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The Union Health and Family Welfare Minister J P Nadda on 15 May 2015 launched kayakalp Award Scheme.
kayakalp Award SchemeThe scheme is intended to encourage and incentivize Public Health Facilities (PHFs) in the country to demonstrate high levels of cleanliness, hygiene and infection control practices.
Objectives 1) To promote cleanliness, hygiene and Infection Control Practices in public
Health Care Facilities.
2) To incentivize and recognize such public healthcare facilities that show exemplary performance in adhering to standard protocols of cleanliness and infection control.
3) To inculcate a culture of ongoing assessment and peer review of performance related to hygiene, cleanliness and sanitation.
4) To create and share sustainable practices related to improved cleanliness in public health facilities linked to positive health outcomes.
Scope1) Assessment on predefined objective criteria.
2) System of Peer-review.
3) Cash Award for DHs .
4) Two SDHs/CHCs in a State (one award in each category for small states).
5) Cash Award for one PHC in each District.
6) Certificate for commendation & cash award for facilities achieving more than 70% score.
7) Felicitation of best Hospitals at National Level.
Cash Awards: DHH, SDH/CHCCategory AssessmentScore Amount
(Rs. inLakhs)
DHH Highest(Best) Rs.50.00
Ist Runner-up Rs.20.00
SDH/CHC Highest (Best) Rs 15.00
Runner-up Rs. 10.00
Commendation&CashAward
DHH Morethan70%Score Rs.3.00
SDH/CHC Morethan70%Score Rs.1.00
In order to motivate, sustain and improve performance in facilities that score over 70%, but do not make it to the list of award winning facilities in a particular year, a Certificate of Commendation plus cash award would be given as follows:Facility Cash award
District Hospital Rs. 300,000
CHC/SdH rs. 100,000
Primary Health centres rs. 50,000
Assessment Process
Continuous Internal
Assessment
HO
SP
IT
AL
D I S T R I C T
ST
AT
E
N A T I O N A L
Peer Assessment
External Assessment for
Award
Sample Verification
Assessment Activities Internal
Assessment
• Hospital Staff• Periodic Exercise• Scores to be
Reported to District & State Committee
• Followed by Action Plan
PeerAssessment
External Assessment
• Staff from other health facilities
• All health facility• 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 and commendation prize
KAYAKALP Measurement System
Thematic areas
Broad areas or themes for assessing different aspects of “Cleanliness” like Hospital/ Faciity upkeep, Sanitation & Hygiene, waste Management, Infection Control, Support services and Hygiene promotion.
Components
6
Statement of requirement for particular aspect of Cleanliness 50
CheckpointTangible measurable checkpoints are those, which can be objectively observed and scored. 250
Hospital upkeep Sanitation & Hygiene
Support Services.
Waste Management
Infection ControlHygiene promotions
100100 100
100 50 50
Compliance & Scoring RulesFull Compliance
Partial Compliance
Non Compliance
2
1
0
All Requirements in Checkpoint are Meeting All Tracers given in Means of verification are available Intent of check point is meeting
Some of the requirements in checkpoints are meeting All Least 50% of tracers in Means of verification are
available Intent of check point is partially meeting
Most of the requirements are not meeting Less than 50% of tracers in Means of verification are
available Intent of Check point is not meeting
Pest & Animal Control
Landscaping & Gardening
Maintenance of open area
Hospital Appearance
Illumination
Removal of Junk Material
Water Conservation
Maintenance of Furniture & Fixtures
Work Place Management
Hospital Upkeep
Theme A
Infrastructure Maintenance
Clean Circulation area
Clean Wards
Clean procedure area
Clean Ambulatory area
Clean Toilets
Standard methods for cleaning
Monitoring of cleanliness activities
Drainage and sewage management
Sanitation & Hygiene
Theme B
Clean Auxiliary areas
Standard material and equipment for cleaning
Segregation
Collection & transportation
Sharp Management
Storage of BMW
Management of hazardous waste
Liquid waste management
Equipment & supplies of BMW
Solid general waste management
Statuary Compliances
Waste Management
Theme C
Disposal of BMW
D1 Hand Hygiene D2: Personal Protective Equipment
D3: Personal Protective Practices
D4: Decontamination & cleaning of instruments
D5: Disinfection and sterilization of instruments
D6: Spill management.
D7: Isolation and Barrier Nursing.
D8: Infection Control Program
D9: Hospital Acquired infection surveillance
D10: Environmental Control.
Communitymonitoring&
patientparticipation
Information,EducationandCommunication
LeadershipandTeamwork.
Training,Capacity
buildingandstandardization
StaffHygieneandDressCode.