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| Koraput Leprosy Eradication Project (KORALEP) |
The geographical location of the project is classified into 3 sub-divisions (Jeypore, Koraput and Malkangiri), 21 blocks and 6 NACs. There are 334 Gram Panchayat (GP) covering the said 6096 villages, out of which, 424 are situated in quite inaccessible areas.
The project was launched on the auspicious day of GANDHI JAYANTI, 2nd October 1991 as a vertical programme in leprosy service. In the beginning, the strategy was Survey Education and Treatment (SET). The identified cases were provided with MDT treatment through service delivery points. In order to detect more leprosy cases different survey methods were followed as rapid inquiry survey, contact survey and school survey. |
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Subsequently, the project gave emphasis on services like POD/POWD, IEC and SER as a holistic approach to leprosy elimination programme. In total the project has already detected 17,974 and 16,444 have been cured, MCR distributed 13,702 pairs (G-I & G-II), SER benefited from LEPRA-75 & from Government-1138, RCS-352 & IP ward admission - 3577. The project has given importance of the capacity building of the GHS in the functional integration phase. Although the project has achieved a tremendous result & both the districts have been declared as the leprosy eliminated district by the end of December 2005.
Plan and strategy (2007):
Still it support in the process of structural integration by providing technical support for capacity building and the monitoring of the programme performance. Specialized services in leprosy such as management of complication cases, self care, MCR Supply, RCS services and rehabilitation of the physically and socially disabled is given prime focus in the project. Further the project focuses on the other activities TB, HIV/AIDS, Blindness, and Malaria. The strategy of the project is to work in coordination with the Government and in accordance with the National Guidelines for the control of TB, Malaria, and elimination of leprosy.
The project aims to strengthen the competencies and expertise among Govt. Health Staff at different level to implement and sensitize the community to avail the services qualitative services on complication management, POD / POWD, Physio care and to support GHS in TB, Malaria, and Disability control activities by ensuring self-care through a systematic regular follow up and monitoring effectively. The implementation of the project will involve three main actors: the communities, Public health institutions and project itself. |
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| Accomplishment in the year 2007: |
Leprosy:
Referral Centre (IP Ward) |
In 1994,leprosy cured person with correctable deformity were referred for reconstructive surgery .In the same year a 6 bedded in –patient ward was constructed at Koralep campus at Koraput and it was converted 20 bedded in 1997, where all types of leprosy related care are provided such as POD, POWD, RCS, Complication management, ulcer, NFI, pre & post operative physio care. Addition to this adult education and vocational educations are the part and parcel of this centre for the clients.This year a total number of 184 cases have been admitted in the referral centre (56 – ulcer 30%, 35 – NFI/Reaction 19% , 75 pre & post operative care 41%, 18 other cases 10%). During this period, there are 71 NFIs and reaction cares were detected, out of which 36 cases has shown full improvement. |
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Prevention of Disability (POD)
Project has been providing Prevention of Deformity services in a planner manner. This enabled the clients to adopt self care practices through methods like soaking, scarping and oiling etc. Since Inception,1192 male and 580 female leprosy disabled have been detected out. |
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MCR Foot wears
Supply of MCR foot were are the core programme of leprosy for protecting their foot & for prevention from complication as well as disability. The impact of the good quality of foot wear and involvement of GHS in the Ulcer care programme, the new ulcer cases drastically reduced and this increases the coordination with health system. At present 374 G- II & 344 G I patients also make use of the foot wear properly in their day to day life. |
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RCS
Reconstructive surgery cases are referred for the surgically correction of the needy clients. There were 12 cases operated during the 2007. Looking into the RCS benefits more clients are motivated to go for surgeries.
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IEC
IEC programme conducted in Malkangiri and Koraput districts at different blocks and cover almost all the approached area by involving the GHS, youth clubs, SHGs members of the community. Main focus of the program to increased the awareness on Leprosy, TB, HIV/AIDS, Malaria, in the integrated manner. During this year 199 numbers of Film show, 61 market exhibition and 233 group meeting was organized at different places in the project area. Approximately 1, 45,000 populations are covered. 172 person reported voluntarily came for self examination out of which 4 PB and 7 MB cases are conformed by the GHS and referred to concerned PHC for registration. |
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SER
In the SER programme, the need assessment has done for 231 cases where as 46 clients benefited under Govt. Schemes, 38 clients are incorporated in the SHG and 8 clients have been benefited in the vocational trainings. There is a good impact on SER activity in the project area.
The project conducted the vocational training and adult education for the inpatients of ward of Koralep to improve their knowledge and skill for self employment.
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Tuberculosis Programme:
After achieving notable results in controlling leprosy, Koralep is highly concentrating on the field of TB as this is the high endemic disease of the undivided Koraput district. With the result of pilot study on Joint Leprosy/TB and HIV awareness programme covering 0.26 million population in Jeypore sub-division funded by DFID by Koralep & as per the recommendation of external experts from London School of Hygiene and Tropical medicine UK after evaluation for expansion of Joint programme, Koralep worked with a coverage of 0.5 million population of entire Jeypore sub-division (funded by E.C. project). Now Koralep is running a DMC ay Jeypore with taking 40000 population under RNTCP along with Sputum Collection Centre (SCC) in inaccessible areas and operating Tuberculosis Unit at the most inaccessible & cut off area of Malkangiri under RNTCP. |
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Sputum Collection Centers (SCCs)
Koralep initiated the concept of Sputum Collection Centre (SCC) in the outreach and inaccessible areas in order to provide service and information relating to TB which is highly endemic and under reported due to various reasons. This is mainly to collect the sputum for testing at the PHC level and to provide treatment in a follow up phase. During the project implementation 60 sputum collection centers (SCC) were established in the out reach areas, which are managed by dedicated and motivated Anganwadi workers (AWW). These innovations are aimed at creating demand and improving the access to quality care services. The project could able to detect more number of female and aged patients through sputum collection centers who could not go to microscopy center.
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Accomplishments ( Jan-Sep 07)
Case Detection & Treatment:
No. of Chest Symptomatics Sputum Examination done : 915
No. found sputum positive : 209
No. of cases registered (KORALEP PHI) : 69
No. of cases registered at Out side the PHIs : 140
Treatment Outcome:
KORALEP PHI Sputum Conversion Rate : 90%
Cure Rate : 100%
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TU, Malkangiri
The project from RNTCP & in collaboration with District Health Administration was launched in September 2007 with taking 3 most un-reached blocks of Malkangiri District. It mainly concentrates in the tribal area and cut-off area. The main objective is to monitoring and supervision of the RNTCP programme in an effective manner.
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Community Approach:
To establish and strengthen the community approach activity the project has started two blocks i.e. Borigumma of Koraput District and Korukonda of Malkangiri District. With use of PRA techniques, micro plans have been developed for 40 villages of Borigumma and Korukonda block. The community members were participated in the village micro planning programme. Different programmes like, village level sensitization meeting on health issues, village cleaning activities, sensitization Individual Latrine and mobilizing the community for their overall development are given with more focus.
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Networking
The Project continues networking and Linkages with District Health Administration. The District Coordination Committee comprising of CDMO, DNMO/DTO, and KORALEP is being held on monthly basis to discuss on leprosy and tuberculosis activities. And also the project is keeping networking with other stake holders like NRHM, ICDS staff, ASHA and Forest Department. In this year 7 Leprosy affected children were motivated to admit at Philadelphia Hostel, Semiliguda for batter education.
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Safai Abhijan:
Safai Abhijan A project on Health, Hygiene & Sanitation for four communities of Koraput & Jeypore i.e. Dongaguda, Hatpada, Indracolony & Rangabalikumbha. The project is implemented by Koralep, LEPRA Society & Supported by Mr. Graham Clark, U.K .
The project is working to empower the communities to lead a healthy life with better hygiene & capacity building, sanitary hardware construction, community mobilization and other supportive activities for the reason. |
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Visitors visited to the Project
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Sl.no |
Name of the visitors |
Designation/Address |
Date of visit |
Purpose |
1 |
Sandra Harne |
London |
12-01-07 |
To know the Lepra Society activities |
2 |
Andrew Johaston |
UK Cycle Rally Crew |
24-01-06 to 02-02-2006 (AP & Orissa) |
- To Know the activities that are being carried out by LEPRA Society, i.e. Leprosy, TB, HIV/AIDS, Eye Care, Malaria and other allied diseases at the project level.
- Creating awareness among the community and the people on health issues
- Creating an enabling environment in the community/people in the process of reducing stigma and acceptance of leprosy affected people.
- Sharing of experiences and dissemination of information
- Raising funds in UK for Leprosy Relief work in Orissa and AP.
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3 |
Alyson Tunner |
4 |
Mareni Johnton |
5 |
Lizzie Dearlling |
6 |
Jenny Brayshow |
7 |
Ruth Gibbs |
8 |
Davide Lunn |
9 |
Amanda Cuthbert |
10 |
Mariam Slechta |
11 |
Zac Laytnon |
12 |
Lynette |
Supporter of UK |
28-01-06 to 30-01-06 |
13 |
Katieney |
14 |
Anna Day |
15 |
Raj Kishor Choudhary |
Project Director, OSAC,BBSR |
4.1.07 |
To visit the T.I. Project |
16 |
Graham Clerk & His Daughter |
Supporter of Safai Abhijan |
9.2.07 to 14.2.07 |
To reviewed on Safai Abhijan activities |
17 |
Dr.Moni Moji |
AIFO, ILEP, Member |
15.2.07 to 16.2.07 |
To reviewed on DTST activities |
18 |
Dr.Jyosna Mohapatra |
State TB Cell,BBSR |
5.7.07 |
To See the RNTCP activities |
19 |
Dr.D.Parija |
WHO Consultant |
20 |
Dr.Prija Ranjan Bakchi |
State HIV/TB Consultant |
21 |
Mrs. Ester Rivero Rimero |
Delegate, Spanish Red Cross, Orissa |
22-10-07 |
Good will visit Koralep & IP ward |
22 |
Dr.Revbeor Swamikar |
Central TB Cell, New Delhi |
6.10.07 |
To See the RNTCP activities |
23 |
Dr.Chakrapani |
MC,Spandana |
16.10.07 |
To Know about Project activities |
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Major Events/Camps
The project had played a greater role in the following events
- India Bike Ride
- Anti Leprosy Day / Week Celebrations
- Health Exhibition at Maha Sibharatri mela at Gupteswar
- Big Exhibition at Nelabadi festival
- World TB day celebration
- World Health day
- Intensive IEC campaigning in outreach areas of Jeypore Block.
- World Population Day
- Anti Malaria Month.
- World environment day
- Special IEC on TB endemic area & in epidemic area.
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