1 Quarterly Progress Report Staff Updating & Review meeting Netherlands Leprosy Relief, India DHANBAD, 7-8 July 2010 Presented by Dr.H.C.Pandey ILEP State Co-ordinator,U.P. Lucknow.

2 Gantt. Chart showing Quarterly Progress Report S. N. ActivitiesJanFebMarAprMayJunTotal 1½ day ANMs Training workshop at Unnao Planned Nil Nil25354 Performed Nil Nil ½ day ASHAs Training workshop at Kannauj Planned Nil ,444 Performed Nil POD & Self Care in villages workshop at Kalyanpur Kanpur Nagar Planned Nil 20Nil 20 Performed Nil 25Nil 25 4POD & Self Care in villages workshop at Bilgram -Hardoi Planned Nil 20 Performed Nil 27

3 Gantt. Chart showing Quarterly Progress Report S. N. ActivitiesJanFebMarAprMayJunTotal 1 1 st Review meetings at CHC Kalyanpur on 21/05/2010 Planned Nil 25Nil25 Performed Nil 07Nil nd Review meetings at CHC Kalyanpur on 21/06/2010 Planned Nil 25 Performed Nil 12

4 Activities Completion Report st & 2 nd Quarter Result Based ActivitiesAllocated Budget for the quarter Batches Planned Batches Done Total Expenditure Result-1 GHC Staff performance improved ½ day Sensitization workshop of ANMs at District Unnao. 11,604 :- 1 st Qtr. 46,416 :- 2 nd Qrt. 09 (354) 09 (278) 18,109=00

5 Half Day Sensitization of ANMs at CHC Nawabganj Unnao on 23 rd March 2010

6 Half Day Sensitization of ANMs at CHC Bighapur Unnao on 05 th April 2010

7 Activities Completion Report st & 2 nd Quarter Result Based ActivitiesAllocated Budget for the quarter Batches Planned Batches Done Total Expenditure Result-2 : Leprosy Services established under NRHM ½ day Sensitization workshop of ASHAs at District Kannauj. 25,000 :- 1 st Qtr. 25,000 :- 2 nd Qtr. 07 (1,444) 07 (714) 36,097=00

8 Half day Sensitization of ASHAs at CHC Saurik Kannauj on 15 th May 2010.

9 Half day Sensitization of ASHAs at CHC Chhibramau Kannauj on 04 th June 2010.

10 Activities Completion Report st & 2 nd Quarter Result Based ActivitiesAllocated Budget for the quarter Batches Planned Batches Done Total Expenditure Result-3 : DPMR Services improved 02 days POD & Self Care in villages workshop at 43,848 :- 1 st Qtr. 43,848 :- 2 nd Qtr. 1) CHC Kalyanpur K.Nagar 21 & 22/04/ (20) 01 (25) 17,218=00 2) CHC Bilgram, Hardoi 29 & 30/04/ (20) 01 (27) 14,214=00 1 st Review meetings at CHC Kalyanpur on 21/05/2010 Included with POD & Self Care workshop 01 (25) 01 (07) 970=00 2 nd Review meetings at CHC Kalyanpur on 21/06/2010 Included with POD & Self Care workshop 01 (25) 01 (12) 1504=00 Total33,906=00

11 02 days Self Care training cum Practice workshop at CHC Bilgram Hardoi On 29 th June 2010

12 02 days Self Care training cum Practice workshop at CHC Bilgram Hardoi On 30 th June 2010 Footprints taken by GHC Staff.

13 NLR Activities performed All three NLR activities for 2010 have been completed. 1)Half day Sensitization workshop of ANMs at Distt. Unnao( Batches :- 09 ) 2)Half day Sensitization workshop of ASHAs at Distt. Kannauj ( Batches :- 07) 3)02 days POD & Self Care in villages workshop 1) At CHC Kalyanpur Kanpur Nagar ( Batch :- 01) 2) At CHC Bilgram at Hardoi ( Batch :- 01) 4) 1 st Review meeting at CHC Kalyanpur on 21/05/ ) 2 nd Review meeting at CHC Kalyanpur on 21/06/2010.

14 ILEP activities planned and completed in the districts since January 2010 Till June SNSN Description of activities Place/ Venue DatesNumber of Particip ants Planned No Participated 1.Training of trainers ( T.O.T) Charans Guest House, C-60, Nirala Nagar Lucknow. 27 th April to 30 th April ( 04 days ) DLOs 10 NMS / PTT 10 ILEP / WHO members

15 Comments Difficulties faced ½ day Sensitization workshop of ANMs :- At District Unnao. 1) No notable problem faced during Sensitization of ANMs except :- a)For Sensitization workshop at CHC Bichhia 04 dates were given & only on 4 th date workshop could be completed. b)At PHC Sumerpur & CHC Bangarmau ANMs went on coming even after 01 hour start of the workshop. Rest no problem Expectations from District/State/NLR 1) DLO /DN has promised that above problems will not be faced in future.

16 Comments Difficulties faced ½ day Sensitization workshop of ASHAs :- At District Kannauj. No major problem faced during Sensitization of ASHAs except :- 1)At CHC Tirwa seating arrangement was not up to the mark. 2)At CHC Chhibramau 01 ASHA started saying that we (ASHAs ) are getting Rs. 100=00 for trainings. But here they are getting only Rs. 50=00. Expectations from District/State/NLR 1)Supdt. CHC Tirwa made the proper seating arrangement for workshop. 2)At CHC Chhibramau DLO who was present at the workshop & Supdt. CHC told the ASHA that for this activity only Rs. 50=00 has been sanctioned as per diem by Director General, Medical Health Services, U.P.

17 Comments Difficulties faced 02 days POD & Self Care in villages workshop At CHC Kalyanpur, Kanpunagar :- 1)Accommodation for the workshop was insufficient. At CHC Bilgram Hardoi :- No Problem faced. Expectations from District/State/NLR 1)DLO Kanpur Nagar & Supdt. CHC Kalyanpur has promised for selection of big room for such activities in future.

18 Epidemiological Status U.P Epidemiological Status U.P Population of U.P. :- 20,37,63,851 Leprosy cases at end of March 2010 :- 16,484 New case detection from 1 st April 2009 to 31 st March 2010 :- 27,473 ANCDR per 1,00,000 popul. Prev. Rate per 10,000 popul. as on Child Rate among New Cases (In %) Deform-ity Rate Among New Cases (In Gr. II %) %age of MB among New Cases Detected (In %) %age of Female among New cases ( In %)

19 S. No. DPMR activitiesDuring the month March, 2010 Cummulative total from April till March, 2010 PBMBTotalPBMBTotal 1No. of reaction cases recorded No.of reaction cases managed at (i) PHC (ii) District Hospital No. of suspected relapse cases referred by PHCs No. of relapse confirmed at District Hospital No. of cases developed new disability after MDT NLEP- Monthly Reporting Form Uttar Pradesh State Report

20 S. No. DPMR activitiesDuring the month March, 2010 Cummulative total from April till March, 2010 PBMBTotalPBMBTotal 6No. of patients provided with footwear No. of patients provided with self care kit No. of patients referred for RCS at tertiary Instts No. of institu tes provid ing RCS Govt NGO 2222 Total No. of patie nts - RCS done Govt NGO Total Contd……..

21 Major Problems Identified in the District in NLEP Programme S.N o. ProblemsSuggestions 1.DPMR forms are not available in HCFs of all districts. Even available in districts, NMSs & NMAs of HCFs do not know to fill up the forms correctly. DLOs have been requested for printing & distribution of DPMR forms but they complain of shortage of Budget etc. SLO may kindly look into it. DLO / DN in NLEP monthly meetings should demonstrate ST, VMT & filling of DPMR forms. 2.DN Staff do not get vehicle for Supervision in periphery where as 01 vehicle on road is available with DLO, so Supervision is weak. DLOs are requested to spare NLEP vehicle to DN staff for Supervision when they are working in office & not going to field. 3.Knowledge of NLEP / GHC Staff is weak in POD & Self Care. Workshop on POD & Self Care in villages to be organised in all the districts. 4.Healthy Contact Examination is not done in every District of Lucknow zone. DLO & DN on his Supervision should see that Healthy Contact Examination of every cases is done.

22 Major Problems Identified in the District in NLEP Programme S.N o. ProblemsSuggestions 5.ST & VMT is not done in every District.ST & VMT to be demonstrated to NLEP Staff in their monthly meetings. Most of the NLEP Staff do not know about correct VMT. 6.ATP is prepared by all Districts but Supervision report & Validation report is neither prepared nor sent to SLO in few districts. DLOs are requested to prepare ATP every month & Visit to be made as per ATP. Supervision & Validation report to be sent to SLO regularly. 7.Validation of Cases is poor.Validation of cases to be improved by DN. 8.Referral Unit is established in all 07 Districts of Lucknow zone but cases are not referred from periphery to referral unit in all districts. DLO / DN should make wide publicity about constitution of referral unit in District Hospital among all HCFs & NLEP Staff.

23 Feed Back on ½ day Sensitization of ANMs & ASHAs. ANMs :- ANMs were trained in District Unnao. ANMs referral of Leprosy case is negligible only 04 cases are referred & confirmed from total district till June Training was performed in May & June ASHAs :- ASHAs were trained in District Kannauj. In Last weak of April :- 01 batch ( 60) rest May & June After training cases by ASHAs are referred & confirmed in no. of 02 to 03 cases from each CHCs / PHCs. Leprosy Cases recorded are mostly referred by ASHAs.

24 Activity plan July – Dec’2010 We are of the opinion that :- 1) Improved Case findings :- ASHAs ½ day Sensitization workshop will be more fruitful. 01 more district may be taken. ASHAs at POD & Self Care Camp at CHC Bilgram, Hardoi has shown much interest. 2)Improved Disability Management & Rehabilitation :- Self Care Camps may be organized in district Sitapur or Kanpur Dehat. 3)Educational Support :- Improved educational status of PAL’s Children. For PALs attended Self Care Camp / workshop at Kalyanpur, Kanpur Nagar & Bilgram, Hardoi. 4)Improved Office Management :- Upgradation of NLR State Office( Lucknow ). Requirements are :- 1) Office Chairs :-06 2) Table for Fax Machine :- 01 3) Rack Almirah :- 01 4) Refrigerator 300 Ltr. :- 01 5) Air Conditioner 02 tons( Split AC ) :- 01 6) Room Cooler :-01 7) Wall Clock :-01

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