Leprosy

NATIONAL LEPROSY ERADICATION CONTROL PROGRAMME (NLEP)

The strength of NLEP in Mizoram is the active participation of ASHA’s regarding case detection in various parts of the state. Capacity building of various staffs from the level of Medical Officers up to the level of ASHA’s is another contributing factor.Three medical officers from three different districts were sent for TOT training on Leprosy during the month of February 2014 at RLTRI,Gauripur, West Bengal. Various awareness programmes at different parts of the State has contributed in alleviation of stigma and discrimination of people affected with Leprosy. The State Leprosy Officer is also an active participant in various local TV talk shows and radio talk shows to talk about Leprosy and to create more awareness among the masses.

The State of Mizoram is unique in the fact that stigma and discrimination of Leprosy patients in the State is almost non-existent as compared to other States of India. The State Govt. is very compassionate towards cured Leprosy patients regarding their rehabilitation and is currently employing nine (9) cured Leprosy patients under the State Government on Muster-roll basis in different districts of the State under Health Department.

THREATS:

It had come to the SLO’s notice that, some border areas of Mizoram had been infiltrated with cases from neighboring states. This problem could pose as a threat for insurgence of new cases in these areas. Hence, we had conducted active search of these cases and had given MDT to those identified.

NEW INITIATIVES PROPOSED:

1.To conduct mass awareness campaign in the endemic areas of the State like Tlabung under Lunglei district , Kawrthah under Mamit district and Chawngte under Lawngtlai District at least twice a year. This will enable the State to identify the early symptoms of Leprosy , as the people living in these areas are very backward and uneducated.

2.To hire PMW on contractual basis, in the high endemic regions of the State.In Mizoram, Lawngtlai district has been recorded as a high endemic district with ANCDR of 9.3 per 100,000 population in 2012-2013, and ANCDR of 23 per 100,000 during 2013-2014.

  1. To conduct review meetings with the PMW’s of the state at the State capital on quarterly basis for better functioning of the programme and and to conduct training for newly recruited PMW’s and to conduct re-orientation training for the already existing 8 PMW’s

NLEP Performance indicators 

Annual New case detection rate per 1,00,000 population

0

Prevalence rate per 10,000 population

0

Proportion of grade 2 disability (Visible deformity) among the new cases.

NIL

Proportion of child cases among the new cases

NA

Proportion of Multi-bacillary cases among the new cases.

NA

Proportion of female cases among the new cases.

NA

New child case detection rate per 1,00,000 population

0

SC case detection rate per 1,00,000 population.    

0

ST case detection rate per 1,00,000 population

0

 

Physical Achievement 2018-19

Total no of cases detected since the inception of the programme i.e. 1983  - 1429

Total no of cases released from treatment - 1524

Total no of cases under treatment (currently) - 8 

Annual new case detection rate (ANCDR) – 0.41 %

Prevalence Rate (PR) – 0.06 %

 

Year

Cases Detected

Total

Cases Discharged

Total

MB

PB

MB

PB

2018-2019

5

0

5

6

1

7

 

 

 

 

*MB – Multibacillary, PB - Paucibacillary

Major Achievement during 2017-18

1.No of new cases detected-11
2.No of leprosy cases discharged from treatment-0
3.Total no. of leprosy cases under treatment-32
4.Prevalence Rate(PR)-0.26/10,000 population
5.Annual Case Detection Rate(ANCDR)-0.92/1,00,000 population
6.Total no. of cases with disability-0

7.Total no. cases requiring Reconstructive surgery-0

Trend of programme indicators (2017):

Sl No.

INDICATORS

2017

1.

Prevalence Rate

0.26%

2.

Annual New Case Detection Rate

0.92%

3.

Total no. of new leprosy cases detected

11

4.

Proportion of MB among new cases

27.27%

5.

Proportion of female among new cases

45.45%

6.

Proportion of male among new cases

54.54%

7.

Proportion of Children among new cases

0%

8.

Grade II disability rate

0

9.

Proportion of Gr II disabled cases among new cases

0

10.

Proportion of children with Gr II disability among new cases

0

11.

Treatment Completion Rate

MB=0%

PB=0%

  1. PERFORMANCE During 2016-17

Sl No.

INDICATORS

2016-2017

1.

Prevalence Rate

0.21%

2.

Annual New Case Detection Rate

0.50%

3.

Total no. of new leprosy cases detected

6

4.

Proportion of MB among new cases

66.67%

5.

Proportion of female among new cases

16.7%

6.

Proportion of male among new cases

83.33%

7.

Proportion of Children among new cases

0%

8.

Grade II disability rate

0

9.

Proportion of Gr II disabled cases among new cases

0

10.

Proportion of children with Gr II disability among new cases

0

11.

Treatment Completion Rate

MB=25%

PB=50%

S.No.

Indicators

2009-2010

2010 – 11

2011 -12

2013-14

2014-15 (till Jan’15)

1.

No. of new cases detected (ANCDR/100,000)

10 (0.9%)

21 (1.9%)

17 (1.5%)

18 (1.6%)

39 (3.36%)

2.

No. of cases on record at year end (PR/10,000)

19 (0.17%)

20 (0.18%)

18 (0.16%)

27 (0.24%)

44 (0.37%)

3.

No. of Grade II disability among new cases (%)

0

0

0

0

0

4.

Treatment Completion Rate

MB- 70% PB- 75%

MB-77% PB-66%

MB- 81% PB- 68%

MB-61% PB-75%

MB-91.6% PB-100%

5.

Reconstructive Surgery conducted

0

0

0

0

0

Total





National Leprosy Eradication Programme

State specific Goals and Targets for the year 2015-16







S.No

Goals & Target

September’15

March 2016

1

Elimination at District level

8 Districts

9 Districts

2

Case detection through ASHA

15

15

3

Special activity plan in blocks

House to House survey

Mass Awareness Campaign

4

MCR footwear procurement & supply

NA

NA

5

RCS

NA

NA

6

Development of leprosy expertise

2 Mos for ToT

2 Mos for ToT

7

Treatment Completion Rate assessment for the year 2014-15

100%

100%

8

Audited Report for the year 2014-15

Submission


9

Expenditure incurred against approved plan budget

80%