In Nepal, where elimination is currently in the process of being validated, KalaCORE works to develop capacity to sustain visceral leishmaniasis (VL) elimination in endemic districts through early diagnosis, effective treatment, vector control and effective disease surveillance.
VL (or Kala-azar) was a significant public health problem in Nepal. The disease is endemic in 12 districts in the Terai region, bordering the Indian state of Bihar, with an estimated 8.3 million population at risk. KalaCORE targets all endemic districts in the Eastern and Central regions of the country, including Jhapa, Morang, Sunsari, Saptari, Udayapur, Siraha, Dhanusha, Mahottari, Sarlahi, Rautahat, Bara and Parsa, and newly VL endemic districts, Okhaldhunga and Bhojpur.
Having achieved the elimination target, there are many lessons in the post-elimination phase that can be potentially learned from the Nepali context which can be applied to the other countries in the future.