Overview
Glossary ...more… Map -Prevalence Rate Leprosy …more…
Map -Demography & Health Facilities ...more...
Overview
Uttarakhand is a beautiful state which is situated in the northwest portion of India and it is spread over 53,484 sq Km i.e. 1.73% of India’s total land area. Approximately 64.4 percent of area is covered by forests. It has a population of about 9,415,340 with a population density of 176 persons per sq. Km. Dehradun is the capital city of the state. It is surrounded by Tibet, Nepal, Himachal Pradesh and Uttar Pradesh. In November 2000, Uttaranchal became a full-fledged state of India; it was renamed as Uttarakhand in the year 2007.
Uttarakhand is comprised of 13 Districts; most of the population lives in the difficult terrain as 7 districts are high Himalyas, 4 districts are mid Himalayas and only 2 districts are plains. Major rivers in the state are Ganga and Yamuna, which meet at Allahabad in Uttar Pradesh. Uttarakhand state also boasts of few Himalayan peaks viz. Trishul, Nanda devi, Chaukhamba and Panchachuli. Major source of income of people of Uttarakhand are tourism and horticulture. Uttarakhand has third highest dam of the world i.e. Tehri Dam having >2400 Mega Watt production capacity.
Since 2002, Leprosy services are being provided through general health care services so as to mitigate the stigma associated with it and to increase the accessibility of the leprosy treatment to persons affected with leprosy. Now the cases are examined and diagnosed by the medical officers and provided MDT from the health care facility like patients with any other diseases. Though, the state has a vast network of health care delivery system varying from primary health care centers to specialized care centers. But, majority of population do not have access to good quality of services because more than 50 percent of medical officers’ posts are lying vacant. Furthermore, quite a large number of other health care staff positions are also lying vacant.
Essential leprosy indicators
Year
Pop (In Mn)
Cases
Det
(1 Apr-
31 Mar) Cases
(As on 31 Mar) AN-
CDR PR
MB
% Child
% Gr1
% Gr2
% Fem
%
99-00
Uttarakhand was part of Uttar Pradesh
00-01
8.48
1,894
1,971
N.A.
1.8
45.9
11.9
N.A.
2.7
N.A.
01-02
8.63
2,541
1,424
N.A.
2.2
38.3
7.8
N.A.
2.3
N.A.
02-03
8.78
2,246
1,912
25.6
1.9
35.1
8.4
N.A.
2.0
29.9
03-04
8.94
1,767
1,655
19.8
1.9
38.0
7.0
N.A.
2.4
38.7
04-05
9.09
149
850
1.6
0.8
47.7
3.4
N.A.
0.0
27.5
05-06
9.25
894
850
9.7
0.7
51.2
4.9
N.A.
1.8
27.2
06-07
9.42
763
661
8.1
0.6
46.8
4.9
N.A.
0.9
30.1
07-08
9.58
763
600
7.9
0.6
43.5
3.3
1.1
1.9
30.5
08-09
9.74
667
436
6.8
0.45
47.9
4.2
4.3
0.7
30.1
09-10
9.92
587
376
5.9
0.38
43.1
2.5
4.0
2.0
27.0
Source: Central Leprosy Division, GOI
Note: N.A. represents that the figures were not calculated by GOI in the relevant years.
ANCDR=Annual New Case Detection Rate per 100,000 population; PR=Prevalence Rate per 10,000 population; MB=Multibacillary; PB= Paucibacillary; Gr 1= Grade 1 Disability (WHO); Gr 2=Grade 2 Disability (WHO)
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 “Females” and “Grade 2 Disability” amongst new cases since 2002-03. There can be seen steady increase in proportion of “MB cases” and decline in the proportion of “Children” amongst new cases over the past ten year. Gr 1 disability cases are being reported regularily6 since 2007-08.In the year 2009-10 Gr2 disabilty has slightly increased.
NLR in Uttarakhand
NLR is supporting NLEP of Uttarakhand since 1998. Initially, support was provided at the zonal level through Zonal Leprosy Teams i.e. approximately 7-8 districts were looked after by one consultant. Later on the number of districts supported by one consultant was reduced to 2-3. After the establishment of NLR branch office in Delhi, District Technical Support Teams were placed to provide support at the district level. This support continued till March 2007, when MOU between GOI and ILEP agencies ended. With the new MOU (2007-12), NLR has placed one senior “Leprosy Programme Advisor (LPA)”, to support District Nucleus of all 13 NLR supported districts. This LPA is a medical doctor trained in leprosy and has a long experience of working in public health activities. This LPA is also acting as ILEP state coordinator and is providing technical support to the SLO office. In addition he makes visits to all thirteen districts and transfers his skills, and provides guidance to DN; so that DN improves their supervisory activities and in turn quality of leprosy services are improved to be provided through GHC staff.
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 thirteen district 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.
| District (13) |
Map |
District Profile |
Program Support |
Rehabilitation |
Additional Info |
| Almora | ...more... | ...more... | ...more... | ...more... | ...more... |
| Bageshwar | ...more... | ...more... | ...more... | ...more... | ...more... |
| Chamoli | ...more... | ...more... | ...more... | ...more... | ...more... |
| Champawat | ...more... | ...more... | ...more... | ...more... | ...more... |
| Dehradun | ...more... | ...more... | ...more... | ...more... | ...more... |
| Haridwar | ...more... | ...more... | ...more... | ...more... | ...more... |
| Nainital | ...more... | ...more... | ...more... | ...more... | ...more... |
| Pauri Garhwal | ...more... | ...more... | ...more... | ...more... | ...more... |
| Pithoragarh | ...more... | ...more... | ...more... | ...more... | ...more... |
| Rudraprayag | ...more... | ...more... | ...more... | ...more... | ...more... |
| Tehri Garhwal | ...more... | ...more... | ...more... | ...more... | ...more... |
| Udham Singh Nagar | ...more... | ...more... | ...more... | ...more... | ...more... |
| Uttarkashi | ...more... | ...more... | ...more... | ...more... | ...more... |
Branch Office
Uttarakhand