Orissa Projects
- Introduction
- Objectives & Activities
- Case Study
Introduction
JUNLEP
Established in 1997, the Junagarh Leprosy Eradication Project (JUNLEP) is addressing the problems of leprosy, tuberculosis, malaria and blindness in Dharmagarh sub-division of Kalahandi district. In addition to this, the project has a referral centre with in-patient facility to offer specialised services in leprosy for the people of Kalahandi and Nuapada district. The project interventions are based on the national programmes like National Leprosy Elimination Programme, Revised National Tuberculosis Control Programme, National Programme for Control of Blindness, National Vector-Borne Disease Control Programme, etc.
Key Activities:
| Disease-Specific Interventions and Achievements (till December 2009) |
Leprosy: |
The key interventions under leprosy programme are |
- Supporting mainstream health programme in case detection (Till 2005 the project was directly implementing diagnosis and treatment activities)
- Providing technical support to mainstream health programmes in integration of disability care services through Disability Prevention and Medical Rehabilitation (DPMR) Clinics
- Prevention of deformity through complication management, self-care education and protective footwear
- Prevention of worsening of deformity through reconstructive surgery, ulcer care, protective footwear and other devices
- Socio-Economic rehabilitation (SER)
- Information, Education and Communication (IEC)
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Achievements |
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- The prevalence of leprosy has been brought down to 1.29 per 10,000 population in 2009 from 20 per 10,000 population in 1997
- 8627 leprosy cases have been diagnosed and 8219 patients were cured with MDT
- Deformity has been prevented in 1199 cases
- Reconstructive surgery has helped 217 beneficiaries in restoring functional ability
- More 10,000 pairs of protective footwear have been supplied to the beneficiaries
- 144 beneficiaries have been supported under the SER programme through revolving loan
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Tuberculosis: |
| The tuberculosis interventions are undertaken through a designated microscopy centre (DMC) under Revised National Tuberculosis Control Programme. |

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The key interventions include: |
Facilitating sputum collection in difficult-to-reach areas through sputum collection centres
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Sputum microscopy for diagnosis
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Treatment by DOTS
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Training of DOTS providers
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Communication and social mobilisation
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Achievements |
2091 symptomatics accessed sputum examination
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401 cases were put on DOTS
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245 cases cured and 156 cases completed treatment
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The cure rate in last 3 years has remained above 90%
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| Blindness: |
The project is one of the partners of the Distinct Blindness Control Society (DBCS), Kalahandi for referral of cataract cases under PPP scheme. Apart from this a blindness control programme is in place to reduce the incidence of avoidable blindness among the children in the age group 5-16. |
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The key interventions are |
- Screening of cataract cases through outreach camps
- Referral of fit-for-surgery cases to DBCS for cataract surgery
- Screening of childhood blinding conditions through a mobile clinic equipped with refraction and spectacle dispensing facilities
- Provision of spectacles to the children with refractive error
- Vitamin-A supplementation to the children suffering from Vitamin-A deficiency syndromes
- Screening of adult patients for refractive error and provision of spectacles through base hospital clinic
- Community mobilisation and awareness
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Achievements |
- 1015 cases with cataract have been operated
- 6529 children from 127 schools have accessed screening facilities
- 1443 children have received corrective spectacles for refractive error
- 2370 children have been supplemented with Vitamin-A
- 15 children have undergone cataract surgery in LEPRA Mahanadi Eye Hospital (LMEH) located at Bir Maharajpur of Sonepur district.
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Malaria: |
The project has supporting the NVBDC Programme implemented by the district health administration. The main purpose of this intervention is to increase the access of people to diagnosis and treatment of malaria in difficult-to-reach areas and to mobilise the community to respond to the cause. |
The key interventions under malaria include: |
- Community mobilisation & capacity building
- Malaria Samadhan Sibir (a forum to diagnose and treat malaria and to discuss various operational issues related to malaria through provider-user interface activities)
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Achievements: |
- 5013 individuals accessed diagnosis and treatment for malaria through 52 camps
- Blood slides of 2333 individuals were examined, of which 519 malaria positive cases detected and treated
- Village sanitation programmes were implemented in 33 villages
- 418 community level stakeholders have been trained and sensitised
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Human interest story |
Seeing the beautiful world again |
Bimala Sunani is a 14-year-old girl, living in Talamala village, Kalahandi district. Bimala’s mother identified a white spot in her right eye when she was 3 years old but ignored it. At the age of 7, when Bimala started going to school she could not read books. The problem still remained unattended until JUNLEP mobile clinic conducted a camp in the village in December 2007 to screen the children with visual dysfunction. |

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She was detected with congenital cataract in her right eye. Surgical intervention was the only way to restore vision of Bimala but the cost of surgery was not affordable by the parents. After due consultation with the parents, JUNLEP decided to refer the case to LMEH for surgical intervention. |
Finally an IOL implantation surgery was performed on her right eye on 3rd July 2009 re-enabling Bimala to see the beautiful world. Bimala is now back to school and the parents are extremely pleased with the unexpected outcome. |
Case Studies
The support restored the Childhood |
Kumari Jyotsna sethi, 14 years old, daughter of Banamali sethi belongs from Rajanpali village of Boudh district. She is the only child of her parents and that is why she gets all the affection from her parents. She grows up with much love in the family. She studies in class 8th at Butupalli, High school of Boudh district.
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Her father is a small farmer with one acre of agriculture land. The annual income is not sufficient to manage the family economy. However, with the income from his own agriculture land as well as labour work sometimes, her father manages the family and the education of Jyotshna.
Time passes and one day her mother observes that Jotshna is not able to tracing the things and domestic appliances properly and father also observes the same. School teachers complains that Jyotshna is not keeping any interest on study. Her father also observes the same. The school teacher says that she is not able to look at the black board and reading properly. Subsequently, friends and neighbours starts to address her as the blind Girl in the community. Gradually Jyotshna becomes depressed and stops going to play with her friends and avoids the gathering in the community. She also expresses her unwillingness for study. One of the neighbors observes a white spot on the right eye pupils. Her father contacts the local traditional healer for treatment who fails to recover the same through his treatment. The parents make lots of expenses for the treatment of Jyotshna. Then they takes Jyotshna to Boudh District Head Quarter Hospital for treatment. The doctor diagnoses her with immature cataract and asked them for contacting the Mahanadi Netra Chikitsalaya of Birmaharajpur of Sonepur district.
She comes to MNC 5th August 2009 and was admitted for cataract surgery. Her Uncle and Parents are counseled by the Ophthalmic Assistant for the surgery. The cataract surgery is conducted on her right eye on the same day through phaco with the intra ocular lens (IOL) in free of cost. Free spectacles and medicines are provided to her as per the prescription of the Ophthalmologist of the Mahanadi Netra Chikitsalaya of LEPRA Society. After the successful surgery, her parents express their happiness and gratitude to LEPRA Society as well as the person or institution who provides support for this noble work. Jyotshna is now very happy she becomes able to see. Now she has got back her earlier life stile i.e. in relation to continuing her study, playing with friends and joining the community gathering. |
The support could provide relief in old age by restoring the vision |
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Basanti Mahananda, 65/F, she is an old widow lady belongs to very poor family of the Menda village of Tarabha Blcok of Subarnapur District. Long back her husband dies due to heart stroke. She has 3 daughters only without a son who already have married. So, Basanti is living alone and manages her by wage works in different households. She is landless. |
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| However, she gets the oldage pension which is Rs. 200/- (Rupees Two Hundred only) per month. Suddenly, she feels vision problem which increases gradually. She becomes unable to see and work properly. Cooking for herself and earning for herself becomes difficult. As her daughter are in their in-laws’ house, there is no scope of getting support from them. In the course of time, Basanti loses his complete vision. She could know about the community eye screening camp of Mahanadi Netra Chikitsalaya of LEPRA Society at Tarava. She requests her elder son-in-law to guide her to the screening camp. Basanti attends the screening camp and diagnosed with matured cataracts. She is brought to the Mahanadi Netra Chikitsalay by the project outreach bus on 13th August 2009 and was registered for cataract surgery. On 14th August 2009, her right eye is operated through the use of phaco and operating microscope and IOL is implanted. The surgery becomes successful and Basanti gets back her vision in the right eye. After seven days of her surgery, her vision is tested and found with very good vision. She also expresses her happiness as she is able to see the things and do her daily activities independently. She is waiting eagerly for the surgery in her left eye. |
Restoration of Childhood |
Sumanta Beriha,7/M of C/O Bhagban Beriha, hails from Jatasingh village of Boudh District. He is the youngest son of his parents with three brothers and only one sister. Being the youngest son of his parents Sumanta is being loved by everybody in the family. His elder brother was having eye diseases which led him to incurable blindness. Sumanta was all of sudden lost his vision at the age only 4 years. His father is a farmer and also works as a labourer. The mother is a house wife and sometimes works as labourer. When Sumanta is admitted into the school, the irony that he is found to have very low vision in both of his eyes for which he faces lot of problems in reading and writing. Gradually Sumanta was pushed into more and more darkness. Sumant is not able to carry out independently the daily activities, reading and playing. Gradually he stopped school going, playing with friends. He loses his childhood. The parents have no money for the treatment of their beloved son and because of the same reason and ignorance their elder son becomes blind. They have to only cry and blame their lucks. The parents go to the District Head Quarter Hospital, Sonepur but, the treatment could not be possible as the hospital is not having facilities for children surgery.
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In course of time, his uncle who is staying nearby MNC informs his parents to come to MNC for treatment. The parents come with the son on 7th February 2009 and Sumanta is registered bearing the MR No 47526/09. He is detected with congenital cataract in both his eyes. Parents and the uncle are counselled for the surgery. Sumanta is admitted on the same day. His right eye is being operated with Small Incision Cataract Surgery (SICS) with IOL on 8th February 2009. His vision is improved to 6/18 in his right eye.
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Now, he is able to play, read and write and he is happier that his vision has again restored. His parents are too happy as the childhood of their beloved son is getting restored and have expressed their gratitude to MNC for great support to their child and family. After few days, his left eye will be operated. |

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Resources |
Infrastructure: The hospital is housed in its own two storied building having a covered area of 5000 sq. ft.. MNC has accommodation for 30 beds, suitable surgical and therapeutic equipment are available for providing eye care. The hospital has a minibus for outreach activities and transportation of patients identified with cataract to the base hospital for surgical intervention.
Physicians/Staff:
There are 30 full time/part time workers at the MNC hospital. These include one full time doctor, nurses, paramedical staff and non-clinical personnel. The physicians are well supported by a multitude of staff members such as nurses, refractionists and technicians who actively participate in the health care team
Work Times: The hospital works six days (Mon-Sat). Patients usually come at 9 a.m. and the work day ends at 5 p.m.
Food: Breakfast, lunch and dinner are also provided free of cost to the patients and their attendants. On an average food is provided to 30 numbers of people per day at MNC. |