2 0 Annual Reportsupported all innovative initiatives taken by the Central Leprosy Division i.e....

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Annual Report

Table of Contents

From the Chairman's Desk 1

About NLR Foundation 3

Accreditation 4

2017 Report in Brief 5

Leprosy and Disabilities – Four Key Priority Programs (KPPs): 8

• KPP 1 : Stop transmission of leprosy 9

• KPP 2 : Combined approaches for prevention

and management of disability 10

• KPP 3 : Disability Inclusive Development 11

• KPP 4 : Reduction of stigma and discrimination 16

Anti Leprosy fortnight and World Health Day 2017 17

Financial Statements 19

Let's Contribute and Create Impact 23

Donate for a Specific Cause 24

t's my pleasure to write this message in NLR Foundation's . The year

had been a year of action, innovations, experiments and achievements.

NLR has always promoted early case detection and prevention of disability. Through our expert team

of Leprosy Program Advisors (LPAs), health systems strengthening continued and our LPAs played a

major role in improving supervision & monitoring, POD and IEC activities under National Leprosy Eradication Program (NLEP).

This support was well appreciated by NLEP and was reflected in our end evaluation. In the year 2017, NLR overwhelmingly

supported all innovative initiatives taken by the Central Leprosy Division i.e. Leprosy Case Detection Campaign (LCDC), SPARSH

(anti-discriminatory behavior change communication), Mathematical modeling of National Leprosy Eradication Program (NLEP),

use of Geographical Information System (GIS), Web based information system (Nikushth) etc.

Through Leprosy Post Exposure Prophylaxis (LPEP) project in Dadra and Nagar Haveli, NLR has demonstrated that prevention of

leprosy by giving single dose of rifampicin (SDR) to exposed contacts of leprosy patients is feasible. Recent WHO guidelines includes

Chemoprophylaxis by giving Single Dose of Rifampicin (SDR). Now LPEP is well accepted by the national program and Central

Leprosy Division (CLD) has issued operational guidelines for implementation of LPEP in 163 districts of 20 states where LCDC was

carried out.

Another innovation being introduced in India is, testing the effectiveness of two antibiotics for prevention of leprosy instead of one,

to close contacts of leprosy patients, in a project named PEP++. Ethical clearance has been obtained in 2017; project is likely to be

launched in 2018.

A combined training was imparted in self-care to persons affected by leprosy and lymphatic filariasis, living in villages.

In the year 2017, this training commenced in 10 PHCs in camp approach benefitting 325 persons with disabilities (187 Leprosy

and 138 Lymphatic filariasis) where each one was given training in self-care and material support. To take care of sustainability,

camps were organized by involving GHC staff, with technical support from CBR coordinators of NLR Foundation.

Annual Report 2017

ANNUAL REPORT 2017 1

I

From the Chairman's Desk

Besides self-care, 1290 children of affected persons were provided with education support. During the year 2017, 27 dependents of

persons affected by Leprosy were supported for vocational training. NLR in India facilitated provision of protective foot wear to

7301 persons, Tricycle to 1 and Wheel chair to 1 Person with disability (PWD). 172 Persons with Disabilities (PWDs) were

facilitated for reconstructive surgery (from Government of India funds).

With regards to Disability Inclusive Development (DID), 88 Self Help Groups (SHGs) were developed during the year 2017 rd

completing a total of 198 SHGs benefitting 3201 families. International Day for the persons with disabilities was observed on 3

December in which hundreds of persons, supported by NLR, marched in the state of Bihar to place their demands leading to

issuance of disability certificates, pensions and other benefits from the State Govt. Six health camps were organized in leprosy

colonies of Delhi benefitting 603 persons.

th thA national leprosy conference was organized from 5 to 7 December 2017 at Delhi, where NLR foundation played a major role in

fundraising and organization of the conference on behalf of International Federation of Anti-leprosy Associations (ILEP) in India.

Novartis foundation, Switzerland, WHO, Sasakawa Memorial Health Foundation (SMHF), ILEP in India and Hind Kushth

Nivaran Sangh (HKNS) contributed financially and sponsored the participants. This was a unique conference in which all layers

and variety of stakeholders participated. Specific category wise sessions were held for persons affected by leprosy, state and district

officers, field level general health care staff, dermatologists, public health professionals, NGOs and academicians. Few international

experts spoke under session innovations.

NLR Foundation is committed to support national program, to make India free of leprosy and support persons with disabilities, for

their self-reliance and mainstreaming. I wish NLR Foundation all success.

Dr. M. A. Arif

Chairman, Board of Trustees, NLR Foundation

ANNUAL REPORT 20172

NLR Foundation is a non-commercial, non-religious, and non-governmental public charitable trust. It is working in 120 districts of seven states of the country- Bihar, Jharkhand, West Bengal, Uttar Pradesh, Uttarakhand, Rajasthan and Delhi. NLR Foundation works closely with the state and national governments, WHO and other partners. NLR Foundation support is towards strengthening and improving quality of leprosy services on one hand, improving the quality of life of persons affected by leprosy and their dependents on the other.

NLR Foundation is registered under Indian Trust Act in the year 1999 and has FCRA registration from Home Ministry.

NLR Foundation has also received tax exemption under section 80G of IT Act, 1961. It is an ISO 9001:2015 certified organisation.

• In which all people who are restricted due to disability or stigma will participate in society as fully and as independent as possible.

• In which the health systems in all endemic states are able to diagnose and treat leprosy early and effectively.

• Which is free of suffering due to leprosy and the disabilities and social exclusion that it causes.

1. Societies in which leprosy will be under control. In these societies health services at all levels ensure that every patient will be diagnosed and treated early so the disease will no longer be a major risk for disabilities and social exclusions.

2. Societies in which governments, private companies, NGOs and DPOs join hands to ensure that people with disabilities are:-

• Enabled to participate as fully and independently as possible, and

• Enabled to use their rights to develop their abilities and rightfully get equal opportunities for their personal development in the context of their families and society at large.

• Treated with dignity.

Vision:

Mission:

An India

We aim at –

About NLR Foundation

Governing Board Members

Dr. M. A. Arif - Chairman

Dr. C.M. Agrawal - Member

Dr. H.K. Kar - Member

Dr. S.C. Pandey - Member

Mr. Hulgappa - Member

3ANNUAL REPORT 2017

Accreditation

ANNUAL REPORT 20174

1,887health workers, community volunteers, accredited social health activists (ASHAs), and government health staff were trained on leprosy

37,795new leprosy cases were found, diagnosed and treated in our programme areas

5,545close contacts of new leprosy patients given a single dose of rifampicin (SDR)

to reduce the risk of developing leprosy in Dadra and Nagar Haveli.

5ANNUAL REPORT 2017ANNUAL REPORT 2017

2017 Report in Brief

ANNUAL REPORT 2017ANNUAL REPORT 20176

172persons were facilitated to go for reconstructive surgery

7,303persons were facilitated to get assistive

devices such as wheelchairs, crutches, sunglasses, orthopedic

footwear and prosthesis

3,201persons with disabilities were oriented on their rights - so that they can claim and raise their voice

325persons disabled by leprosy and

lymphedema were trained in self-care to help prevent (further) disability

7 ANNUAL REPORT 2017 ANNUAL REPORT 2017

27persons facilitated to receive vocational training

7persons facilitated to

receive micro credit

1,290children of persons affected by leprosy received support

for their school education

729persons were provided with leadership training

KPP1 Stop transmission of leprosy

KPP2Combined approaches for prevention and management of disability

KPP3 Disability Inclusive Development

KPP4Reduction of stigma and discrimination


Leprosy and Disabilities –Four Key Priority Programs (KPPs)

Strengthening National Leprosy Eradication Program: NLR has promoted early case

detection and prevention of disability in the program. NLR is supporting new

initiatives taken by Central Leprosy Division (CLD), such as Leprosy Case Detection

Campaign (LCDC), SPARSH (anti- discriminatory behavior change communication,

BCC), web based information system (Nikushth), Mathematical modeling of NLEP,

use of GIS and strengthening DPMR services.

Capacity building of general health care staff is continued through formal trainings,

on the job training and hand holding during field visits, by our LPAs.

Chemoprophylaxis: NLR has demonstrated that LPEP is feasible and sustainable to

break the chain of transmission of leprosy by LPEP project in Dadra and Nagar

Haveli. Central Leprosy Division (CLD) has issued operational guidelines for PEP to be

implemented in 163 districts of 20 states where LCDC was carried out.

Preparations and implementation of PEP ++ project: The PEP++ is a multi-country,

multi-collaborative research project, which is being implemented in three countries

namely India, Brazil and Indonesia. In India, two districts in Uttar Pradesh (UP) i.e.

Fatehpur and Chandauli have been selected for the study.

Concept has been accepted by Central Leprosy Division. Proposal was submitted to

ethical committee, and clearance has been obtained, approval is expected from the

ministry of health soon.

KPP1 Stop transmission of leprosy


In Dadra and Nagar Haveli 28,139 contacts were

given rifampicin since the project began in

2015. In 2017, this concerned 5,545


Combined Self-care:- All the persons detected for leprosy are given Multi-Drug Therapy (MDT) treatment and they become cured but in some of them deformities/ disabilities may remain forever because of the permanent nerve damage. Their hands and feet become anaesthetic and weak. This condition makes them susceptible to develop progressive secondary disabilities like ulcers, contractures, blindness etc., which often goes unnoticed or ignored. Therefore, prevention of these secondary disabilities is essential to preserve the functioning of parts like hands, feet and eyes for performing routine daily activities. Here we help them with our combined self-care practices.

Keeping in mind the need of other disabilities and to broaden the scope of disability inclusive development, NLR Foundation has promoted the combined self-care (CSC) projects combining persons with disability due to leprosy and disabled persons due to lymphatic filariasis who all require life-long morbidity management, life-long care and behavioral change.

Combined self-care was started in 10 Primary Health Centres in 2017. 325 people with disabilities joined. In all cases, the worsening of disabilities was prevented.

Story from the field

Sushma Jadaun, 15 year old lives in a village, Jhansi district (Uttar Pradesh) and t r e a t e d f o r l e p r o s y m a n a g e m e n t . S h e developed repeated ulcers for being negligent in taking care of her anesthetic hands. She became part of the self-care group and was trained to be cautious in handling hot utensils, thus protecting her anesthetic hands and feet. She was very thrilled by this new way of participatory learning and have now equipped with this knowledge of self-care.

KPP2 Combined approaches for prevention and management of disability

KPP3 Disability Inclusive Development: - Strengthening Disabled People's Organisations (DPOs) and Self-Help Groups (SHGs).


Self-Help Groups, Advocacy and Livelihood: To address the community-based rehabilitation in a comprehensive manner in order to provide socio-economic avenues to nurture the persons with disabilities including the persons affected by leprosy. Also, enabling them to earn, voice their rights and lead an empowered and dignified life.

The year of 2017 witnessed significant milestones towards Disability Inclusive Development (DID). Persons with disabilities including persons affected by leprosy were organized at the village and block level. These people came together and formed 198 Self Help Groups (SHGs) at the 198 Panchayats in 11 blocks of Aurangabad district of Bihar.

Out of 198 SHGs, 168 SHGs have their Bank Account holding collectively a sum of INR 17, 64,050 as saving.

Out of 198 SHGs, 154 SHGs developed their business plan to promote livelihood for the SHGs members.

In the process, 278 families have been provided self-employment through different income generation activities.

One of the activities they undertook was to take part in a March to raise their voices and place their demands before duty bearers. As a result, disability certificates were issued to persons with disabilities, so that they can claim their entitlements from the state government.


Stories from the field

Crossing all barriers of leprosy to build future

Societies are full of stigma and discrimination for leprosy. Manju Devi was no exception and lived a miserable life for years. Absence of an earning made her more vulnerable & helpless. She joined SHG supported by NLR and received a loan of 2000 rupees to start her Gol Gappe stall. Beating all odds, now she is an earning member (200-300 rupees daily) of the society.

Reaching new milestones through SHGs

Santosh Kumar, a graduate with polio-disability, took a loan of 2000 rupees from his Self-help Group (SHG) of Persons with Disabilities (PWDs) to become self-reliant. By investing loan amount into small mobile repair shop, today he earns a good living of 400-500 rupees per day. The initiation of SHGs by NLR in his village has changed the lives of many such persons.

NLR Foundation has been supporting the persons with disabilities including the persons affected by leprosy with assistive aid and protective devices. These help them in preventing further disability and enhance activities of daily living.

NLR Foundation facilitates in getting protective or assistive devices like crutches, tricycles, wheel chairs, grip aids, protective eye glasses, artificial limbs and MCR footwear to persons with disabilities including the persons affected by leprosy.

Assistive & Protective Devices

7303 persons were facilitated to receive assistive & protective devices


Education Support

1290 Students were Supported In 2017

NLR Foundation has been providing education support in the form

of essential supplies like uniform, note books, school bags, tuition

support etc., in addition to school fees to children of persons

affected by leprosy.


Your constant support gives a hope….''My s o n s h o u l d n o t become the victim of my l e p r o sy ' ' S a i d Shankar.

Shankar was banished from his village and ended up in a leprosy colony Manav Sewa S a m i t i K h u s t A s h r a m , K h a t i m a - Uttarakhand. Here he lives with his wife and son. To provide for his family he is forced to go out into the streets to beg. He ardently hopes that his son (Daksh) will never have to beg for a living. “Every day I try to get a few rupees begging. I don't have a choice. Nobody wants to employ me because of my deformities. My greatest worry is the future of my thirteen-year-old son. He doesn't have leprosy, but he's discriminated all the same. I want him to pursue an education, as it gives him a better outlook for the future, but sadly that's out of my hands” Said Shankar.

NLR support helped him to enrol his son in one of the schools. Shankar says “I hope they keep supporting my son's education”.

14

Vocational Support

27 youths received

vocational training

ANNUAL REPORT 2017

Students from leprosy colonies, who have completed their c lass X I I , professional education remains a distant dream. Professional courses are expensive and scholarships offered by government and private organisations are very few. Therefore, NLR Foundation supports persons with disabilities including the persons affected by leprosy to have their own dignified income and reduce their dependency on others. NLR Foundation has been rigorously pursuing career counseling and facilitated youth for vocational and skill trainings in order to make them self-reliant.

Guddu (23) was born and raised in a leprosy colony in De lh i . S ince h i s e ighth s t a n d a r d . H e r e c e i v e d financial support from NLR for his education.

“My parents had to leave their native place Bellor, Karnataka 27 years ago. They were discriminated in the community and had no means of livelihood. During this time, my father had come to know from his friends that many people affected by leprosy were living in leprosy colonies. He decided to migrate to Delhi with my mother and made the leprosy colony his new abode."

Life continued, my parents survived with whatever they could get from begging to take care of five siblings, of which I am the youngest. Only I continued my studies. I feel proud to say that NLR came as a ray of hope in my life. NLR has been supporting me under its education programme since my eighth standard. My school fees were paid and I was provided with uniform, school bag, books, and stationery. I completed my BA in Political science with 53% marks and with the efforts of NLR I was selected for a Cargo Basic Management course at GMR Foundation, Dwarka. This is a reputed institution with 100% placement. I am now employed at the domestic airport with the salary of 18,000 Rupees per month. This amount is enough to take care of my needs and save some money to buy a house outside of the colony. This will give me an identity in the mainstream. I no longer need to face discrimination and will no longer be called a child of a leper.”

Stories from the field


Health Camp

NLR Foundation is keen in paving the way for the overall healthy life of the persons with disabilities including the persons affected by leprosy. More importantly, NLR Foundation strongly believes that the families of persons with disabilities including the persons affected by leprosy are also equally important hence NLR Foundation provides medical care by regularly organizing health camps.

Persons affected by leprosy face difficulties in availing basic health care services due to their physical disabilities, self-stigma and stigma in the community. These camps are an excellent example of Public-Private-Partnership (PPP) as all the medicines and manpower (doctors and paramedics) are provided by the state government while NLR provides the logistical support. Laboratory services like blood sugar, Hb estimation, and smear for malarial parasites etc. were provided in these camps. District leprosy officer, medical officers, pharmacist, laboratory technician, public health nurse and other supportive staff from state Govt. of Delhi attended the camp and provided their services. Beneficiaries get acquainted with the government health staff and a barrier free access is created for availing services from nearby dispensaries and hospitals.

6 Health Camps were organized

in Leprosy colonies of Delhi

603 persons benefitted in state of

Delhi in 2017

Gangappa, 65 years, lives with his wife in Tilaknagar leprosy colony. They both migrated from Tamil Nadu more than forty years ago. He shares the horrifying story of discrimination by his own family members and relatives, because of leprosy in his native village. He does not want to go there anymore. He says we spend lot of money in medicines to treat common illnesses. People's attitude towards us due to leprosy haunts us. I just wish if such useful health camps are organized it will give us, a good health and we would be able to save a little for future.


16 ANNUAL REPORT 2017

KPP4 Reduction of stigma and discrimination

Taking pledge to

reduce the stigma surrounding leprosy

SPARSH campaign under National Leprosy Eradication Program (NLEP) on 30th January involving Panchayati Raj Institutions have been very successful in which oaths were taken by the leaders and the community not to discriminate with persons affected by leprosy. NLR played a major role. Rallies and meetings were supported by NLR during anti leprosy fortnight. Involvement of village volunteers in LCDC for early case detection was promoted by NLR under the program, integrated and combined self-care removed stigma.

NLR Foundation wishes that the persons affected by leprosy and other disabilities are given equal opportunities in terms of livelihoods, socio-cultural participation and in decision making process without a n y d i s c r i m i n a t i o n . I n n o v a t i v e approaches are implemented for regaining self-esteem by affected persons a n d r e d u c e d i s c r i m i n a t i o n s b y community.


On Anti leprosy Day Doordarshan Channel Interview of Dr. M. A. Arif on “Leprosy & its Effects”

Interview with Dr. M. A. Arif (former DADG leprosy) was live- telecasted on DD National at 4.30 pm on Tuesday 31st January. The interview emphasized on the awareness of the Leprosy disease in public interest as Leprosy is one of the neglected disease and is unluckily, linked with many myths among general public due to lack of knowledge which creates stigma.

It was an enlightening interview where he explained very well on the symptoms of the disease and covered up its treatment measures too. Message to the public was very clear that – “Leprosy can be easily cured so one must not panic at all and it can be treated like any other diseases”.

Anti-Leprosy fortnight & World Health Day 2017

On the occasion of World Health Day 2017 and to mark 50 years of NLR dedication to the cause of Leprosy, NLR in association with National Leprosy Eradication Program and Indian Association of Epidemiologists organized an event on the topic- “Leprosy: Share & Care”. The WHO declared Depression as the theme for the World Health Day 2017 with a slogan “Depression: Let's Talk”. NLR believed that this was the most suitable moment for coming together and discussing psychology of Persons affected by Leprosy. The event had dignitaries from diverse sections including Chief Guest, Dr. (Prof.) Jagdish Prasad, Director General Health Services, GOI, Dr. Erwin Cooreman, Team leader of Global Leprosy Program in WHO, Dr. Anil Kumar and many more. The event had 100+ participants from different sectors including Ministry of Health & Family Welfare, NGOs, INGOs, Corporate, DPOs, Leprosy affected persons and their families etc. The other highlights of the event were launch of documentary on NLR Foundation, felicitation of persons affected by leprosy, technical deliberations by experts on stigma and psychological aspect of leprosy.

National Leprosy Conference was organised at Hotel Holiday Inn, New Delhi from 5th to 7th December. NLR was identified by the Central Leprosy Division to be the main organizer. The theme for the NLC-2017 was ''Accelerating towards leprosy free India through Innovative Approaches''. It was attended by National and International participants including the scientists, academicians, sociologists, field level worker, representatives from Government health system and partner organisations i.e., WHO, ILEP, APAL and NGOs.

The objective of the Conference was to share the best practices within the country and outside the country, recognition of leprosy work force to encourage their efforts, establish linkages among various national-international partners, to showcase the innovative steps taken to eliminate leprosy and explore other measures that could be taken to ensure successful achievement of the target to make India leprosy free in the next few years.

National Leprosy Conference 2017

18 ANNUAL REPORT 2017ANNUAL REPORT 2017

Financial Statements




contd...


Let's Contribute & Create Impact

Why Donate to NLR Foundation

NLR Foundation require donations to support the cause of Persons with Disability due to Leprosy (PWDL) & Lymphatic Filariasis and other disabilities who face socio-economic and cultural exclusion due to stigma and discrimination.

Your donations will therefore help in transforming their lives in the state of Uttar Pradesh, Bihar, Jharkhand, West Bengal, Uttarakhand, Rajasthan and Delhi.

Our Credentials

• NLR Foundation is an ISO 9001 : 2015 Certified organization.

• Empanelled in TISS CSR.

• Transparent Audit Assessment.

• Strict evaluation mechanism to ensure the right usage of donation money.

Show your support by donating online at www.nlrfoundation.in


Donate for a Specific Cause

School Uniforms & BagsRs. 2000

School Fee & StationaryRs. 2000

Solar LanternRs. 3000

Income Generation ActivityRs. 5000

Aids & AppliancesRs. 6000

To make them self-relliant

Integrated Self-care TrainingRs. 3000

To provide best possible care for healing

Vocational TrainingRs. 6000

Empowering youth to be more creative & productive

Reconstructive SurgeryRs. 10000

To treat deformities

Fostering pillars of tomorrow

To bring light to lives Enhancing Well being... It's beyond generating income

Education always gives back to society

UTTAR PRADESH

Saharanpur

Muzaffarnagar Bijnor

Bagpat Meerut

Ghaziabad

GBNagarBulandshahr

Aligarh

Mathura Hathras

Agra

Etah

Firozabad

Farukhabad

Mainpuri

Etawah

Auraiya

JP Nagar Rampur

MoradabadPilibhit

Bareilly

Badaun

Shahjahanpur

Kheri

Hardoi

Sitapur

Kannuaj

Lucknow

UnnaoKanpur(R)

Kanpur(U)

Jalaun

HamirpurJhansi

Mahoba

Banda

Lalitpur

Bahraich

Barabanki

Rae Bareli

Fatehpur

Kaushambi

Chitrakoot

Shrawasti

Balrampur

Siddharthnagar

Basti

SR Nagar

Ambedkar Nagar

Gonda

Faizabad

Sultanpur

Pratapgarh

Allahabad

SK Nagar

Maharajganj

Kushinagar

Goraphpur

Deoria

Azamgarh Mau

Ballia

JaunpurGhazipur

Varanasi

ChandauliMirzapur

Sonbhadra

UTTARAKHANDUttarkashi

DehradunTehri Garhwal

Rudraprayag

Haridwar Pauri Garhwal

Chamoli

Bageshwar

Almora

Nainital

Pithoragarh

Champawat

Udham Singh Nagar

JHARKHAND

Saribganj

Godda

Pakar

DumkaDeoghar

Jamtara

Giridih

Dhanbad

Kodarma

Hazaribag

Ramgarh

Bokaro

Garhwa Palamu Chatra

Latehar

Lohardaga

Gumla

Ranchi

Simdega

Khunti

West Singhbhum(Chaibasa)

Saraikela

East Singhbhum(Jamshedpur)

North West

North

North East

WestCentral

New Delhi

South West

South

East

DELHI

WEST BENGAL

Darjeeling

Jalpaiguri

CoochBehar

North Dinajpur

South Dinajpur

Malda

Murshidabad

Birbhum

Bankura

BurdwanNadia

North 24 ParganasHoogly

KolkataHowrah

South 24 Parganas

Midnipur (East)

Midnipur (West)

Purulia

BIHAR

Kishanganj

Araria

Purnia

Katihar

Supaul

Madhepura

Bhagalpur

Banka

Madhubani

Darbhanga

Saharsa

Khagaria

Munger

Jamui

Samstipur

Begusarai

LakhisaraiSheikh-pura

Sitamarhi

Sheoher

Muzaffarpur

Vaishali

Nalanda

Nawada

Patna

Jehanabad

Gaya

Bhojpur

Saran

East Champaran

Aurangabad

Rohtas

Buxar

Siwan

Gopalganj

Kaumur

West Champaran

NLR Supported districts

RAJASTHAN

Ajmer

Alwar

Banswara

Baran

Barmer

Bharatpur

Bhilwara

Bikaner

Bundi

Chittorgarh

Churu

Dausa

Dholpur

Dungarpur

Hanumangarh

JaipurJaisalmer

Jalor

Jhalawar

Jhunjhunu

Jodhpur

Karauli

Kota

Nagaur

Pali

Pratapgarh

Rajsamand

Sawai Madhopur

Sikar

Sirohi

Sri Ganganagar

Tonk

Udaipur

NLR works in 120 districts of 7 states of the country

B-4/57, First Floor, Safdarjung Enclave, New Delhi - 110 029

Tel.: +91-11-2671 1215/2671 1216

Email: [email protected] • www.nlrfoundation.in

2 0 Annual Reportsupported all innovative initiatives taken by the Central Leprosy Division i.e....

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