[Gist of Yojana November] Improving Cleanliness of Health Care Facilities

Mains Paper 2: Governance

Prelims level: VISHWAS

Mains level: Various cleanliness schemes


• Every person desire to live and work in a clean and pleasing environment. Healing of sick and wounded happens faster in such surroundings.

• In ancient times, surgical procedures were conducted near riverbanks during morning hours to benefit from clean water and air and clean surroundings.

• The Ministry of Health & Family Welfare of Government of India has adopted a multi-pronged strategy for improving hygiene and sanitation holistically.

• National Accreditation Board for Hospitals & Healthcare Providers (NABH) has decided to consider assessment of healthcare facilities in the private sector on the lines of parameters of Kayakalp.

• Additionally, The Ministry of Health and Family Welfare (MoHFW) has used the platforms of Village Health Sanitation and Nutrition Committees (VHSNCs) under the National Health Mission and Mahila Arogya Samitis (MAS) under the National Urban Health Mission (NUHM) to promote sanitation in the vulnerable urban communities.

• Accredited Social Health Activist (ASHAs) also works with VHSNCs to mobilize the community for construction and use of toilets.

VISHWAS-A New Initiative

• In 2017, as a part of its efforts to expand and strengthen sanitation and hygiene interventions, NUHM has launched a new campaign, VISHWAS Village based

Initiative to Synergize Health, Water and Sanitation

• It is a yearlong campaign to be carried out by VHSNCs to build community awareness and develop local champions for action on water, sanitation and health,

Kayakalp Initiative for Health Facilities

• Under the scheme, health facilities undertake their own assessment, work on improving appearance of the facility, implementation of biomedical waste rules, strengthening of infection control practices and partnering with Local NGO/ civil society organizations.

• Outstanding efforts of the health facilities are recognized by Kayakalp Awards at each level of the facilities.

• Selection of District Hospitals (DHs), Sub District Hospitals (SDHs) and Community Health Centres(CHCs) is decentralised at the State level, while for Primary Health Centres (PHCs)it is at the district level.

• Assessment of facilities is undertaken on seven broad thematic areas and the set of specific criteria and checkpoints within each of them, which are; a) Hospital/Facility Upkeep b) Sanitation and Hygiene c) Waste Management d) Infection Control e) Support Services f) Hygiene Promotion g) Kayakalp outside boundary.

Swachh Swasth Sarvatra

• It is a joint initiative of Ministry of Health & Family Welfare and Ministry of Drinking Water and Sanitation to achieve better health outcomes through improved sanitation and increase awareness on healthy lifestyles.

• Its objective is to have more synergy between two complementary programmes – Swachh Bharat Mission (SBM) and Kayakalp.

• Three broad objectives of this scheme are: –

• Enabling Gram Panchayat where Kayakalp awarded PHCs is located to become Open Defecation Free (ODF).

• Strengthening Community Health Centre (CHC) in ODF blocks to achieve a high level of cleanliness to meet Kayakalp standards through a support of Rs 10 lakhs under NHM.

• Build capacity through training in water, sanitation and hygiene (WASH) to nominees from such CHCs and PHCs.

Village Health Sanitation and Nutrition Committees (VHSNCs)

• National Rural Health Mission, since its inception in 2005, created Village Health Sanitation Committees (VHSNCs) across all states.

• VNHSNCs along with community health worker ASHA are a key component of Communications strategy under National Health Mission.

• As per the revised guidelines for VHSNC, released in 2013, the local Gram Panchayat Member is to be the Chairperson of VHSNC (earlier it was the Gram Panchayat Sarpanch).

Mahila Arogya Samitis (MAS)

• Similar to VHSNCs Mahila Arogya Samiti (MAS) has been established in urban areas under NUHM.


• The Kayakalp, and Swachh Swasth Sarvatra, have not only improved the cleanliness status of facilities, they have also helped in facilities for community awareness on these issues.

• The community based institutions of VHSNC and MAS, is helping in building the Swachh Bharat and Swasth Bharat, that we are all working for.

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