Topic: Welfare schemes for vulnerable sections of the population by the Centre and States and the performance of these schemes; mechanisms, laws, institutions and Bodies constituted for the protection and betterment of these vulnerable sections.
4) Critically analyze the performance of National Leprosy Eradication Programme of India.(250 words)
Why this question
India accounts for around 60% of leprosy patients in the world NLEP has played a significant role in decreasing the prevalence of the disease in India but it has also underperformed on various fronts for different reasons. The issue is related to GS- 2 syllabus under the following heading –
Welfare schemes for vulnerable sections of the population by the Centre and States and the performance of these schemes; mechanisms, laws, institutions and Bodies constituted for the protection and betterment of these vulnerable sections.
Key demand of the question
The question wants us to dig deep into the issue of leprosy in India and write a detailed analysis of the NLEP- its achievements and failures and an overall review of the programme.
Critically analyze- the question demands an exhaustive and in depth study of the NLED and bring out its achievements and failures. Then we have to form a personal opinion on the issue.
Structure of the answer
Introduction – mention that India is home to around 60 percent of leprosy patients (don’t use the humiliative word leper). Also write about leprosy disease, its causative agent and main effects.
- Discuss the achievements of the programme and the salient aspects of the strategy it adopted. E.g decrease in prevalence from more than 5/ 10000 to 0.66/ 10000; elimination of the disease from 34 out of 36 states/UTs etc. also mention the strategy adopted by NLEP- post exposure prophylaxis and the revision in vaccine type; nikusth- web based reporting system for leprosy etc.
- Discuss the problems faced and inadequacies of the programme. E.g focus on eliminating leprosy as a public health problem rather than complete elimination; change of leprosy workers as multipurpose workers with the additional responsibility for HIV; inadequate monitoring and reporting system etc.
Conclusion– give your opinion on the issue and suggest the way forward- sustained and more vigorous efforts, multi-stakeholder approach, upgrading infrastructure, political and social priority etc.