Rathnapura District is a medium risk District of leprosy consists of 17 Divisional Secretariat Divisions. Child leprosy transmission needs to be interrupted in Embilipitiya, Kuruwita, and Rathnapura DSDs. Kolonna DSD progressing to achieve leprosy elimination status with in the next 5 years. Except above DSDs all other DSDs child leprosy transmission interrupted but adult leprosy transmission is not interrupted.