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  project name ~ JSS-Tuberculosis & Leprosy care 2013-14

category ~ Health Care - Adult




  Project Name


JSS-Tuberculosis & Leprosy care 2013-14



JSS (Jan Swasthya Sahyog)



Health Care - Adult







  Budget Approved


Rs 828562.50


  Year Approved







  Chapter Coordinators


Ritangshu Giri
Vasundhara Rangaswamy
Srinivas Chadram (Naga)
Aravind Natarajan


Bay Area









Jan Swasthya Sahyog works in parts of Kota and Lormi blocks of Bilaspur district in Chhattisgarh, running a three-tier community health programme through a network of village health workers in 53 villages; three subcentres, and a base clinic at Ganiyari.
JSS also runs crèches as part of its community programme. These crèches provide day care to children between 6 months and 3 years of age, including supplementary nutrition, while also allowing parents to work, as well as allowing older siblings to go back to school. Their primary aim is to reduce the incidence and prevalence of malnutrition in this vulnerable villages. JSS also provides free and cheap facilities for treating diseases like tuberculosis and leprosy to the villagers.





In last five years JSS have seen 2400 new tuberculosis patients. More than 98% of them belong to some backward social group. Unfortunately every year we found almost similar trend in terms of the nutrition status. The median weights were almost same every year and it was ranging between 41 to 43 kgs for men and between 36 to 37 kgs in women. The proportion of extra-pulmonary tuberculosis in all these years continues to be around 30%. The detailed graphs are attached in the annexures. For many years, JSS attracts leprosy patients referred from various places. We continue to see a large number of new leprosy patients coming for treatment.





Specific objectives of Tuberculosis care program at JSS are – 1. Those who are diagnosed get appropriate diagnosis for their status : DST, courier charges 2. Those who start treatment finish it and all reasons for compliance are looked at travel, free drugs, 3. Improve enough to be able to work, and have less toxicity : food, 4. Supporting links with the state: referral of MDR patients for half care. For leprosy JSS :- Correct and complete diagnosis including lab care ? Appropriate treatment with steroid and other anti-inflammatory agents, and for the duration of 1 to 2 years depending on the type ? Appropriate care for lepra reactions ? Ulcer and anesthetic sites care, and other preventive care ? Ensuring referral to appropriate specialized institutions in the region for the leprosy patients who need surgical intervention.



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