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National Leprosy Eradication Programme

 

Introduction:

                   Leprosy is common disease like other diseases and can be completely cured by taking regular treatment.  It is neither inherited, nor the result of the past sins nor the curse of Gods.  Considering it a social stigma and trying to conceal the disease is nothing less than betraying oneself because delayed diagnosis and treatment can cause deformity and leprosy patients suffering from visible deformity are a living evidence of this fact. 

 

History of NLEP

                                                Leprosy is a chronic infectious disease caused by Mycobacterium leprae. It usually affects the skin and peripheral nerves, but has a wide range of clinical manifestations. The disease is characterized by long incubation period generally 5-7 years and is classified as paucibacillary or mulitbacillary, depending on the bacillary load. Leprosy is a leading cause of permanent physical disability. Timely diagnosis and treatment of cases, before nerve damage has occurred, is the most effective way of preventing disability due to leprosy.

 

 

Strategy – Leprosy Elimination in Haryana:-

 

·       Decentralization of NLEP to States & Districts

·       Integration of leprosy services with General Health Care System (GHS).

·       Leprosy Training of GHS functionaries

·       Early diagnosis & prompt MDT, through routine and special efforts.

·       Information Education and Communication (IEC) using Local & Mass Media for reduction of Stigma & Discrimination.

·       Prevention of Disability & Medical Rehabilitation.

·       Monitoring & Periodic Evaluation.

·       Inter-sectoral collaboration.

·       Monitoring & Evaluation.

 National Leprosy Eradication Programme in Haryana at a Glance:

          This Programme is being implemented in the entire state with the financial assistance of World Bank & expert guidance of WHO.  The State of Haryana has already achieved the status of “Elimination of Leprosy” i.e. less than 1 case per 10,000 of population fixed by WHO. As no Targets were allotted by GOI after the year 2002-03.  Now, the Target of this Programme is that the prevalence rate should less than 1 case per 10,000 of population ,  the State of Haryana has already achieved this target. 

 The prevalence of Haryana is 0.14 per 10,000 of the population as on 30.06.10 At present there are 370 leprosy affected patients who are on treatment as on 30/6/10.

The Programme is being implemented as an integral part of Primary Health care Delivery system with the aim to detect hidden / unreported cases to combat the spread of disease and present themselves in the nearest health institution for diagnosis and treatment. Though, Haryana have achieved Elimination status of Leprosy, a large number of migratory populations suffering from this disease, from the neighbouring States of U.P., Bihar, Madhya Pradesh, Bengal & Orissa are visiting the State in search of labour.

 

Medicines:

The Anti Leprosy Drugs i.e. MDT are supplied Free of Cost and are available at all the District Leprosy Centers and Community Health Centers of the state.

 

Reconstructive Surgery Centre

There are 5 patients of grade I deformity who requires Reconstructive Surgery. RCS will be conducted with the help of Government Medical College, Sec-32, Chandigarh. All expenditure for the treatment of patients will be born by the programme. An incentive of Rs. 5000/- per surgery will be paid to Medical College, Sect-32, Chandigarh & 5000/- may be paid to BPL patients for RCS.

 

Lepra Colonies: 

 There are 20 lepra colonies situated in the various districts of the State.   In these lepra colonies people who have been cured of the diseases are residing.  Four colonies are being run by Hind Khust Niwaran Sangh and one by Red Cross Society which are aided by the Govt. and other 15 colonies are self settled colonies. In the aided colonies ration money @  Rs. 600/ per lepra inmate is being paid by the social welfare department. Besides a grant for payment of electricity and water charges are also being paid by the Social Welfare Department to four colonies being run by Hind Khust Niwaran Sangh. All the medical facilities are being provided in all the 20 colonies of the State.  Special trained Para Medical Worker is posted in all the districts who visit these colonies on regular intervals. All medicines, dressing etc. are being provided by the Health department. 

 

Name Of Leprosy Colones:-

 

Name and Address Of Leprosy Cololy

 

 

Name Of Disteict

 

Govt. Added or Not

No. of LAPs residing

 

Dependent of LAPs residing

Total persons residing

Male

Female

Male

Female

 Hind Khust Niwaran Sangh

 

 

 

 

 

 

 

Gandhi Kusth Ashram

Jind Railway Crossing Hissar Road Rohtak

Rohtak

Yes

17

15

11

13

56

Hind Leprosy Colony

Sec-07 Ambala City

Ambala

Yes

8

16

16

55

95

Indra Chakerverti Gram  Karnal

Gogripur Road Karnal

Karnal

Yes

42

44

58

64

208

Radha Krishan Ashram Jagadhri

Radha Krishan Kushth Ashram Sect-17 HUDA Jagadhri Yamuna Nagar

YamunaNagar

Yes

20

32

0

0

52

Red Cross Society

 

 

 

 

 

 

 

Bharat Mata Kusht Ashram

ITI Road Gandhi Colony Nit Farida bad-121001

Faridabad

Yes

67

49

92

75

283

Self Settled Colonies

 

 

 

 

 

 

 

Pashupati Kusht Ashram

Near Roadways wprlshop Ambala City

Ambala

No

4

0

1

46

51

Haryana Leprosy Colony

Ambala cantt

Ambala

No

0

20

13

66

99

Sain Baba Kushat Ashram

Near Pataudi Chowk Veer Nagar  550/25 Rgs.no. 548 Gurgaon

Gurgaon

No

9

2

9

21

41

Gandhi Nagar Leprosy Colony

Court Road Hansi Hisar

Hisar

No

3

3

3

5

14

Ganesh Kusth Ashram

Near Railway Station Hansi Hisar

Hisar

No

16

18

24

25

83

Lal Bahadur Shastri Colony

Behind Jaynti Devi Nandir Jind

Jind

No

2

3

5

5

15

Amar Jyoti Leprosy Society

MIE Near Tekri Border Bahadurgarh

Jhajjar

No

29

16

6

9

60

Kaithal National Leprosy Relief Association

Sirsa Bye Pass Kaithal

Kaithal

No

23

22

2

1

48

Shri Ram Ji Kushth Ashram

Gandhi Nagar Tilla Thanesar Kurukeshtra

Kurukeshtra

No

10

6

10

12

38

Nav Jeaven Leprosy Colony

Nav Jeaven Leprosy Colony Bankaunt Dham Sodhapur Panipat

Panipat

No

14

16

6

9

45

Sonepat Kust Ashram

President, Kusth Ashram  Sector 15 sonepat

Sonepat

No

35

37

24

21

117

Bathnee Gram Ashram

President vill- Bhatnee P.o. Ganour Distt Sonepat-131101

Sonepat

No

5

3

13

8

29

Kushth Ashram Socity

Kushth Ahram Socity Begu Road Sirsa

Sirsa

No

20

18

4

10

52

Kushsth Colony Socity Mandi Dabwali

Chautala Road Mandi Dabwali Sirsa

Sirsa

No

16

14

5

3

38

Surbhi Seth Kushth Ashram

Gouri Shankar Kusht Ashram Sanjay Dham Saharanpur Road Yamuna Nagar

YamunaNagar

No

25

39

3

3

70

Total

 

 

 

365

373

305

451

1494

                 

 

 

 

 

 

 

LEPROSY COLONY WISE PATIENTS DETAIL IN STATE HARYANA (2009-10)

PHYSICAL ACHIEVEMENTS HARYANA

LAST YEARS

DISTRICT WISE STATUS OF A.N.C.D.R IN STATE HARYANA (2009-10)

Sr. No.

Name of Districts

Population March 2009(estimated)

Population March,2010(estimated)

Total new cases (2009-10)

ANCDR/100000

Total grade II deformed cases(2009-10)

% Grade II

Balance cases on 31.3.2010

PR / 10000

1

2

 

4

5

6

7

8

9

10

1

Ambala

1232157.688

1262592

25

0.20

0

0.00

14

0.11

2

Bhiwani

1731620.036

1774391

5

0.03

0

0.00

2

0.01

3

Faridabad

2666042.941

2731894

88

0.32

0

0.00

118

0.43

4

Fatehabad

947907.9573

971321

13

0.13

0

0.00

10

0.10

5

Gurgaon

1145066.386

1173350

8

0.07

0

0.00

7

0.06

6

Hissar

1899616.527

1946537

17

0.09

0

0.00

16

0.08

7

Jhajjar

1052670.211

1078671

14

0.13

0

0.00

12

0.11

8

Jind

1446173.456

1481894

6

0.04

0

0.00

8

0.05

9

Kaithal

1121757.535

1149465

5

0.04

0

0.00

6

0.05

10

Karnal

1549638.44

1587915

34

0.21

0

0.00

32

0.20

11

Kurukshetra

1034331.155

1059879

34

0.32

3

8.82

28

0.26

12

Mewat

869918.0403

891405

5

0.06

0

0.00

7

0.08

13

Narnaul

987055.5961

1011436

1

0.01

0

0.00

2

0.02

14

Panchkula

570350.0694

584438

20

0.34

0

0.00

11

0.19

15

Panipat

1175850.423

1204894

40

0.33

0

0.00

51

0.42

16

Rewari

929566.852

952527

4

0.04

0

0.00

3

0.03

17

Rohtak

1168665.227

1197531

3

0.03

0

0.00

2

0.02

18

Sirsa

1350493.118

1383850

5

0.04

1

20.00

4

0.03

19

Sonepat

1554485.271

1592881

19

0.12

0

0.00

20

0.13

20

Yamunanagar

1194121.849

1223617

19

0.16

0

0.00

22

0.18

 

Total

25627488.78

26260488

365

0.14

4

1.10

375

0.14

 

DISTRICT WISE STATUS OF ASHA IN STATE HARYANA (2009-10)

 

Name Of District

Involvement of ASHA

Trained ASHA

No. of ASHA paid Incentive for

New case

Treatment

AMBALA

632

174

12

8

BHIWANI

1075

      186

5

3

FARIDABAD

185

96

0

0

FATEHABAD

603

60

1

0

GURGAON

117

0

0

0

HISAR

860

135

0

0

JIND

845

159

0

0

JHAJJAR

631

148

0

0

KARNAL

746

150

0

0

KAITHAL

684

60

0

0

KURUKSHETRA

562

92

0

0

MEWAT

288

32

10

0

MAHENDERGARH

645

185

0

0

PANCHKULA

228

84

0

0

PANIPAT

510

180

2

1

ROHTAK

450

180

0

0

REWARI

545

146

0

0

SIRSA

770

100

0

0

SONEPAT

900

194

0

0

YAMUNA NAGAR

600

30

0

0

PALWAL

623

0

0

0

Total

12499

2391

30

12

 

 

 

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