Leprosy, also known as Hanssen’s disease, is an infectious disease caused by Mycobacterium leprae, an acid-fast, rod-shaped bacillus. Following continuous efforts from the Government of Nepal, leprosy was eliminated as a public health problem at the national level in 2009. It was officially declared on January 19, 2010 (2066 Magh 5), with a national registered prevalence rate of 0.77 cases per 10,000 populations, which was below the cut-off point of below 1 per 10,000 population definition set by the World Health Organization. (DoHS Annual Report)
Milestones of National Leprosy Elimination Program of Nepal
1960: Leprosy survey by Government of Nepal in collaboration with WHO
1966: Pilot project to control leprosy launched with Dapsone monotherapy
1982: Introduction of multi-drug therapy (MDT) in leprosy control programme
1987 Integration of vertical leprosy control programme into general basic health services
1991: National leprosy elimination goal set
1995: Focal persons (TB and leprosy assistants [TLAs]) appointed for districts and regions
1996: All 75 districts were brought into MDT programme
1999/2000–2001/02: Two rounds of National Leprosy Elimination Campaign (NLEC) implemented
2008: Intensive efforts made for achieving elimination at the national level
2009 and 2010: Leprosy elimination achieved and declared at the national level
2011: Developed and endorsed National Leprosy Strategy (2011–2015)
2012-2013 : Elimination sustained at national level and national guidelines, 2013 (2070) revised
2013-2014: Mid-term evaluation of implementation of National Leprosy Strategy (2011-2015)
2014-2015 : Ministry of Health designated LCD as the Disability Focal Unit
2015-2018 : Piloting of LPEP in Jhapa, Morang and Parsa
2017 : Policy, Strategy and 10 Years Action Plan on Disability Management (Prevention, Treatment and Rehabilitation) 2073-2082 developed and disseminated
2018 : National Leprosy Strategy 2016-2020 (2073-2077) developed and endorsed. Revised leprosy guideline in line with national leprosy strategy and global leprosy strategy
2019 : In-depth Review of National Leprosy Programme and Envisioning Roadmap to Zero Leprosy
2020 : Development of Leprosy Post Exposure Prophylaxis Guideline
2021: Endorsement National Roadmap for Zero Leprosy-Nepal (2021-2030), Endorsement of National Leprosy Strategy and Action Plan of Nepal (2021-2025) and Development of Leprosy Training Package for Medical Officers and Basic Level Health Care Workers
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