Quarterly Progress ReportStaff Updating & Review meetingNetherlands Leprosy Relief, IndiaDHANBAD, 7-8 July 2010

Presented by

Dr.H.C.PandeyILEP State Co-ordinator,U.P.Lucknow.

Gantt. Chart showingQuarterly Progress Report

Gantt. Chart showingQuarterly Progress Report

Activities Completion Report 20101st & 2nd Quarter

Half Day Sensitization of ANMs at CHC Nawabganj Unnao on 23rd March 2010

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

Activities Completion Report 20101st & 2nd Quarter

Half day Sensitization of ASHAs at CHC Saurik Kannauj on 15th May 2010.

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

Activities Completion Report 20101st & 2nd Quarter

02 days Self Care training cum Practice workshop at CHC Bilgram Hardoi On 29th June 2010

02 days Self Care training cum Practice workshop at CHC Bilgram Hardoi On 30th June 2010Footprints taken by GHC Staff.

NLR Activities performed All three NLR activities for 2010 have been completed.Half day Sensitization workshop of ANMs at Distt. Unnao( Batches :- 09 )Half day Sensitization workshop of ASHAs at Distt. Kannauj ( Batches :- 07) 02 days POD & Self Care in villages workshop 1) At CHC Kalyanpur Kanpur Nagar ( Batch :- 01) 2) At CHC Bilgram at Hardoi ( Batch :- 01)4) 1st Review meeting at CHC Kalyanpur on 21/05/2010.5) 2nd Review meeting at CHC Kalyanpur on 21/06/2010.

ILEP activities planned and completed in the districts since January 2010 Till June 2010.

SNDescription of activitiesPlace/VenueDates Number of ParticipantsPlannedNo Participated1.Training of trainers ( T.O.T)Charans Guest House , C-60 , Nirala Nagar Lucknow.27th April to 30th April 2010.( 04 days )353212 DLOs10 NMS / PTT10 ILEP / WHO members

CommentsDifficulties faced day Sensitization workshop of ANMs :- At District Unnao.

1) No notable problem faced during Sensitization of ANMs except :-For Sensitization workshop at CHC Bichhia 04 dates were given & only on 4th date workshop could be completed. At PHC Sumerpur & CHC Bangarmau ANMs went on coming even after 01 hour start of the workshop.Rest no problem

Expectations from District/State/NLR1) DLO /DN has promised that above problems will not be faced in future.

CommentsDifficulties faced day Sensitization workshop of ASHAs :- At District Kannauj.

No major problem faced during Sensitization of ASHAs except :-1)At CHC Tirwa seating arrangement was not up to the mark. 2)At CHC Chhibramau 01 ASHA started saying that we (ASHAs ) are getting Rs. 100=00 for trainings. But here they are getting only Rs. 50=00.

Expectations from District/State/NLR

Supdt. CHC Tirwa made the proper seating arrangement for workshop. At CHC Chhibramau DLO who was present at the workshop & Supdt. CHC told the ASHA that for this activity only Rs. 50=00 has been sanctioned as per diem by Director General , Medical Health Services, U.P.

CommentsDifficulties faced 02 days POD & Self Care in villages workshop At CHC Kalyanpur, Kanpunagar :- Accommodation for the workshop was insufficient.

At CHC Bilgram Hardoi :- No Problem faced.

Expectations from District/State/NLR

DLO Kanpur Nagar & Supdt. CHC Kalyanpur has promised for selection of big room for such activities in future.

Epidemiological Status U.P. 2009-10

Population of U.P. :- 20,37,63,851

Leprosy cases at end of March 2010 :- 16,484

New case detection from 1st April 2009 to 31st March 2010 :- 27,473

NLEP- Monthly Reporting Form Uttar Pradesh State Report

S. No.DPMR activitiesDuring the month March, 2010Cummulative total from April till March, 2010

PBMBTotalPBMBTotal1No. of reaction cases recorded47142189386119415802No.of reaction cases managed at(i) PHC3611415030610441350(ii) District Hospital42630522122643No. of suspected relapse cases referred by PHCs0332563884No. of relapse confirmed at District Hospital033824325No. of cases developed new disability after MDT134205676

Contd..

S. No.DPMR activitiesDuring the month March, 2010Cummulative total from April till March, 2010

PBMBTotalPBMBTotal6No. of patients provided with footwear65281346230117014007No. of patients provided with self care kit8837646422490511298No. of patients referred for RCS at tertiary Instts.64854312873189No. of institutes providing RCSGovt.2222NGO2222Total444410No. of patients - RCS doneGovt.21587964160224NGO00021131152Total21587985291376

Major Problems Identified in the District in NLEP Programme

S.No.ProblemsSuggestions1.DPMR forms are not available in HCFs of all districts. Even available in districts , NMSs & NMAs of HCFs do not know to fill up the forms correctly. DLOs have been requested for printing & distribution of DPMR forms but they complain of shortage of Budget etc. SLO may kindly look into it. DLO / DN in NLEP monthly meetings should demonstrate ST, VMT & filling of DPMR forms.2.DN Staff do not get vehicle for Supervision in periphery where as 01 vehicle on road is available with DLO, so Supervision is weak. DLOs are requested to spare NLEP vehicle to DN staff for Supervision when they are working in office & not going to field. 3.Knowledge of NLEP / GHC Staff is weak in POD & Self Care.Workshop on POD & Self Care in villages to be organised in all the districts.4.Healthy Contact Examination is not done in every District of Lucknow zone. DLO & DN on his Supervision should see that Healthy Contact Examination of every cases is done.

Major Problems Identified in the District in NLEP Programme

S.No.ProblemsSuggestions5.ST & VMT is not done in every District.ST & VMT to be demonstrated to NLEP Staff in their monthly meetings. Most of the NLEP Staff do not know about correct VMT. 6.ATP is prepared by all Districts but Supervision report & Validation report is neither prepared nor sent to SLO in few districts. DLOs are requested to prepare ATP every month & Visit to be made as per ATP. Supervision & Validation report to be sent to SLO regularly. 7.Validation of Cases is poor.Validation of cases to be improved by DN.8.Referral Unit is established in all 07 Districts of Lucknow zone but cases are not referred from periphery to referral unit in all districts. DLO / DN should make wide publicity about constitution of referral unit in District Hospital among all HCFs & NLEP Staff.

Feed Back on day Sensitization of ANMs & ASHAs.ANMs :- ANMs were trained in District Unnao.ANMs referral of Leprosy case is negligible only 04 cases are referred & confirmed from total district till June 2010. Training was performed in May & June 2010.

ASHAs :- ASHAs were trained in District Kannauj.In Last weak of April :- 01 batch ( 60) rest May & June 2010.After training cases by ASHAs are referred & confirmed in no. of 02 to 03 cases from each CHCs / PHCs.Leprosy Cases recorded are mostly referred by ASHAs.

Activity plan July Dec2010We are of the opinion that :- 1) Improved Case findings :- ASHAs day Sensitization workshop will be more fruitful. 01 more district may be taken. ASHAs at POD & Self Care Camp at CHC Bilgram , Hardoi has shown much interest.2)Improved Disability Management & Rehabilitation :- Self Care Camps may be organized in district Sitapur or Kanpur Dehat. Educational Support :- Improved educational status of PALs Children.For PALs attended Self Care Camp / workshop at Kalyanpur, Kanpur Nagar & Bilgram , Hardoi. Improved Office Management :- Upgradation of NLR State Office( Lucknow ). Requirements are :-1) Office Chairs :-06 2) Table for Fax Machine :- 013) Rack Almirah :- 01 4) Refrigerator 300 Ltr. :- 015) Air Conditioner 02 tons( Split AC ) :- 016) Room Cooler :-01 7) Wall Clock :-01