LEPRA - Focal Survey underway

Project update: Andhra Pradesh

Organisation: Lepra

Report: November and December 2021

Leprosy Active Case Finding, Disability Prevention and Financial Support

Lepra is excited to update you on the significant progress that has been made with the Catriona Hargreaves Charitable Trust (CHCT) funding in November and December this year. Our team in Andhra Pradesh regularly provided us with up-to-date information about the ongoing project activities related to active case finding, disability prevention and training programmes for the frontline health functionaries.

DPMR services in Nuzvid

DPMR services in Nuzvid

From regularly conducting surveys, finding new areas for the active case findings, leading disability prevention activities, disseminating information to identifying new volunteers from the community and training them on Leprosy, our team ensured the smooth operation of all the activities promised. Moreover, it has been a continuous effort to identify leprosy-affected people through active case finding, disability prevention, and to connect them with livelihood opportunities.

Besides managing these operational activities of the project, we made sure the administrative requirements are fulfilled, such as submitting the letter of request for conducting surveys and training to the State Leprosy Officer (SLO) so that the project can go on without any obstacles from different stakeholders.

The following are the major accomplishments from the project in November and December 2021:

Survey Activities:

The Rapid Enquiry Survey (RES) was conducted in 4 areas (Chinnapuram, Ranigarithota, Surampalli, Machilipatnam) with 2 volunteers in November and December.  Around 1020 Households were covered during the survey, and a total population of 3888 were enumerated, out of which 3397 were examined. Among 13 suspect cases, 5 Multibacillary (MB) and 1 Paucibacillary (PB) cases were reported, and they were kept under Multi-Drug Therapy (MDT) at the concerned Primary Health Care Center and Urban Health Centers.

Contact survey:

The Contact Survey was conducted in 14 areas- Pedana, Bandipalem, Chinnapuram, Venkata Durgambapuram, Baptistpalem, New RR Peta, Singh Nagar, Rajeevnagar, Kandrika, Wynchipeta, Kedareswaripeta, L.B.S.Nagar, Maduranagar, and Patamata Vijayawada urban areas, where through contract tracing we covered 35 households, enumerated 125 people, and examined 108 people. Through this survey we found 3 suspects but none of the cases was confirmed.

Focal Survey:

The focal survey was conducted in 6 areas at Bandipalem, Pedana, Venkata Durgambapuram, Chinnapuram, Kondapalli, Budavada, Vatsavai, Talluru, and Machinenipalemm Jaggaiahpet,  where with the involvement of 11 volunteers, the Focal Survey was conducted in November.  A total of 1529 Households were covered during the survey.  4924 people were enumerated and 4326 were examined.  Out of 23 suspects, 1 Multibacillary (MB) case was reported and the person was kept under MDT at Local Urban Health Center.

In December, a Focal survey was conducted in 6 areas at Malkapuram, Indugupally, Buchavaram, and Vijayawada urban area by 6 volunteers. Through this survey, 1529 households were covered like the previous month during the survey. Among them, 853 people were enumerated and 723 people were examined. 7 suspects have been reported, where 2 Paucibacillary (PB) cases were confirmed and they are kept under Multi-Drug Therapy (MDT).

Mobile IEC Van Awareness Generation:

Frontline workers' training in Vatsavai PHC

Frontline workers’ training in Vatsavai PHC

During November, approximately 556 pamphlets were distributed with the support of the Information, Education and Communication (IEC) mobile van before conducting the survey, and a mic announcement was arranged for creating awareness on Leprosy. 86 USHAs (Urban Social Health Activists) were trained in two areas- Rajeev Nagar and Vatsavai UHCs.

In December, 1014 Pamphlets were distributed with the support of the Information, Education and Communication (IEC) mobile van before the Survey Programmes took place. During the IEC Van Propaganda in Jonnapadu village, 2 MB Cases were reported and they were kept under MDT at the nearby Primary Health center and both of these people started Multi-Drug Therapy (MDT) for MB.

Disability Prevention and Medical Rehabilitation Services:

During November, Lepra organized 3 camps in the Krishna District, through which we reached 37 people affected by Leprosy with much needed Disability Prevention and Medication Rehabilitation (DPMR) services. Around 37 people with grade 1 and grade 2 disabilities were provided with self-care kits, and among them, 15 people received customized MCR footwear. In addition, physio aids were provided to 8 participants in the camp.

In December, we managed to organize 4 camps in the Krishna District, and through these camps, we reached 45 Leprosy affected people with Disability Prevention and Medical Rehabilitation Services (DPMR) services. In these camps, counselling, basic health education, and ulcer care were provided as a part of the DPMR services. Self-care kits were also provided to all 45 people with grade 1 and grade II disabilities. Moreover, Lepra provided 21 custom made MCR footwear to the target beneficiaries. For those who needed further support, different types of physio aids were provided such as goggles, crepe bandages, splints etc.

Socio-Economic Rehabilitation for Persons affected with Leprosy:

Livelihood Cheques issued to Beneficiary in SLO Office

Livelihood Cheques issued to Beneficiary in SLO Office

In November, Lepra successfully provided financial support with an amount of 10,000 INR to 5 leprosy-affected people to enable different livelihood opportunities such as petty shop extension, cloth business, mobile cart for selling food etc. Moreover, in December, Lepra addressed 5 Leprosy affected people and connected them with such socio-economic rehabilitation opportunities.


Screening, testing and treating TB

Project update: Community TB Awareness, Test and Treat Project

FIDRA logoOrganisation: Foundation for Development and Relief Africa (FIDRA)

Project contact: Ocen Ivan Kenneth

Two years of finding missing TB cases, and improving TB treatment and TB prevention in Remote Rural Communities in Uganda

Tuberculosis (TB) is still a major public health problem in Uganda. In 2016, the estimated TB incidence rate was 253 per 100,000 population, with 89,000 people becoming infected with TB annually, according to the 2016 Uganda National TB and Leprosy Survey.

Community TB Awareness, Test and Treat Project is an initiative that  provide a unique creation of voluntarily and  accessible TB Screening and treatment to the poor communities dwelling in the remotes and hard to reach rural communities, Raise community awareness on the dangers of TB and other neglected diseases, Identify, promote and enable early diagnosis, adherence to treatment and follow up on all cases of TB patients, Facilitate lifestyle changes that ultimately prevent the onset of these diseases and Train community TB health workers, ambassadors, and educators to monitor, respond and improve the quality of life of TB patients in rural communities of Northern Uganda.

Technical assistance was needed to find missing cases of TB, increase TB treatment success rates, and strengthen TB prevention to end the TB epidemic in Uganda. For example, out of an estimated 1,736 multidrug-resistant (MDR) TB cases, only 516 were detected, according to the 2016 survey.

Community TB educators and ambassadors designing work plans adapting to the COVID-19 preventive strategies for community TB service deliveries

Community TB educators and ambassadors designing work plans adapting to the COVID-19 preventive strategies for community TB service deliveries

FIDRA’s Community TB Awareness, Test and Treat Project was a 2 years project with a central goal of increasing TB case detection and treatment success to 90% of all cases to end the TB epidemic in rural communities of Northern Uganda.

FIDRA’s Community TB Awareness, Test and Treat Project also contributed to increased advocacy activities, including stakeholder engagement, local coordination committee meetings, and annual conferences.

TB operations research, knowledge management, and improving District TB policy: FIDRA facilitated development of community TB meetings, developed and scaled up change packages using continuous quality improvement approaches for actively finding missing TB patients, improving treatment success rates, accelerating preventative therapy initiation, improving patient retention, and authoring community TB activity implementation.

Two years in Numbers

  • 2,542 rural communities sensitized, 692 screened and tested and 85 treated for TB
  • 25 community TB educators and  ambassadors  trained and re-training, monitoring and following up on TB clients within their rural communities
  • 25 awareness campaigns on TB
  • 10 community TB ambassadors identifying victims and connecting them to early screening and treatment
  • 15 community outreaches conducted  on TB screening, testing and treatment

Challenges

  • The total number of turn up for TB Awareness, Testing and Treatment continue to be overwhelming despite outreaches taken to remote rural communities
  • Transportation to clients household for routine check and follow ups

Recommendation

We have procured and donated two bicycles to our community TB educators to deliver services to the clients. We recommend CHCT support us to procure 4 more additional bicycles to support community service workers with delivering their activities in the hard to reach communities.

As we prepare for the Christmas and Official Launch of FIDRA’s New Home.  We would like to thanks you a lot for the support we wish to continue working with you in the coming years.