2. What are the basic requirements for integration in the field?

1. Why is it crucial to integrate leprosy with in the general services?

3. What is meant by easy access to MDT services and why is it important?

4. What type of training should be provided to general health workers?

5. How can MDT be provided in a patient-friendly and flexible manner?

6. What is Accompanied MDT (A-MDT) and why introduced?

7- Importance of SIS

DISTRICT WISE HEALTH FACILITIESGARHWAL ZONE March 2004

NA

ME

O

F

DIS

TR

IT

BL

OC

K

CH

C

PH

C

AP

HC

SA

D

AU

DH

OS

P

HO

ME

OH

OS

P

SU

BC

EB

TR

E

RE

FE

RA

L  

SN

              

  

  

  

1 DEHRA DUN 06 04 04 19 26 37 08 129+4 05

2 HARIDWAR 06 03 05 19 06 22 05 139+5 04

3 TEHRI 10 01 09 16 28 51 09 128+9 01

4 UTTARKASHI 06 02 04 08 23 39 04 64+4 02

5 PAURI GRL 15 04 15 16 67 37 07 203+15 06

6 CHAMOLI 09 03 07 07 24 48 05 92+7 03

7 RUDRAPRYAG 03 02 03 07 22 21 02 61+3 02

  TOTAL 55 19 47 92 196 255 40 863 23

    S.N

     

                   

1 2 3 4 5 6 7  

DEHDRADUN(MAR03)HARIDWAR(MAR03)TEHRI (MAR03)UTTARKASHI(MAR03)PAURI (MAR03)CHAMOLI(MAR03)RUDRAPRAYAG(MAR03)

1324503 1495496 626077 304626 721596 382308 235537 

87 996 46 29 91 22 09

0.651.336.654.850.731.251.08.0.951.261.220.570.760.380.34

104 966 60 38 103 24 14

0.781.746.457.660.951.681.241.541.421.370.621.310.59 0.55

01 

16 

04 

03 0 

02 

05

0.96 

1.65 

6.66 

7.89 0 

8.33 

3.57

06 

77 

04 0 0 0 0

5.76 7.97 6.66 0 0 0 0

   

  TOTAL MAR-03 (MAR03 

5090143 1280 2.512.23

1309 2.573.32

31 2.361.7

87 6.649.7

   

INDICATORS ---DISTRICT WISE

February—2004

DISTRICT

PO

PU

LA

TIO

N(2

003)

BA

LA

NC

E C

AS

ES

(3/

03)

P. R

NE

W C

AS

ES

N.C

.D.R

.

DE

FO

RM

C

AS

ES

DE

FO

RM

R

AT

E

CH

ILD

CA

SE

S

CH

ILD

RA

TE

CO

MP

LIT

ION

RA

TE

MD

T

MB

/PB

R

AT

IO

S .N.

Name of Dustrict Category of health staff

M.O. Supervisors Pharmacists MPW/ANM Statisticians/Computers

OthersSN, LT,etc

Posts Trnd Post Trd Post Trd Post Trd Post Trd Post Trd

1 Dehradun 122 109 92 85 92 90 220 216 7 - 105 79

2 Haridwar 60 46 54 49 37 36 204 204 7 - 52 40

3 Tehri Garhwal 41 39 72 67 114 112 227 220 11 4 46 37

4 Uttarkashi 42 38 21 18 50 48 96 93 7 - 50 39

5 Pauri Garhwal 108 101 56 51 135 130 379 365 16 5 100 82

6 Chamoli 42 40 46 38 98 96 159 149 11 - 41 32

7 Rudraprayag 26 21 15 12 38 35 96 88 4 - 19 13

8 Almora 56 56 67 60 41 40 292 283 12 - 80 68

9 Nainital 79 73 55 48 34 34 193 192 10 - 202 156

10 Pithoragarh 81 65 38 31 29 28 313 311 9 - 42 33

11 Champawat 41 17 22 17 41 35 71 71 5 - 20 16

12 Bageshwar 19 19 25 21 9 7 103 100 4 2 21 15

13 Udham S Nagar 82 66 56 47 86 68 233 233 8 - 55 37

  TOTAL 799 690 619 544 804 759 2586 2525 111 11 833 647

%   86.3   879   944   97.6   10.5   77.6

New appointed and contractual are not trainedTRAINING OF GHC STAFF UTTARANCHAL STATE March 2004

TRAINING STATUS OF WORKERS GARHWAL ZONE

Tr – Trained in Leprosy 

 DISTRICT

M.O PHARMACIST A.N.M. NMA / NMS M.P.W. OTHERS

No Tr % No Tr % No Tr % No Tr % No Tr % No Tr %

Daradun 122 109 89.3 92 85 92.3 167 162 97 26 26 100 47 47 100 105 79 752

Haridwar 60 46 76.6 54 49 90.7 163 160 88.1 34 34 100 43 43 100 52 40 769

Tehri Garl 41 39 95.1 72 67 93 162 161 99.3 08 08 100 69 69 100 46 37 804

Uttarkashi 42 38 90.4 21 18 85.7 76 76 100 19 19 100 17 17 100 50 39 78

Pauri Garl 108 101 93.5 56 51 92 245 243 99.1 09 09 100 120 120 100 100 82 82

Chamoli 42 40 95.2 46 38 82.6 121 120 99.1 08 08 100 37 37 100 41 32 78

Rudraprayag 26 21 80.7 15 12 80 71 69 97.1 03 03 100 24 24 100 19 13 844

TOTAL 441 394 88.6 356 320 88 1005 991 97.1 107 107 100 357 357 100 413 322 792

I.E.C. BY D.T.S.T. DEHRADUN

Jan to Dec 2003

 PLACE

 DEHRADUN

 HARIDWAR

 TEHRI

UTTAR

KASHI

 PAURI

 CHAMOL

I

RUDRA-PRAYAG

 TOTAL

School 2 3 1 - 4 - 1 11

Village 28 126 7 3 14 8 6 192

Slum - - - - - - - -

Hat - 1 - - - - 2 3

Exhibition 2 3 - - - - - 5

Others 2 9 - 2 - - - 13

TOTAL 34 142 8 5 18 8 9 224

COMPARATIVE TRAINING STATUS HEALTH STAFF

0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%90.00%100.00%

MO PHAR A.N.M OTHERS

STAFF CATEGORY

Jun-02 Nov-0295%

44/34 57/46 41/39 62/45

71.1%

77%

8.8%

80%87.1%

73.5% 72%

0

20

40

60

80

100

120

% OF LEPROSY TRAINING STATUS OF HEALTH STAFFGARHWAL ZONE (NLR DISTRICT) Feb 2004

MO ANMPHARM. NMA/NMS

MPW-MOTHERS

88.6% 88% 97.1% 100% 100%

79.2%

DTST Dehradun DISTRICT__Dehradun

 

PARAMETERS

PHC, APHC,SAD,Avd/Homeo Hosp

No PHCs/Visited

No PHC Giving LeprosyServices

%

1-No of PHCs diagnosing leprosy2-PHC giving MDT3-Job support to Mos4-Leprosy drugs with Pharmacist5-Complication management6-S.I.S. reporting7-Training of Pharmacists

36363636363636

36363635043435

10010010097.211.194.497.2

April 2003 - March 20004

STRENTHENING & INTEGRATION OF SERVICE

DTST Dehradun DISTRICT__Haridwar April 2003 - March 2004

 

PARAMETERS

 

 

PHC, APHC,SAD,Avd/Homeo Hosp

No PHCs/Visited

No PHC Giving LeprosyService

%

1-No of PHCs diagnosing leprosy2-PHC giving MDT3-Job support to Mos4-Leprosy drugs with Pharmacist5-Complication management6-S.I.S. reporting7-Training of Pharmacists

42424242424242

42424242034242

1001001001007.1100100

S.N. Name of Dustrict

No. of health facilities MDT available in No of HF

GHC staff trained in

SIS record available in

Remark

1 Dehradun Hospital ------ 5 Health center ------ 98Sub center ------ 133

59817

598

130

552-

Some Avd/Hom hospitals

2 Haridwar Hospital ------ 4Health center ------ 58Sub center ------ 144

45821

458

141

453-

Are not sending SIS

3 Tehri Garhwal Hospital ------ 1Health center ------ 114Sub center ------ 137

111421

1114130

185-

 

4 Uttarkashi Hospital ------ 2Health center ------ 80Sub center ------ 68

28010

28063

258-

 

5 Pauri Garhwal Hospital ------ 6Health center ------ 146Sub center ------ 218

614629

6146215

696-

 

6 Chamoli Hospital ------ 3Health center ------ 94Sub center ------ 99

3949

39493

354-

 

7 Rudraprayag Hospital ------ 2Health center ------ 57Sub center ------ 64

2576

25762

239-

 

Satus Of Integration In NLR Supported District of UTTARANCHAL STATE March 2004 

INTEGRATION STATUS IN GARHWAL ZONE March 2004

GHSC DEHRADUN HARDWAR TEHRI U.KASHI Pauri CHAMOLI RUDRA PG %

No Intg No Intg No Ing No Ing No Ing No Intg No Intg  

Ref Hos 05 05 04 04 01 01 02 02 06 06 03 03 02 02 100

CHC 04 04 03 03 01 01 02 02 04 04 03 03 02 02 100

PHC 04 04 03 03 09 09 04 04 15 15 07 07 03 03 100

APHC 19 18 19 19 16 06 08 08 16 16 07 07 07 07 99

SAD 26 22 06 06 28 28 23 21 67 60 24 21 22 19 91.

AvHosp 37 37 22 22 51 46 39 33 37 35 48 41 21 10 86

HoHos 08 06 05 03 09 05 04 0 07 05 05 03 02 0 45

S/C 133 17 144 21 137 21 68 10 218 29 99 09 64 06 11

Status Of Leprosy In UTTARANCHAL STATE February 2004 

S .N. Name of Dustrict Population Prevalence rate Annual new case detection

Supporting ILEP agency

1 Dehradun 1324503 0.64 0.78 N L R

2 Haridwar 1495496 6.54 6.45 N L R

3 Tehri Garhwal 626077 0.72 0.95 N L R

4 Uttarkashi 304626 0.93 1.24 N L R

5 Pauri Garhwal 721596 1.23 1.42 N L R

6 Chamoli 382308 0.56 0.62 N L R

7 Rudraprayag 235537 0.37 0.59 N L R

  TOTAL 5090143 1.57 1.72  

8 Almora 652833 0.33 0.41 T L M

9 Nainital 790003 0.64 0.94 T L M

10 Pithoragarh 478560 0.59 0.79 T L M

11 Champawat 232432 0.76 1.03 T L M

12 Bageshwar 258311 0.38 0.34 T L M

13 Udham S Nagar 1278386 2.41 2.26 T L M

  TOTAL UTTARANCHAL 8780668 1.23 1.37