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National Leprosy Control Program

Brief Description of the Program

Leprosy has been regarded in the past as a contagious, mutilating disease and carries with it a social stigma

which has a great impact on physical, social and mental wellbeing.

Strategies towards elimination of leprosy includes information dissemination, education, training and

capacity building, an organized referral system, prevention of disabilities, rehabilitation and research.

Leprosy is eliminated as a public health problem in the Philippines, specifically at the sub-national level

(provinces, cities and municipalities). However, it remains endemic locally and in localities with high

prevalence.

Without active surveillance and responsive control programs, Leprosy has the potential to re-emerge as a

threat to public health.

The National Leprosy Control Program of the Department of Health continues to provide support to various

stakeholders including our institution to conduct worthwhile projects to ensure that the Philippines maintain

the WHO elimination target which is a prevalence rate of <1.0 per 10,000 population.

Since 2004 to present, PR has been less than 1 per 10,000 pop. as a region and in each of the provinces/ city

Decreasing trend in the number of cases discovered from 2008 – 2012, but started to increase from 2013

Goals and Objectives of the Program based on Program NOH and Office QOP Objectives

Program Goal: Leprosy is eliminated as a public health problem in endemic areas.

To maintain low Prevalence Rate of Less than 1per 10,000 population

National Target: <1 per 10,000 pop

To maintain the Case Detection Rate of less than 5%

National Target: 1.8 per 100,000 pop

Target vs CAR Status as of 12/31/2014:

Prevalence rate of <0.35/10,000(CAR-0.06)

Case detection rate of 1.8%/100,000(CAR-0.34%)

Treatment completion of 90% (CAR-100% )

2015 Office QOP Objectives

To improve access and utilization of quality health care services and maintain the Regional Leprosy Prevalence Rate of less than 1 per 10,000 population

Coordinator and Contact Details/ e-mail address

Name of Coordinator Designation Contact

Number

Email Address

Clint Gil S. Ildefonso,RMT,MSPH Regional NLCP

Coordinator

09206747660/

09276796260

cg_ildefonso@yahoo.com

Accomplishment Report for the year 2014 and other latest relevant data as of December 31, 2014 in

tables/graphs and show trends

CAR Prevalence Rate of less than 1/10,000 population, by Province/City 2010-2014

Prov/ City 2010 2011 2012 2013 2014

No. PR No. PR No. PR No. PR No. PR

ABRA 5 0.20 2 0.08 1 0.04 2 0.08 2 0.08

APAYAO 4 0.32 4 0.32 2 0.15 0 0 1 0.08

BENGUET 2 0.05 2 0.05 1 0.03 0 0 0 0

IFUGAO 4 0.20 3 0.16 6 0.31 6 0.31 4 0.20

KALINGA 4 0.18 3 0.13 2 0.09 0 0 0 0

MOUNTAIN 0 0 1 0.06 0 0 1 0.06 0 0

BAGUIO 5 0.16 3 0.09 3 0.09 6 0.18 3 0.09

CAR 24 0.14 18 0.11 15 0.09 15 0.09 10 0.06

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CAR Prevalence Rate of less than 1/10,000 population, 2010-2014

CAR Prevalence Rate by Province/City of less than 1/10,000 population, 2010-2014

Annual Case Detection Rates/100,000 pop. by Prov. / City, CAR, 2010 - 2014

Prov/ City 2010 2011 2012 2013 2014

No. CDR No. CDR No. CDR No. CDR No. CDR

ABRA 5 2.05 2 0.84 1 0.42 2 2.08 1 0.41

APAYAO 4 2.43 4 1.58 1 0.77 0 0 0 0

BENGUET 2 0.48 2 0.51 1 0.25 0 0 0 0

IFUGAO 4 1.99 3 2. 60 3 1.54 6 2.57 2 0.98

KALINGA 4 2.73 3 0.44 1 0.44 0 0 0 0

MOUNTAIN 0 0 1 0.65 0 0 1 0.64 0 0

BAGUIO 5 2.21 3 0.60 3 0.89 6 1.18 3 0.86

CAR 24 1.59 18 0.9 10 0.59 15 0.89 3 0.34

CAR Annual Case Detection Rates/100,000 pop., 2010 - 2014

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CAR Annual Case Detection Rates/100,000 pop. by Prov. / City, 2010 – 2014

Annual Cohort Analysis of Multibacillary(MB) and Paucibacillary (PB) Leprosy Cases

Prov/ City Completed Treatment

PB Registered in January to

December 2013

MB Registered in January to

December 2012

ABRA 1 4

APAYAO 0 1

BENGUET 0 0

IFUGAO 0 6

KALINGA 0 0

MOUNTAIN 0 0

BAGUIO 0 4

CAR 1 15

ANNUAL COHORT of Multibacillary (MB) and Paucibacillary (PB) Leprosy Cases

PB Registered in January to December 2013

MB Registered in January to December 2012

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PROVINCES/ MUNICIPALITIES WITH LEPROSY CASES AS OF 3RD QUARTER OF 2015

(Priority Provinces and Cities for Monitoring in 2016)

PROVINCES/

CITY

MUNICIPALITIES NUMBER OF CASES

Abra Bangued, La Paz(2), Manabo,

Bucay, Dolores, San Isidro

7

Apayao Flora 1

Benguet La Trinidad 1

Ifugao Alfonso Lista, Mayoyao 2

Kalinga 0 0

Mt. Province 0 0

Baguio City 7

Grand Total: 18

Plans/Projects/ Activities

• Sustained provision of logistic support ( Anti Leprosy drugs, Ointments, Herbal Soaps) for Kilatis Kutis/

Leprosy elimination campaigns activities in the different LGUs

• Improve case detection.

• Strengthen collaboration and Good partnership with LGUs and other stakeholders especially in endemic

areas.

• Sustained IEC/Advocacy activities

• Capability building for health workers (Roll-out Training on Integrated Leprosy Information System)

• Monitoring and evaluation through field visits and program implementation reviews.

• Functionalize a post-elimination surveillance system.

Trainings for the year 2015

Integrated Leprosy Information System (ILIS) Roll-out Training for the whole month of September 2015

e-copy of existing IEC Materials/ Advocacy Themes/Slogans

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Services offered

-Technical Assistance (Coaching & Mentoring)

-Capability Building

Good Practices/Strategies

Sustained provision of logistic support ( Anti Leprosy drugs, Ointments, Herbal Soaps) for Kilatis Kutis/

Leprosy elimination campaigns activities in the different LGUs

Monitoring and evaluation through field visits and program implementation reviews

Issuance of program policies and guidelines from DOH-CO

Good partnership advocacy to the LGUs and other stakeholders

SWOT ANALYSIS National Leprosy Control Program

STRENGTHS

WEAKNESSES OPPORTUNITIES THREATS

• Sustaining expertise among health workers ( because of the low or no cases being discovered, expertise of health workers may diminish)

• PHNs and RHMs trained on the conduct of Interpersonal Communication and Counseling

• Multi-tasked leprosy coordinators at the different levels

• Frequent Change of Designated Provincial Leprosy Program Coordinators

• Stigma and social discrimination still exists, preventing some patients to voluntarily consult and seek treatment

• Presence of defaulter

• Continually determine capability of health workers and provide training or mentoring as needed

• Awaiting for the Installation of e-leprosy reporting

• Funding support of the national government has been increasing thereby increasing its range and capacity

• Leprosy Control efforts are assisted by foreign assisted projects such Novartis Foundation for Sustainable

• Staff adequacy remains a concern

• Health worker turnover is rapid.

• Knowledge and attitudes of health workers and communities in relation to stigmatization remain a concern.

• Active casefinding is costly and is usually done only during the leprosy awareness week.

• File copies of reports are not available in the health facilities

• The myriad of

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• Conduct contact tracing activities/ Mini LEC activities

• Intensified health education and information campaign

• Extensive capability building activities have been going on at all levels over the years.

• Kilatis Kutis Campaign strategy enables health workers to provide screening of skin conditions from the simplest possible as allergic dermatitis to more complex leprosy.

• The MDT and other support drugs given to leprosy patients is free, which fosters treatment completion

• With standard recently modified NLCP recording and reporting forms

• Delayed submission of reports from RHU to Province and Province to DOH-CAR

• Newly updated MOP needs to be disseminated to the different health workers.

• Some health workers involved in the diagnosis have not had any leprosy training

• Limited supply of MDT drugs, Ointments, herbal soaps, and copies of IEC materials at the regional level.

• Self-reporting of cases ranks low in the mode of detection. Most cases are reported on after condition has worsened, leading to higher possibility of complication.

Development as well as various NGOs like PDS and Culion Foundation like RITM /GOs as part of the Public-Private Partnership for capacity building of Health workers and empowerment of persons affected by Leprosy

source documents, failure to archive and appropriately file the patient records and the limited time to generate the reports may contribute to the faults in data recording and reporting

• Patients still incur out of pocket expenses in availing leprosy services such as management of complications of leprosy

GAPS:

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Small allocation of Ointments (ABO, Whitfield and Sulfur) from Central Office Delayed delivery of Herbal and sulfur soap Ointments for 2015 not yet procured, bidding failed 2x but trying to negotiate with TALA No ointment containers provided (like Sputum cups) Funding for the conduct of LEC, Kilatis Kutis Campaign Inadequate IEC materials

Prepared by: Noted by: CLINT GIL S. ILDEFONSO,RMT,MSPH. MA. LUISA L. PARAN, MD, MHA Regional NTP/NLCP Coordinator MO V/ LHSD Chief

Approved by:

AMELITA M. PANGILINAN, MD,MPH, CESO IV Director III/ Officer-In-Charge