Uttar Pradesh, a shining example of effective governance, is winning the battle against Hathi Pao or Lymphatic Filariasis (LF). This insidious disease, caused by tiny parasites transmitted through mosquito bites, inflicts immense suffering on its victims. However, it is preventable. By consuming anti-filarial drugs once a year, the transmission of this disease can be stopped and even those already infected by the parasite can become filaria free. The drugs are available free of cost in endemic areas of the country and Centre and state governments are ensuring consumption of these drugs widely during the Mass Drug Administration (MDA) rounds.
Under the visionary leadership of Chief minister Yogi Adityanath has implemented the programme successfully. Following the call of the leadership, it has pledged its commitment as well to eliminate LF by 2027.
Uttar Pradesh’s success in LF elimination can be attributed to its inclusive and comprehensive approach, which involves a diverse range of stakeholders. Through collaboration with government agencies, healthcare providers, elected representatives, and development partners, the state has built a robust network dedicated to eliminating LF. This collaborative effort ensures that resources, expertise, and perspectives converge, effectively addressing the complex challenges posed by LF.
The state’s emphasis on quality has played a pivotal role in the successful implementation of MDA. District-level programme officers diligently monitor and review the quality of training, tools, and equipment, ensuring that the campaign operates with precision and efficacy. Uttar Pradesh has also developed robust micro-plans that streamline the MDA process, ensuring a standardised approach that brings consistency and efficiency to MDA implementation, leaving no room for ambiguity and ensuring that every step is meticulously executed.
Recognising the power of communication, Uttar Pradesh has harnessed technology to conduct frequent review meetings through video calls. This proactive communication approach facilitates real-time updates, knowledge sharing, and prompts resolution of challenges, enhancing coordination and fostering a sense of accountability among stakeholders.
Real-time data support enables programme officers to make informed decisions and fosters a culture of accountability throughout the MDA process. The state’s commitment to accurate data collection and analysis is evident in the Night Blood Surveys (NBS), a crucial tool in measuring infection levels. By meticulously mapping and crosschecking survey data, Uttar Pradesh ensures accuracy and comprehensiveness in its LF elimination efforts.
Furthermore, the integration of data collection methods with health services is crucial for effective Morbidity Management and Disability Prevention (MMDP). This ensures that the needs of individuals suffering from LF are met through comprehensive care.
In addition to strengthening preventive drug administration, the state’s LF elimination programme also hinges on ensuring access to care and treatment for those suffering from manifestations of LF, also known as Morbidity Management and Disability Prevention (MMDP). To address previous issues surrounding the availability and utilisation of MMDP services, Uttar Pradesh has prioritised quality assessments. Through increased funding, trainings with district officials, and the engagement of medical professionals, the state has overcome hurdles and strengthened the MMDP services. This proactive approach ensures that LF treatment and prevention services are delivered efficiently and effectively.
Community engagement
Uttar Pradesh’s dedication to community engagement is evident through programmes like DASTAK, which conduct community outreach and screening. By empowering frontline health workers and prioritising their training, the state ensures that information and awareness campaigns reach the grassroots level, leading to early diagnosis and treatment of JE/AES, LF, Tuberculosis, kala-azar and other infectious diseases.
Importantly, commitment to the programme from the highest government offices has meant LF elimination is prioritised, and accountability is ensured. Through regular reviews led by senior officials, the state reinforces the importance of prioritisation and accountability in the fight against LF. Such high-level engagement guarantees continuous momentum and progress.
It is clear, therefore, that Uttar Pradesh’s outstanding achievements in LF elimination serve as a beacon of hope and inspiration. By adopting a holistic approach, emphasising quality, utilising real-time data, and engaging diverse stakeholders, the state has set an exemplary standard for LF elimination. It is imperative that other states and nations learn from Uttar Pradesh’s successes, replicate effective strategies, and unite in the global effort to eliminate LF once and for all.
Shri Jai Pratap Singh is an MLA from Uttar Pradesh’s Bansi (Sidharth Nagar) constituency and former state cabinet minister, medical health and family welfare. Views are personal.
(Edited by Anurag Chaubey)