Persons affected by leprosy homes No. of persons affected by leprosy living in these homes Not Applicable

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1 DISTRICT PROFILE HARDOI (2008) Introduction is situated in the central part of Uttar Pradesh (UP). Geographically, it is the largest district of Uttar Pradesh. Agriculture is the main source of income to the people of this district. Approximately km² of district is devoted to agriculture. The main crops are paddy, sugarcane, wheat, vegetables, pulses and oilseeds. is surrounded by the districts of Shahjahanpur & Lakhimpur Kheri districts in the North, Lucknow & Unnao in the South, Kanpur & Farrukhabad in the West and Sitapur district in the east. It is crossed by the Ganges and its tributaries in the south. Further details of the district can be seen as under: Area (Sq. km.) 5,986 Total Population (projected ) 3,983,620 -Urban (%) Rural (%) Male (%) Female (%) Scheduled Caste (%) Scheduled Tribe (%) 0.36 Sex Ratio (M:F) Data not available No. of Nyay Panchayats 191 No. of Gram Sabha 1,101 No. of Villages 2,070 Total No. of School 3,403 -Primary 2,375 -Junior High School 680 -High School 162 -Intermediate 140 -Graduate 36 -Post Graduate 10 Literacy Rate (%) Male Literacy Rate (%) Female Literacy Rate (%) 35.6 No. of Urban Slums 18 JJ Cluster Data not available Persons affected by leprosy homes Nil No. of persons affected by leprosy living in these homes Not Applicable Health Facilities in District The rural health care system is a three tier structure. It has Sub-center at the most peripheral level, Primary Health Centre at the intermediate level and Community Health Centre at the secondary level. The population covered by a Sub Centre, Primary Health Centre and Community Health Centre are 3,000-5,000, 20,000-30,000 and 100,000, respectively. In addition, there are Private Voluntary Health Facilities, also. As per UP government organizational set up, the district is headed by a District Magistrate, who is also the chairperson of the Integrated District Health Society of district. The district health set up of UP

2 government is headed by the Chief Medical Officer followed by an Additional CDMO as secondin-command. The Chief Medical Superintendent looks after the UP government hospitals in the district. There are 519 government health care facilities in the district, as can be seen from the table given below. Category Number District Hospitals 01 No. of CHC 05 No. of PHC 14 No. of APHC New P.HC. 43 No. of Sub-Centres 432, Main Centre -19 Female Hospitals 01 Urban Health Posts/ Maternity Centres 01 Ayurvedic Hospitals 01 Homeopathic Hospitals 01 Urban Family Welfare Centres 02 Staff Position in the District Following is the list of health personnel employed under Uttar Pradesh government. Figures related to other health agencies are not available. Category Approved Number In Position Leprosy Training received (No. trained) Medical Officers Pharmacist Health Supervisor (M) Health Supervisor (F) Health Worker (M) Health Worker (F) NMS NMA ASHAs Nil Epidemiological picture of the district Though, the PR and ANCDR both have declined since but PR is consistent since and ANCDR is increasing steadily since The proportion of MB Cases and Gr 2 Cases amongst new cases has shown increase since However, there has been fluctuation in the proportion of Female Cases over these past 5 years. The proportion of Grade 2 Cases has decreased since

3 Graph 1 & 2: Essential Leprosy Indicators in district ( ) PR & ANCDR MB, Female, Child & Gr 2 Disability Proportion ANCDR PR MB Proportion Child Proportion Gr 2 Proportion Female Proportion Treatment Completion Rate (TCR) in the District Multibacillary cases registered in the year % Paucibacillary cases registered in the year % The TCR of both Paucibacillary and Multibacillary cases is quite high and efforts should be made to keep it to this level or improve it further. SUPPORT Programme Support This page contains information in general. More specific information will be made available as soon as possible. NLR has placed a senior Leprosy Programme Advisor (LPA),at Lucknow to cover 7 districts in the area including Lucknow being the headquerter for the LPA.He is a medical doctor with training in leprosy and long experience of working in public health activities. The LPA is visiting this district and transferring his skills, and providing guidance to District Nucleus (DN) so that DN improves their supervisory activities and in turn quality of leprosy services are improved, which will be provided through GHC staff. Through support from this LPA, following support activities have been completed in in the year 2008 On the basis of information available in the district, LPA has prepared the district profile of. During first quarter of 2008, situational analysis of functioning of District Nucleus (DN) was conducted. On the basis of this analysis, weaknesses, of the functioning of DN, were identified and following activities were planned to overcome these weaknesses Support in Supervision: NLR LPA initiated & motivated DN for the preparation of an Advance Tour programme, Activity Undertaken Report and Checklist for Supervision. The LPA supports the District Nucleus and visits a sample of peripheral health care facilities along with District Nucleus Team and provides them on the job with technical support in carrying out supervision of the peripheral GHC staff.

4 LPA also assists and transfers his skills required in preparation of Annual Plan of Action and monitoring of activities in the district DN team of was supported by LPA, in preparation of monthly reports including Line Listing of cases from other states, Quarterly Performance Reports and Monthly Reporting Formats. MDT management workshop for pharmacists was supported and facilitated by LPA of. 24 pharmacists were trained out of 64 pharmacists in the district. REHABILITATION Promotion of self care This district has no leprosy home hence no promotion activity could be started.

5 Contact Addresses of District Officials Dr. J. P. Upadhayaya Chief Medical Officer Dr. I. K. Srivastava District Leprosy Officer Dr A. K. Awasthi Deputy District Leprosy Officer Mr D. P. Singh Non Medical Supervisor Mr A. P. Singh Non Medical Assistant Mr R. S. Goswami Physiotherapy Technician

6 Dr. H. C. Pandey Leprosy Programme advisor Netherlands Leprosy Relief C 192, 1 st Floor Nirala Nagar Lucknow Uttar Pradesh Telephone nlr_lko@rediffmail.com