Leprosy work isn’t merely medical relief; it is transforming frustration of life into joy of dedication, personal ambition into selfless service ~ MAHATMA GANDHI
COMPONENTS
1. Integrated leprosy services via primary health care
2. Capacity building of all general health functionaries
3. Intensified information, education and communication
4. DPMR services(disability prevention and medical rehabilitation)
5. Monitoring and supervision
INITIATIVES
A. INVOLVEMENT OF ASHA
Job of ASHA is as follow-
• Refer suspected leprosy case to PHC.
How to suspect leprosy?
Look for following signs-
Pale, non itchy, non painful patches over skin
Nodules on skin
Weakness and deformities in limb
Ulcers
• Treatment completion and follow up
• Counsel the patient on disease and treatment aspect.
• Awareness and education
• Guide the patient on self care.
• Protect hands against heat and friction
• Use MCR(microcellular rubber)footwears for anesthetic feet
• Soak hands/feet in water for 1/2hr
• Clean the wound with soap and water and dress it with clean cloth.
INCENTIVES to ASHA
Confirmed diagnosis of case- 250rs.
Completion of full course of treatment- PB- 400rs and MB- 600rs.
B.DPMR SERVICES
• Assessment of disability status.
• Management of lepra reaction.
• Management of complicated ulcer.
• Management of eye complication.
• Physiotherapy.
• Supply of footwear.
• Supply of ulcer dressing kits and slints.
• Reconstructive surgery.
• Amputation surgery.
• Incentives- 5000rs to BPL family for reconstructive surgery
5000rs to the institution for conducting surgery
C.REFERRAL SYSTEM IN NLEP
PROGRAM IMPLEMENTATION PLAN FOR 12th PLAN PERIOD(2012-17)
OBJECTIVES
1. Elimination of leprosy i.e prevalence <1case per 10,000 population in all districts.
2. Strengthen DPMR services(disability prevention and medical rehabilitation).
3. Reduction of social stigma associated with the disease.
TARGET
1. >95% Cure rate for multibacillary leprosy
2. >97% Cure rate for paucibacillary leprosy
3. 50% reduction in social stigma
4. 35% reduction in grade II disability rate in new cases.
STRATEGY
1. Integrated leprosy services via primary health care.
2. Early detection and complete treatment of all new cases.
3. Household contact survey for early detection of cases.
4. Involvement of ASHA in case detection and treatment completion.
5. Strengthening of DPMR services.
NEWER three pronged STRATEGY
• Leprosy case detection campaign(LCDC)
• Focused leprosy campaign.
• Special plan for hard to reach areas
Post exposure prophylaxis(PEP)
ELIGIBILTY CRITERIA
Inclusion criteria
Person(age>2yr) living/working for more than 3months and 20hr/week with a case of leprosy.
Exclusion criteria
• Pregnant women
• People receiving rifampicin for any reason in last 2yrs.
• People with a history of liver/renal disorder.
• Suspected case of leprosy/TB
• Acute febrile illness
DORS (DIRECTLY OBSERVED RIFAMPICIN SUPERVISED)
Single dose rifampicin PEP
>35kg 600mg
20-35kg 450mg
<20kg 10-15mg/kg
INFRASTRUCTURE
Leprosy control unit- 1 per 5lac population
Urban leprosy centre- 1 per 50k population
SET centre- 1 per 25k population
(SET- SURVEY EDUCATION AND TREATMENT CENTRE)
SPARSH leprosy awareness campaign(SLAC)
Introduced under NLEP on 30th January (anti leprosy day) 2017. This Program is intended to promote awareness and address the issues of stigma associated with the disease.
Hope it helped you!
-By Mansi Nahar (GMC Nagpur)