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Basic Information
Total Population (2009 estimated Mid
year) = 11,64,411
S C
population =
2, 12, 997
S T
population =
1, 57,996
Dhenkanal was an endemic district for Leprosy
with highest case load in Parjang block.But by
constant efforts of the Health System, it has
achieved Elimination(i.e. reduction of
Prevalence Rate to <1 case per 10000 population)
in Aug-2006.
Total Reporting Units for LEPROSY =9 ( 8
Block PHCs/CHCs & 1 Municipality
Total No of Vertical Staff in Position=
1 NMS + 7 PMWs ( Leprosy has been integrated
with General
Health Care System since 2004.)
Nodal Person for the Programme - A.D.M.O.
(PH) assisted by M.O., District Nucleus .But all
activities are taken up under the overall
umbrella of N R H M .
MDT Service Started in the district on 30.1
1989.
Prevalence Rate ( PR i.e. The case load/
10,000 population) before MDT Service was 120
PR on 31.3.2009= 0.92 ( Dhenkanal has
achieved the goal of ELIMINATION on 31.8.2006.)
NCDR (New Case Detection Rate/ Year) has been
reduced from 194 in 2001-02 t0 172/10,000 in
2008-09. By now,
5 blocks and 1 municipality have achieved
elimination. Only 2 blocks(Parjang & S.C.pur )
are on the verge.
On 31.3.2009 total 107 new cases are under
treatment. Since 1989( starting of MDT) about
20,000 persons have been cured of Leprosy in the
district.
INFRA STRUCTURE
District Leprosy Society headed by the
Collector & DM
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CDMO
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ADMO(PH) assisted by MO, Dist.
Nucleus.
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LEU, K.
LEU,K. Nagar TH Ward
LEU, Dhenkanal CHCs/ Block PHCs
(Defunc
(DefunctPractically) (Headed by
(Headed by MO (Headed by MO
I/C)
Dermatologist Declared as
of DHH ) MO, Dist. Nucleus)
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Sector PHCs( Headed by
Sector MOs)
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Subcentres at GP level (headed by Health
Worker)
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ASHA & Anganwadi Workers at village Level.
FLOW
OF ACTIVITY
I) DIGNOSIS & MANAGEMENT OF LEPROSY
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The Sub centre at the Gram panchayat level,
manned by Multi Purpose Health Worker ( Male
& Female) is the basic functional unit for
NLEP as in other health programs.
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The health Worker assisted by Anganwadi
Workers & ASHA finds out suspected cases of
Leprosy during routine village visits. In the
urban areas this work is taken up by the PPC
health workers. Persons with suspected signs
of Leprosy are sent to the nearest Govt
medical institutions for diagnosis.
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Leprosy cases diagnosed by the medical
Officers are doubly confirmed by the Block PHC
Medical officers & the District nucleus
Medical Officers. Then they are registered and
treatment is started. Provision for supply of
full course of drugs of a patient to the
concerned sector. The Health worker collects
the drug from the sector and supplies to the
patient.
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Monitoring & supervision at the sector,
block and district level is done constantly
by the PMWs, MPHSs, Medical officers, ADMO(PH)
& CDMO so as to streamline the program.
II) DETECTION & MAGEMENT OF DISABILITY DUE
TO LEPROSY
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Disability due to leprosy present before
treatment is assessed at the time of
diagnosis. Disability developing later(i.e.
during or after treatment) are detected by
health workers during follow up and assessed
by the trained PMWs, NMS& medical Officers .
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POD Clinics
are held every Monday at Block PHCs and every
Wednesday at District Head Qrs. Hospital.
Identified Cases needing disability care are
referred by Health workers to Block PHC & by
MOs from Block to DHH for treatment, self
care training & counseling. Till 31st
March-09, 631 nos. of cases with different
types of disability due to Leprosy have been
registered & attended to.
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Mega POD camps with support from LEPRA
Society are also held time to time to
strengthen the program.
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Patients requiring Reconstructive surgery are
referred to leprosy home & Hospital, Cuttack
for operative correction of disability. Till
march -09 seventeen cases have been
successfully operated.
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MCR Foot Wears( Special shoes for Leprosy
affected people) are supplied to persons both
by govt. support & ILEP support.
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