1 International Journal of Medical and Health Research www.medicalsciencejournal.com ISSN: 2454-9142 Received: 19-07-2024, Accepted: 18-08-2024, Published: 02-09-2024 Volume 10, Issue 5, 2024, Page No. 1-4 Assessment of level of implementation of Kayakalp guidelines in community health centres and sub district hospitals in Gadag district Manjegowda H P 1 , Gulappa Devagappanavar 2* 1 Public Health Scholar, Department of Environmental Science Public Health and Sanitation Management, Karnataka State Rural Development and Panchayat Raj University Gadag, Karnataka, India 2 Assistant Professor, Department of Public Health, School of Environmental Science Public Health and Sanitation Management, Karnataka State Rural Development and Panchayat Raj University, Gadag, Karnataka, India Abstract Background: Maintaining cleanliness and hygiene holds great importance within healthcare environments. The Swachh Bharat Abhiyaan represents a nationwide initiative launched by the Indian government with the aim of fostering cleanliness in communal areas. The 'KAYAKALP' scheme serves as an effort to advance cleanliness standards and bolster the caliber of public healthcare facilities. Furthermore, the Ministry of Health and Family Welfare of the Government of India has initiated a National Program aimed at recognizing public health facilities that demonstrate high standards of hygienic practices, infection control, and overall cleanliness. This research aims to assess the extent of implementation of the Kayakalp initiative in Community Health Centers and Sub-District Hospitals within the Gadag District. Objectives: To assess the level of implementation of Kayakalp guidelines at Community Health Centres and Sub district hospitals of Gadag District. Methods: A hospital based cross-sectional study was conducted in Sub district hospitals in Gadag district and universal sampling technique was used to choose the health centres. A kayakalp checklist 2021 was used to obtain the data from December 2023 to January 2024. Data were entered into Microsoft excel and Results were expressed in frequency and percentages. Results: In the current study Ron Sub district hospital scores 523/700 (74.71%), Shirahatti Sub district hospital scores 380/700 (54.28%), Nargund Sub district hospital scores 410/700(58.57%), Mundargi Sub district hospital scores 404/700 (57.71%), Lakshmeshwar Community Health Centre scores 367/700 (52.42%), Gajendragad Community Health Centre Scores 371/700 (53%). Conclusion: The present study was an attempt to assess the level of implementation of Kayakalp guidelines in Sub district hospitals and Community health centres in Gadag district. The findings from this study reveals that 3 sub district hospitals have poor implementation of the Kayakalp guidelines in their centre and 1 sub district hospital has better performance. Keywords: Kayakalp, hospitals, infection control, hygiene, quality assurance Introduction A health care facility is a setting where individuals of all ages, genders, socioeconomic backgrounds, and ethnicities get healthcare services. The Swachh Bharat Abhiyan movement's "Kayakalp" program was introduced on May 15, 2015, by the Ministry of Health and Family Welfare. These standards are divided into six distinct themes: disease prevention, hospital assistance facilities, sanitization and cleanliness, waste disposal, healthcare facility maintenance, and sanitary encouragement. The purpose of this project is to improve public health care institutions' efficiency [1] . Maintaining cleanliness and hygiene within hospital settings plays a crucial role in the prevention of infections, as well as in ensuring a positive experience for patients and visitors. Additionally, it fosters the development of behaviours that promote a hygienic environment. Patients in these environments are inherently susceptible to the transmission of infectious agents. Nosocomial infections encompass a diverse array of pathogens, with the emergence of multidrug-resistant strains posing a pressing obstacle for healthcare practitioners [2] . According to data from various countries, an estimation can be made that annually, numerous patients worldwide suffer from Healthcare-Associated Infections (HAI). The incidence of HAI is significantly greater in low- and middle- income nations compared to high-income ones. A global agreement has been reached regarding the necessity for immediate measures to be implemented in order to hinder the transmission and manage the proliferation of antibiotic- resistant pathogens. One viable solution lies in the effective implementation of infection prevention and control (IPC) strategies within healthcare settings [3] . The Sanskrit terms "kayas," which meaning "body," and "kalpa," which meaning "transformation," "rebirth," or "rejuvenation," are the source of the phrase "Kayakalp." The Kayakalp encompasses the following seven themes: These are broad aspect of Swachhta, can be termed as ‘pillars’ of the Kayakalp, namely ‘A’ - Hospital/Facility Upkeep, ‘B’ – Sanitation & Hygiene, ‘C’- Waste Management, ‘D’- Infection Control, ‘E’ – Support Services, ‘F’- Hygiene Promotion, ‘G’ – Cleanliness beyond Hospital/facility boundary wall and ‘H’- Eco-friendly facility Four general headings are used to organize the assessment process for Kayakalp: assessment components (thematic area, criteria, and check point); assessment types (internal, peer, external); assessment methods (observation, staff interview, record review, and patient interview); and scoring system (full compliance, partial compliances, and non-compliances) [4] . The principal focus of this campaign was directed towards the promotion of cleanliness within public areas. The Ministry of Health and Family Welfare, under the Government of India, initiated a program called