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Pub­lic health care fa­cil­i­ties are a ma­jor mech­a­nism of so­cial pro­tec­tion to meet the health­care needs of large seg­ments of the pop­u­la­tion. Clean­li­ness and hy­giene in hos­pi­tals are crit­i­cal to pre­vent­ing in­fec­tions and also pro­vide pa­tients and visi­tors with a pos­i­tive ex­pe­ri­ence and en­cour­ages mould­ing be­hav­iour re­lated to clean en­vi­ron­ment. As the first prin­ci­ple of health­care is “to do no harm” it is es­sen­tial to have our health­care fa­cil­i­ties clean and to en­sure ad­her­ence to in­fec­tion con­trol prac­tices. Prime Min­is­ter Naren­dra Modi has on Oc­to­ber 2, 2014 launched Swachh Bharat Ab­hiyaan which fo­cuses on pro­mot­ing clean­li­ness in pub­lic spa­ces. In a con­tri­bu­tion to Prime Min­is­ter’s flag­ship pro­gramme ‘Swachh Bharat Ab­hiyan’, the Min­istry of Health & Fam­ily Wel­fare has launched a na­tional ini­tia­tive to give awards to those pub­lic health fa­cil­i­ties that demon­strate high lev­els of clean­li­ness, hy­giene and in­fec­tion con­trol.

The first-of-its-kind scheme launched by Union Health & Fam­ily Wel­fare Min­is­ter JP Nadda is chris­tened ‘Kayakalp’. Based on the set cri­te­rion, prize win­ners will re­ceive a cash award with a ci­ta­tion. First rank and sec­ond rank awardees at dis­trict level hos­pi­tal will get Rs. 50 lakh and Rs. 20 lakh re­spec­tively. While Rs 15 lakh and Rs 10 lakh are pro­posed for com­mu­nity health cen­tres/ sub dis­trict hos­pi­tals for the same cri­te­ria and win­ner at pri­mary health cen­tre will get Rs 2 lakh un­der this scheme. Cer­tifi­cate of Com­men­da­tion plus cash award would also be given to such fa­cil­i­ties that score over 70 per cent, but do not make it to the list of top two/one in a par­tic­u­lar year, which is pro­posed as Rs 3 lakh for dis­trict hos­pi­tal, Rs 1 lakh for com­mu­nity health cen­tres/sub dis­trict hos­pi­tals and Rs 50, 000 for pri­mary health cen­tre.

The Kayakalp ini­tia­tive aims to in­cen­tivise fa­cil­i­ties that show ex­em­plary per­for­mance in ad­her­ing to stan­dard pro­to­cols of clean­li­ness and in­fec­tion con­trol, as well as in­cul­cate a cul­ture of per­for­mance re­view as re­gards to hy­giene, clean­li­ness and san­i­ta­tion. The num­ber of awards pro­posed un­der the scheme is for two best dis­trict hos­pi­tals in each state, two best com­mu­nity health cen­tres (CHC) or sub-dis­trict hos­pi­tals, which would be lim­ited to one in small states. Apart from th­ese cat­e­gories, un­der the third cat­e­gory, the min­istry will fe­lic­i­tate one pri­mary health cen­tre in ev­ery dis­trict.

Un­der the Kayakalp pro­gramme, more than a dozen Cen­tral gov­ern­ment health in­sti­tu­tions are also com­pet­ing for the first prize of Rs 5 crore, sec­ond prize of Rs 3 crore and third prize of Rs One crore.

A state-level award com­mit­tee will be con­sti­tuted un­der the health sec­re­tary or mis­sion di­rec­tor, while a three to five­mem­ber com­mit­tee at the dis­trict-level will be con­sti­tuted un­der the dis­trict mag­is­trate or the Chief Med­i­cal Of­fi­cer (CMO).

Union Health Min­is­ter J. P. Nadda re­leases Swachchta Guide­lines Clean­li­ness and hy­gienic sur­round­ings are vis­i­ble pa­ram­e­ters based on which pa­tients and visi­tors judge the qual­ity of care they are likely to re­ceive. We need to make wise use of our...

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