The National Leprosy Control Program – Post-Elimination Phase: Monitoring and Validation, and Subnational Stratification towards Leprosy-Free Zones Draft Final Report

Parameters for Declaring Leprosy Free Zones   LEVEL I LEVEL II LEVEL III LEVEL IV Prevalence Rate (PR) < 1 per 10,000 population for < 5 yrs < 1 per 10,000 population for 5 consecutive yrs < 1 per 10,000 population for 10 consecutive yrs Case Detection Rate (CDR) < 1 per 100,000 population for < 5 yrs < 1 per 100,000 population for 5 yrs New indigenous cases excluding trans in/referred case Draft Final Report

Sustainable quality leprosy services is another parameter for declaration of LFZs listed in the draft Operational Guidelines Health Education and Advocacy -IPC Skills of HWs -Utilization of adequate IEC materials -Improved health seeking behavior of target audience 2. Case Management -Availability of MDT drugs -Recording and reporting -POD -Rehabilitation including physical, psycho-socio economic -Management of leprae reaction Draft Final Report

Sustainable quality leprosy services is another parameter for declaration of LFZs listed in the draft Operational Guidelines 3. Case finding/case holding -Routine kilatis kutis -Compliance to treatment -cure rate at least 90% 4. Referral Network -Available network plan -Two-way referral (MOA) with referral facility 5. Capacity Building -Availability of trained staff-one doctor, one nurse, and medical technologist (for SSS/through ILHZ) Draft Final Report