MP Projects

  • Introduction
  • Activities & Achievements
  • Events & Case Study
  • Photo Gallery

Introduction

Technical Resource Unit (TRU)

Technical Resource Unit is working 7 districts of Indore division and Jabalpur district. Apart from its routine activities TRU is supporting in under different thematic areas like capacity building, monitoring & supervision and operational research.
The State has 50 districts with 313 blocks and 5 Govt. Medical colleges. 8 districts have PR >1 and 12 blocks have > 2 PR. As per NLEP state data by end of March 2010, PR is 0.64, ANCDR is 7.79/lac, MB 61.68%, Female 32.65%, Child 5.15% & disability 5.26%.
The high number of Grade II disability cases and reactions/complications need to be covered under DPMR. The only center SJLC, which is performing RCS. The state requested TRU support to facilitate DPMR services through establishing Referral centers for providing quality services and initiation of RCS at govt. Institutions

Area of Operation

 
Details as per 2001 census
MP State
Project Area
Area (in sq.kms.) 308,000 41,454
Population 71755814 1,14,43,297
Male 31,443,652 59,21,617
Female 28,904,371 44,78,320
Scheduled Tribes 14,218,743 (20%) 41, 05, 286 (35.8%)
Scheduled Castes 10,657,461 (15%) 9, 00, 026 (7.8%)
Districts 50 8  ( 5 tribal districts)
No.of Referral centres Established - 2 ( Jabalpur Dist. Hospital & Medical college, Indore)
Tehasils 272 49
Tribal  Blocks 89 60( 43 tribal blocks )
Total villages 55,393 7,975
Literacy 64% 48%
Male 76.5% 57%
Female 50.6% 32%
Density of Population 196/ sq.kms. 193/sq.kms
Male-Female Ratio 1000 : 920 1000:817

Goal

The TRU supports strengthening the District Nucleus Teams (DNT),Referral system and DPMR activities as per the state leprosy control programme plan. Also it will offer technical resource to Government health services for use under different thematic areas like capacity building, monitoring & supervision and operational research

Objective
  • Consolidate and strengthen Referral Centres and community participation initiatives of ILEP projects in partnership with district nucleus team
  • Provide need based support State leprosy office in training, monitoring and documentation of progress in leprosy control
  • Support in providing socio-economic assistance to the persons affected by leprosy particularly those with deformities
  • Supporting people living in leprosy colonies to improve their access to health care and quality life through rights based approach
 

Events
Advocacy:
The SLO was unaware about the activities LEPRA India is carrying out through its different projects. A meeting was held where all the project officers of Buniyad, Arogya, ACSM, SJLC & TRU were invited to brief about their own projects. ILEP Co-ordinator & Tech.Officer , TRU,MP Presented an overview of the project was explained through power point presentation to impress up on the work TRU is carrying out for quality leprosy services which included followin

  • Explained about the functioning of the TST project and its achievements through illustration of pictorial documentation of special activities carried out for early detection of the cases, management of reaction and ulcer care

  • Explained about the role played by TRU in preparation of Micro plan and other technical support with regard National sample Survey in project supported districts of Burhanpur & Indore

  • Discussion on the specific initiative on village wise case mapping to identify high case load villages in Burhanpur district so as to plan special activities

  • Discussed about the special data collected by TRU and its analysis on healthy contact examination and multiple case families in Burhanpur district.

  • Appraised about the need for Referral centre in Jabalpur & Indore and its achievement in management of complications in leprosy and support RCS activities (DPMR)

  • Discussed about the possibility of sending surgeon from Jabalpur to SJLC for carrying out surgeries so that a coordination mechanism is developed and also SJLC gets a recognition in the Government records

Workshop/training programmes
  • 3 - Trainings were conducted on POD & RCS to NLEP staff of Khargone & Bhind districts. 94 staff participated. The objective of this training to update the skills of NLEP staff in management of complications, follow-up high risk cases & selection of cases for Re Constructive Surgery
  • 3 Block level trainings were conducted to GH Staff, ASHA, Volunteers involved in the NSS (National Sample Survey) conducted in 2 districts supported ( Indore & Burhanpur) by the project. 262 staff including members in confirmation and validation team participated in the trainings
  • Imparted training on leprosy to CHWs & DCs of Buniyad project (one of the supported project by LEPRA India) working on TB, HIV & Leprosy. 25 staff participated in the training. The training was mainly focused on signs and symptoms, diagnosis, referral and follow-up
  • An advocacy meeting was arranged in Anna colony (Sector -I) in Bhopal where large number of cases were detected in previous years. Presently there is no NLEP staff working in this area. There is likely hood of getting large no.of cases among the healthy contacts if a short duration survey of HC examination is carried out. The meeting where cured leprosy persons were also present. Some of them came out and were willing to volunteer themselves with their family members in the house to house in this colony.
Case Study 1

Leela Bai, a Bhilala by caste, was married to Mr. Kalu resident of Barboo village in Alirajpur, a tribal block in Jhabua district. With in a year after the marriage, she was blessed with the daughter.


Every thing went on well. One day while Leela was cutting the crops, was bitten by a snake. She did not know whether it was a scorpion or a snake. She was treated by a traditional healer in the village which gave no relief. On the contrary the pain was increasing day by day. She stopped going to the field. She was not able to perform even her routine work. The family members started giving her taunts. Her husband
Instead of protecting her always started scolding her for she was sitting at a corner of the house. The father-in-law of Leela under the influence of alcohol one day entered in her room when she was alone. Leela resisted him for his bad intensions.


This was repeated practically every day. Leela became pregnant for the second time. She was happy but no one else in the family. On one hand the sustained pain and on the other the changed behaviour of the family members. She left the house with one child at her lamb at the other in the womb.


Her grand mother was living at Dhar, Leela decided to stay with her. She went to a hospital for getting check up. The doctors said that she has leprosy. The treatment was started but her deformity (Clawing) which preceded the diagnosis could not be prevented. How ever in one of the POD camps nerve decompression was done, which gave little relief to her agony. Leela gave birth to a second child.


Now her son is 2 years old but no one from her husband’s family has yet come to enquire about her. She was realising that she can not stay at her grand mother’s house any more if she does not earn. She started begging. Since there was no place for her to stay she had to sleep under the shadow of a tree many a times.


Leela, a fair and good looking young lady hardly 22 years old , one day fell a pray to a un known person.
After a month or two she started complaining of nausea and vomiting. She went to hospital. Doctor said she is pregnant. She knocked the doors of several hospitals even the Medical college but she could not find any one who could listen to her. Fortunately an old lady came forward to help her. She took Leela to a private nursing home at Dhar where Leela got rid of her un wanted child.
Leela has again been thrown under the same sky waiting for some to lift her. Asthgram trust at khargone has agreed to come and take her to its institution. MPTST has initiated in getting Leela admitted to SJLC for Pre-operative physio so that her deformity could be corrected by re -constructive surgery in the coming month.
Case Study 2
Kumari Madhu Koli , 10 years female child D/o Ramlal Koli residing Barela village of Jabalpur district. Kum. Madhu is studying 5th class in a Govt. primary school and father is working as daily wage labourer.
3 months back while bathing to Madhu her mother noticed few skin lesions on the back but she ignored to show it to any body. Gradually the lesions are increased in size and appearance of new lesions. One day she developed severe reaction and developed raised & erythematous patches all over the body and face. As a result she developed early Lagopthalmos in left eye (inability of closure of eye lids). Due to swollen of face, continuous watering, pain & redness in the eye she stopped going to school for study.
Before treatment
After treatment
Her father was taken her to Medical College for treatment. On examination she found to be suffering with Hansen’s disease. She was admitted in the IP ward for one week. It was noticed that the reaction was little subsided but no improvement in closure of eye lids and redness was and Professor of Dermatology referred her to the Referral centre (Established by LEPRA India at Victoria hospital, Jabalpur).
The staff at referral centre examined her and put on anti leprosy & steroid treatment and suggested her father to bring her every day for physiotherapy exercises. She did not go to school for three months and concentrated to adopt self care practices suggested at Referral centre. Her father also stopped going for labour work and paid attention on her in bringing every day to the centre for physiotherapy exercises for eye. After completion of three months of treatment, reaction was completely subsided and now able to close the eye as usual with out surgery.
Now Kum. Madhu and her family are happy and again started going to school and continuing anti leprosy treatment.

Photo Gallery

  • Support DLO in Disability care camps GH staff involvement in the camps IEC activities :       Street play
     
    Mike announcement in the villages Multiple cases detected in one family during Sample survey Father & Son reported with Deformities
     

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.

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
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.

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.

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.

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.

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.

 

Photo Gallery