Health Policy Issues and Health Programmes in ... - Amazon S3

National Health Programme in UttaranchalTable 5. Comparative Statement of National Leprosy Eradication ProgrammeYear New Case Detection New Cases Brought Under Treatment Cases Discharged RFTTarget Achievement % Target Achievement % Target Achievement %1998/99 3,300 2,041 61.84 3,300 1,513 45.8 3,250 1,804 55.51999/2000 1,900 2,278 119.8 1,900 1,828 96.2 2,140 1,742 81.42000/01 1,900 1,761 92.68 1,900 1,658 87.3 2,140 1,445 67.52001/02 1,900 2,528 133.1 1,900 2,528 133.1 2,140 1,950 91.1l 60% of the pharmacists at the PHC/APHC have been trained.l MOs are not actively involved in providing MDT services and are not confident in diagnosingand treating cases.l The pharmacist does not maintain a MDT drug register, though some stock of MDT is kept bythe pharmacist and MO-IC at CHC/PHC/APHC.l The MDT register is maintained by the vertical staff in all districts through drug distributionpoints.l Integration at the sub-centre level will be achieved after integration at the PHC level in theyear 2003.l Integration of vertical staff to be carried out in 2003/2004.l MDT services provided at all PHCs on all working days.Even though the geographical conditions prevailing in the state are not friendly, NLEP isprogressing satisfactorily. On average, about 2000 new cases are deducted annually, of which5%–6% are child cases and 2%–4% are with deformities. The prevalence rate is steadilydeclining with MDT.To discover hidden cases, the 1st Modified Leprosy Elimination Campaign (MLEC) was carriedout in April 1998 and 884 new cases were detected. The 2nd MLEC in 2000 detected 798 cases andthe 3rd MLEC in 2001 detected 493 cases. It is proposed that the 4th MLEC will be carried outbetween September and October 2002.Annex 4Malaria Eradication Programme in UttaranchalAnil SharmaAs in most other states in India, the National Anti-Malaria Programme (NAMP) has beenimplemented in Uttaranchal. In 1999, 2121 positive cases were identified. That number declinedto 2008 in 2000 and to 1441 in 2001. During this same period, there were 390, 424, and 280 PFcases, respectively.Among the districts in Uttaranchal, Udham Singh Nagar had the highest number of positive casesof malaria (695), followed by Hardwar (437), and then Nainital (127). The lowest numbers ofcases were in Tehri (1) and Bageshwar (2).65