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The Ministry of Health and Family Welfare introduced the Kayakalp initiative on 15 May 2015. This initiative was launched after the launch of the ‘Swachh Bharat Abhiyan (SBA)’ programme to complement the efforts undertaken by the people under the SBA. The Prime Minister launched the SBA on 2 October 2014. It focuses on promoting and creating awareness of maintaining cleanliness in public spaces.
The ‘Swachhta Guidelines for Public Health Facilities’ was issued separately for initiating action under the SBA in the field of public health facilities. The first principle of healthcare is ‘to do no harm’. It is necessary for the health care facilities to maintain cleanliness and ensure adherence to practices of infection control.
Public health care facilities are a prominent mechanism of social protection for meeting the health care requirements of a large section of the population. Hygiene and cleanliness in hospitals are critical to prevent infections and give patients and visitors a positive experience. Maintaining hygiene in public health care facilities also promotes shaping behaviour related to a clean environment.
To complement the efforts of maintaining cleanliness under the ‘Swachhta Guidelines for Public Health Facilities’, the Ministry of Health and Family Welfare launched a National Initiative, i.e. Kayakalp. Under the Kayakalp initiative, the government gives awards to those public health care facilities that exhibit high levels of hygiene, cleanliness and infection control.
The distribution of awards is based on the performance of the public health care facilities on the below parameters:
The prerequisites for applying for an award are as follows:
First, the public health care facilities should carry out internal assessment every quarter, and they should maintain a record of the scores of each quarter. The scores are submitted to the office of the Chief Medical Officer. The internal assessment is done by the staff of the public health care facilities using the assessment tools.
For the public health care facilities having an average score of 70% in the internal assessment, the district/state will ensure that the peer assessment is carried out. Within the district, the hospital staff of one block-level facility will undertake the peer assessment of another block-level facility as determined by the District Hospitals/Chief Medical Officer(CMO). A similar process is followed at the state level by allocating a team from one district hospital to travel to another district hospital for undertaking a peer assessment within the state.
The District Award Nomination committee will collate and analyse the peer assessment scores of all the public health care facilities. The District Award Nomination committee will rank the Community Health Centres and Sub Divisional Hospitals according to the scores and submit them to the State Award Committee. The State Award Committee will shortlist the Community Health Centres and Sub Divisional Hospitals for an external assessment, in addition to peer assessment. The awards under the Kayakalp will be distributed based on the scores arrived using a specific protocol by the external assessment team.
Based on scores administered by an external assessment team, the awards will be distributed as follows:
Each of the above facilities will receive a cash award with a citation.