The National Leprosy Eradication Programme (NLEP)
state action plan for the year 2008-09 has been prepared
as per guideline issued by Central leprosy Division,
New Delhi vide letter No. T 16011 / 6 / (38) / 2005
- 09 Lep (COORDN) dated 03.01.2008. The state action
plan for the year 2008-09 is based on the same activity
and expenditure norms of 2007-08 with slight modifications
Assam has already reached the goal of Leprosy Elimination,
i.e. PR below 1 per 10,000 populations at state level
by 31st March 2001and at district level 18 districts
(78%) out of total 23 districts also achieved elimination.
By 2004 December all the 23 districts had attained
the level of leprosy elimination. At present focused
attention is kept on the high prevalent blocks and
urban areas. The challenge to the state is not to
eliminate but totally eradicate the disease and the
profile of new case detection will be the main NLEP
indicator for Assam along with deformity and child
During the period from 01.04.2007 to 31.12.2007, 944
new leprosy cases were detected in Assam viz Kamrup,
Dibrugarh, Sivsagar, Tinsukia, Sonitpur district contributes
523 new cases. These 5 districts with 28 % of state
population contributes 55.48% of state's new case
loads as on 31.12.2007. The PR/10000 population as
on 31.03.2007 = 0.41/10000 population.
|1. Joint Director
of Health Services (Lep) Assam
|3. Zonal Leprosy
Medical Officer i/c Rajib Gandhi Leprosy Training
|6. Sr. M.&
|7. Ay. Physician
|8. Health Educator
|9. Non Medical
|10. Urban Leprosy
Social welfare Worker (LSWW)
|20. Staff Nurse
|21. Upper Division
|22. Lower Division
|26. Gr. IV
|27. Ward Boy
A.S.H.A., Village Health and Sanitation Committee,
PHC management committee, Rogi Kalyan Samiti, District
Health Societies, NGO, CBO, social worker may be involved
for IEC activities for early case detection.
Infrastructure Development: -
The working atmospheres of a few districts are
in deplorable condition and District Nuclei are
working in dilapidated houses. So new construction
of building is highly needed for improving the working
condition in a phase manner. The National Rural
Health Mission (N.R.H.M.), Assam, is requested for
construction of the Leprosy office room of the districts
to improve the working environment in a phase manner
(for 10 (ten) districts i.e. Golaghat / Dhemaji
/ Kamrup (Metro) / Chirang / Baksa / Udalguri /
Goalpara / Barpeta / Dibrugarh / Cachar.
The furniture (3 (three) tables; 3 (three) chairs;
1 (one) Almirah) may be provided to 27 (twenty seven)
nos. of District Nucleus Team (consisting of 1(one)
Medical Officer; 1 (one) NMS & 1 (one) NMA).
Preparation of Compact Dist (C.D.) on Leprosy
with expert artist in local language for extensive
I.E.C. C.D. will be distributed to each district
and the District Nucleus Team will display the C.D.
at various public gathering places to create awareness
about Leprosy, modern treatment, curability, misconception
and disability prevention.
Infrastructure : Contractual staff
State Leprosy Society (SLS) : The following
contractual officers and staff are engaged in the
State Leprosy Society Assam, which may be allowed
to continue for the year 2008 - 2009.
Additional Requirement: -
1 (one) Coordinator may be appointed on contractual
basis in State Head Quarter for coordinating various
Anti-Leprosy activities among the Community, Health
District level :
12 Nos. driver on contractual basis were engaged the
following districts, which may be allowed to continue:
1. Kamrup 2. Nalbari. 3. Bongaigaon. 4. Dhubri. 5.
Nagaon. 6. Morigaon. 7. Sonitpur. 8. Sivsagar. 9.
Jorhat. 10. Dhemaji. 11. N.C. Hills. 12. Golaghat.
OBJECTIVE - STRATEGY & ACTIVITY
OBJECTIVE: The objective for the Annual Plan
for the year has been drawn up based on the objective
of PIP for the 11th plan (April 2007 to March 2012)
I. Further reduce the leprosy burden in the State.
II. Provision of high quality leprosy services for
all persons affected by leprosy, through General Health
Care System including referral services for complicated
and chronic cases.
III. Enhanced Disability Prevention & Medical
Rehabilitation (DPMR) services for deformity in leprosy
IV. Enhanced advocacy in order to reduce stigma and
stop discrimination against Leprosy affected persons
and their families.
V. Capacity building among Health Service personal
in integrated setting for rural and urban areas.
VI. Strengthen the monitoring and supervision component
of the surveillance system.
STRATEGY: There are five basic components
in the annual plan strategy for the year 2008-09.
1. Integrated Leprosy Services and Special initiatives:
An integrated approach that uses primary health-care
workers to deliver easily accessible leprosy services
at a health facility near patients' homes will continue
to be the key strategy. This will also ensure the
sustainability of services in the future.
2. Disability Prevention and Medical Rehabilitation
(DPMR): More emphasis will be given on Disability
prevention among new leprosy cases and Reconstructive
Surgery (RCS) services for leprosy deformed cases.
3. Community Education (IEC) and Advocacy Efforts
: Guidelines and norms given by GOI during the
year 2007-08 will be continued during the year 2008-09
is to be utilized for IEC campaign on the theme "Towards
Leprosy Free India". The major head to be
cover are: -
4. Coverage will have to move from high - risk
centre to general community.
5. Intensive IEC with target groups will be
given more emphasis for removal of social stigma.
6. Leprosy IEC will be integrated with IEC
of other health programme under NRHM.
The messages to be given through IEC will be: -
Complete curability and less contagious nature
of the disease.
Availability of good quality treatment (with
MDT) free of cost from all Govt. health facilities.
Rectifying deformity is possible through surgery.
Leprosy affected person on treatment can live
a normal life along with their family.
Training & Capacity Building:- Training
will be a continuous process during the year 2008-09
which will include :-
Training of private practitioners, Dermatologist and
other Registered medical practitioners - 1 (one) day.
Training for new entrants :- MO, HS, HW (M &
F) - 4 days
Training to 2 (two) Lab. Tech. from each district
Hospital & 1 (one) from each CHC - 5 days
Training of ASHA for half days
Training of surgeons of district Hospital who
are willing to conduct the reconstructive surgery
The above training will be conducted by ILEP
Disability Prevention and Medical Rehabilitation
This is a major activity during the current year.
Procurement of MCR foot wear, splint and appliances
for needy patients.
Welfare allowances for RCS patients from BPL
families and reimbursement to Govt. Hospitals will
Silchar Medical College & Hospital, Silchar and
Gauhati Medical College & Hospital, Guwahati,
are identified for DPMR. It is suggested by the Head
of Department of Plastic Surgery, Gauhati Medical
College & Hospital, Guwahati, to appoint the following
staff for smooth functioning, such as, reporting,
management of post-operative patients: -
1 (one) Computer Assistant for recording and
1 (one) Physiotherapist for maintenance of post-operative
1 (one) Splint Technician to make splint.
1 (one) Social worker for patients motivation,
community, patients' family.
1 (one) Occupational Therapist
Urban Leprosy Control Programme :
Urban Leprosy Control Programme has been implemented
in the following city / Towns:
Medium size city: - Guwahati.
Township: - Dibrugarh, Nagaon, Silchar.
The following new urban area is required for implement
the urban leprosy control programme for the year 2008
- 2009 in addition of existing city / Town ship where
the urban leprosy control programme is implemented.
The following have to procure during the year 2008
- 2009: -
1. Supportive Drugs
2. Laboratory reagent / equipment
3. Printing of forms / register etc.
Incentive for Accredited Social Health Activist
A provision for incentive @ Rs. 300/- for PB cases
(6 doses) and @ Rs. 500/- for MB cases (12 doses)
may be provided to A.S.H.A. subject to assisting the
health centre in detection & completion of treatment
by the leprosy affected persons.
Estimated case detection and completion of treatment
for the year 2008-09 = 1200 nos. (MB = 900; PB = 300).
A.S.H.As assisting the Health Centres in detection
of cases and completion of treatment of Leprosy affected
persons = 600 nos. (MB = 450; PB = 150)
International Federation of Anti Leprosy Association
As per Memorandum of Understanding (MOU) signed between
Govt. of India and ILEP on 24th October 2007. The
MOU provides a framework for collaboration between
Govt. of India and ILEP partner during the period
April 2007 to 31st March 2012. ILEP support at state
level will focus on strengthening of district nucleus,
state leprosy unit and supervision & monitoring
Accordingly the "Italian Leprosy Relief Association
(Associations Italine Amica Di Raoul Follerean) -
AIFO India will provide support to Assam as intimated
by Deputy Director General (Lep) Nirman Bhawan, New
Delhi vide letter No. M 12014 / 22 / 2002 - Lep (COORDN)
NLEP Monitoring & Evaluation :-
Regular maintaining and surveillance at state, district
and block level will be continued to locate weak areas.
So that needed plan corrective action can be taken
in time. District Nucleus will be the basis structure
of the district leprosy society and will supervise
and monitor at the programme at the peripheral level.
Review meeting at state level - 2 Nos. (half
Review meeting at district level - 4 Nos. (Quarterly)
Supervision and travel cost for contractual staff
MDT supply and management cost (Transportation
from state HQ) to district.