Along with Bihar, our operations extend to Jharkhand, Uttar Pradesh, and Delhi towards leprosy, lymphatic filariasis, eye-care and tuberculosis.
Jagruti (awakening in Sanskrit) is a unique, integrated NTDs and WASH project collaboratively implemented by American Leprosy Missions, LEPRA Society and HI Rapid Lab of the Public Health Foundation of India. Piloted in Andhra Pradesh and Odisha in 2018-19, the program was scaled in Bihar in 2021. The 3-year project covers 130 villages of Kalyanpur block in Samastipur district, Bihar. The project aims to reduce risk of transmission of endemic NTDs among at-risk communities, and reduce the negative impact of chronic, disabling NTDs like leprosy and lymphatic filariasis among people affected, in this high-endemic, rural and remote Block. The project is women-led, utilizes digital technology to facilitate interventions, and employs a human rights-based approach to ensure sustainability. 130 trained women Community Resource Persons (CRPs), one from every village, lead the program interventions at the local level. They reach 63,630 households with education on recommended WASH practices and NTD prevention measures and promote behaviour change. The project works with 3815 SHGs, 38 SHG Federations, 40 schools, 31 local governing bodies, 186 village water and sanitation committee members, 782 frontline workers from government, PHC Medical Officers and government authorities as key stakeholders, engaging with local government and promoting people-led advocacy for essential water, sanitation, and health services. A baseline universal household survey completed by the CRPs in their own villages supports focused interventions and evidence-based advocacy. The project has line-listed around 5000 persons with leprosy and lymphatic filariasis for morbidity management and disability prevention to prevent new disability and worsening of existing disability, helping them avail government benefits, and advocating for primary level NTD care. The project is organizing them into 31 self-support groups at the panchayat level to facilitate advocacy and encourage regular self-care.
Restoring Lives of Forgotten People project enables 1,20,000 people living in poverty to lead healthier, productive and self-sufficient lives through an integrated and holistic approach of tackling health issues and stigma associated with leprosy and lymphatic filariasis. The project serves 1,16,000 people with lymphatic filariasis and 4,000 people with leprosy in Samastipur district of Bihar.
From 2015 through 2019, the project contributed 92,274 people affected by LF (89,705) and leprosy (2,569) have received treatment, care and support from the project. 62,604 people affected by LF (Grade 1,2, & 3) and 1769 Grade 1, Grade 2 affected with disabilities were trained on the self-care practices.
Improved skills and capacities to public health staff (1350), Rural Medical practitioners (RMPs) 1525 and community-based institutions to suitably address health, social and economic need of affected people 7405 persons with LF and 1051 persons with leprosy are linked with government schemes and entitlements.
Neglected Tropical Diseases Resources Unit (NTDRU) is implemented in four districts – Bhagalpur, Munger, Begusarai and E. Champaran (Raxaul) of Bihar. The main activities of the project are done to increase case identification at an early stage, refer them to the government health institutions for treatment, organizing IPOD camps, capacity building to project stakeholders, ASHA, ANMs, MOs, General Health care Staff, observing National Health Days and IEC.
Similarly, we are extending technical support to the District Heath Society for implementation of National Leprosy Eradication Programme (NLEP) and National Vector Borne Diseases Control Programme (NVBDCP). The resource unit caters services for preventing of disabilities of 12000 beneficiaries.
Referral Centre, Munger provides a wider range of services from diagnosis, counselling, treatment of reactions and ulcers, training in disability management for LF and leprosy, provision of adaptive devices/ protective footwear, follow-up of persons and sensitise the beneficiaries about government schemes and entitlement. The project intends to be a learning centre to improve quality care and enhance the capacities of government/community. The referral centre provides self-care practices and prevents disabilities of 3000 beneficiaries.
Mobile Foot Care Unit – Provision of footwear should be considered as a ‘mandatory measure’ and not as an extra, optional rehabilitation measure. Providing protective footwear is a part of the treatment. The innovation of LEPRA – the “Mobile Foot Care Unit”, the first-of-its-kind in India, is a great success of the team. The foot care unit is supported by Pavers (UK) and delivering 3000 pairs of protective footwear to all disabled cases in 63 leprosy colonies in Bihar. The unit is providing two pairs of protective footwear to each person affected by leprosy in a year. One thousand five hundred persons disabled due to leprosy are living in 63 colonies of 38 districts of Bihar.
Sarthak (Production of Protective footwear unit) has started the supply of protective footwear on request of government order in Bihar, Jharkhand and ILEP. This unit is supporting in providing the footwear to persons affected by leprosy in the NLEP. A total of 13091 pairs protective footwear comprising 11895 pairs footwear supply of Bihar, 1307 Pairs footwear supply of Jharkhand and 1186 pairs footwear supply of Telangana and Andhra Pradesh
Rural Eye Health Project (Netra Vasant) is implemented in Bhagalpur, Munger, Begusarai, Samastipur and Purnea districts of Bihar. It aims to provide eye care services and control avoidable blindness in the mentioned districts. The project also strengthens the health service delivery system by improvising eye care departments in the district hospitals. 2,00,000 beneficiaries are expected to avail and get helped from this project.
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