1. Staff Updating & Review meeting Netherlands Leprosy Relief, India DHANBAD, 7-8 July 2010 Uttarakhand (self Care and support) Presentation by: NMS: Mr. Lazarus Chhetri

2. Self Care Groups-Status Since Jan-08 to June 10 No of Colonies Identified for SCPractice No of Colonies Started SCPractice Total No. of PAL of PAL No of PAL started startedSCPractice No Practicing Regularly 1919551551536

3. Self Care Group-Outcome Period PALs with Ulcer (Basic) Ulcers Healed New Ulcer Developed January to June 09 269 145 (54%) 3*3*3*3* July to December 09 127(124+3 *) 58 (46%) 5*5*5*5* January 10 to June 10 74(69+5 *) 15 (20%) * 5 No. Cases for RCS: 56 Referred 30 cases in 2009 Done 10 cases 0ct 2009 (Since Jan. 09 To June 10 - Healing is 87.47%) * 73%-Improving

4. Aids-Appliances provided Since Jan 2009-June 2010 Foot wears Crutches Wheel chair Tricycls Grip aids Goggles Others/ art limb No of PAL in need 55146181474112 No. of PAL provided 25037181414111 No. of PAL remaining to be provided 3019--6--

5. Support in education of children (Bags, Stationary, Dress.Fee etc) No. of children Identified No. of children provided Remaining children to be supported Up to Vth Class --- Up to X class 44- Higher education ---

6. School bags and dresses

7. S. E. Rehabilitation-status Vocationa l training Financing /loan Housing, drainage, etc Electrici ty Other No of PAL in need ---- Business – 2 No of PAL provided ----- Comments – 1. Renovation of 03 colonies of Dehradun are being done by Social Welfare department. 2. Candle making in 1 and Agarbati making in 2 PAL homes

8. Self Care Practice at Home State - Uttarakhand No of Districts/PHCs Planned- Garhwal – 04 Blocks No of Districts/PHCs: Started - 01 DistrictPHC No of PALs Started No with Ulcers DehradunDoiwala 2301

9. Teaching aid: LCD

11. S.S.O

12. Supervisors in SC Practice Villages S.S.O.

13. Recapitulation next day

14. Assessment and screening

15. How the Subordinator Officer in paramilitary force got disability due to: Incomplete treatment Negligence Not following instruction (Mr. Bhatt stated his sad story himself to PALs)

16. Aids-Appliances provided in Self Care at Home Foot wears Crut ches Whee l chair Tcycl e Grip aids Goggl e / Specs Other s No of PAL in need 13---12/7- No. of PAL provided ------- No. of PAL remaining to be provided -------

17. Problems & Obstacles ► Supervisors are reluctant to work as they are not being given TA and per diem.  They are using their own mobikes for work  Using their mobiles to contact PALs/ASHAs  One PAL, unhappy not being fulfilled the demand of Rickshaw (as he agreed to pay 50% cost)  Exchange of homes by PALs  Non healing due to begging  MCR availability is being difficult

18. Suggestions ►S►S►S►Supervisors may be considered some incentives ►O►O►O►Our suggestion is that the Tricycles should be provided to long standing non healing ulcers ►W►W►W►We have noticed a thick sole good looking chapal of a branded company costing about Rs. 250/- may be useful to replace MCR (being used by some PALs of their own, with good response, comfortable and durable)