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Yojana Magazine - January 2020

Date: 21 January 2020

Key Question 

  • Discuss the Kayakalp initiative and its performance.

About Kayakalp

  • Launched in 2015 to complement the efforts of SBM.
  • Aim: To promote cleanliness, hygiene and infection control practices in public health facilities
  • How?
    • By incentivizing and recognizing such facilities that show exemplary performance in adhering to standard protocols
    • By inculcating a culture of ongoing assessment and peer review of performance
  • 6 themes of Kayakalp

How are awards given?

  • After health facilities undertake their own assessment, they work on improvements.
  • Subsequently, those showing improvements go through peer assessment followed by external assessment to validate the Kayakalp score.
  • Winner facility receives a cash prize with a citation. Certificate and cash prize are given to all facilities scoring more than 70%.

Performance

  • It began with District Hospitals but within 3-4 years, lower levels have been brought under its ambit.
  • More than 25k PHFs have participated
    • Kayakalp has facelifted public health facilities
    • Helped changed public behaviour
    • Reflected in number of satisfied patients in Mera Aspataal
  • It has now been introduced in Ayushman Bharat’s Health & Wellness Centres
  • It has also been extended to private sector health facilities
    • QCI through NABH conducted assessment in 653 private hospitals out of which 635 were found compliant

Key initiatives for Urban Sanitation

  • Swacch Bharat Mission (Urban)
  • AMRUT + Smart Cities Mission
  • North Eastern Region Urban Development Programme (NERUDP)
  • Geotagging of toilets in association with Google

Scaling & Sustaining Sanitation

  • ODF Protocols
  • ODF protocol-independent third party certifies a city as ODF on satisfying certain requirements. To prevent it from slippage, the certification has to be renewed every 6 months.
  • ODF+ protocol – to track maintenance of acceptable levels of cleanliness in community/public toilets so that they are functional and actually used by citizens. 739 cities are ODF+.
  • ODF++ protocol – to track what was happening to faecal sludge being discharged from the toilets => for complete sewage and faecal sludge management. 292 cities are ODF++.
  • SBM Water+