The document presents information on the National Leprosy Eradication Programme (NLEP) in India. It discusses the classification and diagnosis of leprosy, the objectives and strategies of NLEP, and the roles of ASHA workers and community health nurses in supporting treatment, disability prevention, and raising awareness of leprosy in communities. Key milestones of NLEP include the introduction of multidrug therapy in 1983 and integration with general health services. NLEP aims to eliminate leprosy at the national level through early detection, treatment, and health education.
This ppt contains all the information about Revised NationalTuberculosis Control programme (RNTCP) It is useful for students of the medical field learning Preventive and social medicine, Swasthavritta (Ayurved) and everyone who is interested in in knowing about it.
This ppt contains all the information about Revised NationalTuberculosis Control programme (RNTCP) It is useful for students of the medical field learning Preventive and social medicine, Swasthavritta (Ayurved) and everyone who is interested in in knowing about it.
National Leprosy Eradication Programme (NLEP)Kavya .
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 or multibacillary
permanent disability
Timely diagnosis and treatment of cases
Now a days India become free, from some disease because several measures have been taken by the National government to improve the health of people.
Prominent among this measures are the national health programmes, which have been launched by the Central Government for the control of communicable diseases, improvement of environmental sanitation ,control of population etc.Improving the quality of services.
Improving the implementation of programs
.Arranging appropriate training for the workers to increase their capabilities & skill.
Ensuring the supply of required resources forthe implementation of program.
Increasing the awareness about NHPS through IEC activities.
Filling the gap between infrastructure & thehealth personnel
Universal Immunization Program is a vaccination program launched by the Government of India in 1985.
It became a part of Child Survival and Safe Motherhood Program in 1992 and is currently one of the key areas under National Rural Health Mission(NRHM) since 2005.
Program consists of vaccination for 12 diseases -
Tuberculosis
Diphtheria
Pertussis
Tetanus,
Poliomyelitis,
Measles,
Hepatitis B,
Diarrhea,
Japanese-Encephalitis,
Rubella,
Pneumonia
Pneumococcal diseases
Acquired immunodeficiency syndrome (AIDS) is a chronic, potentially life-threatening condition caused by the human immunodeficiency virus (HIV). By damaging your immune system, HIV interferes with your body's ability to fight infection and disease.
The National AIDS Control Programme (NACP), launched in 1992, is being implemented as a comprehensive programme for prevention and control of HIV/AIDS in India. Over time, the focus has shifted from raising awareness to behavior change, from a national response to a more decentralized response and to increasing involvement of NGOs and networks of PLHIV.
National Leprosy Eradication Programme (NLEP)Kavya .
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 or multibacillary
permanent disability
Timely diagnosis and treatment of cases
Now a days India become free, from some disease because several measures have been taken by the National government to improve the health of people.
Prominent among this measures are the national health programmes, which have been launched by the Central Government for the control of communicable diseases, improvement of environmental sanitation ,control of population etc.Improving the quality of services.
Improving the implementation of programs
.Arranging appropriate training for the workers to increase their capabilities & skill.
Ensuring the supply of required resources forthe implementation of program.
Increasing the awareness about NHPS through IEC activities.
Filling the gap between infrastructure & thehealth personnel
Universal Immunization Program is a vaccination program launched by the Government of India in 1985.
It became a part of Child Survival and Safe Motherhood Program in 1992 and is currently one of the key areas under National Rural Health Mission(NRHM) since 2005.
Program consists of vaccination for 12 diseases -
Tuberculosis
Diphtheria
Pertussis
Tetanus,
Poliomyelitis,
Measles,
Hepatitis B,
Diarrhea,
Japanese-Encephalitis,
Rubella,
Pneumonia
Pneumococcal diseases
Acquired immunodeficiency syndrome (AIDS) is a chronic, potentially life-threatening condition caused by the human immunodeficiency virus (HIV). By damaging your immune system, HIV interferes with your body's ability to fight infection and disease.
The National AIDS Control Programme (NACP), launched in 1992, is being implemented as a comprehensive programme for prevention and control of HIV/AIDS in India. Over time, the focus has shifted from raising awareness to behavior change, from a national response to a more decentralized response and to increasing involvement of NGOs and networks of PLHIV.
This presentation deals with advent of NRHM, backdrop of public health scenario prior to NRHM & discusses in details vision & core strategy of NRHM. It focuses on different schemes related to maternal & child health under NRHM with special reference to Maharashtra.
Burden of leprosy in India
Multi-drug therapy
MDT
WHO Diagnostic guidelines
Drug resistance
Stigma
Serological tests
Social stigma of leprosy
Dapsone resistance
Rifampicin resistance
Mycobacterium leprae
surveillance of AMR in leprosy
Adherence to MDT is important
Global leprosy strategy
Icterus neonatorum presentation for studentsNehaNupur8
Introduction
Definition
Metabolism and excretion of bilirubin
Causes
Symptoms
Types
Physiological jaundice
Pathological jaundice
Breast milk jaundice
Neo natal jaundice is a yellow discoloration of the white part of the eyes and skin in a newborn baby due to high bilirubin level.
Neo natal jaundice becomes apparent at serum bilirubin concentration of 5-7mg / dL.
Shoulder and trunk 8-10mg/dl
Lower body – 10-12mg/dl.
Entire body 12-15 mg /DL
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incidence
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Health index in contrast of maternal healthNehaNupur8
Health index
Characteristics of maternal indicators
Commonly used maternal health indicators
Maternal mortality rate
Fertility rate
Perinatal mortality rate
Neonatal mortality rate
Postneonatal mortality rate
Infant mortality rate
Health index also called health indicators depending on the measure, a health indicators may be defined for a specific population, place, or geographic area.
Indicators are defined as “variable which help to measure changes
The union ministry of health and family welfare is instrunmental and responsible for implementation of various programmes on national scale in the areas of health, prevention and control of major communicable disease and promotion health
Various programmes are……
School health sevices is an important aspect of community, it possibles to increase the health level of community and achieve growth in health of future generation through school health srvices
ENVIRONMENTAL SANITATION HEALTH EDUCATION VITAL STATISTICSNehaNupur8
Sanitation means hygiene. Keeping the environmental clean and adopting hygienic practice can prevent us from many disease that occur due to unhygienic practices and environment.
A clean environment, open defecation free areas, personal hygiene practices, proper solid and liquid waste management, safe drinking water determines the health of individual as well as the community.
National leprosy eradication program CHNNehaNupur8
Acute Respiratory Infection Control Programme was initiated as a pilot project in 14 districts in year 1990. The programme was incorporated in child survival and safe motherhood (CSSM) programme in the year 1992 later on with Reproductive and Child Health (RCH) phase I in year 1997. Now ARI control is one of the components of RCH phase II.
Women empowerment women abuse, child abuseNehaNupur8
Empowerment is a multidimensional process
that helps people gain control over their own
lives.
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Empowerment refers to the increasing the
spiritual, political, social or economic strength
of individuals and communities.
◦
Women Empowerment is the process and the
outcome of the process by which women
challenge gender based discrimination in every
institution and structures of the society
Female foeticide & commercial sex workers , CHNNehaNupur8
Abortion of female foetus after undergoing a sex determination test is known as female foeticide .
Dowry system ,preference for a male child, low status of women , etc are the few reasons for female foeticide. Consequences of which are skewed sex ratio, female trafficking, rape & women exploitation.
Laws have been enacted to stop female foeticide .
Commercial sex workers are females , males , trans genders who receive money or goods in exchange of sexual services .HIV infection is more prevalent in them due to indulging in such work. Measures are now been taken to improve their sexual health and self esteem.
Alternative health care system and referral system, community health nursingNehaNupur8
Alternative systems of health include various healing approaches that originate from around the world and that are not based on conventional western medicine. There therapies are called alternative system of health as they are used alone as complementary medicine or these can be used with conventional medicine.
this contain detailed information about introduction, definition, causes, risk factor,treatment, medical and surgical management, nursing care given to the patient ,patient teaching.
this slides contain about the detailed information about the definition, introduction, classification, types, concept of aging, chronologic aging, biological aging, psychological aging, social aging, cognitive aging.
this slide contain inteoduction, definition, causes, risk factor, clinical manifestaion, types , treatment, medical management, nursing management, nursing care given in the intial stage, in case of emergency .
cancer of breast , this slide cointains detailed information about the breast cancer that is definition, causes and risk factor, sign and symptoms, management of patient with cancer , giving psychological support .treatment
Pacemaker powerpoint presentation med surgNehaNupur8
pacemaker - artificial pump to the heart, this contained definition, components,working, types, indication, methods of pacaing, temporary and permanent pacemaker, signs of failure of pacemaker , medical and nursing management of patient with pacemaker.
an inner ear disorder that cause episodes of vertigo
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The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
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1. PRESENTATION ON
NATIONAL LEPROSY ERADICATION
PROGRAMME (NLEP)
Submitted to :-
Mrs.Bina Barla Madam
Associate Professor
College of Nursing
RIMS RANCHI
Submitted by :-
Kri.Kavita Soren
Roll no.-06
Basic b.sc nursing
4th year
College of Nursing
Date :- 02/02/2021
2. CONTENT
• INTRODUCTION
• CLASSIFICATION OF LEPROSY
• NATIONAL LEPROSY ERADICATION PROGRAMME
• MILESTONES OF NLEP
• CURRENT DIAGNOSIS UNDER NLEP
• OBJECTIVES
• STRATEGIES
• ELIMINATION STRATEGIES
• CURRENT ACTIVITIES UNDER NLEP
• INVOLVEMENT OF NGO
• DISABILITY PREVENTION & MEDICAL REHABILITATION PLAN
• NEW INITIATIVES
• INVOLVEMENT OF ASHA
• ACTIVITIES TO BE PERFORMED BY ASHA
• ANTI LEPROSY ACTIVITIES IN INDIA
• THE NLEP EMBLEM
• ROLE OF COMMUNITY HEALTH NURSE IN NLEP
• RESOURCES USED
• BIBLIOGRAPHY
3. • LEPROSY IS A CHRONIC INFECTIOUS DISEASE CAUSED BY ‘MYCOBACTERIUM LEPRAE’ AN
ACID FAST , ROD SHAPED BACILLUS.
• THE DISEASE MAINLY AFFECTS THE SKIN , THE PERIPHERAL NERVES , MUCOSA OF THE
UPPER RESPIRATORY TRACT AND ALSO EYES.
• CARDINAL FEATURES:-
° HYPOPIGMENTED PATCH
° LOSS OF CUTANEOUS SENSATION
° THICKENED NERVE
° ACID FAST BACILLI
• LEPROSY HAS BEEN REGARDED BY TBE COMMUNITY AS A CONTAGIOUS , MUTILATING
AND INCURABLE DISEASE.
• LEPROSY IS CURABLE AND TREATMENT PROVIDED IN THE EARLY STAGES AVERTS
DISABILITY.
• MULTIDRUG THERAPY (MDT) TREATMENT HAS BEEN MADE AVAILABLE BY WHO FREE OF
CHARGE TO ALL PATIENTS WORLDWIDE SINCE 1995, AND PROVIDES A SIMPLE YET HIGHLY
EFFECTIVE CURE FOR ALL TYPESOF LEPROSY.
4. CLASSIFICATION OF LEPROSY
• LEPROSY CAN BE CLASSIFIED ON THE BASIS OF CLINICAL MANIFESTATIONS AND SKIN
SMEAR RESULTS :-
1. PAUCIBACILLARY LEPROSY (PB)
2. MULTIBACILLARY LEPROSY (MB)
1.PAUCIBACILLARY LEPROSY (PB):- PATIENT SHOWING NEGATIVE SMEARS AT ALL SITES
ARE
GROUPED AS PAUCIBACILLARY LEPROSY (PB).
2.MULTIBACILLARY LEPROSY (MB) :- PATIENT SHOWING POSITIVE SMEARS AT ANY SITE
ARE
GROUPED AS HAVING MULTIBACILLARY LEPROSY (MB).
5. NATIONAL LEPROSY ERADICATION
PROGRAMME
LEPROSY IS A DISEASE OF PUBLIC HEALTH CONCERN BECAUSE OF ITS POTENTIAL NATURE
OF CAUSING DISABILITY AND THE SOCIAL STIGMA AND DISCRIMINATION ATTACHED TO
IT. IN INDIA , 86000 CASES WERE ON RECORD AS ON APRIL 1, 2014 . THE PREVALANCE
RATE OF LEPROSY WAS 0.68 PER 10,000 POPULATION IN 2014 . IN 1955 , INDIA
LAUNCHED THE NATIONAL LEPROSY CONTROL PROGRAM ( NLCP) WITH THE FEATURES OF
CASE DETECTION , TREATMENT WITH DAPSONE AND COMMUNITY EDUCATION. THIS WAS
CHANGED TO THE NATIONAL LEPROSY ERADICATION PROGRAM (NLEP) IN 1983, WITH THE
INTRODUCTION OF MULTIDRUG THERAPY (MDT).
6. IMPORTANT MILESTONES IN NLEP IN INDIA
• 1848 : LEPAR ACT, BRITISH INDIA ABOLISHED LATER
• 1948 : HIND KUSHT NIVARAN SANGH
• 1955 : NATIONAL LEPROSY CONTROL PROGRAM
• 1980 : DAPSONE
• 1983 : GOVERNMENT OF INDIA LAUNCHED NLEP AND INTRODUCED MDT.
• 1991 : WORLD HEALTH ASSEMBLY RESOLUTION TO ERADICATE LEPROSY BY 2000AD
• 1998-2004 : MODIFIED LEPROSY ELIMINATION PROGRAM
• 1993-2000 : WORLD BANK SUPPORTED NLEP -1
• 2001-2004 : WORLD BANK SUPPORTED NLEP -2
• 2005 : NLEP CONTINUED WITH GOVERNMENT OF INDIA FUNDS AND DONER PARTNER
SUPPORT.
• 2005 : NRHM COVERS NLEP.
• 2012 : SPECIAL ACTION PLAN FOR 209 HIGH ENDEMIC DISTRICTS 16 STATE /UTS.
8. OBJECTIVES
• TO ACHIEVE ELIMINATION OF LEPROSY OF NATIONAL LEVEL BY THE END OF THE
PROJECT.
• TO ACCOMPLISH INTEGRATION OF LEPROSY SERVICES WITH THE GENERAL
HEALTH CARE SYSTEM IN THE 27 LOW ENDEMIC STATES /UTS.
• TO PROCEED WITH INTEGRATION OF SERVICES OF SERVICES AS RAPIDLY AS
POSSIBLE IN THE 8 HIGH ENDEMIC STATES.
9. STRATEGIES
• DECENTRALIZATION OF NLEP TO STATES AND DISTRICTS .
• INTEGRATION OF LEPROSY SERVICES WITH GENERAL HEALTH CARE SYSTEM
(GHS).
• LEPROSY TRAINING OF GHS FUNCTIONARIES.
• EARLY DIAGNOSIS AND PROMPT MDT , THROUGH ROUTINE AND SPECIAL
EFFORTS.
• INFORMATION EDUCATION AND COMMUNICATION (IEC) USING LOCAL AND
MASS MEDIA FOR REDUCTION OF STIGMA AND DISCRIMINATION
• PREVENTION OF DISABILITY AND MEDICAL REHABILITATION.
• MONITORING AND PERIODIC EVALUATION.
• INTER-SECTORAL COLLABORATION.
10. ELIMINATION STRATEGY
TO ELIMINATE LEPROSY THE GOVERNMENT OF INDIA HAS ACCEPTED MODIFIED
LEPROSY ERADICATION COMPAIGNS (MLEC) AND SPECIAL ACTION PROJECT FOR
THE ELIMINATION OF LEPROSY (SAPEL) STRATEGIC ACTION FOR THE EARLY
DETECTION OF LEPROSY CASES AND MASS AWARENESS.
11. 1. MODIFIED LEPROSY ELIMINATION
COMOAIGNS (MLEC )
• THE MLEC APPROACH IS ACTUALLY ORGANIZING CAMPS FOR ONE OR TWO
WEEKS DURATION IN WHICH SERVICES LIKE CASE DETECTION , TREATMENT AND
REFERRAL TO RECONSTRICTION FACILITIES ARE AVAILABLE.
• CARRIED OUT DURING 1997 -1998 TO 2003-2005
• HELPED IN BRINGING OUT 9.9 LAKH NEW CASES UNDER TREATMENT IN A SHORT
SPAN OF TIME
• HELPED IN INCREASING LEPROSY AWARENESS AMONG THE MASSES.
12. 2. SPECIAL ACTION PROJECTS FOR THE
ELIMINATION OF LEPROSY (SAPEL)
SAPEL IS AN IN INITIATIVE AIMED AT PROVIDING MDT SERVICES TO PATIENTS
LIVING IN SPECIAL DIFFICULT TO ACCESS AREAS OR SITUATION OR TO THOSE
BELONGING TO NEGLECTED POPULATION GROUPS . THE MOST IMPORTANT THING
IS FOR THE ELIMINATION PROGRAM TO REACH SERVICES.
13. CURRENT ACTIVITIES UNDER NLEP
• DIAGNOSIS AND TREATMENT OF LEPROSY.
* MDT PROVIDED TO ALL PHC’S FREE OF COST
* DIFFICULT TO DIAGNOSE CASES & COMPLICATED CASES REFERRED TO
DISTRICT
HOSPITALS
* ASHAS UNDER NRHM HELPS BRING OUT LEPROSY CASES FROM VILLAGES
FOR
DIAGNOSIS AND TREATMENT COMPLETION
14. EARLY DETECTION OF LEPROSY
*FOR THE FIELD PURPOSE:
• MULTI –BACILLARY LEPROSY IS LABELED WHEN THERE ARE 6 OR MORE SKIN
PATCHES
AND /OR 2 OR MORE NERVES AFFECTED . SKIN SMEAR IS POSITIVE.
• PAUBACILLARY LEPROSY IS LABELED WHEN THERE 5 OR LESS THAN 5 SKIN
LESIONS AND
/OR 1 MORE NERVE AFFECTED . SKIN SMEAR DO NOT SHOW BACILLI.
15. TREATMENT
• RIFAMPICIN IS GIVEN ONCE A MONTH . NO TOXIC EFFECTS HAVE BEEN REPORTED IN THE CASE OF MONTHLY
ADMINISTRATION . THE URINE MAY BE COLOURED SLIGHTLY REDDISH FOR A FEW HOURS AFTER ITS INTAKE ,
THIS SHOULD BE EXPLAINED TO THE PATIENT WHILE STARTING MDT.
• CLOFAZIMINE IS MOST ACTIVE WHEN ADMINISTERED DAILY . THE DRUG IS WELL TOLERATED AND VIRTUALLY
NON-TOXIC IN THE DOSAGE USED FOR MDT. THE DRUG CAUSES BROWNISH BLACK DISCOLURATION AND
DRYNESS OF SKIN . HOWEVER , THIS DISAPPEARS WITHIN FEW MONTHS AFTER STOPPING TREATMENT. THIS
SHOULD BE EXPLAINED TO PATIENTS STARTING MDT REGIMEN FOR MB LEPROSY.
• DAPSONE: THIS DRUG IS VERY SAFE IN THE DOSAGE USED IN MDT AND SIDE EFFECTS ARE RARE. THE MAIN
SIDE EFFECTS IS ALLERGIC REACTION , CAUSING ITCHY SKIN RASHES AND EXFOLIATIVE DERMATITIS .
PATIENTS KNOWN TO BE ALLERGIC TO ANY OF THE SULPHA DRUGS SHOULD NOT BE GIVEN DAPSONE.
• MULTIBACILLARY (MB)LEPROSY.
FOR ADULTS THE STANDARD REGIMEN IS : RIFAMPICIN :600MG ONCE A MONTH DAPSONE: 100MG DAILY
CLOFAZIMINE : 300MG ONCE A MONTH AND 50 MG DAILY DURATION = 12MONTHS
• PAUCIBACILLARY (PB) LEPROSY.
FOR ADULTS THE STANDARD REGIMEN IS : RIFAMPICIN : 600 MG ONCE A MONTH DAPSONE : 100 MG
DAILY DURATION = 6 MONTHS
• SINGLE SKIN LESION PAUCIBACILLARY LEPROSY.
FOR ADULTS THE STANDARD REGIMEN IS A SINGLE DOSE OF : RIFAMPICIN : 600 MG OFLOXACIN : 400 MG
MINOCYCLINE : 100 MG
16. MONITORING AND EVALUATION
• THE IMPLEMENTATION OF ELIMINATION PLANS IN THE MOST ENDEMIC COUNTRIES IS
CLOSELY MONITORED SO AS TO DETECT POTENTIAL PROBLEMS THAT MIGHT IMPEDE
ITS PROGRESS AND TO IDENTIFY RAPID , YET FEASIBLE SOLUTIONS :
* PROMOTION OF RESEARCH IN THE EPIDEMIOLOGY OF THE DISEASE , INCLUDING
MODELLING
* DEVELOPMENT OF COMPUTERIZED DATABASES ON LEPROSY, INCLUDING DATA
COLLECTION , REPORTS AND ANALYSIS , ESTIMATES AND PREDICTIONS OF
LEPROSY PROBLEM
TRENDS
* COSTING AND DRUG REQUIREMENTS FOR THE ELIMINATION OF THE DISEASE
* DEVELOPMENT OF SIMPLIFIED TOOLS FOR DATA COLLECTION , INCLUDING
GUIDELINES AND TRAINING MATERIAL,ON
ESSENTIAL INFORMATION FOR THE CONTROL OF LEPROSY IN THE MOST ENDEMIC
COUNTRIES.
17. INVOLVEMENT OF NGO
• HELP TO REDUCE BURDEN OF LEPROSY
• SERVE IN REMOTE , INACCESSIBLE , UNCOVERED , URBAN SLUMS , INDUSTRIAL
/LABOUR POPULATIONS AND OTHER MARGINALIZED POPULATION GROUPS.
• SER ( SURVEY EDUCATION AND TREATMENT) SCHEME.
18. DISABILITY PREVENTION AND MEDICAL
REHABILITATION PLAN
OBJECTIVES OF THE REHABILITATION PLAN :
1. PERSON WITH LEPRA REACTIONS ARE ADEQUATELY MANAGED SO AS TO PREVENT
OCCURANCE OF DISABILITIES.
2. PERSONS WITH DISABILITIES DUE TO LEPROSY ARE ASSISTED WITH CARE AND
SUPPORT TO
PREVENT WORSENING OF THEIR EXISTING DISABILITIES.
3. PERSON WITH DEFORMITIES SUITABLE FOR CORRECTION ARE PROVIDED
RECONSTRUCTIVE
SURGERY SERVICES THROUGH SPECIALIZED CENTERS MANAGED BY GOVERNMENT
AND
VOLUNTARY ORGANIZATIONS.
19.
20.
21.
22.
23. ACTIVITIES TO BE PERFORMED BY ASHA
• SEARCH FOR SUSPECTED CASES OF LEPROSY.
• FOLLOW UP ALL CASES FOR COMPLETION OF TREATMENT IN SCHEDULE TIME.
• ADVICE AND MOTIVATE SELF CARE PRACTICES BY DISABLED CASES FOR PROPER
CARE OF THEIR HANDS AND FEET DURING THE FOLLOW UP PERIOD.
• SPREADING AWARENESS.
• RECORD OF CASES REFERRED BY ASHAS WILL BE MAINTAINED PROPERLY AND
INCENTIVE WILL BE PAID ON TIME AND REGULAR MONTHLY REPORT WILL BE
SUBMITTED TO THE DISTRICT LEPROSY OFFICER.
24.
25.
26.
27. ROLE OF COMMUNITY HEALTH NURSE IN
NLEP
• EDUCATE COMMUNITY ABOUT CAUSE,SPREAD,PREVENTION AND MANAGEMENT OF THE DISEASE.
• TRY TO ASSIST IN CHANGING THEIR MISPERCEPTIONS AND STIGMA ABOUT THE DISEASE.
• STRESS ON IMPORTANCE OF EARLY DETECTION OF THE DISEASE THAT HELPS IN PREVENTION OF DEFORMITY.
• TEACH ON HOW DEFORMITIES ARE PREVENTED AND CONTROLLED.
• REGULAR EXAMINATION OF SKIN SURFACES AND REPORT IF ANYTHING NEW OR ABNORMAL. PARTICULARLY CONTACTS
MUST BE ALERTED ON THIS.
• ADVISE THE CASE TO TAKE MDT REGULARLY AS ADVISED.
• INDIVIDUAL /GROUP/ MASS EDUCATION SHOULD BE CONDUCTED.
• FOLLOW UP THROUGH HOME VISITS-IDENTIFY AND ADVISE ON REGULAR TREATMENT .IF NEEDED DRUGS CAN BE SUPPLIED
AT HOME.
• PATIENTS WITH ANY COMPLICATIONS SHOULD BE REFERRED TO PHC.
• REFER FOR DISABILITY PREVENTION AND MEDICAL REHABILITATION (DPMR)
