QUALITY ASSUARNCE AND KAYAKALP, MIZORAM

Quality Assurance Program was launched in November 2014 under National Health Mission. The program was started in the state of Mizoram since December 2015.

Vision: By the year 2030, QA aims in making all health facilities within the state to achieve the National Accreditation.

Objective: 1.To improve the overall health care quality in public health care facilities.

2.To increase the number ofpublic health facility users in india and reduce the amount of out of pocket expenditure spent on health related issues by the general population.

Target: To achieve NQAS certification in maximum number of public health care

facilities.

Under this program, all the State Government Health Facilities are assessed and reviewed as per Guidelines and Checklists under National Quality Assurance Standards (NQAS) Assessors Guidebook provided by the MoH & FW, GOI. The facilities who scored the required standard of above 70% in each departmental checklists as per the QA standards are then awarded an accreditation with financial incentives of Rs . QA aims in making the health facilities within the State achieve a National Accreditation by abiding with the National Quality Assurance Standards.So far,one district hospital i.e,Aizawl East District Hospital (Civil Hospital,Aizawl) has achieved NQAS Certification and felicitation Programme was held on August 2017.

Performance of QA Program (Activities, target and achievement) during 2017-2018 is as follows:

Human Resource

State Level ( SQAU )

Name of post

Target

Achievement

1, State Nodal Officer (QA)

1

1

2. State Consultant (QA)

1

1

3.State Consultant (PH)

1

1

4.State Consultant (Quality Monitoring)

1

1

5.Program Assistant

1

1

District Level (DQAU)

1 Program Assistant each in all the districts.

1

1

The Training

State Level

Name of Training

Target

Achievement

Awareness Workshop on QA at State Level

1

1

Internal Assessors Training

1

0

Service Provider Training

1

1

Monitoring Visit by SQAU

Level of Facility

Target

Achievement

District Hospitals

9

Review Meeting by SQAC

Name of Meetings

Target

Achievement

SQAC meeting

2

1

Kayakalp -Award topublic health care facilities was launched in 2015by the Family welfare Dept, Government of India. It is a National Initiative to give

Awards to those public health facilities that demonstrate high levels of cleanliness, hygiene and infection control.

The Objectives are as follows :

1. To promote cleanliness, hygiene and Infection Control Practices in

public Health Care Facilities.

2. To incentivize and recognize such public healthcare facilities that

show examplary performance in adhering to standard protocols of

cleanliness and infection control.

3. To inculcate a culture of ongoing assessment and peer review of

performance related to hygiene, cleanliness and sanitation.

4. To create and share sustainable practices related to improved

cleanliness in public health facilities linked to positive health.

Under Kayakalp. a competiton amongst the health care facilities is raised wherein they will be scored according to the checkpoints given by the GOI on facility wise criteria and those eligible for cash award will need to have a score of above 70%.

The achievements under Kayakalp during the Financial Year 2017-18

Training

State Level

Name of Training

Target

Achievement

Awareness Training

1

1

Master Training on Swachh Bharat Abhiyaan

1

1

External Assessors Training

1

1

District Level

Awareness cum Internal Assessors Training

1

1

District Hospitals

Facility Level Training on Swachh Bharat Abhiyaan

1

1

CHC & SDH

Facility Level Training on Swachh Bharat Abhiyaan

1

1

PHC

Facility Level Training on Swachh Bharat Abhiyaan

1

1






Assessments

District Hospitals

Name of Assessments

Target (No of Facilities)

Achievement

Internal Assessment

9

9

Peer Assessment

9

7

External Assessment

7

7

CHC/SDH

Name of Assessments

Target (No of Facilities)

Achievement

Internal Assessment

11

11

Peer Assessment

11

11

External Assessment

9

9

PHC

Internal Assessment

57

57

Peer Assessment

57

57

External Assessment

45

45

Kayakalp Award

The Kayakalp Award ceremony was held on 21st December, 2017 where the Health Minister Government of Mizoram was the chief guest and handed over the award to the winning facilities.

Based on scoring, using a specific standard protocol wherein checkpoints are given, points are administered by an external Assessor Team who are trained for this assessment, and the Kayakalp State Level Award Nomination Committee adjusted the awards as follows for the year 2017:

District Hospital:

1st Prize- Rs 6 lakhs (Aizawl East District Hospital)

2nd Prize-Rs 5 lakhs (Lawngtlai District Hospital)

3rd Prize- Rs 4 lakhs (Champhai District Hospital)

Commendation Award- Rs 3 lakhs each for 4 hospitals

Special Award- Best Landscape ( Kolasib DH)

Most Inspiring (Aizawl East DH)

Most Improved (Lawngtlai DH)

Sustenance Award (Champhai DH)

Rs 1 lakh each is given for each health facility for the special award.

Community Health Center:

1st Prize- Rs 10 lakhs (Biate CHC)

2nd Prize- Rs 5 lakhs (Sakawrdai CHC)

3rd Prize- Rs 3 lakhs (Vairengte CHC)

Commendation Award- Rs 1 lakh each for 3 health facilities

Special Award –Best Landscape (Hnahthial CHC)

Most Inspiring (Biate CHC)

Most Improved (Sakawrdai CHC)

Sustenance Award (Vairengte CHC)

Rs 1 lakh each is given for each health facility for the special award

Primary Health Center (PHC):

1st Prize- Rs 2 lakhs

2nd Prize- Rs 95000

3rdPrize – Rs 85000

Commendation Award - Rs 18000 to 20 PHC scoring more than 70% in PHC

Urban PHC:

Best UPHC- Rs 2 lakhs (Chawlhhmun UPHC)

Consolation Prize- Rs 1 lakh (ITI UPHC)

Commendation Award –Rs 50000 UPHC given to 4 PHCs

Special Award- Most Inspiring (ITI UPHC)

–Best Landscape (ITI UPHC)

Cash prize of Rs 25000 for each special award

According to the Kayakalp guideline, each best facility will receive a cash award along with a citation, also, a commendation award will be given to those districts scoring above 70%. These cash incentives are expected to be utilized as a source for maintaining clean and hygienic practices in the facility and will also serve as an important source for Swachhta Drive and also the ongoing Kayakalp activities.

Pictures of before and after images and Immense positive feedbacks from the healthcare facility staffs and general public are the reflections of the success of this Program.

Certain issues have been encountered during the implementation of QA program. The lack of Common Waste Treatment Facility (CWTF) has been an huge obstacle in Biomedical Waste Management. Irregular supply of drugs and communities, and delayed release of funds have also been encountered by our public health facilities.

The State QA Committee has selected two district hospitals ,i.e Champhai and Kolasib District Hospitals to be the next focus for NQAS Certification.Keeping in mind the need for sustenance, KayakalpMonitoring visits has been planned to be conducted quarterly in the District Hospitals.

Swachhata Fortnight

State Level

Name of Activity

Target

Achievement

1.Launching of Swachhata Fortnight

1

1

2.Swachhata Fortnight Activities

Ongoing activity(1st- 15th April 2018

a)Shramdhan atState NHM office,Dinthar

1

To be held on 13th April 2018

b)Observation of World Health Day

1

1

3.Submission of Swachhata Fortnight Weekly Report of activities conducted within the state during 2nd- 7th April 2018 in the form of pictures and videos.

3

1

(2nd weekly report to be submitted on 17th April 2018 and consolidated report to be submitted by 20thApril 2018)

District Level

Name of Activity

Target

Achievement

Launching of Swachhata Fortnight at CMO level.

9

9

Shramdhan at CMO level

18

18

Observation of World Health Day on 7th April 2018

9

9

Campaign focusing on school and anganwadi sanitation,personal and home hygiene and vector control.

9

Ongoing activity (11th- 14th April 2108)

Facility Level (Distrcit Hospital/CHC/SDH/PHC)

Name of Activity

Target

Achievement

Swachhata Fortnight Activities

Ongoing activity(1st- 15th April 2018)

Launching of Swachhata Fortnight at District Hospital

9

9

Launching of Swachhata Fortnight at CHC

9

9

Launching of Swachhata Fortnight at SDH

2

2

Launching of Swachhata Fortnight at PHC

57

57

Shramdhan at District Hospital

18

18

Shramdan at CHC

18

18

Shramdhan at SDH

4

4

Shramdhan at PHC

114

114

Spreading cleanliness awareness to patients and attendants at DH,SDH,CHC and PHC

77

77

Observation of World Health Day on 7th April 2018 at DH,SDH, CHC and PHC

77

77

Training of staffs on cleaning,house keeping,biomedical waste management and infection control at DH,SDH,CHC and PHC

77

Ongoing activity (11th- 14th April 2108)