The document discusses National Health Programmes in India, specifically the National Leprosy Eradication Programme. It notes that various health programmes have been launched since 1947 to improve public health. The National Leprosy Eradication Programme is headed by the Ministry of Health and aims to control and eliminate leprosy through early detection, multi-drug therapy treatment, and reducing stigma. It outlines the history, objectives, strategies, and institutions involved in implementing the programme.

1. Dr Jyoti Prasad Pattnaik
MBBS, PGDMCH, PGDHM
Asst Professor
National Health
Programmes
for Leprosy
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Dr Jyoti Prasad Pattnaik, MBBS

2. Since independence in 1947
many measures have been taken to
improve the health of the people and
the society at large and the most
effective of all these programmes is
National health Programmes.
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Dr Jyoti Prasad Pattnaik, MBBS

3. National Health Programmes
These programmes are launched by the central
government from time to time
• To control/eradicate communicable diseases
• Improve environmental sanitation
• Raising the standards of nutrition
• Control of population
• Improving rural health scenario
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Dr Jyoti Prasad Pattnaik, MBBS

4. International Assistance
• International agencies like WHO,
UNICEF, UNFPA, World Bank
• Foreign aid agencies like SIDA, DANIDA,
NORAD, USAID etc have been providing
technical and material assistance in the
implementation of these programmes.
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Dr Jyoti Prasad Pattnaik, MBBS

5. Some programmes list…
• Integrated disease surveillance programme
• National leprosy eradication programme
• National tuberculosis programme
• Revised national tb control programme
• National mental health programme
• National AIDS control programme
• National programme for prevention and control of deafness
• Universal immunization programme
• National programme for control of blindness
• Pulse polio programme
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Dr Jyoti Prasad Pattnaik, MBBS

6. National Leprosy Eradication
Programme
The National Leprosy Eradication Programme is
a centrally sponsored Health Scheme of the Ministry
of Health and Family Welfare, Govt. of India. The
Programme is headed by the Deputy Director of
Health Services (Leprosy ) under the administrative
control of the Directorate General Health Services
Govt. of India.
Dr Jyoti Prasad Pattnaik, MBBS 6

7. While the NLEP strategies and plans are
formulated centrally, the programme is implemented
by the States/UTs. The Programmes also supported
as Partners by the World Health Organization, The
International Federation of Anti-leprosy Associations
(ILEP) and few other Non-Govt. Organizations.
Dr Jyoti Prasad Pattnaik, MBBS 7

8. History
The National Leprosy Control Programme (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. In 1991, the World Health
Assembly resolved to eliminate leprosy at a global level by the year
2000. In order to strengthen the process of elimination in the country,
the first World Bank supported project was introduced in India in 1993
and completed in 2000. The second World Bank supported project
happened between 2001-2002. In 2005, due to the declining number
of leprosy cases, the goal of NLEP was declared as elimination of
leprosy at the national level. In 2009, a special action plan for 209
high endemic districts in 16 states/union territories were made.
Dr Jyoti Prasad Pattnaik, MBBS 8

9. Milestones
• 1955 - National Leprosy Control Programme
(NLCP) launched
• 1983 - National Leprosy Eradication Programme
launched
• 1983 - Introduction of Multidrug therapy (MDT)
in Phases
• 2005 - Elimination of Leprosy at National Level
• 2012 - Special action plan for 209 high
endemic districts in 16 States/UTs
Dr Jyoti Prasad Pattnaik, MBBS 9

10. Objectives
• Early detection through active surveillance by the
trained health workers;
• Regular treatment of cases by providing Multi-Drug
Therapy (MDT) at fixed in or centres a nearby village of
moderate to low endemic areas/district;
• Intensified health education and public awareness
campaigns to remove social stigma attached to the
disease.
• Appropriate medical rehabilitation and leprosy ulcer
care services.
Dr Jyoti Prasad Pattnaik, MBBS 10

11. Strategies
• Decentralized integrated leprosy services through General Health Care system.
• Early detection & complete treatment of new leprosy cases.
• Carrying out house hold contact survey in detection of Multibacillary (MB) & child
cases.
• Early diagnosis & prompt MDT, through routine and special efforts
• Involvement of Accredited Social Health Activists (ASHAs) in the detection &
complete treatment of Leprosy cases for leprosy work
• Strengthening of Disability Prevention & Medical Rehabilitation (DPMR) services.
• Information, Education & Communication (IEC) activities in the community to
improve self-reporting to Primary Health Centre (PHC) and reduction of stigma.
• Intensive monitoring and supervision at Primary Health Centre/Community Health
Centre.
Dr Jyoti Prasad Pattnaik, MBBS 11

12. Institutions
Four premier Leprosy Institutes are working under
Directorate General of Health Services, Ministry of Health &
F.W., Government of India viz. CLTRI, Chengalpattu, RLTRI, at
Aska, Raipur and Gouripur are involved in research (basic and
applied ) in Leprosy and Training of different categories of staff
involved for Leprosy elimination. These Institutes also play
important role in management of referral patients, providing
quality care to chronic ulcer and disabled patients with the help
of Minor & Major Reconstructive Surgeries. These Institutes also
help in supervising and providing consultancy services to the
State NLEP Units for better programme planning and
implementation.
Dr Jyoti Prasad Pattnaik, MBBS 12

13. Regional leprosy training & research institute
(rltri) aska (orissa)
This Institute was established in 1977 with 67
sanctioned posts viz. (Gr. A – 06, Gr. B – 02, Gr. C –
32 and Gr. D – 27) and 53 are in position viz.(Gr. A –
04, Gr. B – 0, Gr. C – 27, and Gr. D - 32). It has a fifty
beded hospital. The in-patient services regularly
admits and treats, leprosy patients . It also works as a
nodal training and research center particularly
programme related research activities in the region for
the cause of leprosy elimination.
Dr Jyoti Prasad Pattnaik, MBBS 13

14. Dr Jyoti Prasad Pattanayak
MBBS, PGDMCH, PGDHM
Asst Professor
Dept of Pharmacology
Roland Institute of Pharmaceutical Sciences
Khodasingi, Berhampur, 760010, Odisha
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Dr Jyoti Prasad Pattnaik, MBBS