Staff Updating & Review Meeting Netherlands Leprosy Relief-India R a m n a g a r R a m n a g a r 8 th & 9 th December th & 9 th December 2010 Presented by : Dr. S.N.M i s h r a L.P.A., J h a n s i Zone UP L.P.A., J h a n s i Zone UP

Field Visits (Supervision days) QuarterPlannedPerformed 1 st nd rd th ( Upto Nov 10 ) 37 + (12 in Dec.10) 37 Total202194

New changes in NLEP Situation 1.Summary of improvement in functioning of DN  Dist preparing ATP regularly – 5/5 100%  No of Dist preparing Supervisory reports regularly – 4/5 80%  Dist imparting regular On Job Tr. -4/5  Dist having adequate MDT supply – 5/5 100%

 Dist performing healthy contacts regularly -3/5  No of Dist that prepared Action Plan for /5  After ASHA sensitization changes / improvement in suspecting / referring new leprosy cases In Dist MAHOBA In YEAR Cases refd In year cases suspected & referred. In Dist Hamirpur In Year referred - 4 cases In Oct & Nov 2010 In Oct & Nov 2010 after sensitization by DN in Sep / Oct cases referred.

 After training of ANM in Hamirpur changes/ improvement In Year cases referred – NIL In Year cases

 Dist preparing absentee retrieval 3/ 5  Dist having done Cohort analysis 5/5  No of Dist prepared Gantt chart 4/5  Changes in DPMR services/ Activities – Improvement – in Knowledge of VMT & ST, EHF score, proper filling of Assessment forms, & in Self care

 SCG in villages 2 blocks - at Jhansi Bangra – 35 PALs performing Self care & 6 ulcers healed completely out of 8 Lalitpur Madawra- 23 PALs doing Self care & 6 ulcers healed completely out of 7 Lalitpur Madawra- 23 PALs doing Self care & 6 ulcers healed completely out of 7 5 cases are ready for RCS ( 2 of Lagophthalmos & 3 of claw hand ) 5 cases are ready for RCS ( 2 of Lagophthalmos & 3 of claw hand )

Gaps/ Needs identified  Need of proper well equipped Lab facilities at Dist Hospital  For referred leprosy cases from Primary Level Specialists services once a week at Dist Hospital  Need of further improvement in quality of services by DN. (By effective supervision)  Need of payment of refd operated RCS cases BPL holders –Jalaun -11, Hamirpur -7, Jhansi-2 BPL holders –Jalaun -11, Hamirpur -7, Jhansi-2  Timely release of Budget to Dist as per approved Plan

Epidemiological Data of Jhansi zone for last five years (ANCDR & PR)

Gantt. Chart showing Annual Progress Report – 2010 S.N. Activities 1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 1. Result 1 : GHC / DN staff performance improved Training of ANM’s in Dist. H a m i r p u r Planned Performed 2. Result 2 : Leprosy services established under NRHM ½ Day sensitization of ASHA’s in Mahoba Planned Performed ½ Day sensitization of ASHA’s in Hamirpur Planned Performed

S.N.Activities 1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 3. Result 3 : DPMR services improved Selfcare practices in villages – 2 blocks Bangra – Jhansi Madawra - Lalitpur Planned Performed 4. Situational Analysis ( 17 Districts ) Planned Performed

Activities Completion Report – 2010 Result Based Activities Batches Planned Batches Done No. Planned No. Participated Result 1 : GHC / DN staff performance improved Training of ANM’s in Dist Hamirpur Result 2 : Leprosy services established under NRHM ½ Day sensitization of ASHA’s in Mahoba ½ Day sensitization of ASHA’s in Hamirpur

Activities Completion contd… Result Based Activities Batches Planned Batches Done No. Planned No. Participated Result 3 : DPMR services improved Selfcare practices in villages 2 blocks Bangra 35 P A L Result / Outcome Ulcers healed 6 out of 8 Madawra 23 P A L 23PAL 6 out of 7

Facilitations in State Trainings During 2010 DistrictsTrainings Category of Staff Dates of Facilitation Remarks 1.Mahoba 2.Pratapgar h National Sample Survey Training of staff Supervisor’ s MPWASHA’s Village Volunteers 16 th July th & 27 th July th & 30 th July Kanpur CHC supdt workshopSupdt 12 th & 13 th Aug Lucknow Decentraliz ed Planning DLO 11 th,12 th,13 th & 14 th Oct Lucknow CMS workshop CMS Dist Hospital 19 th Nov 10

Other Activities 1.District Jhansi – Participated / Supported on Leprosy Day 30 th Jan 10 Leprosy rally with DN / CMO 2.District Jhansi – On 2 nd Oct 10 a) participated in Leprosy rally with DN / CMO b) educational support by NLR – Foundation to school going children of PAL’s 3.Contribution in Fund raising - efforts made to raise funds i) collected donation of 1100/- from Dr. K. K. Sharma DLO Jhansi i) collected donation of 1100/- from Dr. K. K. Sharma DLO Jhansi ii) collected donation of 1000/- from Dr. Lakhan Singh CMO ( F W ) Mahoba ii) collected donation of 1000/- from Dr. Lakhan Singh CMO ( F W ) Mahoba iii) collected donation of 1000/- from Dr. (Mrs. ) Usha Singh Female Hospital Mahoba iii) collected donation of 1000/- from Dr. (Mrs. ) Usha Singh Female Hospital Mahoba 4.Contribution towards website i) submission of story i) submission of story ii) News Paper clip ii) News Paper clip iii) Action photograph’s iii) Action photograph’s iv) Activities reports iv) Activities reports

Activities not performed Nil

Budget Utilization 2010 Planned Activities Budget Budget Utilized Reason for non utilization Result 1 : GHC / DN staff performance improved Training of ANM’s Hamirpur 11,400/-11,400/-- Result 2 : Leprosy services established under NRHM ½ Day sensitization of ASHA’s Mahoba 33,000/-32,325/- Hamirpur33,000/-32,256/-

Contd… Planned Activities Budget Budget Utilized Reason for non utilization Result 3 : DPMR services improved Selfcare practices in villages – 2 blocks 61,000/-60,978/-

Major Challenges 1.Social stigma & discrimination of patients, family & community Suggestions – to DN for improving  Increase of IEC activities in community  More involvement of ASHA’s  Proper counseling of LAP, families in healthy contacts  School IEC 2. DPMR services – strengthening  Timely proper management of reaction cases  Motivation for selfcare practices ( in Gr. I & II)  Screening of cases for RCS & motivation for surgery  Provide material support to PAL’s timely after need assessment – MCR, splints, crutches, etc. 3. Strengthening / improvement of referral services

GANNTT Chart for the year 2011 Quarterly Activity as planned 1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 2.5 Result 1 : GHC / DN staff performance improved Training of ANM’s Mahoba Result 2 : Leprosy services established under NRHM ½ Day sensitization of ASHA’s by DN JalaunJhansiLalitpur

Contd… Activity as planned 1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter Result 3 : DPMR services improved Selfcare practices in villages Mauranipur (Jhansi) Mahewa ( Jalaun ) Sumerpur ( Hamirpur) Mehrauni ( Lalitpur ) Contd.. Monthly review

Educational Support to PAL’s School going children by NLR – F at Bangra Jhansi on 18 th Nov ‘10

SCG in villages review meeting at Bangra 21 st Aug ‘10

Distribution of supportive aid to PAL by NLR – Foundation as on 18 th Oct ’10 at Jhansi

Sensitization of ASHA’s by DN at Hamirpur on 17 th Sep ‘10

Sensitization of ASHA’s by DN at Hamirpur on 5 th Oct ’10