Staff Updating & Review Staff Updating & Review meetingmeeting

Netherlands Leprosy Netherlands Leprosy Relief, IndiaRelief, India

DHANBAD, 7-8 July 2010DHANBAD, 7-8 July 2010Uttarakhand Uttarakhand

(self Care and support)(self Care and support)

Presentation by: Presentation by: NMS: Mr. Lazarus ChhetriNMS: Mr. Lazarus Chhetri

Self Care Groups-StatusSelf Care Groups-StatusSince Jan-08 to June 10Since Jan-08 to June 10

No of No of Colonies Colonies

Identified for Identified for SCPracticeSCPractice

No of No of Colonies Colonies Started Started

SCPracticeSCPractice

Total No.Total No.

of PALof PAL

No of PALNo of PAL

startedstarted

SCPractice SCPractice

No No Practicing Practicing

RegularlyRegularly

1919 1919 551551 551551 536536

Self Care Group-OutcomeSelf Care Group-OutcomePeriodPeriod PALs with UlcerPALs with Ulcer

(Basic)(Basic)

Ulcers Ulcers HealedHealed

New Ulcer New Ulcer DevelopedDeveloped

January to June 09January to June 09269269

145 145 (54%)(54%) 33**

July to December 09July to December 09 127(124+3127(124+3**)) 58 58 (46%)(46%) 55**January 10 to June 10January 10 to June 10

74(69+574(69+5**))15 15

(20%)(20%)**55

No. Cases for RCS: No. Cases for RCS: 5656ReferredReferred 30 cases in 200930 cases in 2009

DoneDone 1010 cases 0ct 2009 cases 0ct 2009

(Since Jan. 09 To June 10 - Healing is 87.47%) *73%-Improving

Aids-Appliances providedAids-Appliances providedSince Jan 2009-June 2010Since Jan 2009-June 2010

Foot Foot wearswears

CrutchesCrutches Wheel Wheel chairchair

TricyclsTricycls Grip Grip aidsaids

GoggleGoggless

Others/ Others/ art limbart limb

No of PAL No of PAL in needin need 551551 4646 1818 1414 77 4141 12 12

No. of PAL No. of PAL providedprovided 250250 3737 1818 1414 11 4141 1111

No. of PAL No. of PAL remaining to remaining to be providedbe provided

301301 99 -- -- 66 -- --

Support in education of childrenSupport in education of children(Bags, Stationary, Dress.Fee etc)(Bags, Stationary, Dress.Fee etc)

No. of children No. of children IdentifiedIdentified

No. of No. of children children providedprovided

Remaining Remaining children to be children to be supportedsupported

Up to Vth Up to Vth ClassClass -- -- --

Up to X Up to X classclass 44 44 --

Higher Higher educationeducation -- -- --

School bags and dresses

S. E. Rehabilitation-statusS. E. Rehabilitation-status

VocationaVocational trainingl training

FinancingFinancing/loan/loan

Housing,Housing,

drainage,drainage,etcetc

ElectriciElectricityty

OtherOther

No of No of PAL in PAL in needneed

-- -- -- --Business – Business –

2 2

No of No of PAL PAL providedprovided

-- -- -- -- --

Comments – 1. Renovation of 03 colonies of Dehradun are being Comments – 1. Renovation of 03 colonies of Dehradun are being done by Social Welfare department. 2. Candle making in 1 and done by Social Welfare department. 2. Candle making in 1 and Agarbati making in 2 PAL homes Agarbati making in 2 PAL homes

Self Care Practice at HomeSelf Care Practice at HomeState - UttarakhandState - Uttarakhand

No of Districts/PHCs Planned- Garhwal – 04 BlocksNo of Districts/PHCs Planned- Garhwal – 04 Blocks

No of Districts/PHCs: Started - 01No of Districts/PHCs: Started - 01

DistrictDistrict PHCPHC No of PALs StartedNo of PALs Started No with UlcersNo with Ulcers

DehradunDehradun DoiwalaDoiwala2323 0101

Teaching aid: LCD

Teaching aid: LCD

S.S.O

Supervisors in SC Practice Villages

S.S.O.

Recapitulation next day

Assessment and screening

How the Subordinator Officer in paramilitary force got disability due to:

Incomplete treatmentNegligence Not following instruction(Mr. Bhatt stated his sad story himself to PALs)

Aids-Appliances providedAids-Appliances providedin Self Care at Homein Self Care at Home

Foot Foot wearswears

CrutCrutchesches

WheeWheel l chairchair

TcyclTcyclee

Grip Grip aidsaids

GogglGoggle / e / SpecsSpecs

OtherOtherss

No of PAL No of PAL in needin need

1313 -- -- -- 11 2/72/7 --

No. of PAL No. of PAL providedprovided

-- -- -- -- -- -- --

No. of PAL No. of PAL remaining remaining to be to be providedprovided

-- -- -- -- -- -- --

Problems & ObstaclesProblems & Obstacles►Supervisors are reluctant to work as Supervisors are reluctant to work as

they are not being given TA and per they are not being given TA and per diem.diem. They are using their own mobikes for workThey are using their own mobikes for work Using their mobiles to contact PALs/ASHAs Using their mobiles to contact PALs/ASHAs One PAL, unhappy not being fulfilled the One PAL, unhappy not being fulfilled the

demand of Rickshaw (as he agreed to pay demand of Rickshaw (as he agreed to pay 50% cost)50% cost)

Exchange of homes by PALsExchange of homes by PALs Non healing due to begging Non healing due to begging MCR availability is being difficultMCR availability is being difficult

SuggestionsSuggestions► Supervisors may be considered some incentivesSupervisors may be considered some incentives

► Our suggestion is that the Tricycles should be Our suggestion is that the Tricycles should be provided to long standing non healing ulcersprovided to long standing non healing ulcers

► We have noticed a thick sole good looking chapal We have noticed a thick sole good looking chapal of a branded company costing about Rs. 250/- may of a branded company costing about Rs. 250/- may be useful to replace MCR (being used by some be useful to replace MCR (being used by some PALs of their own, with good response, PALs of their own, with good response, comfortable and durable)comfortable and durable)