NLEP ANNUAL REPORT 2015 - 2016

1 National Leprosy Eradication Programme NLEP. ANNUAL REPORT . 2015 - 2016 . Central Leprosy Division Directorate General of Health Services Ministry of Health and Family Welfare Government of India Nirman Bhawan, New Delhi 110011. NLEP ANNUAL REPORT for the year 2015 -16. I. EPIDEMIOLOGICAL STATUS. Status in the Country st The year 2015 -16 started with lakh leprosy cases on record as on 1 April 2015 , with PR ,000. Till then 34 States/ UTs had attained the level of leprosy elimination. 551 districts ( ) out of total 669 districts also achieved elimination by March 2016 . A total of 163 high endemic districts (which reported Prevalence rate >1/10,000 population in any of the last three years) across 20 states/UTs were identified for conducting Leprosy Case Detection Campaign. During the year 2015 -16 also, Special activities with house to house survey was the main strategy along with IEC and capacity building of the workers and volunteers. These activities were carried out in the high endemic blocks of low endemic districts along with the blocks of high endemic districts.

2 Based on the reports received from all the States and UTs for the year of 2015 -16 (Annexure I), current leprosy situation in the country is as below: 1. A total of 127334 new cases were detected during the year 2015 -16, which gives ANNUAL New Case Detection Rate (ANCDR) of per 100,000 population, as against 125785. cases in 2014-15. 2. A total of 86028 leprosy cases are on record as on 1st April 2016 , giving a Prevalence st Rate (PR) of per 10,000 population, as against 88833 cases in 1 April 2015 . 3. Detailed information on new leprosy cases detected during 2015 -16 indicates the proportion of MB ( ), Female ( ), Child ( ), Grade II Deformity ( ), ST cases ( ) and SC cases ( ). 4. A total of 5851 Gr. II disability detected amongst the New Leprosy Cases during 2015 -16, indicating the Gr. II Disability Rate of / million population (Annexure-II). 5. A total of 11389 child cases were recorded, indicating the Child Case rate of (Annexure-III). 1. 6. Trend of leprosy Prevalence (PR) and ANNUAL New Case Detection (ANCDR) are indicated in the graph below: Note: The increase in new cases and prevalence during 2012-13 was attributable to the NLEP strategy to carry out extensive house to house survey for new case detection and to treat them with MDT to cut down the transmission potential in the future.

3 In 2015 -16, ANCDR has shown a static trend inspite of the extensive surveys carried out, covering both high and low endemic districts. Status in the States/UTs Further analysis of information received from the States / UTs (Annexure IV) has shown the following situation. 1. 34 States/ UTs had already achieved the level of elimination PR less than 1 case per 10,000 population and they are: Andhra Pradesh, Arunachal Pradesh, Assam, Bihar, Goa, Gujarat, Haryana, Himachal Pradesh, Jharkhand, Jammu & Kashmir, Karnataka, Kerala, Madhya Pradesh, Maharashtra, Manipur, Meghalaya, Mizoram, Nagaland, Odisha, Punjab, Rajasthan, Sikkim, Tamil Nadu, Telangana, Tripura, Uttar Pradesh, Uttarakhand, West Bengal, A & N Islands, Daman & Diu, Chandigarh, Delhi, Lakshadweep and Puducherry. 2. 2. One State (Chhattisgarh) and one (Dadra & Nagar Haveli) have remained to achieve elimination. Four more states/UTs namely Odisha, Delhi, Chandigarh and Lakshadweep have reported with PR>1/10,000 population, as on 31st March 2016 .

4 3. The rate of Grade II disability was more than 2 (per million population) in 23. states/UTs as on March- 2016 . 3. 4. Proportion of Child case was more than 10% of new case detected in 11 States/UTs namely (i) Andhra Pradesh , (ii) Arunachal Pradesh , (iii) Bihar , (iv). Maharashtra %, (v) Mizoram , (vi) Nagaland , (vii) Punjab ( ), (viii) D&N Haveli , (ix) A&N Islands , (x) Puducherry and (xi) Tamil Nadu %. Status in the Districts st 1. District wise situation on the basis of ANCDR as on 31 March 2016 is given in Annexure (V). 486 ( ) districts out of total 669, have ANCDR < 10 per 100,000 population and 80. districts have ANCDR > 20/100,000. Only 22 districts with ANCDR> 50/100,000 population are in Chhattisgarh (5), Gujarat (7), Maharashtra (3), Odisha (6) and Dadra & Nagar Haveli (1). Year wise endemicity of districts on ANCDR basis ANCDR/100,000 2010-11 2011-12 2012-13 2013-14 2014-15 2015 -16. <10 431 444 443 459 477 10. 486. 10-20 132 122 119 115 114 100.

5 >20-50 70 63 73 65 64 59. >50-100 7 11 13 16 11 20. >100 0 0 1 2 3 4. Total 640 640 649 657 669 669. st 2. District wise situation on PR basis as on 31 March 2016 is given in Annexure-VI. Progress in district situation during last 5 years is as below . Year wise Status of Districts on PR basis PR/10,000 2011 2012 2013 2014 2015 2016 . <1 530 542 528 542 532 551. 1-2 80 71 85 74 97 33. 76. 2-5 29 26 30 38 39 39. 5-10 0 1 6 3 1 3. >10 1 0 0 0 0 0. Total 640 640 649 657 669 669. A total of 551 districts ( ), out of total 669 districts have PR<1/10,000 population. The number of districts with PR between 1 to 2/10,000, have reduced from 97 to 76. Number of districts with PR>2/10,000 have increased from 40 to 42. As on March 2016 , only 42 districts in 7 States/UTs are having PR > 2/10,000. These states are Odisha (7),Chhattisgarh (14), Gujarat (9), Maharashtra (5),West Bengal (3), D&N. Haveli (1) and Delhi (3). 4. 3. Position of districts as per grade II disability status has been given in Annexure VII.

6 Gr. II. disability rate >2/million population has been reported in 328 districts( ). 4. A total of lakh ( ) new cases completed their treatment within the specified period and were released from treatment (RFT) as cured during 2015 -16(Annexure . VIII).Poor performing states are Nagaland ( ) and Uttarakhand ( ). 5. Among Others Cases , a total of 7045 ( ) completed their treatment on time and were released from treatment (RFT) as cured. (Annexure IX ). 6. Total number of cases released as cured during 2015 -16, comes to 1,28,588 ( ). This brings the total number of persons affected by Leprosy, cured of the disease, with MDT in the country, from the beginning till date to lakh ( million). Other Programme aspects A. DPMR Services Information pertaining to the Disability Prevention and Medical Rehabilitation (DPMR). as received from the States/UTs is given in Annexure XI. 1. Total 115 ( 61 and NGO- 54) Institutions have been recognized for conducting Reconstructive Surgery to correct the disability in Leprosy Affected Persons.

7 2. During the year 2015 -16 a total of 3107 RCS (Govt. 934 and NGO 2173) were conducted. 3. A total of 276 Relapse cases were confirmed and treated at District Hospitals. 4. MCR foot-wears were provided to 52227 Leprosy Affected Persons with Grade I. disability. Map of states showing Grade I disability rate is as below: 5. B. ASHA Involvement ASHAs under the NRHM were involved in Leprosy programme for last 8 years. However during 2015 -16, their participation has substantially improved. Out of the total 127334. new cases detected cases brought by ASHA were 29379( ). ASHAs also helped in completion of treatment in 22753 cases. Incentives were paid during the year to 20944 ASHAs. State/UT wise details are at Annexure XII. C. Child cases with Grade II disability To give focus on the policy of No. child cases with disability, information on the cases of Gr. II. disability in children was collected and compiled at the central level. Out of the total 11230. new child cases detected during 2015 -16, the number of child cases with Gr.

8 II disability was 162. State-wise details are placed at Annexure III. 6. D. Training (i) There are number of trainings on Leprosy held across India for enhancing efficiency of manpower. As per the reports submitted by states on training activities conducted during 2015 -16: Manpower trained during 2015 -16 Medical officer 9189, Health supervisor 4665, Health Workers 16436, Lab Technician- 305, NMS 399, Para Medical Workers 366 and ASHA/ AWWs-167649. Details are at Annexure X. (ii) Training was also conducted by the Central Govt. Leprosy institutes in the year 2015 -16. Central Leprosy Training & Research Institute, Chengalpattu ,Tamilnadu conducted 16 courses for 150 participates. Regional Leprosy Training & Research Institute, Gouripur, West Bengal has conducted 1 course for 9 participants, Regional Leprosy Training & Research institute, Raipur. Chhattisgarh has conducted 46 courses for 646 participants , DLC, physiotherapist and AYUSH MOs. Details are in Annexure XIII.

9 E. IEC /BCC. The various mode of communication for conducting IEC activities to spread awareness about leprosy at mass level has been undertaken at center &state level in the year 2015 -16. (i) State level As per the reports submitted by the states on IEC activities undertaken in the year 2015 -16, Newspapers advertisement, posters, Handbills, stickers, Pamphlets, leaflets, press conference/ Briefing/ Press Release, TV spots, Radio jingles, cinema slides , Talk on TV/Radio , Rath, Rallies Mela, Haat, Nukkad Natak/ Road show, Magic show, puppet show , folk dance/songs, Banners/Hoardings, Wall Painting, Exhibition's , and inter personal communication (Meeting, conferences, talks, door to door survey , quiz) have been actively undertaken. States like Gujarat, Rajasthan, Jharkhand & West Bengal have performed well as they have undertaken all four medium of communication (Print, Electronic, Traditional & other media). IEC. activities were carried out in a campaign mode during the Anti Leprosy Fortnight th th starting from 30 January 2016 and ending on 13 February 2016 .

10 7. (ii) Central level The IEC activities undertaken in the 2015 -16 at central level are printing of advertisement in newspapers in Hindi, English and Regional languages which were th released through DAVP on 30 January 2016 . Leprosy awareness drive was conducted by Indian Railway Catering and Tourism Corporation (IRCTC) through DAVP where message were displayed on flask, menu card , napkins cups etc. for disseminating awareness message to community. --x . 8. Annex - I. NATIONAL LEPROSY ERADICATION PROGRAMME. MONTHLY PROGRESS REPORT FOR THE YEAR 2015 -16 Page I. State/UT Census Cases on No. of new cases detected Cases on Population record record as on as on 3/15 at the end 03/16 of month PB MB Total Andhra Pradesh 52051927 3129 2243 2112 4355 2777. Arunachal Pradesh 1551368 26 6 27 33 26. Assam 33710695 858 178 603 781 791. Bihar 116076872 10328 9430 6755 16185 9142. Chhattisgarh 28276267 5941 5106 5334 10440 6738. Goa 1516220 55 17 119 136 136. Gujarat 65920133 4850 5844 4294 10138 6447.