Netherlands Leprosy Relief-India Review Meeting Place – New Delhi Date – 3 rd to 5 th May ’10 State/ Zone – U.P./ Jhansi LPA – Dr.S.N.Mishra LPA – Dr.S.N.Mishra.

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Presentation transcript:

Netherlands Leprosy Relief-India Review Meeting Place – New Delhi Date – 3 rd to 5 th May ’10 State/ Zone – U.P./ Jhansi LPA – Dr.S.N.Mishra LPA – Dr.S.N.Mishra

Districts covered District New Cases Disability Rate 1. Jhansi % 2. Jalaun % 3. Lalitpur % 4. Hamirpur % 5. Mahoba %

Functioning of District Nucleus (DN) State – U.P. S.No.Activities Number of Districts - 05 As on Jan ‘08 As on Apr ‘10 1. Knowledge of DLO in supervision 1/5 (Poor) 5/5 (Better) 2. Knowledge of NMS in supervision 2/5 (Poor) 5/5 (Better) 3. Assessment of Monitoring & Supervision 0/5 (Poor) 5/5 (Better) a) Supervision visits per month Supervision visits per month Jhansi – 0 Jalaun – 2 Lalitpur – 0 Hamirpur – 1 Mahoba - 2 Jhansi – 5 Jalaun – 4 Lalitpur – 5 Hamirpur – 4 Mahoba - 4

Functioning of District Nucleus (DN) State – U.P. S.No.Activities Number of Districts - 05 As on Jan ‘08 As on Apr ’10 b)AUR0/54/5 4. On job Training provided to GHC Staff 0/55/5 5. Records & Reports Not properly prepared Not properly prepared No DPMR records No DPMR records No monthly monitoring No monthly monitoring Prepared properly Prepared properly DPMR records available DPMR records available Monthly monitoring Monthly monitoring

Functioning of District Nucleus Contd….. S.No.Activities Number of Districts - 05 As on Jan ‘08 As on Apr ‘10 6. Case Validation done by DN 0/54/5 7. M.D.T. stocks assessment and found adequate 0/54/5 8. Healthy Contacts going on 0/54/5 9. Result Based Plan for available 0/55/5 10. Activities plan GANTT Chart available 0/53/5 11. Participation in NRHM Meeting & discussion on NLEP 0/55/5 12. Reporting on New MPR Format from HCF 0/55/5

Functioning of District Nucleus Contd…… S.No.Activities No. of Districts - 05 As on Jan ‘08 As on Apr ‘ Fund released from State timely Not on time Released late 14. Absentee retrieval going on 0/54/5 15. Cohort Analysis compilation at Dist. Level 0/55/5 16. Tab. Predniolone available in HCFs/ Distt 0/55/5 17. Reaction Reporting 0/55/5 18. SCG in villages i) Jhansi - Bangra ii) Lalitpur – Madawra 0/5 In Selfcare group Meetings – 1+1 Disab. List – available

District Level Activities Completed for 1 st Quarter 2010 S.No.DistrictsActivitiesBatchesPlannedBatchesCompleted Total No Trained Remaining (after second round) Result 1.Hamirpur ANM’s tr GHC/DN perf. Improved 2.Mahoba ASHA’s Sensitization 10 (2 batches in each block) Leprosy services est. under NRHM (16 new cases ref. by ASHA)

Training of ASHA’s at Mahoba

Activities of 1 st Quarter 2010 Selfcare practices in villages S.No.Dist.ActivitiesBlock Identified disabled PAL Meeting held Result 1.Jhansi Selfcare in villages Bangra41One DPMR services improved 2.Lalitpur Selfcare in villages Madawra14One“ Total552

Major problems identified in the districts and suggestions to improve Problems 1. Social stigma & discrimination of pts, family & community Suggestions to improve for DN  Increase in IEC activities in community  Involvement of ASHA  Proper counselling of LAP,families & community in healthy contacts.  School IEC

2. Late payment of incentives to ASHA for newly refd. Cases of Leprosy Suggestions  Regular monthly monitoring by DLO for timely payment.

3. Poor disability prevention & management Suggestions for DN  Timely proper management of reaction cases  Follow up of DPMR guidelines  Motivation for self care practices (Gr-I&II)  Select RCS cases & motivation for surg.  Improve referral services  Maintain DPMR records at HCF  Provide material support – persons affected with disabilities – appliances MCR, splints, with disabilities – appliances MCR, splints, crutches, etc. crutches, etc.

4. Poor Lab facilities for skin smear exam at secondary level Suggestions for DN  Provision of trained Lab technicians  Provision of staining materials at sec. level like Ziehl Neilsen stain,1% carbol fuchsin, like Ziehl Neilsen stain,1% carbol fuchsin, 1% acid-alcohol,& 0.2% methylene blue solution. 1% acid-alcohol,& 0.2% methylene blue solution.

5. Non payment of operated RCS cases at tertiary level Suggestions  Provision of payment after surgery to BPL holder’s at tertiary level.

Facilitations in State Budget Trainings DistrictTrainings Dates Jhansi MO’s training 27 th & 28 th Jan. ‘10 Jan. ‘10 Lalitpur “ 5 th Feb. ’10 Hamirpur “ 22 nd & 23 rd Feb. ‘10 Feb. ‘10

Other Activities  Supported in Leprosy rally on 30 th Jan. ’10 at Jhansi  Participated with DLO / CMO in distributions of blankets / fruits / sweets at PAL home – Jhansi.  Supported DN for screening camp.