh
(6 dist)
21.8
million
4360 2292 174
Bihar
(13 dist)
45.6
million
1704 1199 115
Total 67.4
million
6064 3491 289

56. Bihar = 94.163 km² (3 x Belgium), pop. 104 million (9 x Belgium)
Bihar counts for 8,15 % of the Indian population but 13 % of the leprosy cases
(AROUND 20.000 NEW LEPROSY CASES EVERY YEAR)
One of the poorest states in India
Poorly developed health infrastructure : 1 PHC / 100.000 to 200.000 pop

57. What do we do in Bihar ?
We support 23/38 districts for leprosy and 15/38 districts for TB
and have an office in Patna.
1. Staff capacity building for leprosy and TB (quality services).
Cooperation with private sector (pilot project).
2. RCS centre in D-o-S
3. Own MDR-TB lab in Dharbanga
4. Fill vacant essential posts (lab technicians, physiotherapists,
supervisors)

58. What do we do in Bihar ?
5. Involve local NGOs in L and TB control (Civil Society
Partnership).
6. Supply of laboratory materials, transport of drugs (state →
district)
7. Food supplement to poor TB patients and all MDR-TB patients
in selected districts (pilot).
8. Chantiers : construction of health centres, wards, houses for
patients, etc…
9. Total budget for Bihar (2015) : 574.000 €
(excl. Chantiers)

59. Role of DF teams in Bihar
Leprosy control:
 capacity building of the health staff,
 involve the community (reference of suspects, self-care, support to poor patients)
 update deformity register, identify and refer patients for RCS and/or economic
support.
Tuberculosis control :
 capacity building of health staff,
 involvement of the community,
 monitor all MDR-TB cases at least 1x/2 months and identify complications, supply
food, supply lab materials and reagents …

60. Training and capacity building
Endowment prize exam for final year MBBS students: 152 students/10 medical collages
CME on leprosy was organised for Dermatologists and 3 medical collages in Karnataka
CME on latest updates was organised for DFIT technical staff

61. Training and capacity building
Training on infection control was organised for DF’s Staff

62. Training and capacity building
Training on leprosy was organised for DF’s Staff

63. Training and capacity building
Training on Re constructive surgery organised for orthopaedic surgeons
40 Orthopaedic post graduate students from 15 medical collages attended.

64. Training and capacity building
Sensitisation on leprosy and TB for CSO members and community
Total programmes = 536 Number of participants = 17640

65. 44%
18%1%
3%
11%
2%
2%
2%
17%
FCRA ACCOUNT: APPLICATION 2014
Support to NGO & Own Projects
(Leprosy & TB)
Support to DGD Activities - Bihar,
IRL
Support to Govt. Leprosy Control
Programme & ILEP
Chantier Damien Construction
Activities
DFIT Office, Field , Fund raising &
Reconstructive Surgeries
DFIT LEP(Livelihood
Enhancement
Programme)Activities
DFIT Disability Care Activities
DFIT Misc
Expenses(DFB/Com.Dept./Govt)
Closing Balance (2014)
Total budget 2014: 15,56,97,982