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CASE STUDIES
glare by reducing health-seeking and in 2020, the predicted was suffering from malnutrition,
behavior among the community new case detection rates are forcing them to resort to begging.
for leprosy. (Abhiruchi Galhotra, 16.2 per 100,000 population in Figure 2: Socio-morphological bifurcation
2019) Chhattisgarh. As per the various of the community: Proportion of
estimates elimination in these marginalized communities in the Project
In India, total number of regions will not be established
new cases diagnosed in 2017 before 2026 (Abhiruchi Galhotra,
were 1,26,164 (approximately 2019).
60% of the world’s new
leprosy cases). The highest Ashanagar is encompassing
prevalence of leprosy was seen an area of approx. 1.46 hectare
in Chhattisgarh (2.25/10,000 in ward 22 of Rajnandgaon
population) Municipal Corporation,
Chhattisgarh. A total of 61 For reversing the systemic
The WHO launched a 5-year families suffering from leprosy injustices and stigma faced by
“Global leprosy strategy and physical disabilities were the leprosy affected community,
2016– 2020’ in April 2016 staying in this area since 1984, Municipal Corporation
titled ‘accelerating towards a with a total population of 289 Rajnandgaon designed a project
leprosy-free world’. The global members, which includes 91 “Asha Chadhi Parwan” that
prevalence of leprosy according males, 110 females and 88 focused on supporting the
to Global leprosy Update 2017 children. Most of them would community and bringing in
is 0.25 per 10,000 population. beg for their daily needs, some paradigm shift by providing
South East Asia Region (SEAR) did casual labor work while access to their fundamental
contributes about 73% of the a few ferried commuters on a rights to land, housing,
global leprosy burden with bicycle rickshaw. Social stigma education, health and dignity –
the highest prevalence i.e. 0.6 associated with the disease left while keeping gender equality
per 10,000 population. India them with no permanent source as a central component.
contributes the highest number of income. Unable to afford Project Costing, source of
of leprosy patients to the burden regular meals, thinking about fund, Project Particulars,
of leprosy all over the world owning a house was a distant Infrastructures
(Abhiruchi Galhotra, 2019). dream for these residents.
The spread of leprosy in a Though this leprosy affected Major funding for the project has
population is highly dependent vulnerable people are entitled for been provided by Central and
on the variation in susceptibility various government-sponsored State Governments via various
of individuals and the intensity schemes, resulting due to lack of schemes, out of which the
of contact with other individuals. awareness of their rights and the Pradhan Mantri Awas Yojana-
Therefore, the main principles ingrained inferiority felt by the Housing for all (PMAY-HFA)
of leprosy control also include community, it meant they were Mission has played the pivotal
early detection of leprosy cases, not accessing these privileges. role.
as Leprosy can only be acquired This community had been Till date approx. Rs. 1.37
by susceptible individuals. subjected to land expulsions, Crore has been utilized in the
The new case detection rates and in 1984 were shunted to the implementation of the project
in Chhattisgarh are 2–7 times edge of the city resulting in few which has been funded via
higher than the national rates, livelihood opportunities and PMAY-HFA Mission, while
104 HUDCO-HSMI Publication
