Challenges of Sustaining Elimination Status of Leprosy in Nepal

  • Upama Poudel
  • Sudip Parajuli
  • Dinesh B Pokhrel
  • Rabindra Baskota
  • Amod Poudyal

Abstract

Introduction
The number of leprosy patients is increasing in Nepal even after declaration of elimination in 2010. The objective
of this study was to review the status of leprosy after declaration of elimination in Nepal and to identify challenges
to sustain elimination.
Methods
This was retrospective study conducted by reviewing the annual data published by Department of Health
Services, Ministry of Health, Government of Nepal from 2010 through 2018. In addition, one year hospital based
data (2017/18) was retrieved from records of Department of Dermatology and Venereology, Tribhuvan University
Teaching Hospital, Kathmandu, Nepal.
Results
The prevalence of leprosy was found to be 0.77/10,000 population in 2010 and 0.99/10,000 in 2018. The numbers
of multibacillary (MB) cases (remained more than 50%) outnumbered paucibacillary (PB) cases throughout eight
years.
Conclusion
The prevalence of leprosy is gradually increasing in Nepal with more number of multibacillary cases detected in
post-elimination era.
Keywords
Leprosy, multibacillary, paucibacillary

Published
2019-08-26