01938nas a2200337   4500000000100000008004100001260001700042653001000059653001000069653002300079653004000102653001100142653001100153653001000164653001200174653000900186653002900195653002400224653002400248653002300272653001700295100001100312700001500323700001500338245009100353300001100444490000700455050003200462520109200494022001401586       2002                            d  c2002 Oct-Dec10aAdult10aChild10aCommunity Medicine10aDelivery of Health Care, Integrated10aFemale10aHumans10aIndia10aleprosy10aMale10aNational Health Programs10aPrimary Health Care10aProgram Development10aProgram evaluation10aRural Health1 aSahu T1 aSahani N C1 aBehera T R00aAn interventional strategy to strengthen integration of NLEP into primary health care.  a335-400 v74  aInfolep Library - available3 a<p>The Government of Orissa implemented the Revised Operational Strategy in September 1999 to integrate the NLEP functions into primary health care activities. An interventional strategy, in the form of consensus on job responsibilities and capacity-building through training of PHC staff, was developed and adopted in a rural block under the Department of Community Medicine to strengthen the integration process. The impact was studied six months after the intervention by comparing it with the leprosy situation in the pre-intervention period. Data were collected by verification of registers at the block PHC and sub-centre levels. Analysis was done using different leprosy indices, such as new case-detection rate (NCDR), child rate, deformity rate, profile of leprosy cases and patient compliance, etc. This integrated approach was found to be more community-oriented and effective in early case-detection in children and women. It also helped in providing continuous MDT services because of the involvement of primary health care functionaries in the post-intervention period.</p>  a0254-9395