Delhi

Referral Centre - West Delhi
Leprosy Model Project in Urban Setting
Introduction

The problem of urban leprosy is considered as one of the important public health issues, that drawn serious attention of urban/municipal health planners in India under the umbrella of the National Leprosy Eradication Programme (NLEP), Directorate General of Health Services (DGHS).
In the year 2003, the broad NLEP policy/guidelines of urban leprosy control was recommended to integrate vertical leprosy services with general health care delivery services within existing municipalities/government. In the district, only 42 out of 91 government health care facilities are providing basic leprosy services (Multi-Drug Therapy). The high proportion of Multi-Bacillary cases (77.8%) and Grade II disabilities (9.47%) amongst new cases, states that the cases are reporting late for treatment.

The State Leprosy Officer, Delhi requested LEPRA Society to strengthen referral centre for leprosy by using the existing facilities, establishing physiotherapy and footwear units, also bridge the gap of services, subsequently scale up Reconstructive Surgery Unit and also to organise a referral centre for leprosy in the Guru Gobind Singh government hospital, West Delhi, a 100-bedded hospital providing secondary level health care services to low socio economic group of people of Raghubir Nagar and its adjacent areas. The referral centre “Leprosy ModelProject in Urban Setting” was initiated in July 2012 at Guru Gobind Singh Hospital (GGSH).

Aim

  1. To enhance quality of life of leprosy afflicted persons by providing primary, secondary and tertiary level care at leprosy referral center.
  2. To eliminate stigma and discrimination among the community in West Delhi.

Objectives

  1. Enhancing quality of life of the persons affected by leprosy and their family members – Restoring Dignity.
  2. Ensure availability of appropriate treatment, aids and appliances to persons affected by leprosy living in community and leprosy colonies (Peeragadhi, Tilaknagar,Patelnagar).
  3. Foster linkages between persons affected by leprosy and department of health and social justice at district level – For Elimination of Stigma & Discrimination.
  4. Involve people affected by leprosy in planning and implementing leprosy services.
  5. Identification of person affected by leprosy as peer educators in the community & facilitates linkage welfare schemes.

Activities

The key activities include clinical support to difficult to diagnose cases of leprosy, nerve function assessment, treatment of complications, reaction management, using existing inpatient services for admission, provision of leprosy services, screening of suitable cases for Reconstructive Surgery (RCS), capacity building of health staff, provision of aid and appliances to the needy.

  1. Organise regular clinics to the patients suffering from leprosy.
  2. Provide physiotherapy services to the persons affected with leprosy.
  3. Networking with ILEP members and government officials.
  4. Build rapport with other hospital’s staff and Head of Department such as Dermatology, Orthopaedic & Eye.   
  5. Interaction and networking with Dermatology department, Heads of other hospitals (DDU, Acharya Bikshu,  ESI Hospital, Sardar Patel Hospital and RML Hospital.
  6. Visit leprosy colonies for resource mapping, physical and socio-economical assessment, identify patients for self care, ulcer dressing and provision of MCR footwear.   
 

Achievements

April,2012 to November 2013

1

New leprosy patients diagnosed / assessed.

143

2

Assessment of old leprosy patients

69

3

Patients counselled on self care practices.

212

4

Protective footwear (Grade-I) provided to affected persons.

76

5

Protective footwear (Grade-II) provided to affected persons.

55

6

Patient enrolled for RCS

14

7

Reconstructive surgeries performed.

02

8

No of people covered by IEC programme

342

9

No of patients attended community skin camps organised with the support of Delhi Government.

303

10

Physiotherapy services provided to general patients.

869