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National Leprosy Eradication Programme

Objectives

1. To reduce the load of infection in community by converting the bacteriologically positive cases to bacteriological negativity in order to interrupt the transmission of infection in the community.
2. To reduce the prevalence rate of leprosy to a level when leprosy is no longer a major public health hazard i.e less than one case per 10,000 population.
3. Ultimately to rid the country of the disease.

National Leprosy Control Programme was redesignated as National Leprosy Eradication Programme in 1983 with the introduction of MDT

The objectives of National Leprosy Eradication Programme.

1) Early detection of leprosy cases.
2) All detected leprosy patient should be brought under regular treatment so as to break the chain of transmission and to cure them without deformity.
3) Health education regarding scientific information of Leprosy should be given to the leprosy patients, his family and society.

In 1993 to give a boost to NLEP, World Bank Assisted Project was initiated in two phases. Phase I and Phase II objectives are as follows

World Bank Assisted NLEP Project Phase- I

Objectives
1. To support vertical programme structure for endemic districts.
2. Establishment of Mobile Leprosy Treatment Unit (MLTU) in moderate and low endemic districts.
3. Formation of district leprosy societies.

World Bank Assisted NLEP Project Phase- II

Objectives

1 To achieve elimination by the end of 2005.
2 To rapidly & effectively integrate vertical programme of leprosy eradication with general health care system. To achieve these objective emphasis should be laid on following points.
· To detect new cases (Tribal, Difficult Hilly area) at the early stage.
· To bring them under MDT.
· To provide health education.
· Render services of POD to avoid deformity.
· To provide physiotherapy to needy leprosy patients.
· To perform reconstructive surgery on needy leprosy patients.

Targeted Milestones For Maharashtra Upto 2012

Mile stones Mar.04 Mar. 05 Dec.05 Mar.06 Mar.07 Mar.09 Mar.12
PR/10000 2.87 1.57 0.94 0.88 0.7 0.6 0.5
No.of districts having PR<1 0 0% 7 20% 29 85% 34 100% 34 100% 34 100% 34 100%
No.of Municipal Corporations having PR<1 1 5% 8 36% 22 100% 22 100% 22 100% 22 100% 22 100%
No. of Blocks having PR <1 33 9.73% 78 23% 118 33% 152 45% 203 60% 271 80% 339 100%
No. of PHCs 232 578 982 1160 1340 1518 1786
having PR<1 -13.06% -32.36% -55% -65% -75% -85% -100%
NCDR 4.3 3.11 1.59 1.59 1.14 0.8 0.75
SC NCDR 5.59 4.54 2.12 2.12 1.53 1 0.75
SC NCDR 7.84 6.91 3.4 3.4 2.45 1.25 0.75
MB proportion of New cases 32.12 36.84 55 55 60 65 70
Disability proportion 1.31 1.3 1 1 0.8 0.5 0.4
Female proportion 40.96 42.13 44 44 45 50 50

Historical Background
Objectives
Strategy
Activities
Services to common people
Service Centers
Performance
  - Region wise
- District wise
Special Features
Achievements
Expected Community Participation
Role of NGOs
Health Education Messages
Role of Other Sectors
Impact

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