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NLEP NEWSLETTER Master Issue October 2018 – September 2020

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NLEP NEWSLETTER Master Issue October 2018 – September 2020 NLEP NLEP NEWSLETTER Master Issue October 2018 – September 2020 National Leprosy Eradication Programme Publication Central Leprosy Division MESSAGE Prof. Sh. Sunil Kumar Sh. Rajesh Bhushan Ms. Vandana Gurnani, Director General of Health Services, Secretary (Health), Additional Secretary and Ministry of Health & Family Welfare, Ministry of Health & Family Welfare, Mission Director (NHM), Government of India Government of India Ministry of Health & Family Welfare, Government of India I am extremely pleased to Dear Readers, Dear Readers, know that Central Leprosy It gives me immense pleasure National Leprosy Eradication Division of Directorate to note that the National Programme is one of the key General of Health Services is Leprosy Eradication Disease Control Programmes coming up with the Master Programme is bringing out under the aegis of National Issue of NLEP Newsletter. the Master Issue of NLEP Health Mission. India, having This is the special issue that Newsletter. The Issue contains the largest burden of leprosy combines the major initiatives taken for NLEP and events in condensed information not globally, needs strategic the past two years, like setting only about various policy interventions at ground level up of programme priorities, initiatives of MoHFW, but also to eradicate the disease. This success stories, community enumerates signicant Master Issue inter alia level best practices, and achievements of various captures the major new contribution of Mahatma States under NLEP. I hope the policy decisions taken by the Gandhi Ji in the anti-leprosy State Leprosy Programme Ministry of Health to make work done in India. This issue Ofcers shall be hugely India Leprosy Free. My also includes glimpses of benetted by the enriching heartiest congratulations to conduction of Sparsh Leprosy content of this Master Issue the CLD team to have come Awareness Campaigns -2019 and shall endeavor to up with this informative and & 2020 across India. replicate some of the good comprehensive issue of I congratulate the Editorial team for their consistent effort models under NLEP in their NLEP Newsletter. in compiling important and respective states. current activities of NLEP though this newsletter. 1 NLEP Master Issue NLEP October 2018 – September 2020 Dear Readers, IN THIS ISSUE It gives me immense pleasure to present „ Policy Initiatives the Master Issue of • Inclusion of Leprosy screening under RBSK, the NLEP Newsletter. RKSK and CPHC. • Goal to achieve zero discrimination against Due to various leprosy in India extraneous reasons, • Launch of Operational Guidelines for Active Case Ms Rekha Shukla the publication of the Detection & Regular Surveillance for leprosy Joint Secretary (Leprosy) Quarterly NLEP „ COVID-19 Special Section Ministry of Health & Family Welfare Newsletter has • Virtual Review Meetings with States /UTs during remained suspended Lockdown since Oct, 2018. Therefore, it was decided to bring • Tracking of “on treatment” leprosy patients out the Master Issue covering two years that were involved in migration amid COVID lockdown missed out, i.e. Oct 2018 to Oct 2020. An effort has „ Important Activities been made to encapsulate the important events • Operationalization of NIKUSTH and policy decisions pertaining to these 8 quarters • Independent Evaluation of the Indian: National under NLEP. Our endeavor throughout has been to Leprosy Eradication Programme by WHO give sustained momentum to the programmatic • Launch of three testimonial based short lms activities in order to make convincing progress in • Launch of ASHA ip book – eld guide to identify the direction of leprosy-free India. The major focus early signs of leprosy of the programme is on early case detection „ Special Activities in commemoration of 150th Birth through universal coverage of vulnerable Anniversary of Shri Mahatma Gandhiji population and to ensure timely & complete • Gandhiji’s Commitment to the cause of leprosy treatment of conrmed cases in order to prevent • Sparsh Leprosy Awareness Campaigns (SLACs) Grade II disabilities. NLEP also stands committed 2019 and 2020 • Poster Competition for School Children of Delhi on to the goal of zero case of child leprosy. With a the occasion of Anti- Leprosy Day view to achieve these goals, some major policy • Sparsh Leprosy Eradication Campaign (Oct, 2018 decisions have been taken by MoHFW. For to Oct, 2019) example, screening of children (0-18) years for „ Other Events leprosy has been integrated with Rashtriya Bal • 5th and 6th National Summits on Good and Swasthya Karyakram (RBSK) at Anganwadi Replicable practices in Public Healthcare System Centers, government schools, and also with in India Rashtriya Kishore Swasthya Karyakram (RKSK). • 20th International Leprosy Congress, Manila, The urban poor, vulnerable and migrant population Philippines and urban slums will be covered through „ Best Practices convergence of leprosy screening under National „ Urban Health Mission (NUHM). Besides, Success Stories from various parts of the country Community Based Assessment Checklist (CBAC) „ Meetings and Gatherings has been suitably modied inter alia to ensure • Important meetings and trainings conducted screening of leprosy in 30+ years population under under NLEP Comprehensive Primary Health Care segment of „ Spotlight/Photo Gallery Ayushman Bharat. New guidelines have been put • Glimpses of SLACs 2019 and 2020 in place to mainstream the case detection activities 2 NLEP Master Issue October 2018 – September 2020 NLEP on a regular basis, substituting the campaign actionable points emerging out of the said based approach, in order to ensure qualitative Evaluation have been shared with the screening and follow up of suspects for States/UTs and some key ndings are also conrmation of diagnosis and treatment. included in this issue. I am also happy to share Besides, trainings of district level data entry that State of Gujarat, and UT of Dadra & Nagar staff have been completed for online data entry Haveli received awards of best performing on the NIKUSTH portal. The Monthly and states/UTs under National Leprosy Eradication Quarterly Reporting formats have also been Programme at 5th National Summit on Good revised with a view to capture information on and Replicable Practices in Public Healthcare certain additional important district level System in India held at Assam. It is also indicators under the programme. Regular heartening to share that with the timely national and sub-national level review meetings interventions, the programme has succeeded in and trainings are being conducted involving keeping the leprosy services on track even multiple stakeholders in order to keep them during ongoing COVID-19 pandemic. The Issue updated about various technical and contains some details regarding the programmatic developments. Independent management of leprosy cases during the Evaluation of NLEP was conducted by WHO in ongoing pandemic. I hope the readers will nd Nov, 2019 with the participation of internal and this Master Issue useful. We look forward to external subject experts. The important your constructive feedback. NEW POLICY INITIATIVES INCLUSION OF LEPROSY SCREENING (MoHFW). Leprosy screening has been UNDER VARIOUS PRIME PROGRAMMES OF integrated under RBSK, RKSK, and CPHC. NATIONAL HEALTH MISSION (NHM). Children (0-18) years would be screened for • Comprehensive Primary Health Care, leprosy under Rashtriya Bal Swasthya Community Based Assessment Checklist Karyakaram (RBSK) at Anganwari Centers and in (CBAC) of Ayushman Bharat. government schools through Mobile Health Teams. Children of teen age group (13-19) yrs will • Rashtriya Bal Swasthya Karyakaram be counseled about leprosy at Adolescent (RBSK), Friendly Clinics under Rashtriya Kishore • Rashtriya Kishore Swasthya Karyakaram Swasthya Karyakaram (RKSK). Community (RKSK) Based Assessment Checklist (CBAC) has been Government of India is committed to achieve suitably modied interalia to ensure a Leprosy Free India. Early case detection through comprehensive screening of leprosy of 30+ universal coverage of vulnerable population and years population under Ayushman Bharat. timely & complete treatment of conrmed cases Revised Community Based Assessment in order to prevent Grade II disabilities are critical Checklist (CBAC) Form for Early Detection of initiatives in order to achieve this objective. NCDs, Tuberculosis (TB) and Leprosy: Five With a view to achieve this goal, major policy questions related to leprosy are mentioned in decisions have been taken by Central Leprosy Table here after. Division and Ministry of Health & Family Welfare 3 NLEP Master Issue NLEP October 2018 – September 2020 Part B: Early Detection: Ask if Patient has any of these Symptoms B1: Women and Men Yes/No Yes/No TB section Any hypopigmented patch(s) or discoloured lesion(s) with loss of sensation; thickened skin or nodules on skin Recurrent ulceration on palm or sole, or/and tingling/ numbness on palm(s) or sole(s) Clawing of ngers or/and tingling and numbness in hands and/or feet Inability to close eyelid. Difculty in holding objects with hands/ ngers or weakness in feet that causes difculty in walking Directions have been issued to all the States/UTs with State Nodal Ofcers of RBSK, RKSK and to ensure that leprosy screening is regularly NLEP on virtual platform on 20th and 21st taken up for all targeted age groups through October, 2020. A brief Training Module has also these platforms, and quick referrals are made for been developed for Leprosy screening for conrmation of suspect cases.
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