Cross Cutting

Strengthening Communities Beyond Core Diseases

Mental Health

Mental health challenges are common among people affected by leprosy and lymphatic filariasis, driven by stigma, disability, and social exclusion. Without support, these challenges can undermine treatment adherence, recovery, and overall quality of life. 

LEPRA addresses this gap through community-based mental health care integrated into NTD services through Samarth project. Through 109 Self-Support Groups (SSGs), over 1,200 individuals have received training in disease management, mental well-being, and disability prevention. Peer counselling and group support have helped reduce isolation, improve coping skills, and strengthen confidence. 

The programme has now entered Phase II, with a focus on sustainability and community ownership. Leadership of SSGs is being transitioned to trained community members, and groups are linked with public health programmes such as WASH, vector control, Mass Drug Administration (MDA), and Leprosy Case Detection Campaign (LCDC). Samarth demonstrates a scalable, community-driven model for integrating mental health into neglected tropical disease care while strengthening local health systems. 

WASH (Water, Sanitation and Hygiene)

Since 2015, LEPRA has been implementing Water, Sanitation and Hygiene (WASH) programmes to improve health, dignity, and living conditions in underserved communities. 

The programme focuses on training and awareness to promote safe hygiene practices, alongside infrastructure support to improve access to sanitation and clean water. Activities include community education on hygiene and sanitation, construction of household and community toilets, provision of safe drinking water, and installation of rainwater harvesting facilities. 

By combining behaviour change with practical infrastructure, LEPRA’s WASH interventions help prevent disease, reduce vulnerability, and strengthen community resilience. 

Other Diseases

Scabies

Scabies is a highly contagious skin condition that disproportionately affects overcrowded and underserved communities. Intense itching, secondary infections, and stigma often lead to delayed care, especially among children and older adults. LEPRA supports early identification, treatment referral, and community awareness to reduce transmission, prevent complications, and promote timely care through strengthened primary health systems. 

Malaria

Malaria remains a persistent public health concern in many tribal and hard-to-reach regions of India. Delayed diagnosis, poor access to health services, and environmental factors increase the risk of severe illness and death. LEPRA works with communities and public health systems to promote early detection, referral, vector control awareness, and treatment adherence, contributing to malaria prevention and control efforts. 

Japanese Encephalitis (JE)

Japanese Encephalitis is a serious, mosquito-borne disease that can cause severe neurological damage or death, particularly among children. Survivors often live with long-term disabilities. LEPRA focuses on early referral, disability management, caregiver support, and community awareness to reduce the impact of JE and improve quality of life for affected children and families. 

Sickle Cell Disease (SCD)

Sickle Cell Disease is a lifelong genetic condition with high prevalence in several tribal populations. Recurrent pain, infections, and complications significantly affect education, livelihoods, and survival. LEPRA supports early screening, referral, counselling, and linkage to treatment and social protection services, helping individuals and families manage the disease and improve long-term outcomes.