Lok Sabha Question No. 2069 (UNSTARRED), answered on 2015-07-31
Subject: Cleanliness of Public Healthcare Facilities
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HEMAMALINI, ARJUN RAM  MEGHWAL

**GOVERNMENT OF INDIA**

**MINISTRY OF HEALTH AND FAMILY WELFARE**

**DEPARTMENT OF HEALTH AND FAMILY WELFARE**

**LOK SABHA**

**UNSTARRED QUESTION NO.2069**

**TO BE ANSWERED ON 31** **ST** **JULY, 2015**

**Cleanliness of Public Healthcare Facilities**

**2069.	SHRIMATI HEMA MALINI:**

**SHRI ARJUN MEGHWAL:**

Will the Minister of **HEALTH AND FAMILY WELFARE** be pleased to state:

(a) whether the Government has launched/proposes to launch any initiative to promote cleanliness, hygiene and infection control practices in public health care facilities in the country;

(b) if so, the details thereof indicating the overall structure and targets fixed thereunder;

(c) whether the Government has formulated any guidelines for promoting hygiene in the public healthcare facilities, if so, the details thereof along with the time by which the said guidelines are likely to be implemented; and

(d) whether the Government proposes to constitute Infection Control Committee in all the hospitals across the country, if so, the details thereof indicating the number of Government/central hospitals where the said committees have been constituted, after State/UT-wise?

**ANSWER**

**THE MINISTER OF HEALTH AND FAMILY WELFARE**

**(SHRI JAGAT PRAKASH NADDA)**

(a):	Under the National Health Mission, the Government has launched a national initiative for Awards to Public Health Facilities‘Kayakalp’, to promote cleanliness, hygiene and infection control practices in public health facilities.

(b):	The details are as under:

1. The awards are proposedto be given to best two District Hospitals in each state (best District hospital in small states), best two Community Health Centres/Sub District Hospitals (limited to one in small states) and one Primary Health Centre in every district.
2. Based on the set criterion, prize winners will receive a cash award with a citation. Certificate of Commendation plus cash award would be given to such facilities that score over 70%, but do not make it to the list of top two/one in a particular year. The award amount is as below:
| Level of Facility      | Ranked Awards                              | Certificateof Commendation   |
|------------------------|--------------------------------------------|------------------------------|
| District Hospital      | 1  st  - Rs.50 lakhs  2  nd  - Rs.20 lakhs | Rs. 3 lakh                   |
| CHC & SDH              | 1  st  - Rs.15 lakhs  2  nd  - Rs10 lakhs  | Rs. 1 lakh                   |
| Primary Health centres | Winner - Rs. 2 lakhs                       | Rs.50,000                    |

1. The awards would be distributed based on the performance of the facility on the following parameters.

1. Sanitation and hygiene
2. Infection control.
3. Hospital Upkeep
4. Waste Management
5. Community Participation

2. Assessment would be done sequentially through a three tier system - Internal assessment followed by Peer assessment and then external assessment

(c):	The Government hasformulated and issued Swachhta Guidelines for public health facilities. Public health is a state subject. These guidelines provide a systematic guidance to facility mangers and State government on how to maintain swachhta in public health facilities

(d):	In so far as the three Central Government Hospitals in Delhi, namely, Dr. Ram Manohar Lohia Hospital, Safdarjung Hospital and Lady Harding Medical College & associated hospitals are concerned, Infection Control Committees and Patient Safety Committees have been constituted. For public health facilities under the control of State/UT governments, the Swachhta guidelines suggest constitution of such Committees in district hospitalsand public health facilities designated as First Referral Units.