A study on Facility (Hospital) upkeep, hygiene promotion and Support services at Primary Health Centers of western Gujarat: Assessment of performance parameters by using Kayakalp tool

Abstract

Introduction: Primary Health Centre (PHC) is the cornerstone ofpreventive and promotive health care. Thus services provided at PHCs should be quality care and adequate care.To promote the same, GOI has started award giving based on performance of health facility under different themes. The present study was intended to have insight of the implementation status of swachhta guidelines (Kayakalp).Objective: To assess the Facility upkeep, Support services and Hygiene promotion at Primary Health centers of western Gujarat. Method: The cross sectional study carried out in 33 PHCs (universal sample) of Jamnagar district from 2017 to 2018. The assessment were done for following three categories: 1. Thematic Area 2. Criteria 3. Checkpoint. Under this study three thematic areas(from total 6), Hospital/Facility Upkeep, Support Services and Hygiene Promotion were covered. The data were obtained in present study in the terms of score for each variable. The score divided into up to 50%, 50%-70% and more than 70% then it was compared with different criterion under each theme and data were entered in Microsoft Excel version 2007. Data collection was done through Staff interview, Observations, patient Interview, Record review. Ethical clearance was taken from Institutional ethical committee before commencement of the study. Results: For criterion ; Maintenance of Open Areas, Facility Appearance, Infrastructure Maintenance, Illumination, water sanitation, pharmacy store, outreach services majority of health facilities obtained score >70%, whereas for Water conservation, pest & animal control, Laundry Services and Linen Management, Security services it was around 50%. Community Monitoring & Patient Participation & Information Education and Communication was observed average as per the criteria used.Conclusion:Half of the health facilities performed satisfactorily in work placemanagement. Involvement of Local community and organization in monitoring and promoting cleanliness.poor performance was seen regarding water conservation like maintenance of Water supply system, the preventive measures which were taken to reduce wastage.