National Health Mission Tamil Nadu, Department of Health & Family Welfare Govt. of Tamil Nadu, India

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National Health Mission – Tamil Nadu

Department of Health & Family Welfare Govt. of Tamil Nadu, India

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National Leprosy Eradication Programme (NLEP)

National Leprosy Eradication Programme – (NLEP)

The National Leprosy Control Programme (NLCP) was launched in 1955 with Dapsone monotherapy for the treatment of leprosy. As disease prevalence continued to rise, Multi-Drug Therapy (MDT), comprising Rifampicin, Clofazimine, and Dapsone, was introduced in 1983. Following the adoption of MDT, the programme was renamed the National Leprosy Eradication Programme (NLEP).In the year 2005, TN achieved PR less than 1/10,000. The vision is Zero Leprosy, Zero Deformity and Zero Stigma with the goal of interruption of disease transmission by 2027.


2027
Target Year for Interruption of Disease Transmission

Case Detection  Activities:

In order to strengthen leprosy case detection,a dual strategy comprising Active and Passive Case Detection is being implemented across Tamil Nadu.

Active Case Finding

Slum Surveys, Saturday Surveys, school surveys conducted by field staff, LCDC surveys, WHV-ASHA camps, and contact surveys.

Passive Case Finding

Referred by PHC/UPHC, Government hospitals, Govt. and Private Hospitals, NGOs, and voluntarily reported cases.

Treatment

Multi drug therapy is given to new leprosy cases. For Paucibacillary (PB) cases,the duration is 6 months, and for  Multibacillary (MB)cases,the duration is 12 months. Leprosy reaction cases are identified and followed by Medical Officer of Primary Health Centres by giving tapering doses of steroids.

Disability Prevention

Disability due to leprosy is a major concern because of stigma associated with it. So prevention of disability is possible through early case detection, adequate treatment with Multi Drug Therapy (MDT) and regular follow up. Disability commonly affects the eye, hands, and feet.
Disability Prevention and Medical Rehabilitation (DPMR) To prevent disability among treated cases disability prevention and medical rehabilitation (DMPR) camp is organised in all health facilities in which ulcer dressing, physiotherapy, self-care practices and aids and appliances are provided.

Reconstructive Surgery (RCS)

Reconstructive Surgery (RCS) is done for eligible deformity cases to improve function of the affected part and incentive of Rs.12000/- also given to those who undergone RCS.

Beneficiary Support Initiatives

Leprosy Cured Maintenance Grant (LCMG)

The Government of Tamil Nadu is providing LCMG of Rs.2000/- to Leprosy afflicted person (LAP) with deformity of 40% and above.

Post Exposure Prophylaxis (PEP)

To prevent leprosy among House Hold, Neighbourhood and Social contacts of new leprosy cases single dose Rifampicin (SDR) is given as Post exposure prophylaxis.

Leprosy Free Status

Leprosy free status means attaining no child cases for first 5 years and no adult cases for next 3 years. With intensified case finding activities Tamil Nadu is moving towards attaining leprosy free status soon.