lhNnf :t/Lo s'i7/f ]u lgjf/0f - lcd.gov.nplcd.gov.np/downloads/Nirdesika-MLEC_30Nov2016-_1_.pdf · ljifo;"lr s'i7/f ]u lgjf/0f cleofg — lhNnf :t/..... 1!_ kl/roM

lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf -@)&#_

g]kfn ;/sf/ :jf:Yo dGqfno

:jf:Yo ;]jf ljefu s'i7/f]u lgoGq0f dxfzfvf

6]s', sf7df08f}

ljifo;"lr

s'i7/f]u lgjf/0f cleofg — lhNnf :t/ ...................................................................................... 1 !_ kl/roM ......................................................................................................................... 1 @_ p2]Zox?M ....................................................................................................................... 1 #_ ;+rfng k|lqmofM ............................................................................................................ 1 $_ gu/kflnsf / ufp+ ljsf; ;ldlt ;dGjo ;ldlt ........................................................... 2 %_ s'i7/f]u lgjf/0f cleofg sfof{Gjog sfo{ bnM ............................................................. 4 ^_ s'i7/f]u lgjf/0f cleofg sfo{qmddf /fli6«o tyf cGt/fli6«o ;+3 ;+:yfsf] e"ldsfM ...... 4

&_ s'i7/f]usf] cf}iflwsf] ljt/0f tyf ;+ro k|0ffnLM........................................................... 5

*_ s'i7/f]usf] lrGx tyf nIf0fx?M .................................................................................... 5 (_ s'i7/f]u lgjf/0f cleofgdf ;j{ ;fwf/0f hgtfsf] ;xeflutfsf] nflu

pTk|]/0ff / ;Gb]Zfx?M ..................................................................................................... 6

!)_ s'i7/f]u lgjf/0f cleofg ;kmn kfg{ tkfO{ xfdLn] s] ug{] < .......................................... 7

!!_ s'i7/f]u lgjf/0f cleofgM k|lzIf0f lgb{]lzsf ............................................................... 8

DISTRICT LEVEL TOT ......................................................................................................... 11

Training of Search Team .................................................................................................. 15

Health Post Level (Search Team) Training ........................................................................ 17

Implementation schedule of leprosy elimination campaign at distict level ................. 18-19

Steps to prepare a Micro plan for District level Mini LEC ................................................ 20

Format for District Level Micro plan for Mini LEC ............................................................ 21

Reporting format after Campaign ...................................................................................25

s'i7/f]u af/] hfgsf/L ............................................................................................................... 26

kmf/d !–^ .......................................................................................................................... 27-32

kl/roM

hg :jf:Yo ;d:ofsf] ?kdf /x]sf] s'i7/f]unfO{ @)^^ df3 % tbg';f/ ;g\ @)!) hgj/L !( ut]sf lbg g]kfnn] /fli6«o :t/df lgjf/0f -Elimination_ u/]sf] 3f]if0ff eO{ ;s]tf klg t/fO{ nufotsf s]lx lhNnfx?df cem} klg s'i7/f]usf] k|sf]k b/ -Prevalance_ pRr /x]sf]n] lhNnf :t/d} s'i7/f]u lgjf/0f -Elimination_ ug{sf nflu cleofg ;+rfng k|of]hgfy{ of] lgb]{lzsf tof/ kfl/Psf] 5 . of] sfo{qmd ;/sf/L, u}x| ;/sf/L, lglh If]q tyf ;d'bfosf] ;+o'Qm ;xsfo{df ;+rfng x'g]5 .

p2]ZoM

lhNnf :t/d} s'i7/f]u lgjf/0f -Elimination_ ug{sf nflu lhNnfdf /x]sf :jf:Yo;+u ;DalGwt ;Dk'0f{ ;/f]sf/jfnfx?nfO{ cled'lvs/0f ul/ :yflgo :t/d} sfo{qmd ;+rfng ug{ ;/n, ;xh tyf Ps?ktf xf];\ eGg] p2]Zon] of] lgb{]lzsf tof/ kfl/Psf] 5 .

s'i7/f]u af/] hfgsf/LM

s'i7/f]u cfFvfn] b]Vg g;lsg] dfOsf]JofS6]l/od n]k|] (Mycobacterium Leprae) gfdsf] ;"Id ls6f0f'af6 nfUg] Ps k|sf/sf] Hofb} sd ;g{] ;?jf /f]u xf] . of] /f]un] vf; u/]/ 5fnf / :gfo'df c;/ ub{5 .

of] /f]u k|frLg sfnb]lvg} dflg;;+u kl/lrt eP klg ;g\ !*&# df dfq gj{]sf j}1flgs 8f= lh=P=Xofg;g\n] s'i7/f]u ls6f0f'sf] sf/0fn] x'g] /f]u egL kQf nufPsf x'g\ .

o; cl3 ;dfhdf s'i7/f]unfO{ a+zf0f'ut cyjf b}jL clezfksf] sf/0fsf] ?kdf u|x0f ul/Psf] lyof] . o; /f]un] 5fnfdf c;/ ubf{ bfu b]lvg], 5fnf afSnf] x'g], luvf{x? b]vf kg{'sf ;fy} :gfo'x?df c;/ ubf{ bfu tyf xft uf]8fdf 5'+bf yfxf gkfpg] x'G5 . o; /f]un] dfFzk]zLx? sdhf]/ agfO lbG5 . To:tf] :kz{ zlQm x/fPsf] -5f]+Psf] yfxf gkfpg]_ efudf ;fwf/0f rf]6k6s nfUbf klg l56f] lgsf] x'Fb}g .

lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#

1

s'i7/f]u lgjf/0f cleofg — lhNnf :t/

!_ kl/roM of] sfo{qmd ;d'bfodf c1fgtfaz n'lsl5kL /x]sf s'i7/f]u la/fdL kQf nufpg, hgr]tgf clea[l4 ug{, ;lqmo vf]hk8\tfn lalw4f/f lj/fdL klxrfg tyf ;do d} pkrf/ u/L c+ue+u x'gaf6 ;d]t arfpg ;+rfng ul/G5 .

@_ p2]Zox?M

;d'bfodf c1fgtfjz n'sLl5kL /x]sf s'i7/f]usf lj/fdLx? kQf nufpg] . ;d'bfodf hgr]tgf clea[l4 u/L s'i7/f]u lgjf/0f sfo{df hg;xefuLtf h'6fpg] . :jf:Yo sfo{stf{x?nfO{ s'i7/f]u ;DjGwL 1fg / zLkdf clea[l4 u/fpg] . /f]u lgbfg ePsf ;a} lj/fdLx?nfO{ ax' cf}ifwLo pkrf/ k4lt af6 lglZrt cjlw leq

pkrf/ k'/f u/fpg] . lhNnf :t/df s'i7/f]u lgjf/0f -Elimination_ ug]{ .

#_ ;+rfng k|lqmofM s'i7/f]u lgjf/0f cleofg ;kmntf k"j{s ;~rfng ug{ lgDg adf]lhdsf ;ldltx? lqmoflzn x'g] 5g\ . M

#=!_ s]Gb|Lo / If]lqo :t/ ;ldltx?M

lgb{]zs ;ldlt (Steering committee)

s]lGb|o ;dGjo ;ldlt (Coordination committee)

k|fljlws ;ldlt (Technical committee)

If]qLo ;dGjo ;ldlt (Regional coordination committee)

-dfly pNn]lvt ;ldltx? a}+ss 3f]if0ff sfof{Gjog ug{ u7g eO ;s]sf 5g\ / ;f] ;ldltsf] kbflwsf/L tyf sfd st{Jo / clwsf/ ;ldlt u7g ubf{ lgwf{/0f eP cg';f/ x'g] 5 . _

#=@_ lhNnf :t/Lo ;dGjo ;ldltM (District Level Coordination Committee)

kbflwsf/Lx?M

!_ cWoIf M :yfgLo ljsf; clwsf/L, lhNnf ljsf; ;ldlt

@_ ;b:ox? M

@=!_ k|ltlglw, lHfNnf k|zf;g sfof{no


2

@=@_ k|d'v lhNnf lzIff sfof{no

@=#_ k|d'v, dlxnf tyf jfnjflnsf sfof{no

@=$_ k|d'v, lhNnf k|x/L sfof{no

@=%_ Df]= ;'= If]qLo, pk If]qLo, c+rn, lhNnf c:ktfn

@=^_ sfo{sf/L k|d'v, gu/kfnLsf

@=&_ k|ltlglw, k|d'v /fhg}lts bnx?

@=*_ g]kfn kqsf/ dxf;+3, lhNnf ;ldlt

@=(_ lhNnfdf sfo{/t lhNnf :t/Lo ljleGg ;+3 ;+:yfx?

@=!)_ s'i7/f]u ;DjGwL sfo{/t ;+:yfx?

@=!!_ s'i7 k|efljtx?sf] ;+:yfsf k|d'v tyf k|ltlglw

@=!!_ ;b:o ;lrj, lhNnf :jf:Yo k|d'v jf hg :jf:Yo k|d'v

k'gZRfMM :yfgLo ljsf; clwsf/L / lhNnf -hg_ :jf:Yo k|d'vn] ;b:ox? lgwf{/0f ug{]5g\ .

#_ o; ;ldltsf] lgDg jdf]lhd sfd / st{Jo /xg]5 .

s_ k|rf/ k|;f/sf] nflu lhNnf :t/Lo ;fdflhs ;+3, ;+:yf dfkm{t Jofks ?kdf hgr]tgf tyf hg;xeflutf >[hgf ug{] .

v_ ;DjlGwt lhNnf :t/Lo OsfO{x?nfO{ ;dGjofTds ?kn] kl/rfng ug{sf] nflu cfjZos Joj:yf ldnfpg] .

u_ hgzQmL, cf}iflw cfk"lt{, tfnLd, Vff]h sfo{qmd tyf lgb{]lzsf ljt/0f cflb ;Dk'0f{ sfo{sf] of]hgf th'{df ul/ sfo{qmd sfof{Gjog ug]{ 5 .

3_ :yflgo >f]t/;fwgsf] kl/rfng ul/ cleofg sfo{df yk of]ubfg ug{ ;xhLs/0f ug]{ 5 .

ª_ lgoldt a}7s, cg'udg, tyf sfo{qmdsf] d"Nof+sg ug]{ 5 .

$_ gu/kflnsf / ufp+ ljsf; ;ldlt ;dGjo ;ldlt (Municipality/VDC Level Coordination Committee)

gu/kflnsfsf] sfo{sf/L clws[t / uf=lj=;= ;lrjsf] ;efkltTjdf k|f=:jf=s]=, :jf=rf}= k|d'v ;b:o ;lrj /xg] u/L gu/kflnsf / uf=lj=;= :t/sf :jf:YosdL{ nufot /fhlglts bnx?, dlxnf, ;DjlGwt :yfgLo ;+3 ;+:yfx?, lzIfs, a'l4lhjL tyf cGo ;dfh;]jL ;d]t ePsf] ;ldlt u7g ul/g] 5 .

o; ;ldltsf] sfd / st{Jo lgDg adf]lhd x'g]5 .

!_ Jofks hgr]tgf clea[l4sf] nflu k|rf/ k|;f/ ug{'sf] ;fy} s'i7/f]u lgjf/0f cleofg ;kmntfsf] nflu hg;xeflutfd"ns sfo{qmddf cfjZos ;dGjo / ;xof]u ug{] .


3

@_ s'i7/f]u lgjf/0f cleofgdf ;lqmo ;xof]u ug{ ;Sg] ;Defljt JolQmx? Tfyf cGo ;fwg, >f]t klxrfg u/L kl/rfng ug]{ .

#_ :yfgLo g]t[Tj tx;+u jf/Djf/ ;Dks{, a}7s / hfgsf/L lng] .

$_ cfjZos ;"rgf lhNnfnfO{ t'?Gt lbg] / lgb{]zg lng] .

%_ o; % lbg] cleofg sfo{qmddf vf]hstf{ 6f]nL (Search Team) s'g s'g lbg s'g s'g 7fp+df hfg] xf] hg;d'bfonfO{ hfgsf/L u/fO{ pQm lbgdf 3/ 3/df g} a;L h+rfpg cfu|x ug{] .

%= s'i7/f]u lgjf/0f cleofg sfof{Gjog sfo{ bnM !_ vf]hstf{ 6f]nL (Search Team): k|To]s vf]hL 6f]nLdf @ hgf ;b:o /xg] 5g\ . c=x]=j=, c=g=dL=, lzIfs, ;dfh;]jL, :yflgo ;+3 ;+:yfdf sfo{/t :j+o;]js÷ ;]ljsf, dlxnf :jf:Yo :jo+ ;]ljsf jf s'i7 k|efljtaf6 vf]hstf{ 6f]nL 5gf}6 ul/g] 5 . o;/L u7g ubf{ ! hgf clgjfo{ ?kdf n]vk9 ug{ ;Sg] / ! hgf k'?if tyf ! hgf dlxnf x'g' kg{]5 . o;/L 6f]nL u7g ubf{ dfly pNn]lvt 6f]nLaf6 lhNnfdf cfjZos kg{] hgzlQm gk'u ePdf ;s] ;Dd :jf:Yo sfo{qmddf cg'ej ePsf JolQmnfO{ k|fyldstf lbO{ 6f]nL u7g ug{ ;lsg]5 .

o;/L u7g ul/Psf] 6f]nLnfO{ glhssf] :jf:Yo ;+:yfdf ! lbgsf] cled"vLs/0f u/L sfo{qmd ;+rfngdf ;xefuL u/fO{g] 5 . 5gf}6 ePsf 6f]nLn] tfnLd kZrft\ ;DjlGwt :jf:Yo ;+:yfsf] lgb{]zgdf /xL slDtdf ! lbgdf #) 3/ kl/jf/sf ;b:ox?nfO{ hf+r ug{' kb{5 . o;/L % lbgdf slDtdf !%) 3/ kl/jf/nfO{ hf+r ug{' kb{5 / o;/L hf+r ubf{ kmf/d g+= ! eg'{ kb{5 . hf+r ubf{ glrnfpg] bfu jf s'i7/f]usf] z+sf nfu]sf JolQmx?nfO{ glhssf] /f]u lgbfg s]Gb| -k|f=:jf=s]=, :jf=rf}=_ x?df /f]u lgbfg / pkrf/sf] nflu kmf/d g+= @ e/L k7fpg' kg{]5 . pk/f]Qm cg';f/ sfo{ ;+rfng ug{ :jf:Yo ;+:yfn] vf]hL 6f]nL ;+Vof lgwf{/0f u/L sfo{ If]q tf]sL vf]hL sfo{ ;+rfng ug]{ Joj:yf ldnfpg' kg{]5 . vf]hL sfo{ ;+rfng ubf{ k|To]s vf]hL 6f]nLn] cf cfkmgf] sfo{ If]qdf kg]{ laBfno, u'Daf, d7 dlGb/, a[bf>d, rr{ db/;f, sn sf/vfgf nufot cGo ;Dk'0f{ ;fj{hlgs :yfgdf ;d]t vf]hL sfo{ ;DkGg ug'{ kg]{ 5 . vf]hL sfo{ kZrft k|To]s 3/w'/Ldf hDdf kl/jf/ ;+Vof / kl/If0f u/]sf] ;+Vof clgjfo{ pNn]v ug'{ kg]{ 5 .

pbfx/0fsf] nfluM

L %÷& -L sf] cy{ 3/w'/L , % sf] cy{ kl/If0f u/]sf] ;+Vof / & sf] cy{ hDdf kl/jf/ ;+Vof_

gf]6 M s= :jf:Yo ;+:yfaf6 cleofg sfo{sf nfuL vl6P/ hfg] :jf:Yosld{sf] 6f]nLn] klxnf] lbg vf]hL 6f]nLsf] ;xof]udf cf—cfkm\gf] If]qdf kg]{ laBfnodf s'i7/f]u ;DalGw hgr]tgf clea[l4 tyf cleofg ;DalGw hfgsf/L u/fpg'sf ;fy} lZfIfs tyf laBfyL{sf] s'i7/f]u kl/If0f sfo{ ;DkGg ug'{ kg]{ 5 .


4

v= sfo{qmdsf] 5}7f}+ lbgdf ;Dk0f"{ kmf/dx? Tfyf k|lta]bg clgjfo{ ?kdf ;DjlGwt :jf:Yo ;+:yfdf a'emfpg kg{]5 .

@_ /f]u lgbfg 6f]nL (Confirmation Team): /f]u lgbfg 6f]nLn] vf]hL 6f]nL4f/f k|]if0f ul/Psf z+sf:kb s'i7/f]u lj/fdLx?sf] k"0f{ hf+r u/L /f]u lgbfg ug{' kg{]5 . o; sfo{sf] nflu kmf/d g+= # sf] /lhi6/ eg{sf ;fy} :jf:Yo ;+:yfdf k|of]u x'g] ;a} lgoldt kmf/dx? Clinical register, charting card cflb e/]/ pkrf/ z'? ug{' kg{]5 . pknJw ;fwg, >f]taf6 hf+r ubf{ /f]usf] k"0f{ lgbfg x'g g;sL z+sf:kb ePdf ;f] lj/fdLnfO{ k"gM /f]u lgbfgsf] nflu lhNnf :t/Lo ;'kl/j]If0f 6f]nL (Supervisory Team) cfpg] lbgdf af]nfpg] Aoa:yf ldnfpg' kg{]5 . To;/L af]nfO{Psf z+sf:kb lj/fdLsf] ;Dk"0f{ clen]v /fVg' kb{5 .

/f]u lgbfg 6f]nLnfO{ lhNnfaf6 cfpg] ;'kl/j]If0f 6f]nL slxn] cfpg] eGg] tfnLsf klxn] g} pknJw x'g' kg{]5 . /f]u lgbfg 6f]nL] s'i7/f]u lgjf/0f cleofgdf ^ lbg ;Dd ;+nUg x'g' kg{]5. /f]u lgbfgsf qmddf k|of]uzfnf ;]jfsf] cfaZoStf kg]{ eP lhNnf l:yt k|of]uzfnfdf l:sg :d]/ hfFr ug]{ Aoa:yf ldnfpg' kg]{ 5 .

#_ ;'kl/j]If0f 6f]nL (Supervisory Team): k|f=:jf=s]= tyf :jf:Yo rf}sLdf /x]sf /f]u lgbfg 6f]nLn] k"0f{ lgbfg ug{ g;sL /fv]sf z+sf:kb lj/fdLx?sf] k"0f{ lgbfg ug{sf] nflu nueu k|To]s @) j6f vf]h 6f]nL jf @ b]lv # j6f uf=lj=;= sf] aLrdf Pp6f ;'kl/j]If0f 6f]nL /xg]5 . o; 6f]nLdf s'i7/f]u ;DjGwL a9L cg'ejL Pj+ tfnLd k|fKt bIf sd{rf/Lx? h:t}M x]=c=, s'i7/f]u ;'k/efO{h/ / Ifo÷s'i7 clws[t jf ;xof]uL ;+:yfsf ;'k/efO{h/ ;dfj]z ul/g] 5g\ .

s'i7/f]u lgjf/0f cleofg sfo{qmddf o; 6f]nLn] :jf:Yo ;+:yfx?sf] ;'kl/j]If0f ug{]5 . ;'kl/j]If0fsf] ;dodf z+sf:kb lj/fdLsf] k"0f{ lgbfg ug{sf] ;fy;fy} cfjZos k|fljlws ;Nnfx, ;'emfj Pj+ cGo cfjZos ;xof]u lbg]5 . tYof+s ;+sng / ;+of]hg u/L k|ltj]bg k7fpg] sfo{df ;+nUg /xg]5 .

pk/f]Qm cg';f/ /f]u lgbfg 6f]nL, lhNnf ;'kl/j]If0f 6f]nL lgdf{0f, 6f]nL ljefhg Pj+ sfo{ If]q ljefhgsf] ;Dk"0f{ sfo{ lhNnf :jf:Yo/hg :jf:Yo sfof{non] ug{]5 . k|To]s ;'kl/a]If0f 6f]nLn] s'g lbg, s'g ;+:yfdf s'g ;dodf ;Dks{ /fVg' kg]{ xf], ;f] sf] la:t[t of]hgf agfpg' kg]{ 5 / ;f] sf] hfgsf/L ;a} /f]u lgbfg s]Gb|df u/fpg' kg]{ 5 .

^= s'i7/f]u lgjf/0f cleofg sfo{qmddf /fli6«o tyf cGt/fli6«o ;+3 ;+:yfsf] e"ldsfM g]kfndf /fli6«o tyf cGt/fli6«o ;+3 ;+:yfx?n] s'i7/f]u lgjf/0f cleofg sfo{df w]/} jif{ cl3 b]lv g} sfo{ ub{} cfPsf] kl/k]Iodf s'i7/f]u lgjf/0f cleofg sfo{qmddf If]qLo :jf:Yo lgb{]zgfno tyf lhNnf :jf:Yo sfof{nox? ;+u ;dGjo /fvL lgDg sfo{x? k|efjsf/L ?kdf ug{]5g\ .

!_ s'i7/f]u lgjf/0f cleofg ;DjGwL :yfgLo jf If]qLo :t/df Jofks ?kdf hgr]tgf clea[l4sf] nflu k|rf/ k|;f/ ug{] .

@_ ljleGg txsf :jf:Yo sfo{stf{x?nfO{ cfjZos tfnLd Pj+ cled'vLs/0f sfo{df ;xof]u ug{] .


5

#_ s]Gb|, If]q Pj+ lhNnf :t/Lo sfo{qmddf ;xof]u tyf ;dGjo sfod u/L sfo{ of]hgf agfpg / sfof{Gjogdf ;xof]u ug{] tyf lhNnfnfO{ cfjZos kg{] bIf hgzlQm pknJw u/fpg] .

$_ cfjZostf cg';f/ s'i7/f]u lgjf/0f cleofg sfo{qmdsf] ;kmntfsf] nflu s]Gb|sf] lgb{]zg cg';f/sf] sfo{df ;xof]u ug{] .

cfjZos cf}iflwsf] Joj:yfkgM klxn] b]lv g} lgoldt pkrf/df /x]sf lj/fdLx?nfO{ lgoldt sfo{qmdaf6 g} cf}iflw cfk"lt{ x'g]5 . s'i7/f]u lgjf/0f cleofg sfo{qmdsf] nflu k|To]s /f]u lgbfg s]Gb|df cf}iflw cfk"lt{ ubf{ To; s]Gb| cGtu{t kg{] s"n hg;+Vof Pj+ kQf nfUg ;Sg] lj/fdLsf] ;+VofnfO{ cfwf/ dfgL cf}iflw cfk"lt{sf] Joj:yf ldnfpg' kg{]5 .

&= s'i7/f]usf] cf}iflwsf] ljt/0f tyf ;+ro k|0ffnLM s'i7/f]usf] cf}iflw :jf:Yo ;+:yfx?df tfnLd sfo{qmd ;+rfng x'g' cufj} pknJw u/fO{g] 5 . lhNnfdf x'g] /f]u lgbfg 6f]nLsf] tfnLdsf] ;dflKt kl5 k|To]s s]Gb|x?df cf}iflw k7fpg] Joj:yf ldnfpg' kg{]5 .

cf}iflw cfk"lt{ ubf{ k|lt lj/fdLnfO{ ^ dlxgfsf] nflu cf}iflw k'Ug] u/L x/]s :jf:Yo ;+:yfdfk7fO{g] 5 / lj/fdL ;+Vof sd cfO{ k7fO{Psf] cf}iflw vkt gx'g] ca:yf ePdf lhNnfaf6 hfg] ;'kl/j]If0f 6f]nLn] k|To]s s]Gb|af6 lkmtf{ NofO{ lhNnf :6f]/df df}Hbft ug{] Joj:yf ldnfpg' kg{]5 .

lgbfg ePsf lj/fdLx?nfO{ Ps k6sdf Ps dlxgfsf] cf}iflw lbg' kg{]5 t/ lj/fdLsf] cj:yf x]/L csf{] dlxgf cfpg g;Sg] ePdf @ dlxgfsf] nflu ;Dd cf}iflw lbg ;lsg] 5 . lj/fdLsf] nflu Pd=aL=, lk=aL= tyf jo:s / jRrfsf] nflu AnLi6/ Kofsdf cf}iflw pknJw x'g]5 . k|To]s AnLi6/ Kofsdf ! dlxgfsf] nflu k'Ug] cf}iflw /flvPsf] x'G5 .

*= s'i7/f]usf] lrGx tyf nIf0fx?M

!_ s'i7/f]u z+sf ug{] tl/sf -Search Team sf] nflu_M

s_ z/L/sf] s'g} klg efudf glrnfpg] bfux? b]vf k/]df

v_ z/L/df uLvf{x? b]lvPdf, sfgsf] nf]tL tyf cg'xf/sf] 5fnf afSnf] ePdf

u_ xft v'6\6f emdemdfPdf, xTs]nf tyf k}tfnfdf :kz{ zlQm x/fPdf jf gb'Vg] 3fp ePdf

@_ s'i7/f]u lgbfg ug{] tl/sf - Confirmation Team sf] nflu_M

s'i7/f]u g} xf] egL lgbfg ug{] d'Vo # j6f lrGxx? (Cardinal Signs of Leprosy)

s_ 5fnfdf km';|f] jf xNsf /ftf] :kz{ zlQm x/fPsf bfu -Anaesthetic patch_ ePdf

v_ :gfo' ;'lGgPdf, df]6f] jf b'Vg] ePdf ;fy} :gfo' sfo{ Ifdtfdf x|f; ePdf

(Enlarged, swollen, pain/tender of nerve)

u_ 5fnfsf] gd"gf af6 lnO{Psf] tGt' /; hf+r ubf{ ls6f0'f b]lvPdf (Skin smear positive)


6

dflysf lrGxx? (Cardinal Signs) geP klg olb s'i7/f]usf] z+sf 5 eg] k|]if0f s]Gb|df cfjZos hf+r k8\tfnsf] nflu k7fpg' kb{5 .

cGo cfjZos ;fdu|Lx?M !_ s'i7/f]u vf]h k8\tfn kmf/d, lSnlgsn /lhi6/, rfl6{+u sf8{ / ;r{ sf8{

@_ kf]i6/, kDkmn]6

#_ l/km/n sf8{ / kmd{ kmd{]6

$_ 86k]g

%_ rs cflb .

;Dk|]if0f ug{] tl/sf M s'i7/f]u lgjf/0f cleofg ;kmn x'g' eg]sf] ztfJbLof}+ b]lv xfd|f] b]zdf ;fdflhs ;d:ofsf] ?kdf /x]sf] s'i7/f]u nfO{ hg :jf:Yosf] ;d:of af6 d"lQm kfpg] af6f]df ;kmntf kfpg' xf] . of] sfo{ Hofb} hl6n ePtf klg c;Dej eg] 5}g . o;sf] nflu c;n / k|efjsf/L of]hgfsf] sfof{Gjog ul/g' kb{5 . o; sfo{df :jf:Yo If]q PSn}n] u/]/ g;Sg] ePsf]n] ;/sf/L / u}x| ;/sf/L lglh tyf ;d'bfo :t/sf] ;+o'Qm ;xsfo{ cfjZos 5 . /fli6«o :t/df ul7t k|fljlws / ;dGjo ;ldlt dfkm{t lhNnf l:yt sfof{nox?nfO{ ;xof]u k'/\ofpg cg'/f]w / lgb{]zg ul/g] 5 . ctM lhNnf;/sf/L tyf u}x| ;/sf/L, gLlh If]qsf /fli6«o / cGt/fli6«o jf :yfgLo ;+3 ;+:yfx?, Snax?, ljBfno, sn]h cflb ;Dk"0f{ lgsfosf k|ltlglwx?nfO{ cfdGq0f u/L s'i7/f]u lgjf/0f cleofg jf/]df la:t[t hfgsf/L u/fO{g] 5 . pQm a}7s tyf 5nkmn cleofg z'? x'g !% lbg cufj} ;DkGg ug'{ kg]{ 5 . . s]Gb|af6 s'i7/f]u lgjf/0f cleofgsf nflu cfaZos kg]{ :jf:Yo lzIff ;fdfu|Lx? ;DalGwt lhNnfdf ;dod} k7fO{g]5 .

;fj{hlgs :ynx?df leQ] n]vg, Jofg/, kf]i6/ cflbsf] clwstd k|of]u ug]{ Aoa:yf ldnfpg' kg]{ 5 . To;} u/L Pkm=Pd= /]l8of] tyf :yfgLo kq klqsfaf6 klg ;"rgf tyf ;Gb]zx? k|jfx ul/g] 5 .

(= s'i7/f]u lgjf/0f cleofgdf ;j{ ;fwf/0f hgtfsf] ;xeflutfsf] nflu pTk|]/0ff / ;Gb]Zfx?M

- s'i7/f]u s'g} b]jL b]jtfsf] >fk jf k"j{ hGdsf] kfksf] sf/0fn] jf j+zfg'ut sf/0fn] ge} gf+uf] cf+vfn] b]Vg g;lsg] ;'Id ls6f0f' af6 x'g] /f]u xf] .

- z/L/df glrnfpg] :kz{ zlQm x/fPsf bfux? b]vf k/]df, uLvf{x? b]lvPdf jf sfgsf] nf]tL tyf cg'xf/sf] 5fnf afSnf] ePdf s'i7/f]u x'g ;S5 .

- lgoldt pkrf/ af6 s'i7/f]u k"0f{tofM lgsf] x'G5 . - s'i7/f]usf] hf+r / ax' cf}ifwLo pkrf/ :jf:Yo ;+:yfx?df lgMz'Ns pknJw x'G5 .


7

- z'?sf] cj:yfdf g} pkrf/ u/]df /f]u k"0f{ lgsf] eO{ ckf+utf x'gaf6 aRg'sf ;fy} /f]u ;g{af6 arfpg ;lsG5 .

- s'i7/f]u lj/fdLnfO{ cGo lj/fdL ;/x 3/ kl/jf/df ;+u} /fvL pkrf/ u/fpg ;lsG5 . - pkrf/ z'? u/]sf lj/fdL af6 c?nfO{ /f]u ;b{}g .

s] tkfO{nfO{ yfxf 5 < olx @)&# ;fn ======= =======ut] b]lv ======= ====== ut] ;Dd s'i7/f]u lgjf/0f cleofg sfo{qmd ;+rfng x'+b}5, pQm cjlwdf tkfO{sf] 3/b}nf]df s'i7/f]usf] z+sf nfu]sf JolQmx? kQf nufpg vf]h k8\tfn 6f]nL cfp+b}5 .

s'i7/f]u lgjf/0f cleofg ;kmn kfg{ tkfO{ xfdLn] s] ug{] <

- hf+r k8\tfn ug{] lbg 3/ d} a:g hfgsf/L u/fpg] . - 3/b}nf]df hf+r ug{ cfPsf vf]h k8\tfn 6f]nL ;+u cfkm\gf] ;Dk"0f{ kl/jf/sf] hf+r u/fpg

clek|]l/t ug]{ . - vf]h k8\tfn 6f]nL cfPsf] hfgsf/L cfkm\gf] 5/ l5d]sLnfO{ u/fO{ hf+r ug{ nufpg

;d'bfonfO{ hfgsf/L u/fpg] . - vf]h k8\tfn 6f]nLn] lbPsf] ;Nnfx / ;'emfj cg';f/ yk hf+rsf] nflu glhssf] :jf:Yo

;+:yfdf ;Dks{ /fVg ;Nnfx lbg] . - tkfO{ xfd|f] ;xof]u Pj+ ;b\efjn] s'i7/f]u lgjf/0f sfo{df ;xof]u ldNg] 5 . - /f]u lgbfg ePsf lj/fdLx?n] k'/f cjlw ;Dd cf}iflw ;]jg ug{ ;xhLs/0f ug]{ . - s'i7/f]u lgjf/0f cleofg tkfO{ xfd{L ;a}sf] ;/f]sf/sf] ljifo ePsf]n] o;sf] ;kmntfsf]

nflu ;a}hgfn] ;xof]u / ;dy{g u/f}+ . - s'i7/f]u lgjf/0f cleofg z'? x'g' cufj} b]lv lhNnf hg :jf:Yo sfof{nodf sfo{/t hf]

;'s} sd{rf/Ln] ePklg cfkm\gf] lgoldt ;'kl/j]If0fsf] ;dodf jf :jf:Yo ;+:yfx?df ;]jf lng cfPsf lj/fdLx?nfO{, dlxnf :jf:Yo :jo+ ;]ljsf tyf cGo ;/f]sf/jfnfx?sf] tfnLd Pj+ uf]i7Lx?df lhNnfdf ;+rfng 'xg] s'g} klg a[xt sfo{qmd, e]nf cflbdf s'i7/f]u lgjf/0f cleofg sfo{qmd jf/] hfgsf/L u/fpg kb{5 .

;f/f+zdf lgDg a'+bfx? dgg ug{ plrt x'g]5 M

- hg 3gTj a9L ePsf zx/L Onfsfdf s'i7/f]u lgjf/0f cleofg sfo{qmd jf/]df Jofks hgr]tgf hufpg] cleofg ;+rfng ug{' kg{]5 .

- u|fld0f Onfsfx?df x'g] e]nf jf cGo ljljw rf8 kj{sf] ;dodf s'i7/f]u lgjf/0f cleofgsf] Jofg/, krf{, kf]i6/ cflb ljt/0f u/L Jofks k|rf/ k|;f/ ug'{ kb{5 . JolQmut s'/fsfgL ug{], Snj, ;+:yfx?df sfo{qmd af/] 5nkmn ug{ nufpg] jf ;f] ;dodf uO{ hfgsf/L u/fpg' kb{5 .

- k|ltli7t Pj+ k|efjzfnL JolQmx?sf] ;do lgwf{/0f u/L pb\3f6g, ljdf]rg h:tf sfo{x? rnfP/ k|rf/ k|;f/ ul/g' kb{5 .

- :yfgLo >f]t ;fwg / cj:yfnfO{ Wofgdf /fvL s'i7/f]u lgjf/0f cleofgsf] k|rf/ k|;f/sf nflu ;Sbf] pkof]u ug'{ kb{5 .


8

:jf:Yo s]Gb|df cg'dflgt ;+Vof eGbf w]/} sd dflg; hrfpg cfPdf s] ug{]< vf]hL 6f]nLaf6 z+sf u/L :jf:Yo ;+:yfdf k|]if0f u/]sf ;a} hgfnfO{ hf+r ug{' h?/L 5 . s'g} z+sf:kb lj/fdL h+rfpg 5'6]df, ;f]xL JolQmdf s'i7/f]u x'g ;Sb5, t;y{ hrfpg 5'6 ePsf ;+sf:kb la/fdLx?sf]] vfhL ul/ hfFr ug]{ Aoa:yf ldnfpg' kg]{ 5 . s'g} klg :jf:Yo ;+:yfdf z+sf:kb lj/fdLx? cfkm\gf] :jf:Yo kl/If0f u/fpg cfpg' kb{5 . olb s'g} sf/0fjz :jf:Yo ;+:yfdf w]/} sd dflg; kl/If0f ug{ cfPdf vf]hk8\tfn 6f]nLnfO{ a9L ;Ifd u/fpgsf] ;fy} ;'kl/j]If0f sfo{nfO{ a9L k|efjsf/L agfpg' kg{] x'G5 / lj/fdL hf+r ug{ cfpg] ;+Vof a9fpg' kg{] x'G5 .

lgl/If0f / lgb{]zgM ;'kl/j]If0f 6f]nLn] vf]hk8\tfn 6f]nLn] vf]hL sfo{ ;DkGg u/]sf]] 3/ Pj+ /f]u lgbfg 6f]nLsf] lgoldt ;'kl/j]If0f tyf cg'udg ug]{ 5 . pQm lgl/If0f ug{ hfg] 6f]nLn] yk cf}iflw Pj+ cfaZos kg{ ;Sg] kmd{x? klg ;fydf lnP/ hfg' kg{]5 .

;du| cleofg, vf]hk8\tfn /f]u lgbfg 6f]nLsf] cg'udg, ;'kl/a]If0f / lgb]{zg hg :jf:Yo k|d'v, hg :jf:Yo clws[t If]q jf s]Gb|af6 cfPsf] 6f]nLn] ug]{ 5 .

!)= s'i7/f]u lgjf/0f cleofgsf] kmf/d eg{] / s]Gb|df k7fpg]M s'i7/f]u lgjf/0f cleofg sfo{qmd ;DkGg ePkl5 vf]h k8\tfn 6f]nLn] ;DjlGwt /f]u lgbfg 6f]nLdf / /f]u lgbfg 6f]nLn] ;'kl/j]If0f 6f]nLnfO{ a'emfpg' kg{]5 . ;'kl/j]If0f 6f]nLn] cfkm\gf] dftxtsf ;Dk"0f{ kmf/dx? / a9L ePsf cf}iflwx? lhNnfdf NofO{ a'emfpg' kg{]5 . lhNnf :jf:Yo÷ hg:jf:Yo sfof{nodf k|fKt ;a} kmf/dx? lh=:jf=÷hg :jf= sfof{nosf sd{rf/Lx? Pj+ ;'kl/j]If0f 6f]nL ;+o"Qm ?kdf a;L hDdf ePsf tYof+sx?sf] k|ltj]bg tof/ u/L ;+rf/sf] l56f] ;fwgaf6 s'i7/f]u lgoGq0f dxfzfvf, sf7df08f}, 6]s'df k7fpg' kg{]5 . sfo{ ;Dkfbgsf] cGTodf

lhNnf :jf:Yo/ hg :jf:Yo sfof{non] s'i7/f]u lgjf/0f cleofg ;kmn agfpg ;lqmo ?kn] sfd

ug{] /fhg}lts kf6L{, :jf:YosdL{, :jo+ ;]jsx?, ;/sf/L tyf u}x| ;/sf/L lgsfosf kbflwsf/Lx?sf] of]ubfgnfO{ k|z+;f ub{} wGojfb k|bfg ug'{ kb{5 .

!!= s'i7/f]u lgjf/0f cleofgM k|lzIf0f lgb{]lzsf !_ lhNnf :t/df lgjf/0f x]t' cyf{t k|lt bz xhf/ hg;+Vofdf Ps eGbf sd s'i7/f]usf lj/fdL ;+Vof sfod /fVg @)&# ======= ===== ut] b]lv ==== ut] ;Dd b]zsf s'i7/f]u a9L k|efljt lhNnfx?df s'i7/f]u lgjf/0f cleofg ;+rfng ug{ nfluPsf] 5 . ;f] cleofg sfo{qmd ;+rfngfy{ ;Dk"0f{ :jf:YosdL{x?sf] tfnLd / cg'lzIf0f sfo{ lgtfGt cfjZos /x]sf]n] ljleGg txdf ul/g] pQm tfnLd cg'lzIf0f sfo{sf] nflu of] k|lzIf0f lgb{]lzsf tof/ ul/Psf] 5 .


9

@_ lgb{]lzsfsf] p2]ZoM

s'i7/f]u lgjf/0f cleofgdf ;+nUg /xg] k|lzIfs / ;f] ;+u ;GjlGwt JolQmx?sf] nflu ljleGg txdf x'g] k|lzIf0f ;DjGwL sfo{ lgb{]zg ug{ o; k|lzIf0f lgb{]lzsfsf] p2]Zo x'g]5 .

#_ s'i7/f]u lgjf/0f cleofgsf] nflu lgDg txx?df tfnLd / cled'vLs/0f sfo{qmdx? ;+rfng x'g]5g\M

s_ s]Gb|Lo tx M Central core training team

v_ lhNnf tx M District ToT and confirmation team including region u_ :jf:Yo ;+:yf tx M Search team training and other orientations

pk/f]Qm tfnLd ;+rfngfy{ lgDg cg';f/sf k|lzIfs / ;xefuL ;dfj]z x'g]5g\M s_ s]Gb|Lo txsf] >f]t JolQmx?M

- Director, Leprosy Control Division - Deputy Health Administrator, Leprosy Control Division - National Programme Officer, WHO - Representatives, NGO network

s]Gb|Lo txsf] tfnLd k|lzIfsx?M

- Senior Leprosy Supervisors, LCD - TB/Leprosy Officers, LCD - Regional TB/Leprosy Officers - Training Officers, Region based partner NGOs

v_ lhNnf txsf] tfnLd -k|lzIfs k|lzIf0f / /f]u lgbfg 6f]nL_ sf k|lzIfs M

- D(P)HO - MO - Regional TB/Leprosy officer/Assistant - District TB/Leprosy officer/Assistant

lhNnf txsf] tfnLd -k|lzIfs k|lzIf0f / /f]u lgbfg 6f]nL_ sf ;xefuLx?M

- Supervisors of D(P)HO - HA, SN, AHW, ANM - District based health workers/Supervisors of NGOs

u_ :jf:Yo ;+:yf txsf] tfnLd -vf]hstf{ 6f]nL_ sf k|lzIfs M

- Participants of District ToT (HA, SN, AHW, ANM, Supervisors, health workers of NGOs)


10

3_ :jf:Yo ;+:yf txsf] tfnLd -vf]hstf{ 6f]nL_ sf ;xefuL M

- AHW, ANM, Teachers Social Activist - FCHV (selected) - Leprosy affected people - Others (health workers, teacher)

:jf:Yo ;+:yf txsf] cled'vLs/0f -uf=lj=;=cWoIf tyf cGo_

>f]t JolQm

- PHCC/Health Post In-charge

:jf:Yo ;+:yf txsf] cled'vLs/0f -uf=lj=;=cWoIf tyf cGo_

;xefuL

- VDC Chairman - Others (Social leaders/workers)

pk/f]Qm txdf ;+rfng x'g] tfnLd / cled'vLs/0f sfo{qmdsf ;xefuLx?sf] d'Vo sfd, st{Jo / lhDd]jf/L lgDgfg';f/sf] x'g]5 .

!_ s]Gb|Lo txsf] tfnLdM sfd, st{Jo / lhDd]jf/L

- Central core team member n] lhNnf :t/df ;+rfng x'g] ToT df k|lzIfs eO{ sfd ug'{ kg{]5 . pQm sfo{qmddf If]qLo :jf:Yo lgb{]zgfnoaf6 klg ;xeflutf /xg] 5 .

- Central core team sf ;b:ox?n] lhNnfdf ;+rfng x'g] ToT tfnLdsf] ;dGjo, of]hgf tyf ;'kl/j]If0f ug{] sfd ug'{ kg{]5 .

- s'i7/f]u lgjf/0f cleofg sfo{qmd ;+rfng ug{] l;nl;nfdf core team member n] s]Gb| b]lv ufp+ ;Ddsf] ;"rgf k|bfg ug{], of]hgf agfpg], sfo{ ;+rfng ug{], d"Nof+sg ug{] tyf cGo cfjZos sfddf ;dGjo ug{] sfdsf] lhDd]jf/L jxg ug'{ kg{]5 .

- s'i7/f]u lgjf/0f cleofgsf] l;nl;nfdf s'g} c;'ljwf Pj+ ;d:of pTkGg ePdf s'i7/f]u lgoGq0f dxfzfvf ;+u ;Dks{ u/L ;d:of lg/fs/0f tkm{ cfjZos sfo{ ug{]5.


11

DISTRICT LEVEL TOT

(CAMPAIGN)

PROGRAMME SCHEDULE

First Day

10:15 - 10:30 Welcome/Introduction to MLEC 10:30 - 11:00 Role & Responsibilities of Confirmation and Search Teams

11:00 - 12:00 Suspect, Diagnosis & Confirmation

12:00 - 01:00 Classification & Treatment

01:00 - 02:00 Sensory Test and Nerve Palpation (Practical)

02:00 - 02:30 BREAK

02:30 - 03:30 History Taking and Body Charting (Practical)

03:30 - 04:15 Recording & Reporting

04:15 - 04:45 Supervision, Monitoring & Referrals


12

Training Objective

Knowledge Skills Training Method Training Aids Time

I Campaign Objectives/strategies and procedures

- Interactive lectures

Blackboard or newsprint paper

15 mins

II Roles/responsibilities of Confirmation Team Roles/responsibilities of Search Team



30 mins

III Suspect criteria for Search Team: Non-itchy skin patch with history of

anesthesia Weak and anesthetic fingers and toes

- History taking - Interactive lectures

- Slideshows


Atlas of leprosy

IV & V Clinical guidelines for recognizing and confirming leprosy Diagnostic signs of leprosy Sites of peripheral nerves in leprosy Classification of leprosy Treatment (MDT) of leprosy Contraindication & side effects of MDT Disability grading and patients education

- History taking- Body charting - Sensory

Testing - Nerve

palpation - VMT


- Slideshow - Case

demonstration - Drug

demonstration - Practical exercise

Whiteboard OHP Slide projector MDT drugs Leprosy patients Patient card Booklets &

leaflets

1 hour

VI, VII & VII

Recording and reporting system Patient’s card, clinical register, contact card Campaign recording and reporting forms Supervision Monitoring & Referral Spot check & logistic supply Referral criteria for confirmation team

during Campaign Available referral centres during Campaign

- Filling forms- Writing

referral slips - Maintaining

register


- Practical exercise

Whiteboard OHP Forms/Charts Referral Slips Clinical Register

1 hour


13

District Level ToT

A. Participants: HA, District Supervisors/Assistants, AHW/ANM, NGOs Health Workers

B. Resource Person: RD, RTLO, LCD, Supporting Partners

C. Duration: 1 Day

D. Total Work Hours: 6 Hours

E. Participants Major Tasks: 1. To conduct PHC/HP level (Search Team) training at PHC/HP areas 2. Confirmation of suspected cases and their treatment.

F. Specific Tasks

1. Briefing about campaign 2. Briefing about roles and responsibilities of Confirmation Team and Search Team 3. Trained on diagnosis/confirmation of leprosy during campaign 4. Trained on treatment procedure and patient’s education during campaign 5. Trained on supervision and monitoring aspects of campaign at HP level 6. Trained on recording, reporting and referral procedures during campaign.

G. Aim of Training: To provide knowledge and skills to the participants to enable them to carry out their assigned tasks related to MLEC in a satisfactory level in their job/place area.

H. Objectives of Training: At the end of District Level ToT, the participants will be able to: 1. Explain the objectives, strategies and procedures of campaign. 2. Explain the roles / responsibilities of confirmation and Search Team in relation to

Campaign. 3. Provide information on clinical guidelines for suspecting leprosy cases to the Search

Team and other district level workers associated with Campaign. 4. Do confirmation of suspected leprosy cases at confirmation centres. 5. Classify and treat confirmed leprosy cases according to National Guidelines during

campaign. 6. Do recording and reporting at their level during Campaign. 7. Do supervision and monitoring at district level and refer those suspected leprosy

cases who fall under the referral criteria during Campaign.


14

8. Provide explanations and instructions on recording and reporting systems to the participants of HP level training.

I. Training Contents: 1. Campaign: Objective, Procedure and Activities 2. Roles and responsibilities of confirmation and Search Team 3. Suspect and diagnosis

Suspect criteria for search: o Non-itchy skin patch with history of anesthesia (excluding birth mark &

scar) o Weak or anesthetic fingers and toes (excluding deformities due to

congenital and injuries) Diagnostic signs: Anesthetic patch and enlarged nerve

4. Classification: MB, PB 5. Treatment: MB, PB PB-MDT duration, contra-indication, side effects & patient’s

educations. 6. Recording and Reporting: Patient Card, Patient’s Registration, Contact Card and

Campaign Forms. 7. Supervision, Monitoring & Referrals: Spot check at confirmation centre,

confirmation of difficult cases, logistics, referral criteria for confirmation team.


15

Training of Search Team (HP Level Training)

A. Participants: Selected FCHVs, leprosy affected; Health Workers and Teachers B. Resource Person: Participants of District Level ToT C. Duration: 1 Day D. Total Work Hours: 6 Hours

E. Participant’s Major Task:

To identify cases with skin lesion in the community through household visits and refer them into the nearest confirmation centre.

F. Specific Tasks: 1. To visit every households in the assigned area. 2. To explain the purpose of their visit to the household member and convince them to get

examined. 3. To examine household members to find out suspected skin lesions of leprosy. 4. To refer all suspected individuals into the confirmation centre with prescribed referral slip. 5. To keep record of daily activities in Campaign forms.

G. Aim of Training:

To provide knowledge and skills to all the participants to enable them to carry out their assigned tasks related to Campaign in a satisfactory level in their job/place area.

H. Objective of Training: At the end of the training, the participants will be able to: 1. Explain importance of Campaign & search work to the village people. 2. Explain their roles and responsibilities in relation to Campaign. 3. Examine (observe) body of household members ad find cases with skin patches according to

Campaign guidelines. 4. Do refer all suspected individuals to the nearest confirmation centre and keep its record

according to Campaign guidelines.

I. Training Contents: 1. Campaign: Its objective and importance of search work during Campaign. 2. Roles and responsibilities of Search Team. 3. Criteria for Search/Suspect:

Non-itchy skin patch with history of anesthesia (excluding birth mark and scar) Weak of anesthetic fingers and toes (excluding deformities due to congenital and

injuries) 4. Motivation and body examination (only observation). 5. Recording & Referrals.


16

Training Objective

Knowledge Skills Training Method Training Aids Time

I Campaign Its’ objectives and importance of

Search Work (in brief)


Whiteboard or newsprint paper

½ hour

II Roles/responsibilities of Search Team Structure and tasks during

Campaign



½ hour

III Criteria for Search/Suspect: Non-itchy skin patch with history

of anesthesia (excluding birth mark & scar)

Weak and anesthetic fingers and toes (excluding deformities due to congenital and injuries)

Search method and procedure

- Motivation- History taking - Body

examination (only observation)


- Patient demonstration



Atlas of leprosy Leprosy patients

3 hours

IV Referral and Recording/Reporting Referral procedure for Search

Team Campaign Referral Slips Available referral centre

(confirmation centre) during Campaign

Campaign recording/reporting forms

- Writing referral slips

- Filling forms


- Forms/charts demonstration


2 hours


17

Health Post Level (Search Team) Training (CAMPAIGN)

PROGRAMME SCHEDULE

Time Topic

10:30 - 11:00 Welcome/Introduction to Campaign

11:00 - 11:30 Roles and Responsibilities of Search Team

11:30 - 12:30 Search and Suspect: Criteria, Method & Procedure (Theory)

12:30 - 01:30 Search and Suspect: Criteria, Method & Procedure (Practical)

01:30 - 02:00 BREAK

02:00 - 02:30 Search and Suspect: Criteria, Method & Procedure (Practical)

02:30 - 03:30 Referrals, Recording and Reporting (Theory)

03:30 - 04:30 Referrals, Recording and Reporting (Practical)

04:30 - 05:00 Overall discussion and closing


18

Implementation schedule of leprosy elimination campaign at distict level Fiscal Year: 2073/074 (2016/017)

S. N.

Activities Responsibility Duration Year Remarks Jan Feb Mar April May June July

a) Preparatory phase: 1. Project proposal LCD 2. Submision of proposal LCD 3. Approval of proposal MoH 4. Approval of budget WHO 5. Preparationof program guidelines LCD/WHO 6. Preparation of curriculum for

different trainings/ orientations LCD/WHO

7. District level committee formation LCD/RHD/ D(P)HO

8. APW contract with partners LCD/WHO/ Partners

b) Implementation phase: 1. Coordination meeting with

partners for campaign LCD

2. Technical committee meeting LCD 3. District level orientations LCD/D(P)HO 4. VDC level orientation D(P)HO/ LHF 5. Core ToT central level LCD 6. District level ToT LCD/D(P)HO 7. Training for HF staff LCD/D(P)HO 8. Selection of search team member D(P)HO/ LHF 9. Interaction with Journalists LCD/D(P)HO 10. Inauguration of campaign MoH/DoHS/

LCD/ RHD/DPHO


19

Implementation schedule of leprosy elimination campaign at distict level

Fiscal Year: S. N.

Activities Responsibility Duration

Year Remarks Jan Feb Mar April May June July

c) IEC activities: 1. IEC materials production LCD 2. IEC material distribution LCD/D(P)HO 3. Message through local news papers D(P)HO 4. Public awareness campaign D(P)HO 5. Production &distribution

of manual(register,forms/ training materials etc.)

LCD/ D(P)HO

d) Supporting activities: 1. Distribution of MDT up to

confirmation cetre LCD/NGO/D(P)HO

2. Micro planning at different level LCD/RHD/D(P)HO 3. Supervision/ monitoring at

different level LCD/RHD/D(P)HO

e) Search activities: 1. School education/ screening D(P)HO/HFs/Partners 2. House to house search LCD/RHD/

D(P)HO/HFs/ Partners/FCHV/LAP

3. Confirmation,registration of cases & provide MDT

LCD/RHD/D(P)HO/ HFs/Partners

f) Evaluation phase: 1. Reporting: search team to health

facilities D(P)HO/HFs

2. Reporting to DHO/LCD HFs 3. Final reporting LCD/MoH/WHO 4. Submission of report to central

coordination committee & press release

DoHS/LCD//WHO/ RHD/D(P)HO/HFs/

Partners


20

Steps to prepare a Micro plan for District level Mini LEC

Step-1:

Collect general information as shown in micro plan format

Step-2:

Identify health facility where there is a trained human resource for leprosy

Step-3:

Decide and identify confirmation site

Step-4:

To prepare microplan and detail implementation plan.

Step-5:

Fix dates and responsible person for campaign.

Step-6:

Assign supervisors for each area

Step-7:

Display confirmation sites, PHCC/HP in a district map and action plan.


21

Format for District Level Micro plan for Mini LEC

Region: Zone: District:

1. General information: Contact no. Mail ID

SN General information Contact no. Mail ID

a) Name of D(P)HO:

b) Name of DTLO:

c) Name of key person assigned for campaign

d) Total population:

e) Total no. of household:

f) Total no. of Municipality/ VDC:

g) Total no. of registered cases: MB: PB: Total:

a) Available Human Resource :

S.N. Degination (MO, HA,….) Trained in

Leprosy Not trained Total

2. Plan for campaign: S.N. Activities Number Dates Person to

attend District level microplanning District ToT VDC (HFs) level training


22

3. Search team training: S.N. Name of health

facilities Date for search team training

Place No. to be trained


23

4. IEC activities: SN Activities Date Responsibility

To take IEC materials from Centre To take IEC materials from District Distribute to health facilities To host banners (No. ……….)

5. Support activities: SN Activities Date Responsibility

1 To take drugs (MDT) from Centre/Region

2 To take drugs (MDT) from District 3 Distribute to health facilities 4 To take forms, formats & charts from

District

5 To take forms, formats & charts from PHCC/HP

6 To distribute above forms

6. Planning search activities: SN Activities Number Date Responsibility

1 Search team needed 2 Search member needed 3 Search team formed 4 Search team members recruited 5 Confirmation team needed

6 Confirmation team formed

7 Confirmation team members recruited

8 Confirmation centres needed


24

7. Planning of search team: SN Name of search

team Responsible

area Date No. of

house hold No. of person

8. Monitoring & supervision activities: SN Name of

Supervisors Organization Assigned

area Expected date of visit


25

Mini Leprosy Campaign

Reporting format after Campaign Program of Enhanced Contact Examination of Family members & Neighbors of the Index Cases

District ============================================================

Period: from ==================================================== To ============================================= F/Y ===================================================

SN Activities Number of participants Remarks Journalists District

Supervisors Health

Workers FCHVs Leprosy

affected Community

peoples

1. Orientation

2

IEC activities

Number of IEC materials distributed, displayed & broad casted

Posters Pamphlets Flex banners Wall painting FM Radio Others

Number

3

Search activities

Search persons

Search team

Confirmation persons

Confirma-tion team

Family members examined

Suspected case referred

Cases diagnosed

Remarks


26

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cfp‘b}5 .

k'gZrM s[kof of] krf{ k9L ;s]kl5 c?nfO{ klg k9\g lbg'xf]nf . wGojfb .


27

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gfdM

28

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#


29

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s'i7/f]usf] lgbfg

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Pd=lj= lk=lj= ) ! @

……………………............................... ……............................. ……............................................. …............................... ……....................

k|ltj]bssf] gfd bhf{ :jf:Yo ;+:yf b:tvt ldlt

kmf/d g+= #


30

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31

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:jf:Yo ;+:yfsf] gfd M ldltM b]lv ;Dd cf=j=

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k|ltj]bssf] gfdM bhf{M b:tvtM ldltM

kmf/d g+= %


32

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&= tkfO{sf] ;xof]un] g} tkfO{sf] ufpF 3/af6 s'i7/f]u lgjf/0f

ug{ ;lsG5 .

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lhNnf :t/Lo s'i7/f ]u lgjf/0f - lcd.gov.nplcd.gov.np/downloads/Nirdesika-MLEC_30Nov2016-_1_.pdf · ljifo;"lr s'i7/f ]u lgjf/0f cleofg — lhNnf :t/..... 1!_ kl/roM