Netherlands Leprosy Relief Review Meeting Uttarakhand State Place —YWCA Delhi Date-3 rd – 5 th May Dr. V. S. Pal

Districts Covered – 7 District March 2010 District New Cases Disability Rate Gr I Disability Rate Gr II ANCDR / 1Lac Chamoli01Nil 0.23 Dehradun Haridwar Pauri Garhwal29Nil 3.55 Rudraprayag01Nil 0.37 Tehri Garhwal10Nil 1.41 Uttarkashi0520 (1 no.) 1.45

Districts Of Kumaon – 6 District March 2010 District New Cases Disability Rate Gr I Disability Rate Gr II ANCDR / 1Lac Almora10Nil 1.35 Bageshwar0617(1 no.)Nil2.05 Champawat13Nil 4.95 Nainital336(2 no.)Nil3.69 Pithoragarh06Nil 1.1 U.S. Nagar194Nil TOTAL State

Month and district wise visit DistrictDetails Year 2010 Total JanFebMar Dehradun Dt. of Visit-Dist 20 th 4 th, 30 th 3 No. HCF visited 1-23 Haridwar Dt. of Visit-Dist 4,7,19 th 11,15,25 th 10,13,28th9 No. HCF visited 1214 Pauri Grl Dt. of Visit-Dist 20 th - 29 th 2 No. HCF visited 1-12 Tehri Grl Dt. of Visit-Dist 27 th - 5 th 2 No. HCF visited 1-12 Chamoli Dt. of Visit-Dist 25 th --1 No. HCF visited 2--2

Month And District Wise Visit DistrictDetails Year 2010 Total JanFebMar Rudraprayag Dt. of Visit-Dist No. HCF visited Uttarkashi Dt. of Visit-Dist - 19 th -1 No. HCF visited -2-2 U.S. Nagar Dt. of Visit-Dist ---- No. HCF visited ---- Nainital Dt. of Visit-Dist - 2,17,28 th 24 th 4 No. HCF visited ---- TOTAL Visit-Dist Visited HCF

District Wise Activities-1 st Quarter 10 DistrictPlannedUnplannedBatchesCompleted Total Trained Dehradun Facilitators training Tehri Grl Facilitators training Uttarkashi- Supervisor training 1119 Haridwar Advocacy meeting - Block level 180 Facilitator Trg SC Practice Qrt monitoring - All homes Completed Replenishment of S.Care kit All homes Completed

ILEP Supported State Activities SNActivitiesStatus 1 Quarterly review meeting of DLOs Not held 2 Sensitization workshop of CMS Not yet 3 Workshop on Decentralization Planning for DPMs NRHM Not yet 4 Advocacy meeting high endemic blocks 01 – Garhwal Division 5 Re-orientation SCG facilitators Completed in State 6 Quarterly monitoring of PALs Completed in all 29 colonies 7 Replenishment of SCG kits Completed in Garhwal - 19 PAL homes 8 Prosthesis repair 01 case 9 RCS camp support Camp postponed 10 Self Care Practice in homes Preliminary steps started

Activities NLEP Uttarakhand SN Activities Performed-March 10 1 Capacity building, re-orientation Traning  MO (4 days) 129  MO (2 days) 55  ANM (3 days) 200  L.Ts. (5 days) 13 2 IEC Activies  Rallies 13  School quiz 26  Folk shows 190  IPC meeting 369  IPC workshop 09  ASHA suspected and referred 08 cases

Facilitation In State Training By NLR 1 st Quarter DistrictActivities Fist Quarter JanFebMar Haridwar Advocacy Meeting (BDC) Block 4 th -- SCG Facilitators Training - 15 th - Nainital 4 Days Technical Training MOs - 2 nd -5 th - SCG Facilitators Training - 17 th - 2 Days Training MOs - 23 rd 24 th Uttarkashi Supervisors training in Supervision - 19 th 20 th - Dehradun Urban Leprosy Control th Teaching aid-LCD, hand outs and learning material provided

Functioning of District Nucleus S.N.Activities Number of Districts :- 07 As on Dec09As on Mar Knowledge of DLO in supervision 5/74/7 2. Knowledge of NMS in supervision 7/76/7 3. a) Assessment of Monitoring & Supervision ATP prepared 7/74/7 b) Supervision visits per month 7/74/7 c) AUR 7/76/7 4) On job Training provided to GHC Staff 6/7 5)Records & Reports 7/7

Functioning of District Nucleus Contd….. S.No.Activities Number of Districts-7 Dec09March Case Validation done by DN 7/76/7 7. M.D.T. stocks assessment and found adequate 7/7 8. Healthy Contacts going on 6/7 9. Result Based Plan for available 7/7 10. Activities plan GANTT Chart available 6/77/7 11. Participation in NRHM Meeting & discussion on NLEP 7/7 12 Reporting on New MPR Format from HCF 7/7

Functioning of District Nucleus Contd…… S.No.Activities No. of Districts : 07 Dec09Mar Fund released from State timely 7/7 14. Absentee retrieval going on Initiated - (13/18) absentees retrieved in Doon Efforts not made 15. Cohort Analysis compilation at Dist. Level 7/7 16. Tab. Predniolone available in HCFs/ Distt 7/7 17. Reaction Reporting 7/7 18. Other if any ( SCG ) 4/4

Gantt Chart of Activities Approved Gantt Chart Activities January to December (Garhwal Division)2010 Nr. ACTIVITYJaFeMaApMaJuJuAuSeOcNoDe 1 Replenishment of SC Kit Replenishment of SC Kit 2 Prosthesis Repair - 10 Prosthesis Repair RCS Camp Support – 2 Camps RCS Camp Support – 2 Camps 4 Reorientation training Reorientation training SCG facilitators -10 SCG facilitators Sensitization w’shop CMS 6 Self Care Practice Villages ?? 7 Quarterly Monitoring Quarterly Monitoring PALs PALs 8 School Health Education–6 School Health Education–6 9 Advocacy Meeting High Advocacy Meeting High Endemic Blocks – 3 Endemic Blocks – 3 10 Quarterly Review meeting of DLOs – 4 meetings 11 Decentralization w’shop

Major Problems Identified In The State & Districts And Suggestion To Improve S.No.ProblemsSuggestions 1.Overlapping of other national programmes Not in our control 2.Dearth of Medical Officers-do- 3.Frequent transfer of officials-do- 4.Weak referral system and non establishment of tertiary center -do- 5.Shortage of NMS/NMA except 2 districts – Haridwar and Dehradun No NMS/NMA in Pauri district -do-

Block Level Advocacy Meeting Laksar Block Haridwar On 4 th January 2010 in the BDC meeting 88 members of Village panchayat attende the meeting Participants were as below  Block Pramukh  BDO, DPRO  Pradhans, Members of Panchyat  Med Supdt, vet. Officer  Engineers, Social welfare and other deptd Advocacy about awareness, treatment and Stigma. LCD projection and hand bills distributed