The Kayakalp initiative aims to promote cleanliness, hygiene, and infection control at public health facilities in India. A new theme of "Eco-friendly Health Facilities" has been added to the existing Kayakalp assessment tool to evaluate facilities on energy efficiency, pollution reduction, waste management, and environmental protection. A separate award category for the best "Eco-friendly" hospital has also been introduced, with awards of 10 lakhs for the best district hospital and 5 lakhs for the best community health center or sub-district hospital. Facilities will be evaluated based on their eco-friendly scores according to the revised Kayakalp checklist criteria on eco-friendly practices, waste management,