Success-Stories-on-Health-Sector

Facilities with grading A (> 90% compliance) increased from
8% to 27%, Grading B from 36% to 59%, facilities with Grading C
decreased from 35% to 13% & Grading D from 21% to 1%
Audit report of health facilities
(6th Dec. 14, 6th Jan 15, 6th feb 15, 13th March 15,
15th April 15 & 3rd may 15)
100%
80%
21%
2% 1%
20%
19%
1%
17%
1%
13%
1%
13%
60%
40%
35%
56% 56%
58%
60%
59%
20%
20%
36%
8%
6th Dec
2014
22% 24%
6th Jan
2015
6th Feb
2015
24%
13th March
2015
26%
15th April
2015
27%
3rd May
2015
A B C D
grading As per % - A- Score >90%, B- Score >75-90%, C-Score >50-75% & D- Score 0-50%
Mahatma Gandhi Swachhata Mission, Health & Family Welfare Department
iii. Hospital waste management.
iv. Training of doctors, para-medical staff, patients
(indoor and outdoor) and their relatives on
personal hygiene as per standard guidelines.
v. Ban and fine on use of tobacco products as well
as punishment for not maintaining cleanliness in
public.
vi. Residual chlorine monitoring at community level.
vii. Regular condemnation of out-of-order equipment
as per standard policy.
evaluation
Result of internal Audit conducted by the State on 6th Dec
2014, 6th Jan 2015, 6th Feb 2015, 13th March 2015, 15th
April and 3rd May.
financial investMent
for fY 2015-16: Cost for Development of Complaint
Redressal Application is Rs. 2500000 & for Award to the
best performing facilities for cleanliness is Rs. 897000.
Total cost for Implementation of the Cleanliness Standards
as per State Guideline, in total of 1541 Health Facilities is
Rs. 9135000.
scalability
a. Strong commitment of the Government of Gujarat in
expediting the process of the Swachtha Guidelines in a
phased manner, for the short-term phase (till December
2014), medium-term phase (2014-16) and long-term
phase (2014-19).
b. Online reporting mechanism has been developed for
tracking the progress of cleanliness in facilities.
c. Adoption of kayakalp guidelines.
conclusions/lessons learnt
A very cost-effective approach for infection control and
improving the utilisation rates of the public health facilities.
Involvement of ‘Jan Pratinidhi’ in the process helps
increase the community-level ownership for cleanliness
in public health centres, which creates a positive pressure
on the system, RkS and facility In-Charge to keep the
facilities clean.
Contact
State Quality Assurance Officer, Commissionerate of
Health, MS & ME, Gandhinagar, Government of Gujarat,
Email: sqipgujarat@yahoo.com, +91-9099075162
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