Overview

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Overview (2010)
Delhi is second largest metropolis of India with highest population density (above 12,000 persons/ Sq Km) amongst all other metropolis of India. It is situated in northern India and spread over 1483 sq km with a population of over 18 million (projected for 2008). Because of the migration of people representing different ethnic groups and cultures from across the country, Delhi has grown to be a cosmopolitan metropolis. Delhi is a major cultural, political, diplomatic and commercial center of India. 

Two prominent features of the geography of Delhi are the Yamuna flood plain and the Delhi ridge. Most of the city, including New Delhi, lies west of the river.Three World Heritage Sites—the Red Fort, Qutab Minar and Humayun's Tomb—are located in Delhi. Other monuments of historical importance include India Gate, Jantar Mantar and a 16th century fortress (Old Fort). The Laxminarayan Temple, Akshardham and Lotus Temple are examples of modern architecture. Despite such a rich heritage, 40% of the population is still living below poverty line. Migration of population from the neighbouring states for the want of better job adds to the problem.

There are three local bodies (statutory towns) viz. Municipal Corporation of Delhi, New Delhi Municipal Committee and Delhi Cantonment Board.The capital of India, New Delhi, falls under the administration of NDMC. Delhi has nine districts and each district (division) is headed by a Deputy Commissioner. Each district of Delhi has three subdivisions and a Subdivision Magistrate heads each subdivision.

Essential leprosy indicators

Analysis of the table
As can be seen in the above table, there has been steady decline in both “Prevalence Rate” and “Annual New Case Detection Rate” since 2002-03. However, there has not been any significant change in proportion of “MB cases”, “Females” and “Children” amongst new cases. There was a dip in proportion of “Grade 2 Disability” amongst new cases from 2003-05 when MLEC activity was held, which indicates that the majority of cases detected in these years were in its early course of the disease as compared to the other years.There is slight increase in ANCDR in the year 2008-09 is at par with other state in the country.  Gr 1 disability cases are being reported regularily since2007-2008.

NLR in Delhi
NLR India started its support to NLEP of Delhi in the year 2000 by placing District Technical Support Teams (DTSTs). These teams provided the technical support to the GHC system so as to widen and improve leprosy services under an integrated set up. This support continued till March 2007, when MOU between GOI & ILEP agencies in India ended. After integration, to retain a supervisory structure at the district level, District Nucleus (DN) has been formed in every district of the country. In Delhi, the DN consists of one DLO, and one NMS. NLR has placed one senior “Leprosy Programme Advisor (LPA)”, who is a medical doctor with training in leprosy and long experience of working in public health activities. This LPA is visiting all nine NLR supported districts and transferring his skills, and providing guidance to DN; so that, DN in turn, is able to improve quality of leprosy services provided by GHC staff, through supervisory activities.

In the following table links are provided to the pages containing information about geography, demography, health system, leprosy epidemiology, activities supported by NLR, GHC staff, their training status, and contact info for all the districts supported by NLR - India.
 
NLR India is working in two ways:
- By strengthening the leprosy control programme i.e. NLEP
- By providing support to Rehabilitation, which starts from providing support to NLEP in self care and socio-economic rehabilitation; this, however, also involves other organizations and departments. Therefore two different columns/district pages are used (Support & Rehabilitation) as can be seen in the table below. In the column Additional Info, access to key documents could be made.