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Understanding the Role & Impact of
CBR in Mandya
District of Karnataka Research Initiative
Report
of First Meeting of Scientific Advisory Group AIFO Office
Bangalore (India)
15 – 17 April 2009
 The
objective of the first Scientific Advisory Group meeting was to focus mainly
on defining the instruments and the methodology of the first process of
investigation “Understanding and measuring overall role and impact of CBR in
improving the quality of life of persons with different disabilities in terms
of improving their own control over their own daily lives and functionings, participation in
different aspects of life, and access to different services, over the five domains of the CBR matrix”. More >…
Community-Based Rehabilitation (CBR) & Leprosy
International Workshop Report, 21-22 February 2009
The
International Workshop on Community-Based Rehabilitation & Leprosy was organised in Bangkok (Thailand)
from 21 to 22 February 2009, on the occasion of the First Asia Pacific
Congress on Community-Based Rehabilitation (CBR). 86 participants from 20
countries participated in this Workshop The Workshop was organized in three
thematic sessions: Experiences on the evidence base for CBR and leprosy, twin
track-approaches to ensure equal opportunities for persons affected with
leprosy and the application of WHO CBR Guidelines for development of
rehabilitation services for persons with leprosy related disabilities. There was a final summarising session.More >..
Sasakawa Calls for a Focus on Social
Rehabilitation of Leprosy Patients
“The medical and social
rehabilitation are like two wheels of a bicycle and only together they can
confront leprosy in a true sense. With Multi Drug Therapy curing a large
number of people, it is time now to enhance the focus on social
rehabilitation to rid them of the stigma attached to leprosy.” These were the message that Mr Yohei Sasakawa, WHO Goodwill
Ambassador for Elimination of Leprosy, gave when he visited Delhi,
Varanasi and Kolkata in September 2008. More>…
International Leprosy Congress
The Seventeenth International Leprosy
Congress, the first since India
achieved elimination of leprosy as a public health problem was held from 30th
January to 4th February 2008 in International Convention Centre, Hyderabad, Andhra Pradesh. The Congress was attended by over two
thousand delegates including eminent scientists, country program managers and
social activists from more than sixty countries. Most importantly Persons
Affected by Leprosy (PALS) from over twenty countries also came to
participate in this conclave. WHO was one of the co-sponsors of the Congress. More>…
Post Elimination Era
New
Paradigms in Leprosy
In
the post elimination era the National Leprosy Eradication Program envisages
an expansion in the scope of the program. In keeping with the WHO Global
Strategy 2006-2010 and the Eleventh National Plan the program now calls for a
further reduction of the leprosy burden, providing quality leprosy services,
enhancing disability management and reducing stigma and discrimination
through increased advocacy. In view of the need to sustain leprosy services
for the future a shift from the campaign approach towards sustainable integrated
quality services is being put in place. The program will strive to continue
providing basic diagnosis and treatment of leprosy of better quality along
with additional appropriate services for deformity care, drug management,
awareness and advocacy.
India achieves Elimination of leprosy as a Public Health Problem More>…
Combating leprosy, a success story
Then and now
In 1981, when the presence of the disease was
considered to be at its peak in India, the Prevalence Rate
(PR) was 57 per ten thousand population.
In March 2009 it had fallen to 0.72.
The number of patients under treatment was about four million then, it is
about eighty six thousand now. In 1991 the
World Health Assembly passed a resolution to Eliminate Leprosy as a
Public Health Problem, defined as reaching a prevalence of less than one per
ten thousand population. India achieved this goal at the
end of the year 2005. Thirty two states
/ Union Territories have achieved elimination.
Presently only three states/UTs (two major states and one Union Territory)
out of 35 have a prevalence of over one,
the other states have achieved elimination. At the district level, 482 districts out of 614 have achieved the goal. More>...
Status and activities in leprosy
Epidemiological situation
The Prevalence Rate has fallen from
0.84 in March 2008 to 0.72 at the end of the financial year 2008-09. The
total number of cases under treatment has fallen from 95,151 to 86,331 in the
same period. The fall in PR seems to have slowed down in the last two
years. It is assumed that the bulk of the
operational factors are neutralized now and the PR is more reflective of the real situation. More>…
Initiatives in
the National Leprosy Eradication Program of India
Modified MDT Management
The Government has initiated
procedures for modifying the MDT management based on requisition as
per the number of patients detected in each PHC. This had been suggested by WHO. The new MDT management
scheme had been started experimentally in Orissa and Kerala. More>…
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