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National Health Programmes: Manipur Scenario

National Leprosy Eradication Programme (NLEP)

The programme is in operation since 1955 as control programme. The prevalence of leprosy was 6 per 1000 population during the early eighties. The objective of the programme is to bring down the prevalence to 0.1 per 1000 population.

NLEP has been going on as a vertical programme but the state has already proposed to Government of India for integration of leprosy services with General Health Care Services.

Currently the programme is conducted through the following service units :

Sl. No Name of Centre No. of Units Centre Address
1 Urban Leprosy Centre 1 Imphal
2 Leprosy Control Unit 4 Thoubal, Bishnupur, Ukhrul &  Tamenglong
3 Survey education and Treatment  Centre(SET) 17
4 Leprosy Hospital (50 bedded) 1 Chingmeniring, Imphal
5 Temporary Hospitalisation Wards 2 Bishnupur & Thoubal
6 District Leprosy Societies for effective implementation of the programme 8 All Districts

Under World Bank assisted project (1996-97 to 2001-2002) Govt. of India provided cash assistance to the 8 District Leprosy Societies constituted to assist in implementing the programme. So far the World Bank has released Rs. 537.27 lakhs.

To augment the programme Modified Leprosy Elimination Campaign is launched. The first campaign was done from 8 to 14 March 1999 during which 14.59 lakhs population were covered.

2nd round Modified Leprosy Elimination campaign was held from December 1999 to Feb. 2000 about 80% of Medical Officers and 70% of Para Medical staff were given training.

Achievement for the past 5 years.

Year New Cases detection Cases discharged Under treatment PR/10000
Target Achievement (%) Target Achievement (%)
1997-98 200 244(122) 200 392(196) 520 2.36
1998-99 200 393(196.5) 400 234(98) 519 2.35
1999-2000 100 243(243) 500 505(101) 261 1015
2000-01 80 214(267.5) 300 270(90) 207 0.89
2001-02 80 166(207.5) 250 232(93) 142 0.59

National TB  Control Programme (NTCP):

Tuberculosis which has been described as a social disease is still a serious health problem in Manipur despite the control measures taken up for more than 30 years under national TB Control Programme. There is an increase in the incidence of this disease in the State and control of this disease has also become difficult due to emergence of drug resistance cases.

 


National Anti Malaria Programme (NAMP)

Malaria has been a big problem for the State

The State experienced resurgence of Malaria since 1992 which took alarming proportions with 7854 confirmed cases of which  68.1% were P.F. cases resulting to 55 deaths in 1994.

The programme was converted to 100% Centrally Sponsored Scheme (CSS) in December 1994. Henceforth, the operational cost and material cost are borne by the  Govt. of India excepting the salary of Multipurpose workers and the existing non-plan staff.

with active interaction under Modified Action Plan (MA) 1995 guidelines malaria situation has been under control.

Existing infrastructure and Facilities

The state has adequate surveillance machinery. All the Health Institutions up to PHC level have been provided facilities for blood smear examination. At present 2059 Drug Distribution Centres (DDC) amd 680 Fever Treatment Depots (FTD) are functioning in the State.

Epidemiological Data for the past 2 years:

Year Blood Smear Examinded Positive Cases of which pf % of pf Confirmed Death
2000 1.10 1064 380 35.7 Nil
2001 1.04 943 371 39.3 5
2002 (upto May) 0.25 224 91 40.6 Nil

National Programme for Control of Blindness (NPCB)

The objective of this programme is to reduce the incidence of blindness to 0.7% from the estimated present level of 1.35. The following statement shows the report on  N.P.C.B Manipur for the year 2000-01. During the period under report 41,333, patients were treated under N.P.C.B

 


National AIDS Control Programme

AIDS ( Acquired Immuno Deficiency Syndrome) has emerged as a serious public health emergency in Manipur. Its is affecting a number of youths in Manipur. Accoridng to the report published by National AIDS Control Organisation (NACO), Manipur ranks third highest as regards the total number of HIV positive cases, next to Maharastra and Tamil Nadu State.  In order to avert this looming catastrophe the following measures were taken up:

  • 100% blood safety in all the Blood banks in Manipur
  • Introduction of AIDS education in schools
  • 81% doctors, nurses & paranedicals trained in AIDS and related problems
  • Manipur State AIDS policy implemented
  • Various AIDS related  NGOs  are functioning in the State

 


National Iodine Deficiency Disorder Control Programme(NIDDCP)

Iodine defiency is a major public health problem in Manipur. The prevalence rate is 13%(1996). The objective of the programme is to reduce the prevalence rate to below 5% and ensure consumption by all household iodised salt of above 15 PPM.

The government of Manipur has already issued ban notification to the entry sale, storage, transportation of non-iodised salt. IEC activities and monitoring of salt samples through IDD monitoring lab and through field testing kits are the mainstay of the programme. Against the comsumption of iodised salt by 13% household in 1970, the percentage of household consuming salt has reached 96% in 2001-02.

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