नेपाल सरकार - स्वास्थ्य मन्त्रालय
(+९७७) ०१ ४२६२५४३, ४२६२८०२, ४२६२६९६, ४२६७३७६

कुष्टराेग नियन्त्रण महाशाखा

Leprosy Control Division (LCD) is responsible for prevention, early detection, treatment, referral, rehabilitation, management, and follow-up through community-based rehabilitation of all types of disability including leprosy through the development and the implementation of policies and actions with collaboration with other stakeholders. After meeting the elimination target at national level, it has set a target of achieving district level elimination and to reduce grade II disability (visible disability) below 1 per million populations by 2020. The division’s activities are focused on early detection of leprosy cases and timely delivery of complete treatment with multi drug therapy (MDT) to prevent disability and reduce transmission.

 

The Ministry of Health has designated the Leprosy Control Division as the focal unit for overall disability. Persons with disability include children, women and men who experience difficulty in functioning due to physical, intellectual, mental or sensorial impairments. Those impairments include the consequences of conditions such as non-communicable diseases, birth defects, injuries from giving birth, infectious diseases, neurological disorders, injuries due to disaster and accidents and conditions that result from the ageing process.

 

The division has adopted the strategy of reducing disability by three-fold by:

1) improving access to health services and programs;

2) strengthening and extending rehabilitation, support services and community-based rehabilitation; and 3) to strengthen collection of disability data according to international standards and support research on disability and related services.

 

Programme Components and Scope of Leprosy Control Division

SN

Programme Components

Scope/Key functions

1

Early case detection, management and disability prevention (ECDMDP)

1.1 : Prevention of disease transmission and disability through early case detection and treatment, post exposure prophylaxis; improve access to prompt and complete treatment including complication and reaction management; increase awareness about leprosy in the community; reduce stigma and discrimination due to leprosy; increase access leprosy services to unreached people/high risk populations.

1.2: Prevention, early detection and enhancing access to health related rehabilitation services for all kind of disabilities ; increase awareness about all types of disability through the community collaboration with existing service providers; reduce stigma and discrimination in collaboration with other ministries;

2

Monitoring & Evaluation

Case validation and data verification; follow-up the complications after release from treatment; client satisfaction study; operational studies, programme review and meetings. Ensure monitoring and evaluation of disability management and rehabilitation services at all level

3

Capacity building

Training and continued medical education to various categories of service providers on health promotion, disability prevention, impairment detection, medical and community based rehabilitation services for people with disability including leprosy;

4

Community Based Rehabilitation (CBR)

Promote community activities focused on the health component of WHO CBR strategy, including health promotion, prevention, medical care, rehabilitation and assistive devices supply for people with disability including leprosy. Ensure the coordination with the other components of the CBR Strategy for sustainability and empowerment purposes based on the convention of the rights of people with disability.

5

Reduce stigma and discrimination

Advocacy, awareness and IEC/BCC; involve people with disabilities including leprosy in policies and plans; collaboration with national and district stakeholders for public awareness activities.