MEETING OF Mission Directors 31.10.2012 National Leprosy Eradication Programme
XIth Plan Achievements • All States/UTs except Chhattisgarh and Dadra & Nagar Haveli achieved elimination i.e. less than 1 case per 10,000 population. • 542 out of approximately 640 districts have achieved elimination. • Annual New Case Detection Rate (ANCDR) came down to 10.35 per 1,00,000 population from 12.7 in 2006-07.
Implication Identified 209 high endemic districts (ANCDR > 10/100,000 pop.) in 16 States/UTs at beginning of 12 th Plan. Now number reduced to 168 1. Andhra Pradesh (7) 9.Maharashtra (21) 2. Assam (4) 10. Odisha (22) 3. Bihar (38) 11. Tamilnadu (1) 4. Chhattisgarh (12) 12. Uttar Pradesh (45) 5. Gujarat (9) 13. Uttarakhand (1) 6. Jharkhand (18) 14. West Bengal (9) 7. Karnataka (8) 15. D & N Haveli (1) 8. Madhya Pradesh (11) 16.Delhi (2)
List of 168 high endemic districts 1. Andhra Pradesh (5) 9.Maharashtra (20) 2. Assam (2) 10. Odisha (20) 3. Bihar (34) 11. Tamilnadu (0) 4. Chhattisgarh (12) 12. Uttar Pradesh (39) 5. Gujarat (9) 13. Uttarakhand (0) 6. Jharkhand (0) 14. West Bengal (8) 7. Karnataka (6) 15. D & N Haveli (1) 8. Madhya Pradesh (10) 16.Delhi (2)
XIIth Plan Targets • No complacency: surveillance necessary. • To achieve elimination in high endemic districts. • To achieve elimination in additional districts, if th Plan period. identified during 12 • To prevent Gr.II disability by 35% amongst new cases i.e. from 3865 in March 2012 to 2512 by March 2017, by early detection & treatment.
XIIth Plan Emphasis • Special Activity Plan (SAP) in 209 high endemic districts proposed with active search through health workers and ASHAs. • Involvement of ASHA for early case detection and completion of treatment to reduce Gr.II Disability. • Engagement of additional manpower (Para Medical Worker) at Block PHC level especially in high endemic blocks proposed. • Dedicated District Leprosy Officers for high endemic districts
Budget Allocation & Expenditure 2011-12 • Allocation to the States/UTs - Rs. 50.30 Cr. • Unspent funds with States/UTs as on 1/4/2011 - Rs. 14.86 Cr • GIA released to the States/UTs - Rs. 31.33 Cr. • Total funds available with the States/UTs - Rs. 46.19 Cr. • Expenditure by the States/UTs (Prov.) - Rs. 28.40 Cr. • Audited report pending from 25 States/UTs (Arunachal Pradesh, Assam, Goa, Bihar, Chhattisgarh, Haryana, Jharkhand, Jammu & Kashmir, Karnataka, Kerala, Madhya Pradesh, Manipur, Nagaland, Odisha, Punjab, Rajasthan, Tamilnadu, Tripura, Uttar Pradesh, West Bengal, A&N Islands, Chandigarh, Daman & Diu, Delhi and Lakshadweep)
Expenditure during 2011-12 as per SOE S.No. % Achievement Name of States /UTs 1. Less than 25% Bihar 2. 25-50% Uttar Pradesh, Chhattisgarh, Kerala, Assam and J&K 3. 50-75% Goa, Haryana, Himachal Pradesh, Jharkhand, Madhya Pradesh, Mizoram, Rajasthan, Tripura, A&N Islands , Chandigarh, Daman & Diu, Lakshadweep, Puducherry and Meghalaya 4. Above 75% Andhra Pradesh, Arunachal Pradesh, Gujarat, Karnataka, Maharashtra, Manipur, Nagaland, Orissa, Punjab, Sikkim, Tamilnadu, Uttarakhand, West Bengal D&N Haveli and Delhi
Budget Allocation & Expenditure 2012-13 • Allocation to the States/UTs - Rs. 53.73 Cr. • Unspent fund with the States/UTs as on 1/4/2012 - Rs. 21.42 Cr. • GIA Released to the States/Uts - Rs. 21.57 Cr. • GIA not released to Uttar Pradesh, Bihar, Chhattisgarh and Daman & Diu due to availability of sufficient unspent funds. • Total funds available with the States/UTs - Rs. 42.99 Cr. • Expenditure by the States/UTs Upto June (Prov.) - Rs. 1.30 Cr.
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