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Evaluation of National Leprosy Eradication Programme in Pune city of Maharashtra from 2008 to 2019 – A Record Based Study

Abstract
The Government of India launched the National Leprosy Eradication Programme in 1983 with an aim to eradicate leprosy. Several recommendations from this program for early detection of new cases, early initiation of MDT, checking for reactions/complications and rehabilitation for the disabled were adopted. Various studies have been carried out to evaluate this programme at state, district and city levels. These studies aimed at assessing the performance of the programme, the status of leprosy disease and decide strategy towards achieving programme goals. Objective of the present study was to evaluate National Leprosy Eradication Programme in Pune City of Maharashtra from 2008-2019. For this purpose a record based study of leprosy was conducted at Urban Leprosy Centre of Pune city. The indicators used for evaluation were prevalence rate, annual new case detection rate, multibacillary rate, grade II disability rate, female rate, child rate and treatment completion rate from 2008 to 2019. Analysis of records over past decade in urban area of Pune city showed a decline in prevalence rate from 0.36 in 2008-09 to 0.21 in 2018-19 and from 3.47 per 100,000 to 2.7 per 100,000 for annual new case detection rate. The proportion of female cases and child cases among new cases remained below 45% and 11% respectively throughout the study period. Grade II disability rate was variable with a maximum rate of 10.2% and multibacillary rate showed an increasing trend from 69% to 93% during the study period. Overall treatment completion rate calculated using cohort analysis method for past three years was found in between 80% to 90%. It is concluded that the trend of NLEP indicators for the urban area of Pune city of Maharashtra has been favourable towards maintaining leprosy within elimination range, however higher multibacillary rate and grade 2 disability rate are an area of concern.

More information

Type
Journal Article
Author
Anand V
Kunte R
Jathar S
Patrikar S
Year of Publication
2020
Journal
Indian journal of leprosy
Volume
92
Number of Pages
211-219
Language
eng
Publication Language
eng