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

Field visits (DN supervision days) QuarterPlannedPerformedNo. of Total field visits 1 st nd rd th 1513( Oct. & Nov. ) 24 Total

Mar-07Mar-08Mar 2009 March 2010 Population Start of MDT 1989 PR at start of MDT 17/10000 Prevalence Rate New cases detected Apr-Mar MB in new cases ( %) Children in new cases( %) Females in new ( %) Disability (new-cases) GrI ( %) Disability (new-cases) GrII ( %) SC cases in new cases ST cases in new cases Cases on record (PR/10000) New Changes in NLEP Situation

TCR : Reporting year 07-08, & Sl. No. Name of District PB %MB % East Northeast North North West West Southwest South New Delhi Central Total

New Cases from Delhi & Outside

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

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 MDT workshop for Pharmacists & Store Keepers Planned NIL 333 Performed NIL 323 3DN meeting on result based POA Planned NIL 1 Performed NIL 1 4 District Advocacy meeting Planned NIL 1 Performed NIL Nil 7

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 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

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 Result-2: MDT management management – 1.MDT Workshop for Pharmacists and Store Keepers

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 Reorientation of DN on result based planning Sensitization of CDMOs, DLOs and NUHM

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

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

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 Planned ActivitiesBudgetBudget UtilizedReasons for non Utilization Leprosy workshop for GHC staff (ANM, SN&PHN) 88, , Low attendance Saving attitude and Pending activities MDT workshop for Pharmacists & Store Keepers 1,12, , DN meeting on result based POA , , District Advocacy meeting 4, NLR Budget Utilization 2010

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

16 Major Challenges Migratory population Population density of / 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 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% )

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

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 days Workshop for DN in supervision and monitoring of NLEP 19

GANTT Chart for the year 2011 Quarterly Activity as planned1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 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

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 Thanks