Staff Updating & Review meeting

Netherlands Leprosy Relief, India

Ramnagar, 8th & 9th December 2010

Presented by Dr. J. B. Singh

ILEP State Coordinator, NCT of Delhi 1

Field visits (DN supervision days)

Quarter

Planned Performed

No. of Total field visits

1st 18 17 402nd 16 20 343rd 18 16 304th 15 13 ( Oct. & Nov. )

24Total

67 66 128

2

  Mar-07 Mar-08 Mar 2009March2010

Population 17249566 17906774 18589022 19297262Start of MDT 1989          PR at start of MDT 17/10000          Prevalence Rate 1.53  0.67 0.74 0.69

New cases detected Apr-Mar 3146 1.82 1331 7.4 1631 8.77 1448 7.50MB in new cases ( %) 1834 58.3 776 58 1033 63.34 881 60.84Children in new cases( %) 138 4.39 92 6.9 79 4.84 78 5.39Females in new ( %) 583 18.5 332 25 393 24.10 343 23.69

Disability (new-cases) GrI ( %)  109 8.1

  117 7.17 150 10.36Disability (new-cases) GrII ( %) 186 5.91 95 7.1 143 8.77 117 8.08SC cases in new cases 0 0 0 0 0 0 0 0ST cases in new cases 0 0 0 0 0 0 0 0Cases on record (PR/10000) 2641 1.53 1195 0.67 1369 0.74 1330 0.69

New Changes in NLEP Situation

New Cases from Delhi & Outside 2009-10

Gaps/Needs Identified

• Poor supervision & monitoring• Poor referral syatem• Very poor TCR

6

Gantt. Chart showingAnnual Progress Report-2010

S.N.

Activities (NLR supported) 1st Quarter 2nd Quarter

3rd Quarter

4th Quarter

1 Leprosy workshop for GHC staff (ANM, SN&PHN)

Planned NIL 3 2 3Performed NIL 3 1 3

2 MDT workshop for Pharmacists & Store Keepers

Planned NIL 3 3 3Performed NIL 3 2 3

3 DN meeting on result based POA 2011-2012

Planned NIL 1 NIL NIL

Performed NIL 1 NIL NIL

4 District Advocacy meeting

Planned NIL NIL NIL 1Performed NIL NIL NIL Nil

7

Gantt. Chart showingAnnual Progress Report-2010

S.N.

Activities (ILEP supported) 1st Quarter 2nd Quarter

3rd Quarter

4th Quarter

5 NLEP Review Meeting(2 in no.)

Planned NIL 1 NIL 1Performed NIL 1 NIL 1

6 Sensitization of CDMOs, DLOs & NUHM officers

Planned NIL 1 NIL NIL

Performed NIL 1 NIL NIL

7 Sensitization of MSs

Planned NIL 1 NIL NIL

Performed NIL 1 NIL NIL

8 Advocacy meeting of Health Agencies

Planned NIL NIL 1 NIL

Performed NIL NIL NIL NIL

8

Activities Completion Report 2010

Result Based Activities Batches Planed

Batches Done

No. Planned

No. Participated

Result-1: Case detection & Case management improved

1. Workshop on Leprosy for GHC Field Staff

8 7 210 173Result-2: MDT management management –

1. MDT Workshop for Pharmacists and Store Keepers

9 8 340 181

9

Activities Completion contd…Result Based Activities Batches

PlanedBatches

DoneNo.

PlannedNo.

ParticipatedResult-3: Accessibility to leprosy services improved -

1.District Advocacy meeting

1 Nil

2. State Advocacy meeting gencies

1 Nil

Result-4: Programme management improved -

1. NLEP review meeting 2 2 60 712. Reorientation of DN on result based planning 2011-2012

1 1 20 22

3. Sensitization of CDMOs, DLOs and NUHM

1 1 23 1310

Activities Completion contd…

Result Based Activities Batches Planed Batches Done

No. Planned

No. Participated

4. Sensitization of MS 1 1 30 15

11

Districts/State

TrainingBatch

Category of Staff Dates of Facilitation

Remark

South 1 Pharmacists & Store Keepers

16 & 17 Feb.

North 2 do 19 Feb. & 9 Mar.

3 Medical Officer 12, 22 & 23 Mar.

North East 1 Pharmacists & Store Keepers

11 Mar.

State 1 MOs ASHA units 25 March

1 NSS 4 Aug.

1 NLEP review meeting 6 Aug.

12

Facilitations in State TrainingsDuring 2010

Activities not performed• Name of the Activity- (With No. of Batches)

1. Leprosy workshop for GHC staff (ANM, SN&PHN)-1 batch2. MDT workshop for Pharmacists & Store Keepers – 1 batch3. District Advocacy meeting – 1 batch4. State Advocacy meeting – 1batch

• Reasons for non-completion-

• No 3 & 4 : May be completed• No. 1 & 2 : District not willing

13

14

Planned Activities Budget Budget Utilized

Reasons for non

UtilizationLeprosy workshop for GHC staff (ANM, SN&PHN)

88,000.00 49,548.00

Low attendanceSaving attitude

andPending activities

MDT workshop for Pharmacists & Store Keepers

1,12,500.00 72,627.00

DN meeting on result based POA 2011-2012

13,450.00 11,483.00

District Advocacy meeting

4,900.00 ---

NLR Budget Utilization 2010

SCP 15

Planned Activities

Budget Budget Utilized

Reasons for non Utilization

NLEP Review Meeting(2 in no.)

38,100.00 36,512.00

Low attendanceSaving attitude

andPending activities

Sensitization of CDMOs, DLOs & NUHM officers

29,650.00 +

Sensitization of MSs

36,550.00 46,488.00

Advocacy meeting of Health Agencies

32,200.00 ---

ILEP Budget Utilization 2010

16

Major Challenges

• Migratory population• Population density of 12000 / 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 & monitoring2.Poor referral system and3.Very poor TCR ( Near to 50% )

GANTT Chart for the year 2011Quarterly

Activity as planned 1st Quart

er

2nd Quart

er

3rd Quart

er

4th Quart

er

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 2012-13

18

GANTT Chart for the year 2011Quarterly

Activity as planned 1st Quart

er

2nd Quart

er

3rd Quart

er

4th Quart

er

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

10. 2 days Workshop for DN in supervision and monitoring of NLEP

19

GANTT Chart for the year 2011Quarterly

Activity as planned 1st Quart

er

2nd Quart

er

3rd Quart

er

4th Quart

er

11. 2 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 2011Quarterly

Activity as planned 1st Quart

er

2nd Quart

er

3rd Quart

er

4th Quart

er

16. Training of 3 Delhi surgeons for RCS At TLM Hospital Naini17. Training of 3 PTs. In Physiotherapy for RCS At TLM Hospital Naini

21

22

23

24

25

26

Thanks