National Leprosy Eradication Programme, Karnataka
Karnataka State Action Plan for 2014-15
G.1 Case detection and Management
1.1. Special Activities Plan -31 Blocks of 12 districts
Annual New Case detection Rate more than 10 cases/ 1,00,000 population. This
activity was done in 35 blocks in 16 districts during 2013-14.
1) Bellary: (Siraguppe, Bellary, Hadagali, Hagari Bommanahalli)
2) Bidar :( Bidar)
3) Chamarajangar : (Gundulpet, Chamarajanagar, Kollegala, Yellandur),
4) Chitradurga: (Molkalmuru),
5) Chickballapura: (Gudibande),
6) Davangere:(Jagalur, Harapanahalli, Honnali),
7) Dharwad: (Kundagol, Kalaghatagi, Navalagund),
8) Gadag: (Rona, Shirahatti, Mundargi)
9) Haveri :( Savanur)
10) Raichur : (Sindhanur, Devadurga, Manvi,Raichur Urban)
11) Tumkur : (Madhugiri)
12) Uttar Kannada: ( Kumta, Ankola, Bhatkal, Honnavara, Karwar).
Special activities in high endemic district for
7 days
-
No. of
Block
Unit cost per
Block (Rs.)
Total
Amount
(Rupees)
Capacity building of the Surveillance staff
31
75,000/23,25,000/Awareness drive
Monitoring and supervision
Validation of MB and child cases by District
Nucleus Team.
- House to house visit by search team of
MHW, FHW,ASHA, AWW and Panchayat
Raj Institution members for surveillance.
- Confirmation of suspects by team comprising
of MO PHC and NMS/PMW.
- Intensive IEC activity prior to house visit.
Budget Action Plan of Situation Analysis for 2014-15
TA/DA to HWM- Rs.100 HWF Rs.100 ASHA Rs.75, HS Rs.125
= Rs. 40,000/One day Training
= Rs. 10,000/IEC (Pahmplets, Flash cards, Group Meetings
= Rs. 5,000/Activity and Supervision (POL)
= Rs. 15,000/Stationery Printing etc
= Rs. 5,000/----------------------Total
Rs.75,000/-----------------------Health Workers from the Rural Primary Health Centres & Sub centres to be deputed to
conducted the Special Activity Plan in Urban areas.
If the population of the block conducting SAP is less the adjoining population of the
Primary Health centres to be covered.
The Activity will be conducted and Completed during Nov & Dec 2014.
G 1.2 Service in Urban Areas
calculated for State based on identified urban areas located.
Number
Unit cost
(Rupees)
Total amount
(Rupees)
Township (Pop 1 to 5 Lakhs)
Medium city –I (Pop 5to 25
Lakhs)
20
60,000
12,00,000
3
200,000
6,00,000
Mega city (POP <25 lakhs)
1
500,000
5,00,000
Category of urban area
23,00,000
Township: 20
1) Chitradurga, 2) Chickballapur 3) Davangere, 4) Kolar, 5) Shimoga, 6) Bhadravathi, 7) Tumkur,
8) Belgaum, 9) Bijapur, 10) Haveri, 11) Gadag, 12) Bellary, 13) Hospet, 14) Bidar, 15) Raichur,
16) Chikmaglur 17) Dakshina Kannada, 18) Udupi 19) Hassan & 20) Mandya.
1) Supportive Medicines
- Rs. 20,000
2) Survey of Slums, Residential Schools, Hostels, Leprosy Colonies,
Mutts running educational institutions
- Rs. 20,000
3) Monitoring, Supervision & Coordination with NGOs &
Other departments - Rs. 20,000
Total
Rs. 60,000/Since the Urban areas do not have the Primary Health Centre like infrastructure and there
are multiple organizations providing Health services in these localities, Govt. of India has
sanctioned special urban leprosy elimination programme under NLEP. The programme started
in 2005.
Activities will be conducted throughout the year.
Medium City : 3
Dharwad, Mysore & Gulbarga Rs. 2,00,000/- per city – Rs. 600,000/Medium City:- 1
1) Supportive Medicines
- Rs. 50,000
2) Survey of Slums, Residential Schools, Hostels, Leprosy Colonies,
Mutts running educational institutions
- Rs. 60,000
3) Monitoring, Supervision & Coordination with NGOs &
Other departments Rs. 90,000
Total
Rs. 2,00,000
Mega City:-1
1) Supportive Medicines
2) Survey of Slums, Residential Schools, Hostels, Leprosy Colonies,
Mutts running educational institutions
3) Monitoring, Supervision & Coordination with NGOs &
Other departments Total
Rs.
80,000
Rs. 1,80,000
Rs. 2,40,000
Rs. 5,00,000/-
1.2.
ASHA Involvement
Under this result based initiative following two activities planned
Unit Cost
Sl.
No. of ASHA activity
Number
per person
NO.
(Rs.)
1.
Sensitization of ASHA
200 ASHAs x 30dists =
100
6,000
2.
Incentive to ASHA
Case diagnosis Target 792
250
cases
PB
(375 cases)
400
MB
(417 cases)
600
Total
Total
amount
(Rupees)
6,00,000
1,98,000
1,50,000
2,50,200
11,98,200
Total ASHAs 39195 in the State.
Training for all ASHAs about leprosy have been given during their recruitment.
Every year about 6000 ASHAs are given orientation training 2012-13 &2013-14.
Incentives are paid to ASHAs for cases detection & after treatment completion i.e PB 6 months
& MB 12 months.
1.4 Materials & Supplies
Calculated for State according to the number of districts (Rs. In lakhs)
Sl.
No.of
Unit cost
Total
Item
No.
districts per district
amount
40,000
1.
Supportive Drugs & dressings
30
12,00,000
(Self care kits)
0
2.
Laboratory
reagents
and
0
0
equipments
20,000
3.
Printing
works
(Registers,
30
6,00,000
Formats etc.)
Total
60,000
18,00,000
Besides the MDT (Anti-leprosy drugs), other drugs & materials are essential to treat the
following conditions:1. Reactions.
2. Disabilities
3. Eye Complications.
4. Commonly associated general conditions.
For each district Rs.40,000/- is provided for the purchase of the Drugs other than the
MDT drugs. Budget for the 30 Districts for printing of required forms & registers is also
proposed. For each district Rs.20,000/- is provided for the Printing of required forms &
registers is also proposed.
1.3. Services through NGO & other Agencies
GIA to
NGOs under
Districts
Schemes
NGOs
schemes
Scheme IA
Nil
Scheme IB
1
2
3
Bidar,
Dharwad,
Gulbarga
Arogya Matha Seva Kendra
The Hubli Hospital for Handicapped
Mother Theresa Charitable Hospital
Scheme IC
4
5
6
Belgaum
Bangalore (U)
Tumkur
Nil
Nil
Bangalore (U)
Nil
Bangalore (U)
Bellary
Bidar
Chamarajanag
ar
Chiradurga
Dharwad
Davanagere
PrabhakarKore Charitable Hospital
Bangalore Baptist Hospital
SVIRHC, Pavagada
Scheme I 2
Scheme I 3
Scheme I 4
Scheme I 5
Scheme I 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Gulbarga
Mysore
Riachur
U.Kannada
Total
Grand Total
Sumanahalli Leprosy centre
ShanthaJeevaJyothi
1)Assisi Leprosy Centre
Orbit
Karuna Trust
Sarvodaya Rural Development Society
Spheed
1)ShubhodayaSevasamsthe
2)AdarshsSamajaKaryaSmsthe
1)VishwaSeva Mission, Forest Office
2) World Mission ® & Urban
Development so.,
VishwaManava Rural Development
Society
1)Sadhana, MathruKrupa, Vasavi
Nagar
2)Assisi Deepthi Organization
Rehabilitation
3)Grams
4)Karuna Trust
1)Sadhana Women & Child welfare
society
2)Karuna Trust
Unit cost
per
NGO)Rs
Amount
(Rs)
0
500000
500000
500000
975000
975000
975000
0
0
225000
0
150000
150000
150000
150000
150000
150000
150000
150000
150000
150000
150000
150000
150000
150000
150000
150000
150000
2850000
1500000
2925000
0
0
225000
0
450000
28,50000
7500000
2. Disability Prevention and Medical Rehabilitation (DPMR)
2.1.
DPMR
Sl.N
Item
o.
1. MCR footwear
2.
3.
4.
Aids & appliances (Grip Aids
& Splints)
Welfare allowances for
Reconstructive Surgery under
gone cases
Reimbursement for Govt.
institution for conducting
Reconstructive surgery
No. required
Unit cost (Rs.)
3000 Leprosy Persons
with insensitive feet x
2 pairs/year = 6000
pairs
300
Total
Amount
18,00,000
17,000
5,10,000
30 Districts
200 cases
60
8,000
At Institute 5000 (50
cases)
At Camps 10,000 (60
cases)
16,00,000
2,50,000
6,00,000
Total
47,60,000
a) Persons with insensitive feet are provided with 2 pairs of Micro Cellular Rubber (MCR)
footwear every year Rs.300/pair.
b) Aids and AppliancesRs.17,000/- is planned per district for 30 districts. Grip –Aids, Spectacles, Splints
crutches and other appliances to be procured according to the need.
c) Welfare allowances to the patients for Reconstructive surgery. Rs.8000/Rs.8,000/Rs. 5,000 during Discharge
Rs.1,500/- 1st Follow up.
Rs. 1,500/- 2nd Follow up.
d) Incentives to Govt. Hospitals : Rs.5,000/ case,
Rs. 10,000/case, camp mode (>10 cases)
Institutions conducting RCS surgery.
Govt: K.C. General, Victoria Hospital, Indira Nagar General Hospital & Minto Hospital
(Bangalore), VIMS (Bellary), Wenlock (Mangalore), KIMS (Hubli).
Private : SVIRHC, Pavagada (Tumkur) , Hubli Hospital for Handicap (Hubli), Baptist.
During 2014-15 planning to conduct 200 cases for RCS.
3. Information. Education and Communication (IEC/BCC)
Objective of the communication plan will be –

To develop effective communication vis-à-vis the target audiences and take on
the task of effectively delivering the same.

To complement and support the detection and treatment services being provided
through the General Health Care System, making it more acceptable to the
community.

Drive to remove stigma surrounding leprosy and prevent discrimination

To specifically cover clients, Health providers, influencers and the masses.
State IEC plan is drawn up in the Annual Plan under the following heads:
Sl.
No. of
Medium
No.
districts
1.
Mass Media(TV, Radio
30 districts
Press)
2.
Outdoor Media
30
(Hoardings, Wall
Paintings, Banner, Rally)
3.
Rural Media (IPC Meeting,
30
School Health Quiz)
4.
Advocacy meeting
30
(Meeting with Zilla
Parishad, NGOs)
5.
IEC Activities – State
1
Total
Unit cost per
district (Rupees)
30,000
Total amount
(Rupees)
900,000
23,000
6,90,000
31,000
9,30,000
5,000
1,50,000
2,70,000
29,40,000
* Funds will be distributed to the districts on the basis of actual requirement and
keeping adequate funds at State level under Mass Media and Advocacy meetings.*
Observation of Anti-Leprosy Fortnight Jan 30th to Feb 2015 at the State Leprosy
office and 30 Districts.
4. Human Resources and Capacity building
4.1. Capacity building
A. Calculation for each district –
No. to be
No. of
Unit cost
Sl.
trained in course for
Rs. In
Type of training
per
No.
the
30
lakhs
course
District
persons
1. Medical Officer ( 2
30
30
35,000 10,50,000
days)
2.
Physiotherapist (2
days)
3. Lab. Technician (2
days)
4. Health Worker Male
30
30
29,000
8,70,000
& Female (2 days)
Total
19,20,000
Unit cost for conducting training for 30 persons has been worked out as follows:
2 days refresher Training of Medical Officers
TA for Trainees (50x2x30=Rs.3000)
DA for Trainees (200x2x30= Rs12000)
Guest Faculty at Dist. Level (Rs.500x4)
Working Lunch & Tea (Rs.150x30x2)
Institutional Overhead charges
Training Materials (100x30)
TOTAL
2 days refresher Training to Health Workers
TA for Trainees (50x2x30=Rs.3000)
DA for Trainees (100x2x30= Rs.6000)
Guest Faculty at Dist. Level (Rs.500x4)
Working Lunch & Tea (Rs.150x30x2)
Institutional Overhead charges
Training Materials (100x30)
Rs. 3000
Rs.12000
Rs. 2000
Rs. 9000
Rs. 6000
Rs. 3000
-----------------Rs. 35000/------------------
Rs. 3000
Rs. 6000
Rs. 2000
Rs. 9000
Rs. 6000
Rs. 3000
-----------------TOTAL
Rs. 29000/-----------------*Unit cost to be calculated as per State NHM norm fixed for all health programmes*
4.2. Human Resource on contract in States/UTs
4.2.1 Contractual staff at State level
Sl.
No.
1.
2.
3.
4.
5
Category
State Leprosy Consultant
BFO Cum Admn. Officer
Admn. Asstt. *
DEO
*
Driver
No.
of
posts
1
1
1
1
1
Unit cost *
per month
Rs.
40,000
30,000
20,335
20,335
20,335
Remuneration for
year I
Rs.
4,80,000
3,60,000
2,44,000
2,44,000
2,44,000
Total
1,57,2000
All the contractual staffs appointed in State Leprosy office are through State National
Health Mission (NHM).
District Leprosy Societies (Contractual Posts) :Sl.
No
.
1.
2.
3.
Category of post
Unit
No. of
Unit
cost
district
cost per
per
identified
year
month
8 district 30,000 3,60,000
District Leprosy Consultant
(high endemic district)
Physiotherapist at District Hospital (endemic district)
Driver (General)
Total
25,000
-
Total cost
28,80,000
-
-
High endemic districts (8) : 1) Bidar, 2) Bellary, 3) Chamarajanagar,
4) Davanagere, 5) Dharwad, 6) Raichur,
7) Uttara Kannada & 8) Yadgir.
4.2.2 Special Provision for selected States/UTs – Not Applicable
28,80,000
4.2.4 High endemic Blocks
Special provision for providing one Para Medical Worker on contractual basis
for leprosy supervision, monitoring and programme implementation in high endemic
blocks of identified high endemic districts:Unit cost
Sl.
Name of the
Unit cost per
Total
Nos
per year
No.
Districts
month (Rs.) *
cost (Rs.)
(Rs.)
1
Bangalore (U)
3
10000
360000
360000
10000
2
Chitradurga
1
120000
120000
10000
240000
240000
3
Davangere
2
4
Kolar
10000
120000
120000
5
Ramnagar
1
10000
120000
120000
6
Belgaum
1
10000
120000
120000
7
Bijapur
1
10000
120000
120000
8
Dharwad
1
10000
120000
120000
9
Haveri
1
10000
240000
240000
10
Uttara Kannada
2
10000
240000
240000
11
Bellay
2
10000
120000
120000
12
Yadgiri
1
10000
120000
120000
13
Raichur
1
10000
120000
120000
14
Koppal
1
10000
120000
120000
15
Chikmagalur
1
10000
120000
120000
16
D. Kannada
1
10000
120000
120000
17
Udupi
1
10000
80000
80000
18
Kodagu
1
10000
120000
120000
19
Mandya
1
10000
120000
120000
20
Mysore
1
10000
240000
240000
21
Chamaraj Nagar
2
10000
120000
120000
22
Gadag
1
Total
27
32,00,000 32,00,000
(* PMWs recruited during 2013-14 and working during 2014-15 also salary of
Rs.10000/month paid since April 2014 out of the Opening Balance in the Districts. The
Budget provided in the Approved PIP 2014-15 is not sufficient for One year . Therefore
salary Rs.10000/month is continued for 2014-15*)
Programme Management
5.1 Travel Cost
Travel cost and Review Meetings
Sl.
No.
No. of unit
(State/District)
Activity
1.
Travel cost for
contractual persons at
State level (Tick one of
these)
2.
Travel cost for
contractual persons at
district level
>25-49 distt.
.
Unit cost
(Rupees)
1,00,000
27 PMWs (Not
Approved)
8 Dist. Lep.
Consultant
10,000
25,000
Total
Total
(Rupees)
1,00,000
32,00,000
1,92,000
6,28,000
Review meetings
Sl.
No.
Activity
Unit cost
(Rupees)
No. of unit
(State/District)
Total
(Rupees)
20,000
to
1.
4
50,000
1,20,000
(Average –
30,000)
Total
1,20,000
The NLEP programme will mainly provide services through the General Health Care
State level
Review
meetings
(Quarterly)
infrastructure with supervisory support from the District level Officers.
State Level Quarterly review meeting of DLOs will be conducted by the State. Budget is
provided as indicated above.
5.3 Office operation and maintenance.
Calculated for State according to number of districts
Unit cost per
No. of
Sl.No.
Item
district
districts
(Rupees)
Telephone, Miscellaneous,
1.
30
35,000
2.
3.
State Leprosy Cell
Office Equipment
Maintenance cost
State Leprosy Cell
Total
Total
amount
(Rupees)
10,50,000
1
75,000
75,000
1
50,000
50,000
11,75,000
5.4 Consumables
Calculated for State according to number of districts
Sl.
No. of
Unit cost per
Item
No.
districts
district (Rupees)
Stationary Items
30
30,000
1
District
1
50,000
2
State Leprosy Cell
Total amount
(Rupees)
9,00,000
50,000
9,50,000
Total
5.4 Mobility support - Vehicle Hiring and POL/Maintenance
Unit cost per
Sl.
No. of
No. of
Item
district
No.
districts Vehicle
(Rupees)
District Leprosy
30
1
1,50,000
1
Unit
2
2,00,000
2 State Leprosy Cell
Total amount
(Rupees)
45,00,000
4,00,000
49,00,000
Total
G.6 Others
Others
1
Travel Cost for District level
Rs.24,000/yr x 30 districts
2.
Travel cost for State Leprosy
Office
Total
-
-
5,00,000
-
5,00,000
-
Joint Director (Leprosy)