1. Staff Updating & Review meeting Netherlands Leprosy Relief, India Ramnagar, 8 th & 9 th December 2010 Presented by Dr. J. B. Singh ILEP State Coordinator, NCT of Delhi 1

2. Field visits (DN supervision days) QuarterPlannedPerformedNo. of Total field visits 1 st 181740 2 nd 162034 3 rd 181630 4 th 1513( Oct. & Nov. ) 24 Total6766128 2

3. Mar-07Mar-08Mar 2009 March 2010 Population 172495661790677418589022 19297262 Start of MDT 1989 PR at start of MDT 17/10000 Prevalence Rate 1.53 0.670.74 0.69 New cases detected Apr-Mar 31461.8213317.416318.77 14487.50 MB in new cases ( %) 183458.377658103363.34 88160.84 Children in new cases( %) 1384.39926.9794.84 785.39 Females in new ( %) 58318.53322539324.10 34323.69 Disability (new-cases) GrI ( %) 1098.1 1177.17 15010.36 Disability (new-cases) GrII ( %) 1865.91957.11438.77 1178.08 SC cases in new cases 000000 00 ST cases in new cases 000000 00 Cases on record (PR/10000) 26411.5311950.6713690.74 13300.69 New Changes in NLEP Situation

4. TCR : Reporting year 07-08, 08-09 & 09-010 Sl. No. Name of District PB %MB % 07 - 0808 - 09 09 - 010 07 - 0808 - 09 09 - 010 1East 50 72.41 24.7 36 65.52 28.57 2Northeast 60.4 63.16 52.07 31.5 77.78 59.91 3North 70 65.85 80 63.57 52.63 64.7 4North West46 58.11 56.97 23.44 43.2 51.94 5West 50 86.44 58.55 29.41 69.09 37.2 6Southwest 54.7 64.86 62 34.2 46.30 48.4 7South 76.3 72.22 47.42 50 48.84 68.79 8New Delhi 42.5 70.73 73.9 33.58 40.35 56.7 9Central 89.481.82 80 89.295.00 83.6 Total 57.56 67.18 55.84 39.8 55.41 53.75

5. New Cases from Delhi & Outside 2009-10

6. Gaps/Needs Identified Poor supervision & monitoring Poor referral syatem Very poor TCR 6

7. Gantt. Chart showing Annual Progress Report-2010 S. N. Activities (NLR supported)1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 1 Leprosy workshop for GHC staff (ANM, SN&PHN) Planned NIL 323 Performed NIL 313 2 MDT workshop for Pharmacists & Store Keepers Planned NIL 333 Performed NIL 323 3DN meeting on result based POA 2011-2012 Planned NIL 1 Performed NIL 1 4 District Advocacy meeting Planned NIL 1 Performed NIL Nil 7

8. Gantt. Chart showing Annual Progress Report-2010 S. N. Activities (ILEP supported)1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 5 NLEP Review Meeting (2 in no.) Planned NIL 1 1 Performed NIL 1 1 6 Sensitization of CDMOs, DLOs & NUHM officers Planned NIL 1 Performed NIL 1 7 Sensitization of MSs Planned NIL 1 Performed NIL 1 8 Advocacy meeting of Health Agencies Planned NIL 1 Performed NIL 8

9. Activities Completion Report 2010 Result Based ActivitiesBatches Planed Batches Done No. Planned No. Participated Result-1: Case detection & Case management improved 1.Workshop on Leprosy for GHC Field Staff 87210173 Result-2: MDT management management – 1.MDT Workshop for Pharmacists and Store Keepers 98340181 9

10. Activities Completion contd… Result Based ActivitiesBatches Planed Batches Done No. Planned No. Participated Result-3: Accessibility to leprosy services improved - 1.District Advocacy meeting 1Nil 2. State Advocacy meeting gencies 1Nil Result-4: Programme management improved - 1. NLEP review meeting 226071 2. Reorientation of DN on result based planning 2011-2012 112022 3. Sensitization of CDMOs, DLOs and NUHM 112313 10

11. Activities Completion contd… Result Based ActivitiesBatches PlanedBatches Done No. Planned No. Participated 4. Sensitization of MS 113015 11

12. Districts/ State Training Batch Category of StaffDates of Facilitation Remark South1Pharmacists & Store Keepers 16 & 17 Feb. North2do19 Feb. & 9 Mar. 3Medical Officer12, 22 & 23 Mar. North East1Pharmacists & Store Keepers 11 Mar. State1MOs ASHA units25 March 1NSS4 Aug. 1NLEP review meeting6 Aug. 12 Facilitations in State Trainings During 2010

13. Activities not performed Name of the Activity- (With No. of Batches) 1.Leprosy workshop for GHC staff (ANM, SN&PHN)-1 batch 2.MDT workshop for Pharmacists & Store Keepers – 1 batch 3.District Advocacy meeting – 1 batch 4.State Advocacy meeting – 1batch Reasons for non-completion- No 3 & 4 : May be completed No. 1 & 2 : District not willing 13

14. 14 Planned ActivitiesBudgetBudget UtilizedReasons for non Utilization Leprosy workshop for GHC staff (ANM, SN&PHN) 88,000.0049,548.00 Low attendance Saving attitude and Pending activities MDT workshop for Pharmacists & Store Keepers 1,12,500.0072,627.00 DN meeting on result based POA 2011-2012 13,450.0011,483.00 District Advocacy meeting 4,900.00--- NLR Budget Utilization 2010

15. SCP15 Planned ActivitiesBudgetBudget UtilizedReasons for non Utilization NLEP Review Meeting (2 in no.) 38,100.0036,512.00 Low attendance Saving attitude and Pending activities Sensitization of CDMOs, DLOs & NUHM officers 29,650.00+ Sensitization of MSs 36,550.0046,488.00 Advocacy meeting of Health Agencies 32,200.00--- ILEP Budget Utilization 2010

16. 16 Major Challenges Migratory population Population density of 12000 / Sq. Km. 40 % slums population Multiple agencies providing health care e.g. NDMC, MCD, Delhi Cantt. Board etc. Poor coordination between agencies leading to difficulties in reporting, indenting & referral

17. 17 Major Challenges - contd. Last priority to NLEP Poor man power ( DN & GHC staff ) Multiple responsibilities with DLOs. All these leading to 1.Poor supervision & monitoring 2.Poor referral system and 3.Very poor TCR ( Near to 50% )

18. GANTT Chart for the year 2011 Quarterly Activity as planned1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 1.Workshop for Paramedical Workers on Leprosy in 9 batches 2. 2 days TOT for NMS of DN 3.Training of Medical Officers ASHA Units 2 batches 4.Training of final year Medical Students of all 5 medical colleges in 7 batches 5.1 day District Workshop of D.N. on result based POA 2012-13 18

19. GANTT Chart for the year 2011 Quarterly Activity as planned1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 6. Advocacy meeting 15 Participants of New Delhi district 7. Advocacy meeting of different health agencies 8. 2 Quarterly Review meetings of D.N. 9. Sensitization Workshop of CDMOs, DLOs and NUHM Officers 10. 2 days Workshop for DN in supervision and monitoring of NLEP 19

20. GANTT Chart for the year 2011 Quarterly Activity as planned1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 11. 2 Quarterly Coordination meeting of Delhi NLEP partners 12. Training of newly posted DLOs (5 in no.) for 5 days at TLM hospital Naini 13. Evaluation of NLEP of NCT of Delhi (Duration 1 week) 14. Sensitization Workshop of Medical Superintendent 15. Sensitization Workshop of referral teams 20

21. GANTT Chart for the year 2011 Quarterly Activity as planned1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 16. Training of 3 Delhi surgeons for RCS At TLM Hospital Naini 17. Training of 3 PTs. In Physiotherapy for RCS At TLM Hospital Naini 21

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26. 26 Thanks