lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf -@)&#_
g]kfn ;/sf/ :jf:Yo dGqfno
:jf:Yo ;]jf ljefu s'i7/f]u lgoGq0f dxfzfvf
6]s', sf7df08f}
ljifo;"lr
s'i7/f]u lgjf/0f cleofg — lhNnf :t/ ...................................................................................... 1 !_ kl/roM ......................................................................................................................... 1 @_ p2]Zox?M ....................................................................................................................... 1 #_ ;+rfng k|lqmofM ............................................................................................................ 1 $_ gu/kflnsf / ufp+ ljsf; ;ldlt ;dGjo ;ldlt ........................................................... 2 %_ s'i7/f]u lgjf/0f cleofg sfof{Gjog sfo{ bnM ............................................................. 4 ^_ s'i7/f]u lgjf/0f cleofg sfo{qmddf /fli6«o tyf cGt/fli6«o ;+3 ;+:yfsf] e"ldsfM ...... 4
&_ s'i7/f]usf] cf}iflwsf] ljt/0f tyf ;+ro k|0ffnLM........................................................... 5
*_ s'i7/f]usf] lrGx tyf nIf0fx?M .................................................................................... 5 (_ s'i7/f]u lgjf/0f cleofgdf ;j{ ;fwf/0f hgtfsf] ;xeflutfsf] nflu
pTk|]/0ff / ;Gb]Zfx?M ..................................................................................................... 6
!)_ s'i7/f]u lgjf/0f cleofg ;kmn kfg{ tkfO{ xfdLn] s] ug{] < .......................................... 7
!!_ s'i7/f]u lgjf/0f cleofgM k|lzIf0f lgb{]lzsf ............................................................... 8
DISTRICT LEVEL TOT ......................................................................................................... 11
Training of Search Team .................................................................................................. 15
Health Post Level (Search Team) Training ........................................................................ 17
Implementation schedule of leprosy elimination campaign at distict level ................. 18-19
Steps to prepare a Micro plan for District level Mini LEC ................................................ 20
Format for District Level Micro plan for Mini LEC ............................................................ 21
Reporting format after Campaign ...................................................................................25
s'i7/f]u af/] hfgsf/L ............................................................................................................... 26
kmf/d !–^ .......................................................................................................................... 27-32
kl/roM
hg :jf:Yo ;d:ofsf] ?kdf /x]sf] s'i7/f]unfO{ @)^^ df3 % tbg';f/ ;g\ @)!) hgj/L !( ut]sf lbg g]kfnn] /fli6«o :t/df lgjf/0f -Elimination_ u/]sf] 3f]if0ff eO{ ;s]tf klg t/fO{ nufotsf s]lx lhNnfx?df cem} klg s'i7/f]usf] k|sf]k b/ -Prevalance_ pRr /x]sf]n] lhNnf :t/d} s'i7/f]u lgjf/0f -Elimination_ ug{sf nflu cleofg ;+rfng k|of]hgfy{ of] lgb]{lzsf tof/ kfl/Psf] 5 . of] sfo{qmd ;/sf/L, u}x| ;/sf/L, lglh If]q tyf ;d'bfosf] ;+o'Qm ;xsfo{df ;+rfng x'g]5 .
p2]ZoM
lhNnf :t/d} s'i7/f]u lgjf/0f -Elimination_ ug{sf nflu lhNnfdf /x]sf :jf:Yo;+u ;DalGwt ;Dk'0f{ ;/f]sf/jfnfx?nfO{ cled'lvs/0f ul/ :yflgo :t/d} sfo{qmd ;+rfng ug{ ;/n, ;xh tyf Ps?ktf xf];\ eGg] p2]Zon] of] lgb{]lzsf tof/ kfl/Psf] 5 .
s'i7/f]u af/] hfgsf/LM
s'i7/f]u cfFvfn] b]Vg g;lsg] dfOsf]JofS6]l/od n]k|] (Mycobacterium Leprae) gfdsf] ;"Id ls6f0f'af6 nfUg] Ps k|sf/sf] Hofb} sd ;g{] ;?jf /f]u xf] . of] /f]un] vf; u/]/ 5fnf / :gfo'df c;/ ub{5 .
of] /f]u k|frLg sfnb]lvg} dflg;;+u kl/lrt eP klg ;g\ !*&# df dfq gj{]sf j}1flgs 8f= lh=P=Xofg;g\n] s'i7/f]u ls6f0f'sf] sf/0fn] x'g] /f]u egL kQf nufPsf x'g\ .
o; cl3 ;dfhdf s'i7/f]unfO{ a+zf0f'ut cyjf b}jL clezfksf] sf/0fsf] ?kdf u|x0f ul/Psf] lyof] . o; /f]un] 5fnfdf c;/ ubf{ bfu b]lvg], 5fnf afSnf] x'g], luvf{x? b]vf kg{'sf ;fy} :gfo'x?df c;/ ubf{ bfu tyf xft uf]8fdf 5'+bf yfxf gkfpg] x'G5 . o; /f]un] dfFzk]zLx? sdhf]/ agfO lbG5 . To:tf] :kz{ zlQm x/fPsf] -5f]+Psf] yfxf gkfpg]_ efudf ;fwf/0f rf]6k6s nfUbf klg l56f] lgsf] x'Fb}g .
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
1
s'i7/f]u lgjf/0f cleofg — lhNnf :t/
!_ kl/roM of] sfo{qmd ;d'bfodf c1fgtfaz n'lsl5kL /x]sf s'i7/f]u la/fdL kQf nufpg, hgr]tgf clea[l4 ug{, ;lqmo vf]hk8\tfn lalw4f/f lj/fdL klxrfg tyf ;do d} pkrf/ u/L c+ue+u x'gaf6 ;d]t arfpg ;+rfng ul/G5 .
@_ p2]Zox?M
;d'bfodf c1fgtfjz n'sLl5kL /x]sf s'i7/f]usf lj/fdLx? kQf nufpg] . ;d'bfodf hgr]tgf clea[l4 u/L s'i7/f]u lgjf/0f sfo{df hg;xefuLtf h'6fpg] . :jf:Yo sfo{stf{x?nfO{ s'i7/f]u ;DjGwL 1fg / zLkdf clea[l4 u/fpg] . /f]u lgbfg ePsf ;a} lj/fdLx?nfO{ ax' cf}ifwLo pkrf/ k4lt af6 lglZrt cjlw leq
pkrf/ k'/f u/fpg] . lhNnf :t/df s'i7/f]u lgjf/0f -Elimination_ ug]{ .
#_ ;+rfng k|lqmofM s'i7/f]u lgjf/0f cleofg ;kmntf k"j{s ;~rfng ug{ lgDg adf]lhdsf ;ldltx? lqmoflzn x'g] 5g\ . M
#=!_ s]Gb|Lo / If]lqo :t/ ;ldltx?M
lgb{]zs ;ldlt (Steering committee)
s]lGb|o ;dGjo ;ldlt (Coordination committee)
k|fljlws ;ldlt (Technical committee)
If]qLo ;dGjo ;ldlt (Regional coordination committee)
-dfly pNn]lvt ;ldltx? a}+ss 3f]if0ff sfof{Gjog ug{ u7g eO ;s]sf 5g\ / ;f] ;ldltsf] kbflwsf/L tyf sfd st{Jo / clwsf/ ;ldlt u7g ubf{ lgwf{/0f eP cg';f/ x'g] 5 . _
#=@_ lhNnf :t/Lo ;dGjo ;ldltM (District Level Coordination Committee)
kbflwsf/Lx?M
!_ cWoIf M :yfgLo ljsf; clwsf/L, lhNnf ljsf; ;ldlt
@_ ;b:ox? M
@=!_ k|ltlglw, lHfNnf k|zf;g sfof{no
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
2
@=@_ k|d'v lhNnf lzIff sfof{no
@=#_ k|d'v, dlxnf tyf jfnjflnsf sfof{no
@=$_ k|d'v, lhNnf k|x/L sfof{no
@=%_ Df]= ;'= If]qLo, pk If]qLo, c+rn, lhNnf c:ktfn
@=^_ sfo{sf/L k|d'v, gu/kfnLsf
@=&_ k|ltlglw, k|d'v /fhg}lts bnx?
@=*_ g]kfn kqsf/ dxf;+3, lhNnf ;ldlt
@=(_ lhNnfdf sfo{/t lhNnf :t/Lo ljleGg ;+3 ;+:yfx?
@=!)_ s'i7/f]u ;DjGwL sfo{/t ;+:yfx?
@=!!_ s'i7 k|efljtx?sf] ;+:yfsf k|d'v tyf k|ltlglw
@=!!_ ;b:o ;lrj, lhNnf :jf:Yo k|d'v jf hg :jf:Yo k|d'v
k'gZRfMM :yfgLo ljsf; clwsf/L / lhNnf -hg_ :jf:Yo k|d'vn] ;b:ox? lgwf{/0f ug{]5g\ .
#_ o; ;ldltsf] lgDg jdf]lhd sfd / st{Jo /xg]5 .
s_ k|rf/ k|;f/sf] nflu lhNnf :t/Lo ;fdflhs ;+3, ;+:yf dfkm{t Jofks ?kdf hgr]tgf tyf hg;xeflutf >[hgf ug{] .
v_ ;DjlGwt lhNnf :t/Lo OsfO{x?nfO{ ;dGjofTds ?kn] kl/rfng ug{sf] nflu cfjZos Joj:yf ldnfpg] .
u_ hgzQmL, cf}iflw cfk"lt{, tfnLd, Vff]h sfo{qmd tyf lgb{]lzsf ljt/0f cflb ;Dk'0f{ sfo{sf] of]hgf th'{df ul/ sfo{qmd sfof{Gjog ug]{ 5 .
3_ :yflgo >f]t/;fwgsf] kl/rfng ul/ cleofg sfo{df yk of]ubfg ug{ ;xhLs/0f ug]{ 5 .
ª_ lgoldt a}7s, cg'udg, tyf sfo{qmdsf] d"Nof+sg ug]{ 5 .
$_ gu/kflnsf / ufp+ ljsf; ;ldlt ;dGjo ;ldlt (Municipality/VDC Level Coordination Committee)
gu/kflnsfsf] sfo{sf/L clws[t / uf=lj=;= ;lrjsf] ;efkltTjdf k|f=:jf=s]=, :jf=rf}= k|d'v ;b:o ;lrj /xg] u/L gu/kflnsf / uf=lj=;= :t/sf :jf:YosdL{ nufot /fhlglts bnx?, dlxnf, ;DjlGwt :yfgLo ;+3 ;+:yfx?, lzIfs, a'l4lhjL tyf cGo ;dfh;]jL ;d]t ePsf] ;ldlt u7g ul/g] 5 .
o; ;ldltsf] sfd / st{Jo lgDg adf]lhd x'g]5 .
!_ Jofks hgr]tgf clea[l4sf] nflu k|rf/ k|;f/ ug{'sf] ;fy} s'i7/f]u lgjf/0f cleofg ;kmntfsf] nflu hg;xeflutfd"ns sfo{qmddf cfjZos ;dGjo / ;xof]u ug{] .
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
3
@_ s'i7/f]u lgjf/0f cleofgdf ;lqmo ;xof]u ug{ ;Sg] ;Defljt JolQmx? Tfyf cGo ;fwg, >f]t klxrfg u/L kl/rfng ug]{ .
#_ :yfgLo g]t[Tj tx;+u jf/Djf/ ;Dks{, a}7s / hfgsf/L lng] .
$_ cfjZos ;"rgf lhNnfnfO{ t'?Gt lbg] / lgb{]zg lng] .
%_ o; % lbg] cleofg sfo{qmddf vf]hstf{ 6f]nL (Search Team) s'g s'g lbg s'g s'g 7fp+df hfg] xf] hg;d'bfonfO{ hfgsf/L u/fO{ pQm lbgdf 3/ 3/df g} a;L h+rfpg cfu|x ug{] .
%= s'i7/f]u lgjf/0f cleofg sfof{Gjog sfo{ bnM !_ vf]hstf{ 6f]nL (Search Team): k|To]s vf]hL 6f]nLdf @ hgf ;b:o /xg] 5g\ . c=x]=j=, c=g=dL=, lzIfs, ;dfh;]jL, :yflgo ;+3 ;+:yfdf sfo{/t :j+o;]js÷ ;]ljsf, dlxnf :jf:Yo :jo+ ;]ljsf jf s'i7 k|efljtaf6 vf]hstf{ 6f]nL 5gf}6 ul/g] 5 . o;/L u7g ubf{ ! hgf clgjfo{ ?kdf n]vk9 ug{ ;Sg] / ! hgf k'?if tyf ! hgf dlxnf x'g' kg{]5 . o;/L 6f]nL u7g ubf{ dfly pNn]lvt 6f]nLaf6 lhNnfdf cfjZos kg{] hgzlQm gk'u ePdf ;s] ;Dd :jf:Yo sfo{qmddf cg'ej ePsf JolQmnfO{ k|fyldstf lbO{ 6f]nL u7g ug{ ;lsg]5 .
o;/L u7g ul/Psf] 6f]nLnfO{ glhssf] :jf:Yo ;+:yfdf ! lbgsf] cled"vLs/0f u/L sfo{qmd ;+rfngdf ;xefuL u/fO{g] 5 . 5gf}6 ePsf 6f]nLn] tfnLd kZrft\ ;DjlGwt :jf:Yo ;+:yfsf] lgb{]zgdf /xL slDtdf ! lbgdf #) 3/ kl/jf/sf ;b:ox?nfO{ hf+r ug{' kb{5 . o;/L % lbgdf slDtdf !%) 3/ kl/jf/nfO{ hf+r ug{' kb{5 / o;/L hf+r ubf{ kmf/d g+= ! eg'{ kb{5 . hf+r ubf{ glrnfpg] bfu jf s'i7/f]usf] z+sf nfu]sf JolQmx?nfO{ glhssf] /f]u lgbfg s]Gb| -k|f=:jf=s]=, :jf=rf}=_ x?df /f]u lgbfg / pkrf/sf] nflu kmf/d g+= @ e/L k7fpg' kg{]5 . pk/f]Qm cg';f/ sfo{ ;+rfng ug{ :jf:Yo ;+:yfn] vf]hL 6f]nL ;+Vof lgwf{/0f u/L sfo{ If]q tf]sL vf]hL sfo{ ;+rfng ug]{ Joj:yf ldnfpg' kg{]5 . vf]hL sfo{ ;+rfng ubf{ k|To]s vf]hL 6f]nLn] cf cfkmgf] sfo{ If]qdf kg]{ laBfno, u'Daf, d7 dlGb/, a[bf>d, rr{ db/;f, sn sf/vfgf nufot cGo ;Dk'0f{ ;fj{hlgs :yfgdf ;d]t vf]hL sfo{ ;DkGg ug'{ kg]{ 5 . vf]hL sfo{ kZrft k|To]s 3/w'/Ldf hDdf kl/jf/ ;+Vof / kl/If0f u/]sf] ;+Vof clgjfo{ pNn]v ug'{ kg]{ 5 .
pbfx/0fsf] nfluM
L %÷& -L sf] cy{ 3/w'/L , % sf] cy{ kl/If0f u/]sf] ;+Vof / & sf] cy{ hDdf kl/jf/ ;+Vof_
gf]6 M s= :jf:Yo ;+:yfaf6 cleofg sfo{sf nfuL vl6P/ hfg] :jf:Yosld{sf] 6f]nLn] klxnf] lbg vf]hL 6f]nLsf] ;xof]udf cf—cfkm\gf] If]qdf kg]{ laBfnodf s'i7/f]u ;DalGw hgr]tgf clea[l4 tyf cleofg ;DalGw hfgsf/L u/fpg'sf ;fy} lZfIfs tyf laBfyL{sf] s'i7/f]u kl/If0f sfo{ ;DkGg ug'{ kg]{ 5 .
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
4
v= sfo{qmdsf] 5}7f}+ lbgdf ;Dk0f"{ kmf/dx? Tfyf k|lta]bg clgjfo{ ?kdf ;DjlGwt :jf:Yo ;+:yfdf a'emfpg kg{]5 .
@_ /f]u lgbfg 6f]nL (Confirmation Team): /f]u lgbfg 6f]nLn] vf]hL 6f]nL4f/f k|]if0f ul/Psf z+sf:kb s'i7/f]u lj/fdLx?sf] k"0f{ hf+r u/L /f]u lgbfg ug{' kg{]5 . o; sfo{sf] nflu kmf/d g+= # sf] /lhi6/ eg{sf ;fy} :jf:Yo ;+:yfdf k|of]u x'g] ;a} lgoldt kmf/dx? Clinical register, charting card cflb e/]/ pkrf/ z'? ug{' kg{]5 . pknJw ;fwg, >f]taf6 hf+r ubf{ /f]usf] k"0f{ lgbfg x'g g;sL z+sf:kb ePdf ;f] lj/fdLnfO{ k"gM /f]u lgbfgsf] nflu lhNnf :t/Lo ;'kl/j]If0f 6f]nL (Supervisory Team) cfpg] lbgdf af]nfpg] Aoa:yf ldnfpg' kg{]5 . To;/L af]nfO{Psf z+sf:kb lj/fdLsf] ;Dk"0f{ clen]v /fVg' kb{5 .
/f]u lgbfg 6f]nLnfO{ lhNnfaf6 cfpg] ;'kl/j]If0f 6f]nL slxn] cfpg] eGg] tfnLsf klxn] g} pknJw x'g' kg{]5 . /f]u lgbfg 6f]nL] s'i7/f]u lgjf/0f cleofgdf ^ lbg ;Dd ;+nUg x'g' kg{]5. /f]u lgbfgsf qmddf k|of]uzfnf ;]jfsf] cfaZoStf kg]{ eP lhNnf l:yt k|of]uzfnfdf l:sg :d]/ hfFr ug]{ Aoa:yf ldnfpg' kg]{ 5 .
#_ ;'kl/j]If0f 6f]nL (Supervisory Team): k|f=:jf=s]= tyf :jf:Yo rf}sLdf /x]sf /f]u lgbfg 6f]nLn] k"0f{ lgbfg ug{ g;sL /fv]sf z+sf:kb lj/fdLx?sf] k"0f{ lgbfg ug{sf] nflu nueu k|To]s @) j6f vf]h 6f]nL jf @ b]lv # j6f uf=lj=;= sf] aLrdf Pp6f ;'kl/j]If0f 6f]nL /xg]5 . o; 6f]nLdf s'i7/f]u ;DjGwL a9L cg'ejL Pj+ tfnLd k|fKt bIf sd{rf/Lx? h:t}M x]=c=, s'i7/f]u ;'k/efO{h/ / Ifo÷s'i7 clws[t jf ;xof]uL ;+:yfsf ;'k/efO{h/ ;dfj]z ul/g] 5g\ .
s'i7/f]u lgjf/0f cleofg sfo{qmddf o; 6f]nLn] :jf:Yo ;+:yfx?sf] ;'kl/j]If0f ug{]5 . ;'kl/j]If0fsf] ;dodf z+sf:kb lj/fdLsf] k"0f{ lgbfg ug{sf] ;fy;fy} cfjZos k|fljlws ;Nnfx, ;'emfj Pj+ cGo cfjZos ;xof]u lbg]5 . tYof+s ;+sng / ;+of]hg u/L k|ltj]bg k7fpg] sfo{df ;+nUg /xg]5 .
pk/f]Qm cg';f/ /f]u lgbfg 6f]nL, lhNnf ;'kl/j]If0f 6f]nL lgdf{0f, 6f]nL ljefhg Pj+ sfo{ If]q ljefhgsf] ;Dk"0f{ sfo{ lhNnf :jf:Yo/hg :jf:Yo sfof{non] ug{]5 . k|To]s ;'kl/a]If0f 6f]nLn] s'g lbg, s'g ;+:yfdf s'g ;dodf ;Dks{ /fVg' kg]{ xf], ;f] sf] la:t[t of]hgf agfpg' kg]{ 5 / ;f] sf] hfgsf/L ;a} /f]u lgbfg s]Gb|df u/fpg' kg]{ 5 .
^= s'i7/f]u lgjf/0f cleofg sfo{qmddf /fli6«o tyf cGt/fli6«o ;+3 ;+:yfsf] e"ldsfM g]kfndf /fli6«o tyf cGt/fli6«o ;+3 ;+:yfx?n] s'i7/f]u lgjf/0f cleofg sfo{df w]/} jif{ cl3 b]lv g} sfo{ ub{} cfPsf] kl/k]Iodf s'i7/f]u lgjf/0f cleofg sfo{qmddf If]qLo :jf:Yo lgb{]zgfno tyf lhNnf :jf:Yo sfof{nox? ;+u ;dGjo /fvL lgDg sfo{x? k|efjsf/L ?kdf ug{]5g\ .
!_ s'i7/f]u lgjf/0f cleofg ;DjGwL :yfgLo jf If]qLo :t/df Jofks ?kdf hgr]tgf clea[l4sf] nflu k|rf/ k|;f/ ug{] .
@_ ljleGg txsf :jf:Yo sfo{stf{x?nfO{ cfjZos tfnLd Pj+ cled'vLs/0f sfo{df ;xof]u ug{] .
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
5
#_ s]Gb|, If]q Pj+ lhNnf :t/Lo sfo{qmddf ;xof]u tyf ;dGjo sfod u/L sfo{ of]hgf agfpg / sfof{Gjogdf ;xof]u ug{] tyf lhNnfnfO{ cfjZos kg{] bIf hgzlQm pknJw u/fpg] .
$_ cfjZostf cg';f/ s'i7/f]u lgjf/0f cleofg sfo{qmdsf] ;kmntfsf] nflu s]Gb|sf] lgb{]zg cg';f/sf] sfo{df ;xof]u ug{] .
cfjZos cf}iflwsf] Joj:yfkgM klxn] b]lv g} lgoldt pkrf/df /x]sf lj/fdLx?nfO{ lgoldt sfo{qmdaf6 g} cf}iflw cfk"lt{ x'g]5 . s'i7/f]u lgjf/0f cleofg sfo{qmdsf] nflu k|To]s /f]u lgbfg s]Gb|df cf}iflw cfk"lt{ ubf{ To; s]Gb| cGtu{t kg{] s"n hg;+Vof Pj+ kQf nfUg ;Sg] lj/fdLsf] ;+VofnfO{ cfwf/ dfgL cf}iflw cfk"lt{sf] Joj:yf ldnfpg' kg{]5 .
&= s'i7/f]usf] cf}iflwsf] ljt/0f tyf ;+ro k|0ffnLM s'i7/f]usf] cf}iflw :jf:Yo ;+:yfx?df tfnLd sfo{qmd ;+rfng x'g' cufj} pknJw u/fO{g] 5 . lhNnfdf x'g] /f]u lgbfg 6f]nLsf] tfnLdsf] ;dflKt kl5 k|To]s s]Gb|x?df cf}iflw k7fpg] Joj:yf ldnfpg' kg{]5 .
cf}iflw cfk"lt{ ubf{ k|lt lj/fdLnfO{ ^ dlxgfsf] nflu cf}iflw k'Ug] u/L x/]s :jf:Yo ;+:yfdfk7fO{g] 5 / lj/fdL ;+Vof sd cfO{ k7fO{Psf] cf}iflw vkt gx'g] ca:yf ePdf lhNnfaf6 hfg] ;'kl/j]If0f 6f]nLn] k|To]s s]Gb|af6 lkmtf{ NofO{ lhNnf :6f]/df df}Hbft ug{] Joj:yf ldnfpg' kg{]5 .
lgbfg ePsf lj/fdLx?nfO{ Ps k6sdf Ps dlxgfsf] cf}iflw lbg' kg{]5 t/ lj/fdLsf] cj:yf x]/L csf{] dlxgf cfpg g;Sg] ePdf @ dlxgfsf] nflu ;Dd cf}iflw lbg ;lsg] 5 . lj/fdLsf] nflu Pd=aL=, lk=aL= tyf jo:s / jRrfsf] nflu AnLi6/ Kofsdf cf}iflw pknJw x'g]5 . k|To]s AnLi6/ Kofsdf ! dlxgfsf] nflu k'Ug] cf}iflw /flvPsf] x'G5 .
*= s'i7/f]usf] lrGx tyf nIf0fx?M
!_ s'i7/f]u z+sf ug{] tl/sf -Search Team sf] nflu_M
s_ z/L/sf] s'g} klg efudf glrnfpg] bfux? b]vf k/]df
v_ z/L/df uLvf{x? b]lvPdf, sfgsf] nf]tL tyf cg'xf/sf] 5fnf afSnf] ePdf
u_ xft v'6\6f emdemdfPdf, xTs]nf tyf k}tfnfdf :kz{ zlQm x/fPdf jf gb'Vg] 3fp ePdf
@_ s'i7/f]u lgbfg ug{] tl/sf - Confirmation Team sf] nflu_M
s'i7/f]u g} xf] egL lgbfg ug{] d'Vo # j6f lrGxx? (Cardinal Signs of Leprosy)
s_ 5fnfdf km';|f] jf xNsf /ftf] :kz{ zlQm x/fPsf bfu -Anaesthetic patch_ ePdf
v_ :gfo' ;'lGgPdf, df]6f] jf b'Vg] ePdf ;fy} :gfo' sfo{ Ifdtfdf x|f; ePdf
(Enlarged, swollen, pain/tender of nerve)
u_ 5fnfsf] gd"gf af6 lnO{Psf] tGt' /; hf+r ubf{ ls6f0'f b]lvPdf (Skin smear positive)
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
6
dflysf lrGxx? (Cardinal Signs) geP klg olb s'i7/f]usf] z+sf 5 eg] k|]if0f s]Gb|df cfjZos hf+r k8\tfnsf] nflu k7fpg' kb{5 .
cGo cfjZos ;fdu|Lx?M !_ s'i7/f]u vf]h k8\tfn kmf/d, lSnlgsn /lhi6/, rfl6{+u sf8{ / ;r{ sf8{
@_ kf]i6/, kDkmn]6
#_ l/km/n sf8{ / kmd{ kmd{]6
$_ 86k]g
%_ rs cflb .
;Dk|]if0f ug{] tl/sf M s'i7/f]u lgjf/0f cleofg ;kmn x'g' eg]sf] ztfJbLof}+ b]lv xfd|f] b]zdf ;fdflhs ;d:ofsf] ?kdf /x]sf] s'i7/f]u nfO{ hg :jf:Yosf] ;d:of af6 d"lQm kfpg] af6f]df ;kmntf kfpg' xf] . of] sfo{ Hofb} hl6n ePtf klg c;Dej eg] 5}g . o;sf] nflu c;n / k|efjsf/L of]hgfsf] sfof{Gjog ul/g' kb{5 . o; sfo{df :jf:Yo If]q PSn}n] u/]/ g;Sg] ePsf]n] ;/sf/L / u}x| ;/sf/L lglh tyf ;d'bfo :t/sf] ;+o'Qm ;xsfo{ cfjZos 5 . /fli6«o :t/df ul7t k|fljlws / ;dGjo ;ldlt dfkm{t lhNnf l:yt sfof{nox?nfO{ ;xof]u k'/\ofpg cg'/f]w / lgb{]zg ul/g] 5 . ctM lhNnf;/sf/L tyf u}x| ;/sf/L, gLlh If]qsf /fli6«o / cGt/fli6«o jf :yfgLo ;+3 ;+:yfx?, Snax?, ljBfno, sn]h cflb ;Dk"0f{ lgsfosf k|ltlglwx?nfO{ cfdGq0f u/L s'i7/f]u lgjf/0f cleofg jf/]df la:t[t hfgsf/L u/fO{g] 5 . pQm a}7s tyf 5nkmn cleofg z'? x'g !% lbg cufj} ;DkGg ug'{ kg]{ 5 . . s]Gb|af6 s'i7/f]u lgjf/0f cleofgsf nflu cfaZos kg]{ :jf:Yo lzIff ;fdfu|Lx? ;DalGwt lhNnfdf ;dod} k7fO{g]5 .
;fj{hlgs :ynx?df leQ] n]vg, Jofg/, kf]i6/ cflbsf] clwstd k|of]u ug]{ Aoa:yf ldnfpg' kg]{ 5 . To;} u/L Pkm=Pd= /]l8of] tyf :yfgLo kq klqsfaf6 klg ;"rgf tyf ;Gb]zx? k|jfx ul/g] 5 .
(= s'i7/f]u lgjf/0f cleofgdf ;j{ ;fwf/0f hgtfsf] ;xeflutfsf] nflu pTk|]/0ff / ;Gb]Zfx?M
- s'i7/f]u s'g} b]jL b]jtfsf] >fk jf k"j{ hGdsf] kfksf] sf/0fn] jf j+zfg'ut sf/0fn] ge} gf+uf] cf+vfn] b]Vg g;lsg] ;'Id ls6f0f' af6 x'g] /f]u xf] .
- z/L/df glrnfpg] :kz{ zlQm x/fPsf bfux? b]vf k/]df, uLvf{x? b]lvPdf jf sfgsf] nf]tL tyf cg'xf/sf] 5fnf afSnf] ePdf s'i7/f]u x'g ;S5 .
- lgoldt pkrf/ af6 s'i7/f]u k"0f{tofM lgsf] x'G5 . - s'i7/f]usf] hf+r / ax' cf}ifwLo pkrf/ :jf:Yo ;+:yfx?df lgMz'Ns pknJw x'G5 .
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
7
- z'?sf] cj:yfdf g} pkrf/ u/]df /f]u k"0f{ lgsf] eO{ ckf+utf x'gaf6 aRg'sf ;fy} /f]u ;g{af6 arfpg ;lsG5 .
- s'i7/f]u lj/fdLnfO{ cGo lj/fdL ;/x 3/ kl/jf/df ;+u} /fvL pkrf/ u/fpg ;lsG5 . - pkrf/ z'? u/]sf lj/fdL af6 c?nfO{ /f]u ;b{}g .
s] tkfO{nfO{ yfxf 5 < olx @)&# ;fn ======= =======ut] b]lv ======= ====== ut] ;Dd s'i7/f]u lgjf/0f cleofg sfo{qmd ;+rfng x'+b}5, pQm cjlwdf tkfO{sf] 3/b}nf]df s'i7/f]usf] z+sf nfu]sf JolQmx? kQf nufpg vf]h k8\tfn 6f]nL cfp+b}5 .
s'i7/f]u lgjf/0f cleofg ;kmn kfg{ tkfO{ xfdLn] s] ug{] <
- hf+r k8\tfn ug{] lbg 3/ d} a:g hfgsf/L u/fpg] . - 3/b}nf]df hf+r ug{ cfPsf vf]h k8\tfn 6f]nL ;+u cfkm\gf] ;Dk"0f{ kl/jf/sf] hf+r u/fpg
clek|]l/t ug]{ . - vf]h k8\tfn 6f]nL cfPsf] hfgsf/L cfkm\gf] 5/ l5d]sLnfO{ u/fO{ hf+r ug{ nufpg
;d'bfonfO{ hfgsf/L u/fpg] . - vf]h k8\tfn 6f]nLn] lbPsf] ;Nnfx / ;'emfj cg';f/ yk hf+rsf] nflu glhssf] :jf:Yo
;+:yfdf ;Dks{ /fVg ;Nnfx lbg] . - tkfO{ xfd|f] ;xof]u Pj+ ;b\efjn] s'i7/f]u lgjf/0f sfo{df ;xof]u ldNg] 5 . - /f]u lgbfg ePsf lj/fdLx?n] k'/f cjlw ;Dd cf}iflw ;]jg ug{ ;xhLs/0f ug]{ . - s'i7/f]u lgjf/0f cleofg tkfO{ xfd{L ;a}sf] ;/f]sf/sf] ljifo ePsf]n] o;sf] ;kmntfsf]
nflu ;a}hgfn] ;xof]u / ;dy{g u/f}+ . - s'i7/f]u lgjf/0f cleofg z'? x'g' cufj} b]lv lhNnf hg :jf:Yo sfof{nodf sfo{/t hf]
;'s} sd{rf/Ln] ePklg cfkm\gf] lgoldt ;'kl/j]If0fsf] ;dodf jf :jf:Yo ;+:yfx?df ;]jf lng cfPsf lj/fdLx?nfO{, dlxnf :jf:Yo :jo+ ;]ljsf tyf cGo ;/f]sf/jfnfx?sf] tfnLd Pj+ uf]i7Lx?df lhNnfdf ;+rfng 'xg] s'g} klg a[xt sfo{qmd, e]nf cflbdf s'i7/f]u lgjf/0f cleofg sfo{qmd jf/] hfgsf/L u/fpg kb{5 .
;f/f+zdf lgDg a'+bfx? dgg ug{ plrt x'g]5 M
- hg 3gTj a9L ePsf zx/L Onfsfdf s'i7/f]u lgjf/0f cleofg sfo{qmd jf/]df Jofks hgr]tgf hufpg] cleofg ;+rfng ug{' kg{]5 .
- u|fld0f Onfsfx?df x'g] e]nf jf cGo ljljw rf8 kj{sf] ;dodf s'i7/f]u lgjf/0f cleofgsf] Jofg/, krf{, kf]i6/ cflb ljt/0f u/L Jofks k|rf/ k|;f/ ug'{ kb{5 . JolQmut s'/fsfgL ug{], Snj, ;+:yfx?df sfo{qmd af/] 5nkmn ug{ nufpg] jf ;f] ;dodf uO{ hfgsf/L u/fpg' kb{5 .
- k|ltli7t Pj+ k|efjzfnL JolQmx?sf] ;do lgwf{/0f u/L pb\3f6g, ljdf]rg h:tf sfo{x? rnfP/ k|rf/ k|;f/ ul/g' kb{5 .
- :yfgLo >f]t ;fwg / cj:yfnfO{ Wofgdf /fvL s'i7/f]u lgjf/0f cleofgsf] k|rf/ k|;f/sf nflu ;Sbf] pkof]u ug'{ kb{5 .
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
8
:jf:Yo s]Gb|df cg'dflgt ;+Vof eGbf w]/} sd dflg; hrfpg cfPdf s] ug{]< vf]hL 6f]nLaf6 z+sf u/L :jf:Yo ;+:yfdf k|]if0f u/]sf ;a} hgfnfO{ hf+r ug{' h?/L 5 . s'g} z+sf:kb lj/fdL h+rfpg 5'6]df, ;f]xL JolQmdf s'i7/f]u x'g ;Sb5, t;y{ hrfpg 5'6 ePsf ;+sf:kb la/fdLx?sf]] vfhL ul/ hfFr ug]{ Aoa:yf ldnfpg' kg]{ 5 . s'g} klg :jf:Yo ;+:yfdf z+sf:kb lj/fdLx? cfkm\gf] :jf:Yo kl/If0f u/fpg cfpg' kb{5 . olb s'g} sf/0fjz :jf:Yo ;+:yfdf w]/} sd dflg; kl/If0f ug{ cfPdf vf]hk8\tfn 6f]nLnfO{ a9L ;Ifd u/fpgsf] ;fy} ;'kl/j]If0f sfo{nfO{ a9L k|efjsf/L agfpg' kg{] x'G5 / lj/fdL hf+r ug{ cfpg] ;+Vof a9fpg' kg{] x'G5 .
lgl/If0f / lgb{]zgM ;'kl/j]If0f 6f]nLn] vf]hk8\tfn 6f]nLn] vf]hL sfo{ ;DkGg u/]sf]] 3/ Pj+ /f]u lgbfg 6f]nLsf] lgoldt ;'kl/j]If0f tyf cg'udg ug]{ 5 . pQm lgl/If0f ug{ hfg] 6f]nLn] yk cf}iflw Pj+ cfaZos kg{ ;Sg] kmd{x? klg ;fydf lnP/ hfg' kg{]5 .
;du| cleofg, vf]hk8\tfn /f]u lgbfg 6f]nLsf] cg'udg, ;'kl/a]If0f / lgb]{zg hg :jf:Yo k|d'v, hg :jf:Yo clws[t If]q jf s]Gb|af6 cfPsf] 6f]nLn] ug]{ 5 .
!)= s'i7/f]u lgjf/0f cleofgsf] kmf/d eg{] / s]Gb|df k7fpg]M s'i7/f]u lgjf/0f cleofg sfo{qmd ;DkGg ePkl5 vf]h k8\tfn 6f]nLn] ;DjlGwt /f]u lgbfg 6f]nLdf / /f]u lgbfg 6f]nLn] ;'kl/j]If0f 6f]nLnfO{ a'emfpg' kg{]5 . ;'kl/j]If0f 6f]nLn] cfkm\gf] dftxtsf ;Dk"0f{ kmf/dx? / a9L ePsf cf}iflwx? lhNnfdf NofO{ a'emfpg' kg{]5 . lhNnf :jf:Yo÷ hg:jf:Yo sfof{nodf k|fKt ;a} kmf/dx? lh=:jf=÷hg :jf= sfof{nosf sd{rf/Lx? Pj+ ;'kl/j]If0f 6f]nL ;+o"Qm ?kdf a;L hDdf ePsf tYof+sx?sf] k|ltj]bg tof/ u/L ;+rf/sf] l56f] ;fwgaf6 s'i7/f]u lgoGq0f dxfzfvf, sf7df08f}, 6]s'df k7fpg' kg{]5 . sfo{ ;Dkfbgsf] cGTodf
lhNnf :jf:Yo/ hg :jf:Yo sfof{non] s'i7/f]u lgjf/0f cleofg ;kmn agfpg ;lqmo ?kn] sfd
ug{] /fhg}lts kf6L{, :jf:YosdL{, :jo+ ;]jsx?, ;/sf/L tyf u}x| ;/sf/L lgsfosf kbflwsf/Lx?sf] of]ubfgnfO{ k|z+;f ub{} wGojfb k|bfg ug'{ kb{5 .
!!= s'i7/f]u lgjf/0f cleofgM k|lzIf0f lgb{]lzsf !_ lhNnf :t/df lgjf/0f x]t' cyf{t k|lt bz xhf/ hg;+Vofdf Ps eGbf sd s'i7/f]usf lj/fdL ;+Vof sfod /fVg @)&# ======= ===== ut] b]lv ==== ut] ;Dd b]zsf s'i7/f]u a9L k|efljt lhNnfx?df s'i7/f]u lgjf/0f cleofg ;+rfng ug{ nfluPsf] 5 . ;f] cleofg sfo{qmd ;+rfngfy{ ;Dk"0f{ :jf:YosdL{x?sf] tfnLd / cg'lzIf0f sfo{ lgtfGt cfjZos /x]sf]n] ljleGg txdf ul/g] pQm tfnLd cg'lzIf0f sfo{sf] nflu of] k|lzIf0f lgb{]lzsf tof/ ul/Psf] 5 .
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
9
@_ lgb{]lzsfsf] p2]ZoM
s'i7/f]u lgjf/0f cleofgdf ;+nUg /xg] k|lzIfs / ;f] ;+u ;GjlGwt JolQmx?sf] nflu ljleGg txdf x'g] k|lzIf0f ;DjGwL sfo{ lgb{]zg ug{ o; k|lzIf0f lgb{]lzsfsf] p2]Zo x'g]5 .
#_ s'i7/f]u lgjf/0f cleofgsf] nflu lgDg txx?df tfnLd / cled'vLs/0f sfo{qmdx? ;+rfng x'g]5g\M
s_ s]Gb|Lo tx M Central core training team
v_ lhNnf tx M District ToT and confirmation team including region u_ :jf:Yo ;+:yf tx M Search team training and other orientations
pk/f]Qm tfnLd ;+rfngfy{ lgDg cg';f/sf k|lzIfs / ;xefuL ;dfj]z x'g]5g\M s_ s]Gb|Lo txsf] >f]t JolQmx?M
- Director, Leprosy Control Division - Deputy Health Administrator, Leprosy Control Division - National Programme Officer, WHO - Representatives, NGO network
s]Gb|Lo txsf] tfnLd k|lzIfsx?M
- Senior Leprosy Supervisors, LCD - TB/Leprosy Officers, LCD - Regional TB/Leprosy Officers - Training Officers, Region based partner NGOs
v_ lhNnf txsf] tfnLd -k|lzIfs k|lzIf0f / /f]u lgbfg 6f]nL_ sf k|lzIfs M
- D(P)HO - MO - Regional TB/Leprosy officer/Assistant - District TB/Leprosy officer/Assistant
lhNnf txsf] tfnLd -k|lzIfs k|lzIf0f / /f]u lgbfg 6f]nL_ sf ;xefuLx?M
- Supervisors of D(P)HO - HA, SN, AHW, ANM - District based health workers/Supervisors of NGOs
u_ :jf:Yo ;+:yf txsf] tfnLd -vf]hstf{ 6f]nL_ sf k|lzIfs M
- Participants of District ToT (HA, SN, AHW, ANM, Supervisors, health workers of NGOs)
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
10
3_ :jf:Yo ;+:yf txsf] tfnLd -vf]hstf{ 6f]nL_ sf ;xefuL M
- AHW, ANM, Teachers Social Activist - FCHV (selected) - Leprosy affected people - Others (health workers, teacher)
:jf:Yo ;+:yf txsf] cled'vLs/0f -uf=lj=;=cWoIf tyf cGo_
>f]t JolQm
- PHCC/Health Post In-charge
:jf:Yo ;+:yf txsf] cled'vLs/0f -uf=lj=;=cWoIf tyf cGo_
;xefuL
- VDC Chairman - Others (Social leaders/workers)
pk/f]Qm txdf ;+rfng x'g] tfnLd / cled'vLs/0f sfo{qmdsf ;xefuLx?sf] d'Vo sfd, st{Jo / lhDd]jf/L lgDgfg';f/sf] x'g]5 .
!_ s]Gb|Lo txsf] tfnLdM sfd, st{Jo / lhDd]jf/L
- Central core team member n] lhNnf :t/df ;+rfng x'g] ToT df k|lzIfs eO{ sfd ug'{ kg{]5 . pQm sfo{qmddf If]qLo :jf:Yo lgb{]zgfnoaf6 klg ;xeflutf /xg] 5 .
- Central core team sf ;b:ox?n] lhNnfdf ;+rfng x'g] ToT tfnLdsf] ;dGjo, of]hgf tyf ;'kl/j]If0f ug{] sfd ug'{ kg{]5 .
- s'i7/f]u lgjf/0f cleofg sfo{qmd ;+rfng ug{] l;nl;nfdf core team member n] s]Gb| b]lv ufp+ ;Ddsf] ;"rgf k|bfg ug{], of]hgf agfpg], sfo{ ;+rfng ug{], d"Nof+sg ug{] tyf cGo cfjZos sfddf ;dGjo ug{] sfdsf] lhDd]jf/L jxg ug'{ kg{]5 .
- s'i7/f]u lgjf/0f cleofgsf] l;nl;nfdf s'g} c;'ljwf Pj+ ;d:of pTkGg ePdf s'i7/f]u lgoGq0f dxfzfvf ;+u ;Dks{ u/L ;d:of lg/fs/0f tkm{ cfjZos sfo{ ug{]5.
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
11
DISTRICT LEVEL TOT
(CAMPAIGN)
PROGRAMME SCHEDULE
First Day
10:15 - 10:30 Welcome/Introduction to MLEC 10:30 - 11:00 Role & Responsibilities of Confirmation and Search Teams
11:00 - 12:00 Suspect, Diagnosis & Confirmation
12:00 - 01:00 Classification & Treatment
01:00 - 02:00 Sensory Test and Nerve Palpation (Practical)
02:00 - 02:30 BREAK
02:30 - 03:30 History Taking and Body Charting (Practical)
03:30 - 04:15 Recording & Reporting
04:15 - 04:45 Supervision, Monitoring & Referrals
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
12
Training Objective
Knowledge Skills Training Method Training Aids Time
I Campaign Objectives/strategies and procedures
- Interactive lectures
Blackboard or newsprint paper
15 mins
II Roles/responsibilities of Confirmation Team Roles/responsibilities of Search Team
- Interactive lectures
Blackboard or newsprint paper
30 mins
III Suspect criteria for Search Team: Non-itchy skin patch with history of
anesthesia Weak and anesthetic fingers and toes
- History taking - Interactive lectures
- Slideshows
Blackboard or newsprint paper
Atlas of leprosy
IV & V Clinical guidelines for recognizing and confirming leprosy Diagnostic signs of leprosy Sites of peripheral nerves in leprosy Classification of leprosy Treatment (MDT) of leprosy Contraindication & side effects of MDT Disability grading and patients education
- History taking- Body charting - Sensory
Testing - Nerve
palpation - VMT
- Interactive lectures
- Slideshow - Case
demonstration - Drug
demonstration - Practical exercise
Whiteboard OHP Slide projector MDT drugs Leprosy patients Patient card Booklets &
leaflets
1 hour
VI, VII & VII
Recording and reporting system Patient’s card, clinical register, contact card Campaign recording and reporting forms Supervision Monitoring & Referral Spot check & logistic supply Referral criteria for confirmation team
during Campaign Available referral centres during Campaign
- Filling forms- Writing
referral slips - Maintaining
register
- Interactive lectures
- Practical exercise
Whiteboard OHP Forms/Charts Referral Slips Clinical Register
1 hour
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
13
District Level ToT
A. Participants: HA, District Supervisors/Assistants, AHW/ANM, NGOs Health Workers
B. Resource Person: RD, RTLO, LCD, Supporting Partners
C. Duration: 1 Day
D. Total Work Hours: 6 Hours
E. Participants Major Tasks: 1. To conduct PHC/HP level (Search Team) training at PHC/HP areas 2. Confirmation of suspected cases and their treatment.
F. Specific Tasks
1. Briefing about campaign 2. Briefing about roles and responsibilities of Confirmation Team and Search Team 3. Trained on diagnosis/confirmation of leprosy during campaign 4. Trained on treatment procedure and patient’s education during campaign 5. Trained on supervision and monitoring aspects of campaign at HP level 6. Trained on recording, reporting and referral procedures during campaign.
G. Aim of Training: To provide knowledge and skills to the participants to enable them to carry out their assigned tasks related to MLEC in a satisfactory level in their job/place area.
H. Objectives of Training: At the end of District Level ToT, the participants will be able to: 1. Explain the objectives, strategies and procedures of campaign. 2. Explain the roles / responsibilities of confirmation and Search Team in relation to
Campaign. 3. Provide information on clinical guidelines for suspecting leprosy cases to the Search
Team and other district level workers associated with Campaign. 4. Do confirmation of suspected leprosy cases at confirmation centres. 5. Classify and treat confirmed leprosy cases according to National Guidelines during
campaign. 6. Do recording and reporting at their level during Campaign. 7. Do supervision and monitoring at district level and refer those suspected leprosy
cases who fall under the referral criteria during Campaign.
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
14
8. Provide explanations and instructions on recording and reporting systems to the participants of HP level training.
I. Training Contents: 1. Campaign: Objective, Procedure and Activities 2. Roles and responsibilities of confirmation and Search Team 3. Suspect and diagnosis
Suspect criteria for search: o Non-itchy skin patch with history of anesthesia (excluding birth mark &
scar) o Weak or anesthetic fingers and toes (excluding deformities due to
congenital and injuries) Diagnostic signs: Anesthetic patch and enlarged nerve
4. Classification: MB, PB 5. Treatment: MB, PB PB-MDT duration, contra-indication, side effects & patient’s
educations. 6. Recording and Reporting: Patient Card, Patient’s Registration, Contact Card and
Campaign Forms. 7. Supervision, Monitoring & Referrals: Spot check at confirmation centre,
confirmation of difficult cases, logistics, referral criteria for confirmation team.
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
15
Training of Search Team (HP Level Training)
A. Participants: Selected FCHVs, leprosy affected; Health Workers and Teachers B. Resource Person: Participants of District Level ToT C. Duration: 1 Day D. Total Work Hours: 6 Hours
E. Participant’s Major Task:
To identify cases with skin lesion in the community through household visits and refer them into the nearest confirmation centre.
F. Specific Tasks: 1. To visit every households in the assigned area. 2. To explain the purpose of their visit to the household member and convince them to get
examined. 3. To examine household members to find out suspected skin lesions of leprosy. 4. To refer all suspected individuals into the confirmation centre with prescribed referral slip. 5. To keep record of daily activities in Campaign forms.
G. Aim of Training:
To provide knowledge and skills to all the participants to enable them to carry out their assigned tasks related to Campaign in a satisfactory level in their job/place area.
H. Objective of Training: At the end of the training, the participants will be able to: 1. Explain importance of Campaign & search work to the village people. 2. Explain their roles and responsibilities in relation to Campaign. 3. Examine (observe) body of household members ad find cases with skin patches according to
Campaign guidelines. 4. Do refer all suspected individuals to the nearest confirmation centre and keep its record
according to Campaign guidelines.
I. Training Contents: 1. Campaign: Its objective and importance of search work during Campaign. 2. Roles and responsibilities of Search Team. 3. Criteria for Search/Suspect:
Non-itchy skin patch with history of anesthesia (excluding birth mark and scar) Weak of anesthetic fingers and toes (excluding deformities due to congenital and
injuries) 4. Motivation and body examination (only observation). 5. Recording & Referrals.
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
16
Training Objective
Knowledge Skills Training Method Training Aids Time
I Campaign Its’ objectives and importance of
Search Work (in brief)
- Interactive lectures
Whiteboard or newsprint paper
½ hour
II Roles/responsibilities of Search Team Structure and tasks during
Campaign
- Interactive lectures
Whiteboard or newsprint paper
½ hour
III Criteria for Search/Suspect: Non-itchy skin patch with history
of anesthesia (excluding birth mark & scar)
Weak and anesthetic fingers and toes (excluding deformities due to congenital and injuries)
Search method and procedure
- Motivation- History taking - Body
examination (only observation)
- Interactive lectures
- Patient demonstration
- Practical exercise
Whiteboard or newsprint paper
Atlas of leprosy Leprosy patients
3 hours
IV Referral and Recording/Reporting Referral procedure for Search
Team Campaign Referral Slips Available referral centre
(confirmation centre) during Campaign
Campaign recording/reporting forms
- Writing referral slips
- Filling forms
- Interactive lectures
- Forms/charts demonstration
- Practical exercise
2 hours
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
17
Health Post Level (Search Team) Training (CAMPAIGN)
PROGRAMME SCHEDULE
Time Topic
10:30 - 11:00 Welcome/Introduction to Campaign
11:00 - 11:30 Roles and Responsibilities of Search Team
11:30 - 12:30 Search and Suspect: Criteria, Method & Procedure (Theory)
12:30 - 01:30 Search and Suspect: Criteria, Method & Procedure (Practical)
01:30 - 02:00 BREAK
02:00 - 02:30 Search and Suspect: Criteria, Method & Procedure (Practical)
02:30 - 03:30 Referrals, Recording and Reporting (Theory)
03:30 - 04:30 Referrals, Recording and Reporting (Practical)
04:30 - 05:00 Overall discussion and closing
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
18
Implementation schedule of leprosy elimination campaign at distict level Fiscal Year: 2073/074 (2016/017)
S. N.
Activities Responsibility Duration Year Remarks Jan Feb Mar April May June July
a) Preparatory phase: 1. Project proposal LCD 2. Submision of proposal LCD 3. Approval of proposal MoH 4. Approval of budget WHO 5. Preparationof program guidelines LCD/WHO 6. Preparation of curriculum for
different trainings/ orientations LCD/WHO
7. District level committee formation LCD/RHD/ D(P)HO
8. APW contract with partners LCD/WHO/ Partners
b) Implementation phase: 1. Coordination meeting with
partners for campaign LCD
2. Technical committee meeting LCD 3. District level orientations LCD/D(P)HO 4. VDC level orientation D(P)HO/ LHF 5. Core ToT central level LCD 6. District level ToT LCD/D(P)HO 7. Training for HF staff LCD/D(P)HO 8. Selection of search team member D(P)HO/ LHF 9. Interaction with Journalists LCD/D(P)HO 10. Inauguration of campaign MoH/DoHS/
LCD/ RHD/DPHO
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
19
Implementation schedule of leprosy elimination campaign at distict level
Fiscal Year: S. N.
Activities Responsibility Duration
Year Remarks Jan Feb Mar April May June July
c) IEC activities: 1. IEC materials production LCD 2. IEC material distribution LCD/D(P)HO 3. Message through local news papers D(P)HO 4. Public awareness campaign D(P)HO 5. Production &distribution
of manual(register,forms/ training materials etc.)
LCD/ D(P)HO
d) Supporting activities: 1. Distribution of MDT up to
confirmation cetre LCD/NGO/D(P)HO
2. Micro planning at different level LCD/RHD/D(P)HO 3. Supervision/ monitoring at
different level LCD/RHD/D(P)HO
e) Search activities: 1. School education/ screening D(P)HO/HFs/Partners 2. House to house search LCD/RHD/
D(P)HO/HFs/ Partners/FCHV/LAP
3. Confirmation,registration of cases & provide MDT
LCD/RHD/D(P)HO/ HFs/Partners
f) Evaluation phase: 1. Reporting: search team to health
facilities D(P)HO/HFs
2. Reporting to DHO/LCD HFs 3. Final reporting LCD/MoH/WHO 4. Submission of report to central
coordination committee & press release
DoHS/LCD//WHO/ RHD/D(P)HO/HFs/
Partners
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
20
Steps to prepare a Micro plan for District level Mini LEC
Step-1:
Collect general information as shown in micro plan format
Step-2:
Identify health facility where there is a trained human resource for leprosy
Step-3:
Decide and identify confirmation site
Step-4:
To prepare microplan and detail implementation plan.
Step-5:
Fix dates and responsible person for campaign.
Step-6:
Assign supervisors for each area
Step-7:
Display confirmation sites, PHCC/HP in a district map and action plan.
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
21
Format for District Level Micro plan for Mini LEC
Region: Zone: District:
1. General information: Contact no. Mail ID
SN General information Contact no. Mail ID
a) Name of D(P)HO:
b) Name of DTLO:
c) Name of key person assigned for campaign
d) Total population:
e) Total no. of household:
f) Total no. of Municipality/ VDC:
g) Total no. of registered cases: MB: PB: Total:
a) Available Human Resource :
S.N. Degination (MO, HA,….) Trained in
Leprosy Not trained Total
2. Plan for campaign: S.N. Activities Number Dates Person to
attend District level microplanning District ToT VDC (HFs) level training
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
22
3. Search team training: S.N. Name of health
facilities Date for search team training
Place No. to be trained
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
23
4. IEC activities: SN Activities Date Responsibility
To take IEC materials from Centre To take IEC materials from District Distribute to health facilities To host banners (No. ……….)
5. Support activities: SN Activities Date Responsibility
1 To take drugs (MDT) from Centre/Region
2 To take drugs (MDT) from District 3 Distribute to health facilities 4 To take forms, formats & charts from
District
5 To take forms, formats & charts from PHCC/HP
6 To distribute above forms
6. Planning search activities: SN Activities Number Date Responsibility
1 Search team needed 2 Search member needed 3 Search team formed 4 Search team members recruited 5 Confirmation team needed
6 Confirmation team formed
7 Confirmation team members recruited
8 Confirmation centres needed
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
24
7. Planning of search team: SN Name of search
team Responsible
area Date No. of
house hold No. of person
8. Monitoring & supervision activities: SN Name of
Supervisors Organization Assigned
area Expected date of visit
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
25
Mini Leprosy Campaign
Reporting format after Campaign Program of Enhanced Contact Examination of Family members & Neighbors of the Index Cases
District ============================================================
Period: from ==================================================== To ============================================= F/Y ===================================================
SN Activities Number of participants Remarks Journalists District
Supervisors Health
Workers FCHVs Leprosy
affected Community
peoples
1. Orientation
2
IEC activities
Number of IEC materials distributed, displayed & broad casted
Posters Pamphlets Flex banners Wall painting FM Radio Others
Number
3
Search activities
Search persons
Search team
Confirmation persons
Confirma-tion team
Family members examined
Suspected case referred
Cases diagnosed
Remarks
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
26
(Pamphlet sf] nflu_ s'i7/f]u af/] hfgsf/L
z/L/df glrnfpg], 5'‘bf yfxf gx'g] xNsf /ftf] jf km';|f] bfu b]vf k/]df, uLvf{x? b]lvPdf,
sfgsf] nf]tL tyf cg'xf/sf] 5fnf afSnf] ePdf, xft v'6\6f emdemdfPdf s'i7/f]u x'g
;S5, t'?Gt glhssf] :jf:Yo ;+:yfdf uO{ hf+r u/fcf}+ .
s'i7/f]usf] hf+r tyf pkrf/ ;]jf :jf:Yo ;+:yfx?df lgMz'Ns pknJw 5 .
;do d} /f]u lgbfg tyf pkrf/ u/]df zfl//Ls ckfËtf x'gaf6 aRg / c?nfO{ /f]u
;g{af6 aRffpg ;lsG5 .
lgoldt pkrf/ u/]df s'i7/f]u k"0f{?kdf lgsf] x'G5 .
s'i7/f]usf lj/fdLn] cfkm\g} 3/df a;L cf}iflw ;]jg ug{ ;S5g\ .
pkrf/ z'? u/]sf lj/fdL af6 c?nfO{ /f]u ;b{}g .
s'i7/f]u s'g} b]jL b]jtfsf] >fk jf k"j{ hGdsf] kfksf] sf/0fn] jf j+zfg'ut sf/0fn] ge}
;'Id ls6f0f' af6 x'g] /f]u xf] .
olx @)&# ;fn ======= =======ut] b]lv ======= ====== ut] ;Dd s'i7/f]u lgjf/0f cleofg
sfo{qmd ;+rfng x'+b}5, pQm cjlwdf tkfO{sf] 3/b}nf]df s'i7/f]u vf]h k8\tfn 6f]nL
cfp‘b}5 .
k'gZrM s[kof of] krf{ k9L ;s]kl5 c?nfO{ klg k9\g lbg'xf]nf . wGojfb .
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
27
s'i7/f]u lj/fdL vf]hk8\tfn kmf/d ================================================== b]lv ================================================;Dd
lhNnfM uf=lj=;= ÷ g=kf=M j8f g+= ufp+m÷6f]nM k|f=:jf=s]=÷ :jf=rf}= sf] gfdM 3/sf] qmd ;Vof
hDdf kl/jf/ ;b:o ;+Vof
!% jif{ d'lgsf
hfFr u/]sf] ;+Vof
!% jif{ dflysf
hfFr u/]sf] ;+Vof
hfFr ul/Psf] hDdf ;+Vof
Zf+sf:kb JolQm k|]if0f u/]sf] ;+Vof
l/km/ u/]sf] JolQm jf lghsf] glhssf] ;Dks{ JolQmsf]
kmf]g gDj/
k|]if0f u/]sf] Zf+sf:kb JolQm :jf:Yo ;+:yfdf h+rfpg cfPsf]
;+Vof -l/kf]{l6+usf] lbgdf
x]g{]_ dlxnf k'?if dlxnf k'?if
vf]hL 6f]nLsf] gfd M = j8f g+=M b:tvtM ldltM ! @= k'gZRoM of] kmf/d ebf{ 6\ofnL -1111_] k|of]u ug{] .
kmf/d g+ !
lj/fdLs7]ufgf df]jfO{n
k|]if0f ub:tvtldltM
z+sf:kb ljLsf] gfdM– M–
n g+=
ug{] 6f]nL jf ;b:osf] tM
lj/fdL k|]if0f kmf/d pd]// ln j8f g++ M
gfdM
28
d n+u M– M–
lj/7]udf]j
k|]ifb:tldl
lhNnf :t
z+sf:kb/fdLsf] gfdM– ufgf M– jfO{n g+=
f0f ug{] 6f]nL jf ;b:otvtM ltM
:t/Lo s'i7/f]u lgjf/0f c
b lj/fdL k|]if0f km p j
osf] gfdM
cleofg lgb{]lzsf–@)&#
kmf/d pd]// ln+u M– j8f g++ M–
kmf/d g+= @
#
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
29
vf]hk8\tfnaf6 k|]if0f u/]sf ;+sf:kb s'i7/f]u lj/fdL /lhi6/
-:jf:Yo ;+:yfn] eg{]_ ljsf; If]qM lhNnfM
dxfgu/kflnsf÷ pk dxfgu/kflnsf÷ gu/kflnsf ÷uf=lj=;=M j8f g+=
:jf:Yo ;+:yfsf] gfdM
qm ;+=
Zf+sf:kb lj/fdLsf] gfd hflt sf]8
pd]/÷
ln+u
j8f g+=
ufpm+÷ 6f]nM
:jf:Yo ;+:yfaf6 hf+r kZrft
s'i7/f]usf] lgbfg kZrft juL{s/0f
c;dy{tfsf] >]0fL
s}lkmot
s'i7/f]usf] lgbfg
d k' Gfof+ k'/fgf] s'i7/f]u gePsf]
Pd=lj= lk=lj= ) ! @
……………………............................... ……............................. ……............................................. …............................... ……....................
k|ltj]bssf] gfd bhf{ :jf:Yo ;+:yf b:tvt ldlt
kmf/d g+= #
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
30
s'i7/f]u lgjf/0f cleofg
k|ltj]bg kmf/fd lhNnf ÷:jf:Yo ;+:yf M ldlt b]lv ;Dd cf=j= qm= ;+=
gu/ kflnsf ÷ uf=la=; ÷ j8f gDa/
hg;+Vof
;+sf:kb
s'i7
/f]u la/
fdL
;+Vo
f
Xfn p
krf/df /x
]sf
hDd
f lj/fdL ;+Vo
f
vf]hL6f]nL ;+Vof hf+r ul/Psf] ;+Vof
:jf:Yo ;+:yfaf6 hf+r kZrft /f]u lgbfg
S'i7/f]u lgbfg kZrft juL{s/0f
kQf nfu]sf] dlxnf lj/fdL ;+Vof
kQf nfu]sf] lj/fdLsf] c;dy{tf >]0fL
d=:jf:j=;]
s'i7 k|efljt
:jf:YosdL{
aRrf Jo:s
gof+
k'/fg
f]
s'i7
/f]u
gePs
f jo:s aRrf -)—!$_
hDdf
>]0fL – ! >]0fL– @
M B
P B
M B
P B
MB
P B
MB
P B jo
:s
aRrf
jo:s
aRrf
d
k'
d
k'
k|ltj]bg k]z ug{]sf] gfdM bhf{M :jf:Yo ;+:yfM b:tvtM ldltM
kmf/d g+= $
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
31
s'i7/f]u lgjf/0f cleofg
kQf nfu]sf gof+ lj/fdLx?sf] ljj/0f kmf/d
:jf:Yo ;+:yfsf] gfd M ldltM b]lv ;Dd cf=j=
qm= ;+=
s'i7/f]u pkrf/ btf{ ldlt
lj/fdLx?sf] gfd, y/ pd]/ ln+u 7]ufgf s'i7/f]usf] k|sf/ c;dy{tf >]0fL s}lkmot Pd=la= lk=la= ) ! @
k|ltj]bssf] gfdM bhf{M b:tvtM ldltM
kmf/d g+= %
lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg lgb{]lzsf–@)&#
32
g]kfn ;/sf/ :jf:Yo dGqfno
:jf:Yo ;]jf ljefu lhNnf :t/Lo s'i7/f]u lgjf/0f cleofg
;'kl/j]If0f÷ d"NofÍg kmf/d lhNnfM ljsf; If]qM
1. ;'kl/j]Ifssf] gfd÷y/ M 2. kb M3. ;'kl/j]If0f :yn M #=! :jf:Yo ;+:yf M #=@ 3/÷ 6f]n M4. cleofg k"j{ lg/LIf0f u/]sf] :jf:Yo ;+:yf ePM
$=! tflnd k|fKt sd{rf/L M 5 ÷5}g $=@ cleofgsf nflu lgb]{lzsf / k|rf/ tyf z}lIfs ;fdu|L M 5 ÷5}g $=# cleofgsf nflu kmd{ /lhi6/ M 5 ÷5}g $=$ cleofgsf nflu rflxg] cf}ifwL M 5 ÷5}g
$=% uf=lj=;= jf g=kf= sldl6 u7g ePsf] M 5 ÷5}g % cleofgsf] ;do M %=! :jf:Yo ;+:yfdf ;'kl/j]If0f eP M %=!=! z+sf:kb lj/fdLsf] ;+Vof M
%=!=@ s'i7/f]u lgbfgsf] ;+Vof M %=!=# Pd=lj= ;+Vof M %=!=$ lk=lj ;+Vof M %=!=% s'i7/f]u unt lgbfg ePsf] M %=!=^ pkrf/ lnPsf] s'i7/f]u lj/fdLsf] ;+Vof M
%=@ 3/ kl/jf/df ;'kl/j]If0f u/]sf] eP M %=@=! kl/jf/ ;+Vof M
%=@=@ k'?if ;+Vof ================ dlxnf ;+Vof ===================== aRrf ;+Vof %=@=# hDdf hfFr u/]sf] ;+Vof M %=@=$ z+sf ul/Psf] ljj/0f M
o 5'+bf yfxf gx'g] / 5fnfsf] /ªeGbf xNsf km';|f] bfu ePsf zsf+:kb lj/fdL ;+VofM o :gfo" df]6f] tyf b'Vg] z+sf:kb lj/fdL ;+VofM o emdemd nIf0f ePsf] z+sf:kb lj/fdL ;+VofM o cGo sf/0f ePsf] z+sf:kb lj/fdL ;+VofM %=@=% :jf:Yo ;+:yfdf l/km/ ul/Psf] lj/fdLsf] ;+Vof M
^= ;'kl/e]Ifssf] k|lts[ofM
;'kl/e]Ifssf] b:tvtM
!= s'i7/f]u ls6f0f'åf/f x'g] /f]u xf], b]jL >fk xf]Og .
@= glrnfpg] / 5'Fbf yfxf gx'g], km';|f] bfu, g;fx? b'Vg], ;'lgg],
xftuf]8fx? n'nf] x'g], 5fnf jf sfgsf] nf]tL afSnf]÷df]6f] x'g]
cyjf luvf{x? x'g] s'i7/f]usf] nIf0f x'g ;Sb5g\ .
#= z'?df g} lgoldt tl/sfn] pkrf/ u/] s'i6/f]u lgsf] x'G5
/ cËeË x'gaf6 aRg ;lsG5 .
$= s'i7/f]usf] pkrf/ :jf:Yo ;+:yfx?df lgMz'Ns x'G5 .
%= l56f] pkrf/ z'? u/]kl5 s'i7/f]u g;g]{ x'gfn] kl/jf/df g}
/flv cf}ifwL pkrf/ ug'{kb{5 .
^= tkfO{sf] ufpF 3/df cfpg] vf]hk8\tfn 6f]nLnfO{ d2t u/L
s'i6/f]usf] gofF la/fdLx? kQf nufpg ;xof]u ug'{xf];\ .
&= tkfO{sf] ;xof]un] g} tkfO{sf] ufpF 3/af6 s'i7/f]u lgjf/0f
ug{ ;lsG5 .