DR Vivek Varat Pattanaik

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 Protocol

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

Assessment Method

OBSERVATION (OB) STAFF INTERVIEW (SI)

RECORD REVIEW (RR) PATIENT INTERVIEW (PI)

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

Theme A – Hospital / Facility upkeep

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

Theme B – Sanitation & Hygiene

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

Theme C – Waste Management

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

Theme D – Infection Control

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.

Theme E – Support Services

Laundry WaterandSanitation

Kitchenandfood

Security outsource

Theme F-Hygiene Promotion

Communitymonitoring&

patientparticipation

Information,EducationandCommunication

LeadershipandTeamwork.

Training,Capacity

buildingandstandardization

StaffHygieneandDressCode.

SUCCESS STORIES OF KAYAKALP