Leprosy Control Programme in Nepal
- To make a leprosy free society where there are no new leprosy cases and all the needs of
leprosy affected persons are fully met.
- To provide accessible and acceptable cost effective quality leprosy services including rehabilitation and to continue to provide such services as long as and wherever needed.
- To reduce further the burden of leprosy and to break the channel of transmission from person to person by providing quality services to all affected communities.
- To eliminate leprosy (= prevalence rate below 1/10,000 population) and further reduce the disease burden.
- To reduce disability due to leprosy.
- To reduce the stigma in communities against leprosy.
- To provide high quality services for all persons affected by leprosy.
- To integrate leprosy in integrated health care delivery for the provision of quality services.
The national strategy envisions delivering quality leprosy services through the meaningful involvement of people affected by leprosy and a rights-based approach to leprosy services as follows:
- Early new case detection and timely and complete management.
- The provision of quality leprosy services in an integrated setup by qualified health workers.
- The prevention of impairment and disability associated with leprosy.
- The rehabilitation of people affected by leprosy, including medical and community-based rehabilitation.
- Reduce stigma and discrimination against people with leprosy through advocacy, social mobilization and IEC activities and to address gender equality and social inclusion.
- Strengthen referral centres for complications management.
- Meaningfully involve people affected by leprosy in leprosy services and address human rights issues.
- Promote and conduct operational research and studies.
- Monitor activities and provide supportive supervision, including on-site coaching, surveillance and evaluation, to strengthen quality leprosy services.
- Strengthen partnership, co-operation and coordination with local government, external development partners, civil society and community based organizations.
Evolution and milestones of Leprosy Control Programme in Nepal
The establishment of the Khokana Leprosarium in the nineteenth century was the beginning of organized leprosy services in Nepal.
- 1960 Leprosy survey by Government of Nepal in collaboration with WHO
- 1966 Pilot project to control leprosy launched with dapsonemonotherapy
- 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 in 2010
- 2009 and 2010 Leprosy elimination achieved and declared at the national level
- 2011 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 Establishment of disability prevention and rehabilitation focal unit.
District-wise leprosy prevalence in FY 2073/74
A total of 3,054 new leprosy cases were detected and put under multi drug therapy (MDT) in 2072/73, of which 2,559 were under treatment and receiving MDT at the end of the fiscal year. A national registered prevalence rate of 0.89 cases per 10,000 population was reported this 2072/73 (2015/16) which is below the elimination cut-off point of 1 case per 10,000 population as set by WHO. Among new cases 109 (3.6%) had Grade 2 disability (G2D) and 220 (7.2%) were child cases.