The Union Health and Family Welfare Minister J P Nadda on 15 May 2015 launched kayakalp Award Scheme. The 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. The objectives of the award scheme is to promote cleanliness, hygiene and infection control practices in public health care facilities, to incentivize and recognize such public healthcare facilities that show exemplary performance in adhering to standard protocols of 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.

1. DR Vivek Varat Pattanaik

2. The Union Health and Family Welfare Minister J P Nadda on 15
May 2015 launched kayakalp Award Scheme.

3. kayakalp Award Scheme
The 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.

4. 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.

5. Scope
1) 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.

6. Cash Awards: DHH, SDH/CHC
Category AssessmentScore Amount
(Rs. in Lakhs)
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 & Cash Award

7. 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

8. Assessment Protocol

9. Assessment
Process
Continuous
Internal
Assessment
HOSPITAL
D I S T R I C T
STATE
N A T I O N A L
Peer Assessment
External
Assessment for
Award
Sample
Verification

10. Assessment Activities
Internal
Assessment
• Hospital Staff
• Periodic Exercise
• Scores to be
Reported to
District & State
Committee
• Followed by
Action Plan
Peer
Assessment
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

11. 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
Checkpoint
Tangible measurable checkpoints are those, which can be
objectively observed and scored. 250

12. Hospital upkeep Sanitation & Hygiene
Support Services.
Waste Management
Infection Control
Hygiene promotions
100
100 100
100 50 50

13. Assessment Method
OBSERVATION (OB) STAFF INTERVIEW (SI)
RECORD REVIEW (RR) PATIENT INTERVIEW (PI)

14. Compliance & Scoring Rules
Full 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

16. Theme A – Hospital / Facility upkeep

17. 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

18. Theme B – Sanitation & Hygiene

19. 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

20. Theme C – Waste Management

21. 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

22. Theme D – Infection Control

23. D1 Hand Hygiene D2: Personal
Protective
Equipment
D3: Personal
Protective Practices
D4: Decontamination
& cleaning of
instruments
D5: Disinfection
and sterilization of
instruments

24. D6: Spill
management.
D7: Isolation and
Barrier Nursing.
D8: Infection
Control Program
D9: Hospital
Acquired infection
surveillance
D10:
Environmental
Control.

25. Theme E – Support Services

26. Laundry Water and
Sanitation
Kitchen and
food
Security outsource

27. Theme F-Hygiene Promotion

28. Community
monitoring &
patient
participation
Information,
Education and
Communication
Leadership and
Teamwork.
Training,
Capacity
building and
standardization
Staff Hygiene
and Dress
Code.

29. SUCCESS STORIES OF KAYAKALP