LEPRA - Health in Action

Introduction
Activities & Interventions
Events & Achievements
Case Study & Photogallery

Introduction

Krishna Community Health Interventions Programme (KRISCHIP)

Krishna Community Health Interventions Programme (KRISCHIP) is a direct project of LEPRA Society, which was established in 2002. It was initially started for work in leprosy relief, but was scaled up in 2004 to include TB, HIV/AIDS and Malaria programmes with the support of National Lotteries Charities Board (NLCB), for a period of 3 years in Krishna district of Andhra Pradesh.
KRISCHIP works with government service providers and NGOs to improve diagnosis and treatment of HIV, TB, leprosy and malaria, as well as to enhance referrals to health-care providers. The project also works towards raising health awareness, building the capacities of the community as well as empowering vulnerable populations like scheduled tribes/castes, rural/urban women, agricultural laborers, fishermen communities, urban slum dwellers and street children.

Areas of operation – with map

GOALS

“To reduce the vulnerability of Leprosy, LF, Diabetes, TB, HIV/AIDS and their consequences and empower the community to address their own health needs to achieve better health and well being”

OBJECTIVE

To Provide specialized treatment of complications and disability care for leprosy and LF
To participate in TB case diagnosis and treatment services at 2 DMCs under RNTCP
Facilitate Awareness building and capacity building activities to inculcate the sustainable quality care services Leprosy, TB and LF

TOP

Events

Anti Leprosy Week:

Anti Leprosy Week was observed at KRISCHIP from 30th Jan to 5th Feb 2009 with the focus on working against discrimination of leprosy patients, and working towards their respect and dignity. Information on the effectiveness of MDT was disseminated. Awareness activities (that included school education programs and exhibitions) were carried out for a population of 6131, and 11 suspected leprosy cases in the community were referred to PHCs.

World TB day:

World Tuberculosis Day was observed at KRISCHIP with great enthusiasm, in Kothapeta and Ranigarithota areas of Vijayawada. In keeping with the theme of “fighting TB is the responsibility of every citizen”, rallies, group meetings, cultural activities and exhibitions were conducted. Persons cured of TB as well as DOTS providers in the area were appreciated for their hard work and consistency.

Anti Malaria Month:

Anti Malaria Month was observed by the project with the collaboration District Malaria Department. The aim of Community Campaigns is to spread awareness about preventive methods to control the disease and to protect those most at risk, such as children under the age of five and pregnant women.

Achievements

LEPROSY: POD camps

The Project supports Leprosy integration in 31 Primary Health Centers (PHC). 1199 new leprosycases were diagnosed provided Multi Drug Therapy with the collaboration of PHCs. Under the Prevention of Disability Programme, 739 disability patients, 629 Family members, 260 Volunteers and 298 Private Health Providers were trained at disability training camps. 47 Reactions and 96 Neuritis were treated with steroids and cured.

During the year 2007 the services of the Project in leprosy are extended by establishing a center at Govt. General Hospital, Vijayawada in the name of “Leprosy Related Services”. Also developed satellite center for easy operation in the networking with local NGOs like, Sneha RIDES, Assisi Dermatological Center (ADC), Pedana and Govt. Health Facilities like, Community Health Center (CHC) Nandigama where the Project team visit monthly once. There, the near by patients will reach and gets the Physiotherapy services and in turn they will refer to the main centers.

Referral center progress As on June’2010:

Activities	Vijayawada	Tirupati	Vizianagaram	Total
Counseling and Self care	1597	936	1383	3916
Nerve function Assessment (cases)	663	687	676	2026
Confirmation of difficult to diagnose cases	52	35	14	101
Cases examined for skin smear	53	33	49	135
Cases found skin smear positive	26	6	16	48
Complications management	163	97	64	324
Type-I	45	22	17	84
Type-II	29	21	11	61
Neuritis	89	54	36	179
Ulcer management	139	326	332	797
Ulcer healed	109	132	225	466
Supply GI protective/appropriate Footwear	176	64	17	257
Supply GII protective/appropriate Footwear	489	583	640	1712
RCS referred	24	98	19	141
Underwent for RCS	14	72	17	103
Provide services through DPMR camps by RC staff	199	630	199	1028

LEPROSY: Leprosy Performance from 2003 to 2008

Year	New Cases		Child Cases		Disability Cases		RFT Cases
Year	MB	PB	MB	PB	GI	GII	MB	PB
2003	52	417	10	104	3	5	51	419
2004	37	215	5	33	1	4	41	296
2005	33	63	2	4	0	1	34	94
2006	63	111	5	13	0	4	42	82
2007	73	135	7	22	3	2	70	102
2008	24	12	1	3	3	2	16	31
Total	282	953	30	179	10	18	254	1024

TUBERCULOSIS:

Kothapeta & Ranigarithota DMC achievement from 2004- June’2010:

S.No	PARTICULARS	2004	2005	2006	2007	2008	2009	up to June'2010
	2 DMC Population	1,85,841	1,95,841	1,97,841	1,99,923	1,99,923	2,13,459	213,459
1	No. of Chest Symptomatic suspects	1192	1473	1650	1647	1717	1717	801
2	No. of sputum examined	1192	1473	1578	1604	1685	1683	771
3	Total sputum positive detection	253	300	246	224	229	254	116
4	Total new Case Detection	394	470	415	348	394	377	224
	NSP	211	258	172	152	181	179	114
	NSN	152	166	195	161	156	134	74
	Extra pulmonary	31	46	48	35	57	64	38
5	No. put on DOTS	423	517	496	435	477	481	259
	Cat - I	212	297	249	246	280	274	169
	Cat - II	45	66	103	78	96	112	49
	Cat - III	166	154	144	111	101	95	41
6	Sputum conversation rate	95.2%	94.2%	92.2%	86.2%	93.3%	92.1%	90.4%
7	Cure Rate	88.4%	95.1%	87.9%	84%	88.1%	87.7%	85%
8	Cure rate in Cat II	71.4%	65.5%	55.6%	56.0%	65.7%	65.7%	70%
9	Defaulters rate	3.7%	0	1.5%	5.7%	2.4%	2.7%	0
10	Death rate	5.9%	3.4%	5.6%	4.5%	6.8%	6.6%	9.1%
11	Failure / rate	1.5%	2.9%	4.1%	5.7%	3.7%	2.2%	6%
12	Transferred out	0.31%	0	0.75%	0	0	0.55%	0
13	TB - HIV Co-infection	22	33	59	61	72	64	49
14	Pediatric TB (0-14 yrs) treatment	18	28	20	16	11	19	14
15	INH Prophylaxis under 6 years	14	27	21	32	55	76	32
16	Samples sent for DRS study to STDC	0	0	0	0	13	28	5
17	Samples sent MDR study to STDC	0	0	0	0	0	19	13
18	Reports received	0	0	0	0	0	19	5
19	MDR Conformed	0	0	0	0	0	14	2
20	Put on MDR treatment	0	0	0	0	0	10	2

IEC Activities: From 2004 to June’2010

Sl.No	IEC Activity	Number held	Population Covered
1	IEC Van	1897	388018
2	Group talks	4697	67954
3	Public meetings	3210	101602
4	Exhibitions	4012	521010
5	School Education Progs.	572	64388
6	Folk Art Programmes	456	120335

The IEC activities like film shows, community based cultural activities, health exhibitions contributed in increasing the awareness levels on health in the community. It resulted in increasing the no. of referrals to the health facilities.
For supporting these activities the Project developed and utilized the material like, Pamphlets, Mobile Exhibition Stalls and Hoardings.

FILARIA:

Apart form the Awareness activities on Filaria the Project collected the data in the District from 26PHCs and through enquiry in the 7 urban slums of 4 UHCs, as the project noticed more prevalence in the district. One thousand one hundred and sixty six (1166) cases were found. It is evident that the majority of cases are concentrated in Nuzividu and Machilipatnam areas.
68% of the effected persons are Women
Majority of patients suffering with LF have lower limb disorder
Right leg 482 and left leg 534
33 persons are suffering with hydrocele
7 are Micro filarial positives.
It is under process of educating the clients regarding the self care practically through the “Self Care Camps” organized by the Project for filariasis disabilities. And supply of the self-care material like Antibacterial cream and cleaning soaps.

Services to LF cases sex and limb wise
Particulars	Male	Female	Total
Rt. Leg	11	20	31
Lt. Leg	11	10	21
Both Legs	7	6	13
Total	29	36	65

Services to LF Grade wise
Grade	Male	Female	Total
GI	16	21	37
G II	10	13	23
G III	4	6	10
G IV	2	0	2
Total	32	40	72

MALARIA:

Malaria interventions particularly in Vijayawada Urban, implemented the Insecticide Treated Bed Nets (ITBN). In the beginning of 2004 the Annual Parasite Index (API) recorded 5.8 in urban and 2.5 in the rural. At present the API reported as 5.2 in Urban as and less than 1 in rural.
2545 Pool Volunteers in Slums / Villages were trained, involved in nets impregnation, distribution and distributed 57,718 Nets. Also initiated and distributed 1500 Permanets in the Urban Rural areas. 37 Volunteers of the Urban received training as “Fever Treatment Depot Holders” to support the urban malaria menace.
One Mobile Malaria Van supported in Vijayawada Urban slums for spot testing and treatment. Total 4188 blood smears were examined and treated 29 malaria positive cases.