TB/HIV Consultative Workshop

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Leprosy overview in Ethiopia
Location of Ethiopia
Ethiopia
N
W
0.07
0
0.07
S
0.14 Miles
E
C ountry Profile
- Population – 80 million
Tigray
Amhara
- 84% - live in rural area
#
- Area – 1.2 Million Sq. Km
#
-Divided
in to 9 Regions & 2 City Administrations
#
Afar
#
Benishangul Gumuz
- 611 Woredas –comparable with districts
- 15,000 Kebeles (5,000 Urban and 10,000 rural
Gambella
Dire awa
Addis Ababa
HARER
Oromiya
Somali
SNNPR
N
W
E
S
Ethiopia leprosy situation
• Leprosy services fully integrated into the general
health services
• Leprosy is part of the 5 years strategic plan for TB,
Leprosy, TB/HIV and MDR-TB prevention and
control (2010 – 2014)
• Mission: Reduce morbidity, mortality and disability
from TB and Leprosy through implementation of
promotive, preventive, curative and rehabilitative
health and related services in collaboration with all
stakeholders.
Objectives of TB Leprosy Control
• Leprosy: Reduce the proportion of disability grade-2
among new leprosy patients to less than 10%
Ethiopia leprosy situation
• MDT treatment is made available by WHO free of
charge and GLRA is the main partner supporting
• Leprosy prevalence at the end of 2009: 4,942 (0.6
per 10,000 population)
• Proportion of MB = 91%
• Children: 7 %
• Grade 2 disability rate: 7 %
• Treatment completion rate:
– MB leprosy - 94%
– PB leprosy - 97%
Ethiopia Leprosy Case Notification:
2000-2009
Year
New cases
Child rate %
Grade II
disability
(%)
MB (%)
2000
4,732
6
13
81
2001
4,584
7
13
84
2002
4,940
6
15
86
2003
5,193
6
15
88
2004
4,787
7
14
88
2005
4,698
7
13
88
2006
4,092
8
11
75
2007
4,187
7
10
93
2008
4,414
7
9
91
2009
4,302
7
7
91
Ethiopia Leprosy Case finding by regions 2009
Regions
Total (New and Retreatment)
Leprosy Cases
PB
Tigray
MB
New cases
Tot.
PB
MB
%
New: 0 -14 yrs
Tot.
PB
MB
Tot.
New (Gr: 2)
%
PB
MB
Tot.
%
5
68
73
5
61
92
66
0
6
6
9
0
15
15
23
14
23
37
14
15
52
29
2
5
7
24
1
2
3
10
Amhara
122
1,417
1,539
118
1,275
92
1,393
12
52
64
5
2
88
90
6
Oromiya
171
2,311
2,482
156
2,045
93
2,201
18
147
165
7
5
101
106
5
1
16
17
1
14
93
15
0
1
1
7
0
3
3
20
Benshangu
l
14
44
58
14
44
76
58
2
6
8
14
0
8
8
14
SNNPR
66
271
337
60
220
79
280
6
26
32
11
5
28
33
12
Gambella
3
37
40
3
28
90
31
0
0
0
0
0
5
5
16
Hareri
0
9
9
0
9
100
9
0
0
0
0
0
1
1
11
Addis
Ababa
7
84
91
7
78
92
85
0
2
2
2
0
13
13
15
Dire Dawa
1
7
17
1
6
38
16
0
0
0
0
0
0
0
0
Other
Hospitals
5
154
159
5
114
96
119
0
2
2
2
19
6
25
21
National
409
4,441
4,859
384
3,909
91
4,302
40
247
287
7
32
270
302
7
Afar
Somali
Remark:
Completion rate of MDT is calculated based on the evaluated case reported in 2001, not based on
the case finding during the cohort period is 98 % of the cases are completed their treatment.
That is because there are cases that were not reported during the cohort
Ethiopia Leprosy Prevalence Rate at the end of 2000EFY
TIGRAY
Leprosy Prev rate
0 - 0.2
0.3 - 0.5
0.6 - 0.8
0.9 - 1.5
1.5 - 3.4
0.3
AFAR
0.1
AMHARA
0.9
BENISHANGUL-GUM
0.6
DIRE DAW A
0.5 HARARI
1.5
AA
0.5
GAMBELLA
OROMIA
3.4
SNNPR
0.2
0.8
SOMALLI
0.0
N
W
E
S
Leprosy treatment outcome by regions
Regions
Tigray
Afar
Amhara
Oromiya
Somali
Benshan
gul
SNNPR
Class
ificati
on
Regis
tered
MB
Treatment
completion
Evaluated
No
%
No
%
Died
No
Transfer
out
Default
%
No
%
No
%
MB
79
60
76
52
66
3
4
2
3
3
4
PB
3
5
167
5
167
0
0
0
0
0
0
MB
13
24
185
24
185
0
0
0
0
0
0
PB
2
5
250
5
250
0
0
0
0
0
0
100 1,091
86
10
1
76
6
82
6
111
96
98
1
1
11
11
1
1
113 1,918
98
11
1
157
8
119
6
MB
PB
MB
1,265 1,259
98
109
1,955 2,205
PB
132
155
117
143
108
1
1
6
5
5
4
MB
18
5
28
5
28
0
0
0
0
0
0
PB
2
0
0
0
0
0
0
0
0
0
0
MB
75
52
69
43
57
1
1
5
7
3
4
PB
13
1
1
0
0
0
0
0
0
0
0
MB
294
349
119
289
98
9
3
32
11
19
6
PB
34
59
174
53
156
2
6
2
6
2
6
Challenges
• Low skill of health workers to diagnose and manage
leprosy
• Low partner support and lack of fund for Leprosy
(neglected)
Thank you!
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