National Leprosy Eradication Programme National Leprosy Control and prevention programme

1. National Leprosy Eradication Programme
Sneha B. Gaurkar
Assistant Professor,
DRGIOP, Amravati

2. National Leprosy Eradication Programme
Contents :
• Introduction
• Background
• Milestones
• Objectives
• Programme strategy
• Components
• Activities under NLEP
• Achievements

3. National Leprosy Eradication Programme
Introduction :
• A chronic, curable infectious disease mainly causing skin
lesions and nerve damage.
• Leprosy is caused by infection with the bacterium
Mycobacterium leprae.
• The bacteria are transmitted via droplets from the nose and
mouth during close and frequent contact with untreated
cases.
• It mainly affects the skin, eyes, nose and peripheral nerve.
• Leprosy is reported from all the six WHO Regions; the majority
of annual new case detections are from South-East Asia.
Mycobacterium leprae.

4. National Leprosy Eradication Programme
Background :
• Global registered Prevalence : 181, 941
cases (2012)
• Nation leprosy control program – 1995
• MDT came in to wide use from - 1982
• National leprosy eradication Program -
1983
• NHP 2002- Eliminated leprosy by 2005

5. National Leprosy Eradication Programme
• 1948- Hind Kusht Nivaran Sangh
• 1955- Govt. of India launched NLCP
• 1983- Launched NLEP and
introduced MDT for treatment
• 1991- WHO declaration to
eliminate leprosy at global level by
2000
• Modified leprosy elimination
campaign
• 1993-2000 :World bank supported
NLEP 1st
• 2001-2004 :World bank supported
NLEP 2nd
• 2005 : National program continues
with GOI funds
• 2005- India achieved elimination of
leprosy at national level December 05
• 2007- Disability Prevention & Medical
Rehabilitation Guidelines introduced
for preventing disabilities at primary,
secondary, and tertiary level
Milestones in NLEP:

6. National Leprosy Eradication Programme
Milestones in NLEP:
• 2007-2012: XI Five Year Plan advocated
inclusion of Persons Affected with
leprosy in all decision making exercise
• 2012: XII Five Year Plan adopted the
Special Leprosy Action Plan for 209
High endemic districts in 16 States/Uts
• 2014: Independent Evaluation of NLEP
by World Health Organisation
• 2014: Upgraded Simplified Information
system implementation
• 2016: Rights of Persons with Disabilities
Act, 2016
•2017- 2019 :New Initiatives
· Active Case Detections Campaigns (14
days) in high endemic districts
· Focused Leprosy Campaign (FLC) in low
endemic districts
· ASHA Based Surveillance for Leprosy
Suspects (ABSULS)
· Grade II Disability Epidemiological
Investigation
· Implementation of Post Exposure
Prophylaxis (administration of Single Dose
of Rifampicin)
· Sparsh Leprosy Awareness Campaigns
· Introduction of NIKUSTH - A real time
leprosy reporting software across India

7. National Leprosy Eradication Programme
Milestones in NLEP:
•2019: ·External Evaluation of NLEP by
World Health Organisation
· Convergence of leprosy screening
with Comprehensive Primary Health
Care programme of Ayushman Bharat,
to screen 30+ years population at
HWCs
· Convergence of leprosy
screening with Rashtriya Bal
Swasthya Karyakram (RBSK) to screen
children (0-18 years) at Anganwadi
Centers and Govt. schools,
•2020: ·Active Case Detection and
Regular Surveillance (ACD&RS)
guidelines rolledout.
· Convergence of NLEP with Rashtriya
Kishore Swasthya Karyakaram (RKSK)
for counselling the children of teen age
group (13-19 yrs) about leprosy at
Adolescent Friendly Clinics

8. National Leprosy Eradication Programme
Objectives:
a) To reduce Prevalence rate less than 1/10,000 population
at sub national and district level.
b) To reduce Grade II disability % < 1 among new cases at
National level
c) To reduce Grade II disability cases < 1 case per million
population at National level.
d) Zero disabilities among new Child cases.
e) Zero stigma and discrimination against persons affected
by leprosy.

9. National Leprosy Eradication Programme
Programme strategy:
1) Integrated anti-leprosy services through General Health Care system.
2) Early detection and complete treatment of new leprosy cases.
3) Carrying out household contact survey for early detection of cases.
4) Involvement of Accredited Social Health Activist (ASHA) in the detection and
completion of treatment of Leprosy cases on time.
5) Strengthening of Disability Prevention and Medical Rehabilitation (DPMR)
services.
6) Information, Education and Communication (IEC) activities in the community
to improve self-reporting to Primary Health Centre (PHC) and reduction of
stigma.
7) Intensive monitoring and supervision at Health and Wellness Centers and
Block Primary Health Centre/Community Health Centre.

10. National Leprosy Eradication Programme
Components:
• Case Detection and Management
• Disability Prevention and Medical Rehabilitation
(DPMR).
• Information, Education and Communication (IEC)
including Behaviour Change Communication (BCC)
• Human Resource and Capacity building
• Programme Management

11. National Leprosy Eradication Programme
Activities under NLEP:
•Diagnosis and treatment of leprosy- Free of cost Services for diagnosis and
treatment (Multi drug therapy) are provided by all public health care facilities like
primary health centres,govt. dispensaries, CHC, DH and Medical colleges throughout
the country.
•Capacity building- Training of general health staff like Medical Officer, health
workers, health supervisors, laboratory technicians and ASHAs are conducted every
year to develop adequate skills for diagnosis and management of leprosy cases.
•IEC and counselling - Intensive IEC activities are conducted to generate awareness
which will help in reduction of stigma and discrimination associated with persons
affected with leprosy.
•Disability Prevention and Medical Rehabilitation –For prevention and management
of disability, dressing material, supportive medicines and micro-cellular rubber (MCR)
footwear are provided to leprosy patients.

12. National Leprosy Eradication Programme
•Supervision and Monitoring –Programme is being
monitored at different level through analysis of monthly
progress reports, through field visits by the supervisory
officers and programme review meetings held at central,
state and district level.
•NGO services under SET scheme- NGOs are getting
grants from Govt. of India under Survey, Education and
Treatment (SET) scheme. Various activities undertaken by
the NGOs are IEC, Prevention of Impairments and
Deformities, Case Detection and MDT Delivery. From
Financial year 2006 onwards, Grant-in-aid is being
disbursed to NGOs through State Health Societies.
Activities under NLEP:

13. National Leprosy Eradication Programme
Achievements during 2020:
• Percentage of Grade II Disability
(G2D)/visible deformity among new
cases decreased from 3.05% in 2018-19
to 2.39% (2019-20).
• The G2D amongst new cases/
million population decreased from
2.65/million population as on 31st
March, 2019 to 1.94/million
population as on 31st March 2020.
• Child cases percentage has
reduced from 7.67% as on 31st March
2019 to 6.86 % as on 31st March 2020.
Epidemiological Indicators of NLEP (2019-20)

14. National Leprosy Eradication Programme
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