The Ministry of Health and Family Welfare, Government of India, has launched a National Initiative named “Kayakalp” to rejuvenate the public health facilities, and it is complemented by incentives to the public health facilities that demonstrate high standards of cleanliness, hygiene, and infection control practices. The Kayakalp initiative is for all levels of public healthcare facilities. Objectives To promote cleanliness, hygiene, Infection Control, and environment-friendly practices in Public Health Facilities. To incentivise and recognise public healthcare facilities that show exemplary performance in adhering to standard cleanliness and infection control protocols. To inculcate a culture of ongoing assessment and peer review of performance related to hygiene, cleanliness, and sanitation. Institutional Arrangement To create and share sustainable practices related to improved cleanliness in public health facilities linked to positive health outcomes. Thematic areas covered under Kayakalp Incentive mechanism for hospitals Best district hospital State Categories Number of District Hospitals Number of Incentives Quantum of cash Incentive Category A 10 – 25 1 Rs. 50.00 lakhs Category B 26 – 50 2 a. Rs. 50.00 lakhs – Winner,b. Rs. 20.00 lakhs – Runner-up Category C > 50 3 a. Rs. 50.00 lakhs-Winnerb. Rs. 20.00 lakhs – 1st Runner-upc. Rs. 10.00 lakhs – 2nd runnerup Best SDH/CHC Incentive In larger states (≥10 districts), the top two ranked Sub District Hospital (SDHs)/ Community Health Centre (CHCs) will receive an incentive of Rs. Fifteen and Ten Lakhs. Small states will have only one Incentive for the best facility in this category. A separate incentive of Rs 5 L will be given to the best ‘ecofriendly’ SDH/CHC. Best PHC Incentive Every district’s best PHC (24x7) will receive an incentive of Rs. Two Lakhs. Best Ayushman Arogya Mandir Sub Health Centre State Categories Number of operational AAM Sub centres Number of Incentives Quantum of cash Incentive Category A 10 – 25 1 Rs. One lakh Category B 26 – 50 2 a. Rs. 1 lakh – Winner,b. Rs. 50,000 – Runner-up Category C > 50 3 a. Rs. 1 lakh-Winnerb. Rs. 50,000 – 1st Runner-upc. Rs. 35,000 – 2nd runnerup Urban CHC U-CHCs (and equivalent health facilities) within the State/UTs/seven Metropolitan cities would be assessed together in one category. The top-ranked U- CHCs will receive an incentive of Rs. Fifteen Lakhs. However, commendation incentives would be given to all facilities scoring ≥70% on the External Assessment. Urban PHC Districts No. of functional UPHCs inmunicipal corporations (sevenMetropolitans)/ municipalitiesand City councils Number of Incentives Quantum of cash Incentive Category A 10 – 25 1 Rs. 2 Lakh- Winner Category B 26 – 50 2 a. Rs. 2 lakh – Winner,b. Rs. 1.5 lakh – Runner-up Category C > 50 3 a. Rs. 2 lakh-Winnerb. Rs. 1.5 lakh – 1st Runner-upc. Rs. 1 lakh – 2nd runnerup 75 % of the cash Incentive amount will go to the Rogi Kalyan Simitis/ Jan Arogya samitis for investments in improving the amenities, upkeep, and services, while 25% of the cash incentive will be given to the facility teams as a team incentive. Source : KAYAKALP : Rejuvenating the Public Healthcare Facilities