Netherlands Leprosy Netherlands Leprosy ReliefRelief

Review MeetingReview MeetingUttarakhand StateUttarakhand State

Place —YWCA DelhiPlace —YWCA Delhi

Date-3Date-3rdrd – 5 – 5thth May 2010 May 2010

- Dr. V. S. Pal

Districts Covered – 7 District Districts Covered – 7 District March 2010March 2010

DistrictNew

CasesDisability Rate Gr I

Disability Rate Gr II

ANCDR / 1Lac

Chamoli 01 Nil Nil 0.23

Dehradun 86 15 5.8 5.74

Haridwar 193 3.62 2.6 11.42

Pauri Garhwal 29 Nil Nil 3.55

Rudraprayag 01 Nil Nil 0.37

Tehri Garhwal 10 Nil Nil 1.41

Uttarkashi 05 20 (1 no.) 20 (1 no.) 1.45

Districts Of Kumaon – 6 District Districts Of Kumaon – 6 District March 2010March 2010

DistrictNew

CasesDisability Rate Gr I

Disability Rate Gr II

ANCDR / 1Lac

Almora 10 Nil Nil 1.35

Bageshwar 06 17(1 no.) Nil 2.05

Champawat 13 Nil Nil 4.95

Nainital 33 6(2 no.) Nil 3.69

Pithoragarh 06 Nil Nil 1.1

U.S. Nagar 194 Nil 0.51 13.4

TOTAL State 587 4.08 2.04 5.91

Month and district wise visitMonth and district wise visit

DistrictDistrict DetailsDetailsYear 2010Year 2010

TotalTotalJanJan FebFeb MarMar

DehradunDehradunDt. of Visit-DistDt. of Visit-Dist 2020thth 44thth, 30, 30thth 33

No. HCF visitedNo. HCF visited 11 -- 22 33

HaridwarHaridwarDt. of Visit-DistDt. of Visit-Dist 4,7,194,7,19thth 11,15,2511,15,25thth 10,13,28th10,13,28th 99

No. HCF visitedNo. HCF visited 11 22 11 44

Pauri GrlPauri GrlDt. of Visit-DistDt. of Visit-Dist 2020thth -- 2929thth 22

No. HCF visitedNo. HCF visited 11 -- 11 22

Tehri GrlTehri GrlDt. of Visit-DistDt. of Visit-Dist 2727thth -- 55thth 22

No. HCF visitedNo. HCF visited 11 -- 11 22

ChamoliChamoliDt. of Visit-DistDt. of Visit-Dist 2525thth -- -- 11

No. HCF visitedNo. HCF visited 22 -- -- 22

Month And District Wise VisitMonth And District Wise Visit

DistrictDistrict DetailsDetailsYear 2010Year 2010

TotalTotalJanJan FebFeb MarMar

RudraprayagRudraprayagDt. of Visit-DistDt. of Visit-Dist

No. HCF visitedNo. HCF visited

UttarkashiUttarkashiDt. of Visit-DistDt. of Visit-Dist -- 1919thth -- 11

No. HCF visitedNo. HCF visited -- 22 -- 22

U.S. NagarU.S. NagarDt. of Visit-DistDt. of Visit-Dist -- -- -- --

No. HCF visitedNo. HCF visited -- -- -- --

NainitalNainitalDt. of Visit-DistDt. of Visit-Dist -- 2,17,282,17,28thth 2424thth 44

No. HCF visitedNo. HCF visited -- -- -- --

TOTALTOTALVisit-DistVisit-Dist 0707 0707 88 2222

Visited HCFVisited HCF 0606 0404 0505 1515

District Wise Activities-1District Wise Activities-1stst Quarter 10 Quarter 10

DistrictDistrict PlannedPlanned UnplannedUnplanned BatchesBatchesCompletedCompleted Total Total

TrainedTrained

DehradunDehradun Facilitators Facilitators trainingtraining

-- 11 11 0404

Tehri GrlTehri Grl Facilitators Facilitators trainingtraining

-- 11 11 0202

UttarkashiUttarkashi -- Supervisor Supervisor trainingtraining

11 11 1919

HaridwarHaridwar

Advocacy Advocacy meetingmeeting --

Block Block levellevel

11 8080

Facilitator TrgFacilitator Trg -- 11 11 0303

SC PracticeSC Practice

Qrt monitoringQrt monitoring--

All All homeshomes

CompletedCompleted

Replenishment Replenishment of S.Care kitof S.Care kit

All All homeshomes

CompletedCompleted

ILEP Supported State ActivitiesILEP Supported State Activities

SNSN ActivitiesActivities StatusStatus

11 Quarterly review meeting of DLOsQuarterly review meeting of DLOs Not heldNot held

22 Sensitization workshop of CMS Sensitization workshop of CMS Not yetNot yet

33Workshop on Decentralization Workshop on Decentralization Planning for DPMs NRHMPlanning for DPMs NRHM

Not yetNot yet

44 Advocacy meeting high endemic blocksAdvocacy meeting high endemic blocks 01 – Garhwal Division01 – Garhwal Division

55 Re-orientation SCG facilitatorsRe-orientation SCG facilitators Completed in StateCompleted in State

6 6 Quarterly monitoring of PALsQuarterly monitoring of PALs Completed in all 29 coloniesCompleted in all 29 colonies

77 Replenishment of SCG kitsReplenishment of SCG kitsCompleted in Garhwal - 19Completed in Garhwal - 19

PAL homesPAL homes

88 Prosthesis repair Prosthesis repair 01 case 01 case

99 RCS camp supportRCS camp support Camp postponedCamp postponed

1010 Self Care Practice in homesSelf Care Practice in homes Preliminary steps startedPreliminary steps started

Activities NLEP UttarakhandActivities NLEP UttarakhandSNSN ActivitiesActivities Performed-March 10Performed-March 10

11 Capacity building, re-orientation TraningCapacity building, re-orientation Traning MO (4 days)MO (4 days) 129129 MO (2 days)MO (2 days) 5555 ANM (3 days)ANM (3 days) 200200 L.Ts. (5 days)L.Ts. (5 days) 1313

22 IEC ActiviesIEC Activies RalliesRallies 1313 School quizSchool quiz 2626 Folk showsFolk shows 190190 IPC meetingIPC meeting 369369 IPC workshopIPC workshop 0909 ASHA suspected and referredASHA suspected and referred 08 cases08 cases

Facilitation In State Training By NLRFacilitation In State Training By NLR11stst Quarter Quarter

DistrictDistrict ActivitiesActivitiesFist QuarterFist Quarter

JanJan FebFeb MarMar

HaridwarHaridwarAdvocacy Meeting (BDC) Block Advocacy Meeting (BDC) Block 44thth -- --

SCG Facilitators TrainingSCG Facilitators Training -- 1515thth --

NainitalNainital

4 Days Technical Training MOs4 Days Technical Training MOs -- 22ndnd-5-5thth --

SCG Facilitators TrainingSCG Facilitators Training -- 1717thth --

2 Days Training MOs2 Days Training MOs -- 2323rdrd 24 24thth

UttarkashiUttarkashiSupervisors training in Supervisors training in SupervisionSupervision

-- 1919thth 20 20thth --

DehradunDehradun Urban Leprosy Control Urban Leprosy Control -- -- 3030thth

Teaching aid-LCD, hand outs and learning material provided

Functioning of District NucleusFunctioning of District Nucleus

S.N. ActivitiesNumber of Districts :- 07

As on Dec09 As on Mar 10

1. Knowledge of DLO in supervision

5/7 4/7

2.Knowledge of NMS in supervision

7/7 6/7

3.

a)

Assessment of Monitoring & Supervision ATP prepared 7/7 4/7

b) Supervision visits per month 7/7 4/7

c) AUR 7/7 6/7

4)On job Training provided to GHC Staff

6/7 6/7

5) Records & Reports 7/7 7/7

Functioning of District Nucleus Contd…..Functioning of District Nucleus Contd…..

S.No. ActivitiesNumber of Districts-7

Dec09 March 10

6. Case Validation done by DN 7/7 6/7

7.M.D.T. stocks assessment and found adequate

7/7 7/7

8. Healthy Contacts going on 6/7 6/7

9.Result Based Plan for 2009-10 available

7/7 7/7

10.Activities plan GANTT Chart available

6/7 7/7

11.Participation in NRHM Meeting & discussion on NLEP

7/7 7/7

12Reporting on New MPR

Format from HCF 7/7 7/7

Functioning of District Nucleus Contd……Functioning of District Nucleus Contd……

S.No. ActivitiesNo. of Districts : 07

Dec09 Mar 10

13.Fund released from State timely

7/7 7/7

14.Absentee retrieval going on

Initiated - (13/18) absentees retrieved in

Doon

Efforts not made

15.Cohort Analysis compilation at Dist. Level

7/7 7/7

16.Tab. Predniolone available in HCFs/ Distt

7/7 7/7

17. Reaction Reporting 7/7 7/7

18. Other if any ( SCG ) 4/4 4/4

Gantt Chart of Activities Approved- 2010Gantt Chart of Activities Approved- 2010Gantt Chart Activities January to December (Garhwal Division)2010

NrNr..

ACTIVITYACTIVITY JaJa FeFe MaMa ApAp MaMa JuJu JuJu AuAu SeSe OcOc NoNo DeDe

11 Replenishment of SC KitReplenishment of SC Kit                                    

22 Prosthesis Repair - 10Prosthesis Repair - 10                                    

33 RCS Camp Support – 2 RCS Camp Support – 2 CampsCamps

                                   

44 Reorientation training Reorientation training SCG facilitators -10SCG facilitators -10

                                  

55 Sensitization w’shop CMSSensitization w’shop CMS

66 Self Care Practice VillagesSelf Care Practice Villages ????

77 Quarterly Monitoring Quarterly Monitoring PALsPALs

                                   

88 School Health Education–6School Health Education–6

99 Advocacy Meeting High Advocacy Meeting High Endemic Blocks – 3Endemic Blocks – 3

1010Quarterly Review meeting of Quarterly Review meeting of DLOs – 4 meetings DLOs – 4 meetings

1111 Decentralization w’shopDecentralization w’shop

Major Problems Identified In The State & Major Problems Identified In The State & Districts And Suggestion To ImproveDistricts And Suggestion To Improve

S.No. Problems Suggestions

1. Overlapping of other national programmes

Not in our control

2. Dearth of Medical Officers -do-

3. Frequent transfer of officials -do-

4. Weak referral system and non establishment of tertiary center

-do-

5. Shortage of NMS/NMA except 2 districts – Haridwar and Dehradun

No NMS/NMA in Pauri district

-do-

Block Level Advocacy Meeting Laksar Block Block Level Advocacy Meeting Laksar Block Haridwar Haridwar

• On 4th January 2010 in the BDC meeting • 88 members of Village panchayat attende the meeting• Participants were as below

Block Pramukh BDO, DPRO Pradhans, Members of Panchyat Med Supdt, vet. Officer Engineers, Social welfare and other deptd

• Advocacy about awareness, treatment and Stigma.• LCD projection and hand bills distributed