Abstract
Method: This study is conducted at Primary, Secondary and Tertiary level of health care delivery centre of Indore district. Doctors, Staff Nurses, Housekeeping Staff, Staff Members, Beneficiaries (patient/relative). One year July 2010 - June 2011 Doctor Staff and Personnel involved in all selected centers were interviewed. 120 doctors, 56 nurses, 23 Housekeeping staff and 80 patients were selected for interviews & by method of Observation. Records view Hospital staff and patients interview record.
 Result: IMCHRC, BSBH, Manpur, Sanwer, Simrol, & Hatod has 80% of hospital cleanliness with 72% of segregation collection, storage & transportation of BMW. DH Indore has 70% of cleanliness and 72% of segregation collection, storage & transportation of BMW, whereas Depalpur has 70% & 68%, respectively. Total number of doctors in all facilities is 120.
 75% &70% of Cleanliness and hygiene in procedure area and ambulatory & auxiliary area, respectively at IMCHRC, DH, BSBH Mhow. Sanwer & Hatod with 75% in both the areas by Depalpur 50%. Only Manpur and Simrol are with 100%.
 Conclusion: Knowledge attitude and practices regarding Infection Control, benefits of hand wash & 6 steps of Hand wash correct method of wearing and removing hand gloves, when to use & its types, making Chlorine Solution, Decontamination & Cleaning of Instruments, standard Precautions, Knowledge about Personal Protective Equipment (PPE) and its practice among nurse and staff among all health care personnel is satisfactory.
 Keywords: Cleanliness, Public Health, Care & Infection.
Highlights
Maintenance of cleanliness and hygiene in hospitals is necessary with strict adherence to the guideline for infection control practices.[1]
Health care organizations are complex environments that contain a large diversity of microbial flora, many of which may constitute a risk to the patients, staff and visitors in the environment
Patient care areas and other facilities designated as high- risk category should be evaluated at least once a week until the Officer I/C Sanitation and Infection Control Team are satisfied that consistently high standards are being maintained, after which the frequency of evaluation may be reduced to once monthly.[2]
Summary
Maintenance of cleanliness and hygiene in hospitals is necessary with strict adherence to the guideline for infection control practices.[1]. High cleaning standards must be maintained in the high risk areas. Patient care areas and other facilities designated as high- risk category should be evaluated at least once a week until the Officer I/C Sanitation and Infection Control Team are satisfied that consistently high standards are being maintained, after which the frequency of evaluation may be reduced to once monthly.[2]. Keeping a hospital clean requires an active participation of all the personnel of hospitals along with the patients and their visitors. Keeping a hospital clean requires an active participation of all the personnel of hospitals including the patients and their visitors. Health facilities are required to maintain utmost cleanliness for minimizing the growth of infective organisms and their spread between patients, visitors and hospital staff. Public health facilities are generally unpleasant and unhygienic with poorly maintained buildings, overflowing drains, grazing cattle within the campus, presence of dogs/cats/rodents inside the hospital and patient care areas & often dirty/non-functional toilets.3&4
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