Kavitha, V (2015) A Population Based Survey to Assess the Current Scenario of Leprosy in Alanganallur South Tamil Nadu. Masters thesis, Madurai Medical College, Madurai.
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Abstract
BACKGROUND: Leprosy is a chronic granulomatous disease caused by Mycobacterium leprae. The introduction of Multidrug therapy in the year 1983 has reduced the prevalence of leprosy in Tamil Nadu from 118/10,000 in 1983 to less than 10/10,000 in 1994. Leprosy was declared eliminated on January 2006, since the prevalence reached the level below 1/10000 population in India. As per latest National Leprosy Eradication Programme data available only 1.35 lakh new cases were reported in India during the Year 2012-2013.But several reports from Himachal Pradesh and Maharashtra had indicated that leprosy case load may be many folds higher in India and elsewhere than is being reported under respective government health systems. AIMS AND OBJECTIVES: 1. To assess the incidence and prevalence of leprosy in Alanganallur block of Madurai district through door to door survey. 2. To compare Government data which reflects the voluntarily reported cases with this survey to see whether there is any undetected cases of leprosy and hence under reporting in Health system. METHODOLOGY: The survey was conducted with the help of 25 Accredited Social Health Activist (ASHA) their work was supervised by Health inspectors, Non medical supervisors and Investigator. These ASHA workers were trained to do house to house survey in their villages to identify suspected cases of leprosy, leprosyrelated disability and complications and old cases using verbal questionnaire. I the Investigator, examined these suspects to filter out non leprosy cases and the leprosy cases were confirmed by a thorough clinical examination, slit skin smear and biopsy when necessary. There is a large backlog in the detection of leprosy cases in the endemic areas. There are also problems faced by patients in accessing the state healthcare facilities. This warrants the need for active surveillance in the community to attain the actual elimination CONCLUSION: There is a large backlog in the detection of leprosy cases in the endemic areas. There are also problems faced by patients in accessing the state health care facilities. This warrants the need for active surveillance in the community to attain the actual elimination. However it may be difficult for the government to implement active surveillance as a part of National Leprosy Eradication Programme due to financial concern. At least active surveillance needs to be reintroduced in a high endemic areas to reduce the case load and thereby attaining the actual elimination. Alternate strategies must be considered to bring out the undetected cases in the community. Information, Education and Communication activities should be strengthened to increase the level of awareness in the community and motivate the people to reach the health system. It is necessary to ensure capacity building among primary health care staff and enforce the accountability by strict supervision.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Leprosy ; Current Scenario ; Alanganallur ; South Tamil Nadu ; Population Based Survey. |
| Subjects: | MEDICAL > Dermatology Venereology and Leprosy |
| Depositing User: | Punitha K |
| Date Deposited: | 05 May 2018 09:10 |
| Last Modified: | 05 May 2018 09:10 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7486 |
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