staff updating & review meeting netherlands leprosy relief, india ramnagar (uttrakhand ), 8 th...

Staff Updating & Review meeting

Netherlands Leprosy Relief, India

Ramnagar (Uttrakhand ), 8th & 9th December 2010

Presented by Dr. H.C.Pandey

ILEP State Coordinator, U.P.Lucknow 1

Field visits (supervision days)

Quarter

Planned Performed

1st 39+MOs,NLEP Staff & workers Trainings at Kannauj, Lucknow & K.Nagar. ( State Budget )03 days– ½ days Sensitization of ANMs at Uannao.

30 + Completed State Budget Training at Lko, K.nagar & Kannauj & 03 days– ½ day Sensitization of ANMs & ASHAs at Kannauj & Unnao.

2nd 28+04 Days T.O.T. workshop.11 Days– ½ Day Sensitization of ASHAs & ANMs.03 Days-- NLR Review meeting ( 03 distts.) 01 Day NSS training at NIH & FW at New Delhi.

24+All planned Trainings & workshops.02 Days POD & Self Care in villages which was not planned earlier.

2

Field visits (supervision days)

Quarter

Planned Performed

3rd 27+04 Review meetings at Dhanbad, Kalyanpur & Bilgram. 04 Days CHC Supdts. Training. 08 Days Situation Analysis 02 Days Validation of NSS.

24+All planned Trainings & Workshops. 02 Days NSS Training at Unnao.01 Day POD & Self Care in villages.

4th 22 till 30th November 2010.04 Days DN workshop02 Days Validation at Kanpur Nagar06 Days Situation Analysis at 05 Distts. 02 Days CMS workshop.

18 +All activities planned except 06 Days Situation Analysis at 05 Distts.

Total 116 + Other Activities. 96 + Other Activities.

3

New Changes in NLEP Situation (U.P.)

4

DPMR has been taken up & in progress. RCS centers identified & RCS Operations are being done.

2008-09 476 RCS Operations In U.P.

2009-10 578 RCS Operations In U.P.

ANCDR is steadily falling from 51.70/ Lac in 2002-03 to 13.40 / Lac in 2009-10.

PR is also falling from 4.1/10,000 in 2002-03 to 0.81/10,000 in 2009-10.

U.P. achieved elimination level in 2006-07.

Child proportion is nearly stationary 5% to 6%.

New Changes in NLEP Situation ( U.P.)

5

Disability proportion is slightly increased from 1.5% in 2002-03 to 2.1 % in 2009-10.

Gr.I Disability is being recorded & reported by Districts.

New Case detection has declined from 48,000 in 2005 to 27,500 in 2009-10 in U.P.

No. of Districts having P.R. below 1.0/10,000 have increased from 39 in 2007-08 to 51 in 2009-10.

Districts having P.R. more than 01 are presently 20.

Only 01 district is having P.R. more than 02.

P.R. more than 05 no districts.


6

T.C.R. has increased above 95% in PB & MB both.

Nearly all District Nucleus Staff have been trained in U.P.

Most of GHC Staff has been sensitized in Leprosy & DPMR.

Adequate Supply of MDT has been ensured.

ASHAs have been trained & involved in Leprosy Programme for referring Leprosy Cases.

ST / VMT is done with adequate supply of Prednisolone.


7

Screening Camps for RCS are being organized in disability prone Districts. (01 to 02 Camps ) Money has been released.

Funds through society now NRHM is increased from 2.16 Cr. In 2005-06 to 6.00 Cr. In 2009-10.

ILEP Support is available in U.P. State in the field of Capacity building of different category Staff, Supervision , Monitoring & Validation, POD & Self Care Activities & other areas of Leprosy.

NLR support is being given for POD & Self Care Camps in villages & PALs home.

Children of the PALs in PALs home & Self Care in villages are being supported for their School fees, Uniforms & books etc.

Gaps/Needs Identified

8

SIS Guidelines are not implemented as per GoI Guidelines.

Gaps in integrated Services provided by GHC Staff.

Late Diagnosis.

MDT Services are not foolproof.

Instances of rerecording , wrong diagnosis & wrong type still exist.

Healthy Contact Examination, ST & VMT is not done regularly.

Gaps/Needs Identified

9

Absentee retrieval not done as per requirement.

Cases deleted otherwise are more which effects TCR.

Poor Supervision & Monitoring by DN.

Knowledge of DLO, NMS & NMA for filling DPMR forms is of below standard.

Few district yet not printed DPMR forms.

Referral Units are not constituted in quite many districts.

Gantt. Chart showing Annual Progress Report-2010 NLR Activities

S.N.

Activities 1st Quarter 2nd

Quarter

3rd Quarter

4th Quarter

1 ½ day ANMs Training workshop at Unnao

Planned 199 155 Nil Nil

Performed 149 129 Nil Nil

2 ½ day ASHAs Training workshop at Kannauj

Planned Nil 1,444 Nil Nil

Performed Nil 714 Nil Nil

3 POD & Self Care in villages workshop at Kalyanpur Kanpur Nagar

Planned Nil 20 PALs Nil Nil

Performed Nil 25 PALs Nil Nil

4 POD & Self Care in villages workshop at Bilgram -Hardoi

Planned Nil 20 PALs Nil Nil

Performed Nil 27 PALs Nil Nil10

Gantt. Chart showingAnnual Progress Report-2010

S.N.

Activities 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

1 Review meetings at CHC Kalyanpur , K.nagar.

Planned --- 01 03 02

Performed --- 1st Review meeting done.

03 Review meetings done.

02 Review meetings done.

2 Review meetings at CHC Bilgram, Hardoi.

Planned --- --- 03 03

Performed --- --- 03 02 ( last due on

27th Dec10.)

11

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

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

Activities Completion Report 2010 NLR Activities

Result Based Activities Batches Planed Batches Done

No. Planned

No. Participated

Result-1 GHC Staff performance improved

½ day Sensitization workshop of ANMs at District Unnao.

09 09 354 278

Result-2 : Leprosy Services established under NRHM

½ day Sensitization workshop of ASHAs at District Kannauj.

07 07 1,444 714

Result-3 : DPMR Services improved

02 days POD & Self Care in villages workshop at

1) CHC Kalyanpur K.Nagar

21 & 22/04/2010

01 01 20 25

2) CHC Bilgram, Hardoi

29 & 30/06/2010

01 01 20 27

14

Activities Completion contd…NLR Activities


No. Planned (PALs)

No. Participated

( PALs)

1st Review meetings at CHC Bilgram on 30/07/2010

01 01 27 22

2nd Review meetings at CHC Bilgram on 27/08/2010

01 01 27 21

3rd Review meetings at CHC Bilgram on 30/09/2010

01 01 27 14

4th Review meetings at CHC Bilgram on 30/10/2010

01 01 27 17


01 01 27 19


Due on 27th December 2010.

15

Activities Completion contd…NLR Activities


No. Planned

( PALs)

No. Participated

(PALs)

1st Review meetings at CHC Kalyanpur on 21/05/2010

01 01 25 09

2nd Review meetings at CHC Kalyanpur on 21/06/2010

01 01 25 12


01 01 25 09


01 01 25 05+01( new)


01 01 25 16


01 01 25 14

16

Facilitations in State TrainingsDuring 2010

Districts Trainings Category of Staff

Dates of Facilitation

Remark

Lucknow

02 Days MOs Training

MOs already working in fields.

26, 27 Feb.10

02 Days Training NLEP Staff & workers

NLEP Staff + Health workers.

24 , 25 Feb. 10

Kanpur Nagar

02 Days MOs Training

Newly appointed MOs.

20, 21 Feb. 10

Kannauj 02 Days MOs + workers Training

MOs & workers already working in fields

17 ,18 Feb. 10

17

Facilitations in State TrainingsDuring 2010

Districts Trainings Category of Staff

Dates of Facilitation

Remark

Kannauj 02 Days MOs + workers Training

MOs & workers already working in fields

17th ,18th Feb. 10

02 Days NLEP Staff & Health workers Training

NLEP Staff & Health workers

8th , 9th Jan. 10

18

Activities not performed

All NLR & ILEP Planned activities performed except 01 Day Sensitization of Dermatologists, Eye Surgeons & Orthopedic Surgeons . The dates finalized as 12th , 13th & 29th December 2010 respectively. Letters from D.G. Medical Health U.P. has been sent to participants.

01 Day Sensitization workshop of CMOs not done as SLO,U.P. refused for CMOs workshop & wants to Sensitize CMO FW.

Sensitization of CMO FW has been put in Budget of 2011.

19

Budget Utilization 2010( NLR Activities )

Planned Activities

Budget Budget Utilized

Reasons for non

Utilization

½ day Sensitization workshop of ANMs at District Unnao.

96,132=00 18,109=00 Budget asked was Rs. 120 per head & Spent Rs. 60-65 per head.278 ANMs participated out 354.

½ day Sensitization workshop of ASHAs at District Kannauj.

50,000=00 42,840=00

20

Budget Utilization 2010( NLR Activities )

Planned Activities


Reasons for non

Utilization

02 days POD & Self Care in villages workshop at CHC Kalyanpur , K.Nagar

32,320=00 17,218=00 Review meetings are

going on.

02 days POD & Self Care in villages workshop at CHC Bilgram, Hardoi

32,320=00 14,214=00 Review meetings are

going on.

05 Review meetings at CHC Bilgram, Hardoi.

32,320=00 12,648=00 05 Review meetings

completed.

06 Review meetings at CHC Kalyanpur, Kanpur Nagar.

32,320=00 8,383=00 06 Review meetings

completed.

21

Budget Utilization 2010 ( ILEP Activities )

Planned Activities


Reasons for non

Utilization

Training of Trainers ( T.O.T.)

1,50,000=00 1,45,217=00

01 Day Sensitization of Supdts. CHCs at lko & Kanpur.

1,20,000=00 1,15,338=00

Decentralized Planning for DPMU & DN Staff at lko.

1,00,000=00 95,344=00

01 Day Sensitization of CMS ( Male )

1,25,000=00 90,285=00

Training of DLOs / Dy. DLOs at TLM Naini, Allahabad.

Bill has not been received

form TLM Naini,

Allahabad.

01 Day Sensitization of Eye, Ortho. Surgeons & Dermatologists.

To be organized from 13th to

29th Dec.2010.

22

Major Challenges

Quite many districts have offg. DLOs / Part time DLOs / No DLOs.

Leprosy programme is given lowest priority at higher levels. IEC is poor which effects voluntary reporting of Leprosy

Cases. Provision to measure disability status before the treatment &

at RFT not included in present SIS. IEC of Pts. Relation & community is at very low level. Supervision, Validation & Monitoring by DN Staff is still

weak. Referral unit is not constituted in all districts of U.P. where

complicated cases can be treated at district HQ.

23

Major Challenges

Supply of MCR Chappals is poor. DPMR forms are not used by HCFs. Poor knowledge of NLEP Staff for filling of DPMR

forms. HC , ST , VMT & Absentee retrieval is not done as

regular feature. Involvement of ASHAs is still wanting. POD & Self Care Practices are poor in HCFs.Availability of Prednisolone is not ensured.

24

GANTT Chart for the year 2011Quarterly ( NLR activities )

Activity as planned 1st Quarter

2nd Quarte

r

3rd Quarter

POD & Self care in villages camps at CHC Safipur , Unnao.

POD & Self care in villages camps at CHC Sandila , Hardoi.

25

GANTT Chart for the year 2011Quarterly ( ILEP activities )

Activity as planned 1st Quart

er

2nd Quarte

r

3rd Quarte

r

4th Quarte

r

Result 1: Program Management ensured

2 days Decentralized planning & management workshop for D.N

Workshop of DPMU officers on decentralized planning

Training of newly recruited / posted D.N staff

At TLM Naini Allahabad )

Sensitization of District Program Officers (CMO FW) - NRHM

DLOs regional review meeting, 2 in no. (2 will be supported by state)

Sensitization of CMS Male of district hospitals

26

GANTT Chart for the year 2011Quarterly ( ILEP activities )

Activity as planned 1st Quarter

2nd Quarter

3rd Quart

er

4th Quarte

r

Result 2: Increased attention to leprosy by decision makers

Stake holders advocacy meeting at state level for stigma reduction & micro/macro financing from banks

Result 3: Operational Research

Pilot Project for improving urban leprosy program

Result 4: Increased awareness about disease & treatmentOrientation of final year students of 2 Medical Colleges

27

GANTT Chart for the year 2011Quarterly ( NLR +ILEP activities )

Activity as planned 1st Quart

er

2nd Quart

er

3rd Quart

er

4th Quart

er

Result 5: DPMR services improved

One day orientation of orthopedic surgeons

One day orientation of Dermatologist/Physicians

One day orientation of ophthalmologists

Self care in villages in 2 new blocks

Follow up of self care in villages in existing 2 blocks

Follow up of self care groups in 11 leprosy colonies

Result 6: All children of persons affected are educatedEducation support to the children (108) of 11 leprosy colonies

28

THANKS

SCP

29

staff updating & review meeting netherlands leprosy relief, india ramnagar (uttrakhand ), 8 th...

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