National Leprosy Eradication Programme | Directorate of Health Service | Government Of Assam, India
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Government Of Assam Health & Family Welfare Directorate of Health Service

National Leprosy Eradication Programme

  • The National Leprosy Eradication Programme (NLEP) is a Centrally Sponsored Health Scheme and it has been implemented with the major objective of reducing the disease burden, prevention of disability and to improve awareness among the mass about Leprosy and its curability. Multi Drug Therapy (MDT) is an important instrument to reduce the burden of active cases of Leprosy. Vertical services has been integrated into the General Health Care Services following which Leprosy services are being provided through all the Govt. Hospitals, Primary Health Centers and other Health Care institutions with the help of MDT services free of cost. Diagnosis is being done free of cost for treatment with MDT.

    Though Assam has achieved the 'Elimination' status, a large number of new Leprosy cases are being detected yearly.

    Aims of NLEP:

    • Decentralization of NLEP to States & Districts.
    • Leprosy Services integrated with General Health Care Services.
    • Early diagnosis and prompt MDT treatment through routine and special efforts.
    • Information, Education and Communication (IEC), also called "Behavioral Change & Communication (BCC) using local and Mass Media for reduction of Social Stigma and Discrimination.
    • Renewed emphasis on Disability Prevention and Medical Rehabilitation (DPMR).
    • Monitoring and Periodic Evaluation.
    • Inter-Sectoral collaboration.
     

    Objectives under the Twelfth Five Year Plan:

    • Elimination of leprosy i.e. prevalence of less than 1 case per 10,000 population in all districts of the country.
    • Strengthen Disability Prevention & Medical Rehabilitation of persons affected by leprosy.
    • Reduction in the level of stigma associated with leprosy.
     

    Programme Strategy:

    • Integrated Leprosy services through General Health Care Services.
    • Early diagnosis and prompt MDT treatment of new Leprosy cases through routine and special efforts.
    • Carrying out household contact survey for early detection of cases.
    • Involvement of Accredited Social Health Activists (ASHAs) in detection and completion of treatment of Leprosy cases on time.
    • Strengthening of Disability Prevention and Medical Rehabilitation (DPMR) services.
    • Information, Education and Communication (IEC), also called "Behavioral Change & Communication (BCC)" using local and Mass Media for reduction of Social Stigma and Discrimination, so that self reporting of the Leprosy disease to the Primary Health Centers (PHCs) is encouraged.
     

    Intensive monitoring and supervision at Primary Health Centers (PHCs) / Community Health Centers (CHCs).

    Up-to-date performance of NLEP, Assam:

    Sl. No.NLEP Programme Indicators2012-132013-142014-152015-16(Upto Aug,15)
    1.Total number of New Leprosy cases detected
    (ANCDR / 1 lakh Population).
    1147 nos.
    (3.57)
    1048 nos.
    (3.21)
    856nos.
    (2.58)
    345 nos.
    2.New PB Leprosy Cases.246 nos.216 nos.197 nos.73 nos.
    3.New MB Leprosy Cases.795 nos.735 nos.659 nos.272 nos.
    4.New Child Leprosy Cases.106 nos.97 nos.60 nos.30 nos.
    5.No. of Leprosy cases on record at the year end
    (PR / 10,000 population).
    1131 nos.
    (0.35)
    965 nos.
    (0.30)
    858 nos.
    (0.26)
    P.R. = 0.24
    (up to June,15)
    6.No. of Grade-I disability among new Leprosy cases.114 nos.93 nos.87 nos.44 nos.
    7.No. of Grade-II disability among new Leprosy cases.76 nos.80 nos.115 nos.37 nos.
    8Treatment Completion Rate.87.7282.1681.18Calculated in May, June of next financial year
    9.Re-Constructive Surgery Conducted.20 nos.16 nos.52 nos
    (Govt.=11+NGO=41).
    13 nos.
    (Govt.=13+NGO=0).
    10.Reaction cases.68 nos.
    (PB=1 & MB= 67)
    114 nos.
    (PB= 4 & MB= 110)
    84 nos.
    (PB= 2 & MB= 82)
    23 nos.
    (PB= 0 & MB= 23)
    11.Total MCR foot-wears distributed to both PB & MB Leprosy patients.360 pairs.509 pairs.231 pairs.22 pairs.
    12.Total Self-Care Kit provided to both PB & MB Leprosy patients.29 nos.19 nos.99 nos.30 nos.

    Allocation of fund for 2013-14 as per P.I.P.
    Budget allocation = Rs. 219.15 lac.

    Sl. No.ActivitiesAmount approved
    (Rs. In Lac)
    Expenditure of 2013-14
    (Rs. in Lac)
    1.Contractual Services.42.1223.32
    2.Services through ASHA.5.952.68
    3.Office Expenditure & Consumables.19.306.95
    4.Capacity Building.17.8213.97
    5.I.E.C.26.468.89
    6.Mobility Support.44.5019.40
    7.Disability Prevention and Medical Rehabilitation (DPMR).9.103.49
    8.Special Activities for high endemic districts.7.501.72
    9.Materials and Supplies18.363.41
    10.Services in Urban Areas13.841.53
    11.Travel Costs (For Regular & Contractual at State & District level).7.003.83
    12.Review Meeting1.200.38
    13.NGO6.00Nil
     Total(1 to13)219.1589.57

    Financial Summary of NLEP, Assam(2013-14)

    Sl. No.DetailsAmount
    1.Opening Balance as on 01-04-2013Rs. 67,31,900.00
    2.Fund receipt from Government of India for the financial year 2013-14(as on 14-08-2013)Rs. 57,09,000.00
    3.Fund receipt from Government of India for the financial year 2013-14(as on 28-02-2014)Rs. 19,95,000.00
    4.Loan from NHM, AssamRs. 7,00,000.00
     TotalRs. 151,35,900.00
    5.Expenditure in 2013-14Rs. 89,57,000.00
    6.Balance fund as on 31-03-2014Rs. 61,78,900.00
    (State + Districe)

    FINANCIAL SUMMARY of NLEP, ASSAM (2014-15)

    Sl. No.DetailsAmount
    1.Opening Balance as on 01-04-2014.Rs. 47,87,345/-
    2.Fund receipt from Govt. of India for the financial year 2014-15.48,00,000/- as a loan from NHM, Assam,
    against the sanctioned amount of 64.50 lac from Government of India.
     TotalRs. 95,87,345/-
    3.Expenditure in 2014-15.Rs. 79,67,106/-
    4.Balance fund as on 31.03.2015.Rs. 16,20,239/-
    (State HQ + District)

    Details of Fund available as on 31-03-2015

    Sl. No.DetailsAmount
    1.In the State Head Quarter.Rs. 5,26,649/-
    2.In the Districts.Rs. 10,93,590/-
     TotalRs. 16,20,239/-

    Allocation of fund for 2014-15 as per P.I.P.
    Budget allocation = Rs. 273.86 lac

    Sl. No.Activities.Amount approved
    (Rs. In Lac).
    Expenditure of 2014-15
    (Rs. in Lac)
    1.Contractual Services.58.5642.42
    2.Services through ASHA.8.502.06
    3.Office Operation & Maintenance.10.704.87
    4.Consumables.8.600.42
    5.Capacity Building.36.661.08
    6.I.E.C.27.001.74
    7.Mobility Support.44.5014.82
    8.Disability Prevention and Medical Rehabilitation (DPMR).17.996.82
    9.Specific Plan for high endemic districts.10.401.29
    10.Materials and Supplies18.361.35
    11.Services in Urban Areas13.840.13
    12.Travel Costs (For Contractual staffs at State & District level).2.000.72
    13.Review Meeting2.000.39
    14.NGO – Scheme.9.75Nil
    15.Others (Travel expenses for regular staffs for specific programme / training needs, awards, etc .)5.001.54
     TOTAL (1 to 15)273.8679.65

     

    Budget and Expenditure in 2015-16
    Budget allocation in P.I.P. of 2015-16=Rs. 0.90 Cr.

    Sl. No.ActivitiesAmount Proposed in Action Plan of 2015-16 (Rs. In Lac)Expenditure of 2015-16 (up to Jume, 2015) (Rs. In Lac)
    1.Constractual Servieces64.427.16
    2.Servieces through ASHA8.500.04
    3.Office Operation & Maintenance10.700.67
    4.Consumables8.600.01
    5.Capacity Building41.46 
    6.I.E.C.27.00 
    7.Mobility Support44.501.76
    8.Disability Prevention and Medical Rehabilitation (DPMR)30.950.88
    9.Specific plan for high endmic districts10.40 
    10.Materials and Supplies23.840.19
    11.Servieces in Urban Areas14.72 
    12.Travel Costs (For Contractual staffs at State & District level)3.00 
    13.Review Meeting2.00 
    14.NGO-Scheme11.25 
    15.Other (Travel expenses for regular staffs for specific programme / training needs, awards, etc.)5.000.01
     Total (1 to 15)306.3410.72

    Financial Summary of NLEP, ASSAM (2015-16)

    Sl. No.ActivitiesAmount
    1.Opening Balance as on 01-04-2015.Rs. 16.00 lac
    2.a) Fund receipt from NHM, Assam on 15/06/2015.Rs. 9.50 lac
    b) Fund received from NHM, Assam as loan on 27/07/2015.Rs. 39.70 lac
    TotalRs. 65.20 lac
    3.Expenditure in 2015-16 (Up to June, 2015) .Rs. 10.72 lac
    4.Fund released to districts on 04/08/2015.Rs. 36.24 lac
    5.Balance fund as on 30.06.2015.Rs. 18.24 lac
    (State HQ + District)
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    National Leprosy Eradication Programme
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    Report of NLEP, Assam Till 29.10.20151.32 MBswf-image