an assessment of Healthcare Fascilities

1. KAYAKALP
(Rejuvenating Public Health Facilities)
By-
Dr. Ruchi Kushwaha
SGPGIMS, Lko

2. BACKGROUND
A clean environment in a health facility is essential to the dignity and
comfort of patients. It reflects the culture of concern for patients and
respect to the staff and visitors. Cleanliness and hygiene in public health
facilities are part of a continuum of the entire gamut of quality parameters.
“A customer is the most important visitor on our premises; he is not
dependent on us. We are dependent on him. He is not an interruption in our
work. He is the purpose of it. He is not an outsider in our business. He is
part of it. We are not doing him a favour by serving him. He is doing us a
favour by giving us an opportunity to do so.”
-Mahatma Gandhi

3. Swachh Bharat Mission is a National Initiative launched by Honorable Prime
Minister on 145th birth anniversary of Mahatma Gandhi on 2nd October 2014 at
Rajghat New Delhi, launched in remembrance of Mahatma Gandhi's words
"Cleanliness is next to Godliness".
'A clean India' will be a tribute to Mahatma Gandhi on his 150th birth
anniversary in 2019.
The Union Minister for Ministry of Health & Family Welfare, Govt. of India,
Shri J. P. Nadda has launched a national initiative on 15th of May, 2015 to
promote cleanliness and enhance the quality of public health facilities . The
purpose of this initiative is to appreciate and recognise their effort to create a
healthy environment. The name of this initiative is “KAYAKALP”.

4. INTRODUCTION
Swacchata : A Mission for All

5. OBJECTIVES
To promote cleanliness, hygiene and Infection Control Practices in Public
health care facilities.
To incentivise and recognize such public healthcare facilities that show
exemplary performance in adhering to standard protocols cleanliness and
infection control.
To inculcate a culture of ongoing assessment and peer review of
performance related to hygiene, cleanliness and sanitation.
To create and share sustainable practices related to improved cleanliness in
public health facilities linked to positive health outcomes.

6. CRITERIA FOR ASSESSMENT
HOSPITAL
UPKEEP
SANITATION &
HYGIENE
WASTE
MANAGEMENT
INFECTION
CONTROL
SUPPORT
SERVICES
HYGIENE
PROMOTION

7. Criteria for application to the Awards Scheme
 Constituted a Cleanliness and Infection Control Committee.
Instituted a mechanism of periodic internal assessment/peer
assessment based on defined criteria.
Achieved at least 70% score in the criteria during the peer assessment
process.

8. Kayakalp Cash Awards to Public Health Facilities
Category Facility Assessment Score Amount Rs. In
Lakhs
Large States DH Highest (Best) Rs. 50.00
Runner up First Rs. 20.00
Runner up Second Rs. 10.00
SDH/ CHC Highest (Best) Rs. 15.00
Runner up Rs. 10.00
PHC One in each District Rs. 02.00
DH & CHC Highest in the state
in each Thematic
Area
@DH- Rs. 01.00
@CHC-Rs. 00.50
Commendation
Award
(70 % or more )
All States DH More than 70 % Rs. 03.00
SDH/CHC Rs. 01.00
PHC Rs. 00.50

9. INSTITUTIONAL FRAMEWORK
State Level:
A state level Award Committee is to be constituted under the
chairpersonship of the Health Secretary/Mission Director. Suggested
members include senior officers from Health Directorate, State Quality
Assurance Committee, Development Partners working in the states,
Superintendents of Medical College hospitals, NGOs working on health and
sanitation themes, and representatives of other relevant departments like
Public Health Engineering Department, Pollution Control Board and Water
and Sanitation department.

10. External Assessment Teams-
External Assessment team would be constituted for the proposed assessment
and validation of the scores of nominated facilities. State Award Committee
would identify and appoint external assessors. Following can be appointed as
External assessors-
 State level program officers/ Officials from Health Directorate.
 Experts working with Developments Partners/ International
Agencies/NGOs.
 Trained internal and external assessors for National Quality Assurance
Standards/other quality standards.
 Faculty from medical Colleges/ SIHFWs/ Technical support institutions
 Retired senior health officials and other health experts.

11. District level Award Nomination committee –
A three to five member committee at the district level under the chairpersonship of
the DM/Chief Medical Officer (CMO). Suggested members include
CMO/representative, Member of Zilla Panchayat Health Committee, District Quality
Assurance Committee, civil society representatives and eminent RKS members as
members of which at least one of the members should be a woman. This committee
would undertake the following tasks:
1. Disseminate details of award scheme and criteria to all health care facilities in the
district.
2. Ensure the process of internal and peer assessment in the district through:
 Training facility staff in undertaking internal/peer assessments
 Allocation of teams for peer assessments and providing logistic support
“

12.  Monitor implementation of internal and peer assessments, and
 Review of scores and support facilities to fill identified gaps.
3. Nominate facilities for award based on the scores obtained by
internal/ peer assessment for finalization at the state level.
National Level:-
At the national level, a National Committee under the
Chairpersonship of the Mission Director would review this National
Initiative periodically for any necessary modifications.

13. ASSESSMENT PROCESS
STEP - 1 STEP - 2 STEP - 3
Internal
Assessment
Peer assessment External
Assessment
• Hospital Staff
• Periodic
Exercise
• Scores to be
reported to
District
committee
• Followed by
Action Plan
• Hospital Staff
• Periodic
Exercise
• Scores to be
Reported to
District
• Followed by
Action Plan
• Staff from other
Hospital facilities
• Once 70% score is
achieved in
Internal
Assessment
• Essential for
nomination for
State level External
Assessment
• By Team of
trained external
assessor
• Once
nomination is
received from
District
nomination
committee
• Essential for
State level
award &
commendation

14. SCORE CARD

15. THEMATIC SCORES

16. AWARD DECLARATION
State Award Committee will rank facilities according to the scores obtained
in external assessment and identify the top two ranked for award. The list of
selected facilities would be formally disseminated through circular and
displayed at official website of the state health department. The state
committee would also declare the eligible facilities for the Certificate of
Commendation.

17. Cash Award
75 % of the cash award amount will go to the Rogi Kalyan Samities
for investments in improving the amenities, upkeep and services,
while 25% of the cash award will be given to the facility teams as a
team incentive.

18. The Winners of Kayakalp 2015-2016
1st Award -Rs. 50.00 Lakhs - Ram Manohar Lohia Hospital, Lucknow
2nd Award – Rs.20.00 Lakhs - Dr. BRA District Hospital, Etawah
Commendation Award
to 9 Hospitals - 1. Rani Laxmi Bai Hospital, lucknow
2. Balrampur Hospital, lucknow
(Rs. 3.00 Lakhs Each) 3. T.B. Hospital, Hathras
4. District Hospital, jalaun
5. District Hospital, Jhansi
6. District Women Hospital, Shahjahanpur
7. District Women Hospital, Farrukhabad
8. District Women Hospital, Allahabad
9. District Women Hospital, Meerut

19. The Winners of Kayakalp 2016-2017
1st Award - Rs.50.00 Lakhs - Dr. BRA District Hospital, Etawah
2nd Award – Rs.20.00 Lakhs - District Women Hospital, Lalitpur
3rd Award – Rs.10.00 Lakhs - VAB Mahila Chikitsalaya, Lucknow
Commendation Award
to 10 Hospitals -1. RML Hospital, lucknow
2. SPM Civil Hospital, Lucknow
(Rs.3.00 Lakhs Each) 3. Pt.DDU Govt. Hospital, Lucknow
4. VJB Women Hospital, Lucknow
5.District Hospital, Jhansi
6. District Women Hospital, Muzaffar Nagar
7. Balrampur Hospital, lucknow
8. TB Sapru Hospital, Allahabad
9. DCH Hospital, Ghaziabad
10. District Women Hospital, Meerut

20. The Winner CHCs – 2016-2017
1st CHC – Rs.15.00 Lakhs – Muradnagar, District Ghaziabad
2nd CHC – Rs. 10.00 Lakhs – Sidhauli, Sitapur
Commendation Award to 9 CHCs –
( Rs.1.00 lakhs Each )
Sl. No. District CHCs
1 Gorakhpur Pipraich
2 Varanasi Cholapur
3 Lucknow Chinhat
4 Lucknow BKT
5 Lucknow Malihabad
6 Hapur Garh Mukteshwar
7 Saharanpur Fatehpur
8 Hardoi Sandeela
9 Lucknow Gosaiganj

21. The Winner PHCs 2016 -2017 @Rs.2.0 Lakhs
Sl.
No.
Districts PHCs
1 Jhansi Sakrar
2 Kanpur Dehat Sarvankheda
3 Gorakhpur Brahmpur
4 Lucknow Nigoha
4 Basti Marwatiya
6 Unnao Bichiya
7 Kanpur Bithoor
8 Allahabad Dhanupur
9 Meerut Bhoodharal
10 Lalitpur Jhakora
11 Sitapur Kamlapur
12 Raebareli Harchanpur
13 Jalaun Dakor
14 Bareilly Kuwatanda
Sl.
No.
District PHCs
1 Jhansi Barua Sagar
2 Lucknow Sarojini Nagar
3 Jhansi Bamaur
4 Jhansi Ambabay
Commendation Award to
PHCs @ Rs.0.50 Lakhs

22. Winners Under the Central Govt.Hospitals Category
2016-2017
1st Award - Rs.5 Crore – All India Institute of Medical Sciences (AIIMS), New Delhi
2nd Award – Rs.3 Crore – North Eastern Indira Gandhi Regional Institute of Health & Medical
Sciences (NEIGRIHNS), Shillong
3rd Award – Rs.1 Crore- Postgraduate institute of Medical Education & Research
(PGIMER), Chandigarh
Commendation Award to 3 Hospitals – 1. AIIMS, Raipur
( Rs. 50 Lakhs Each ) 2. AIIMS, Jodhpur
3. National Institute of Tuberculosis and Respiratory
Diseases (NITRD), Delhi