Quality
Improvement
Quality
Improvement
Programme
Programme - Gujarat
Mahatma Gandhi Swachhta
Mission - Action Plan
Department of Health & Family Welfare
Government of Gujarat, India
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Vision
 100% collection & disposal of hospital waste as per
the BMW rules, 1998
 100% Solid waste management & proper disposal.
 100% provision Toilet facilities, safe drinking water &
Proper drainage facility in all public health facility. &
monitoring of Residual chlorine at community level.
 100% compliance to maintenance of instrument/
equipment.
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Broad Strategy
 Certification & periodic renewal of the certification for all public
health facilities as per Bio Medical Waste Management &
Handling Rule
 Strengthened Capacity Building of health care workers.
 Outsourcing to authorized CBWTF for BMW management as per
the BMW guidelines.
 Solid waste management and creation of composting pit facility
for environment friendly management of organic waste generated
at the public health facilities up to PHC level
 Provision of toilets facilities & proper drainage system at all
public health facilities separately for male & female up to PHC
level & one toilet facility at sub-center level
Cont…..
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Broad Strategy
 Provision of safe drinking water facility at all
public health facilities.
 Residual chlorine monitoring at community level.
 Regular condemnation of out of order
equipments as per standard policy
 Coverage
under
Annual
Maintenance
Contract/Calibration as per the requirements
 Periodic bacteriological surveillance system for
instruments
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Hospital Waste Management
(BMW)
Objectives: To develop, implement and maintain a Waste Management
Policy to reduce rate of HAI & increase customer satisfaction
Sr.
Activity/Invervention
2014-15
No.
1
2
4
I Short term (December-2014)
a GPCB certification of public health 100%
facilities up to PHC level
b All public health facilities up to PHC 100%
level to be covered with authorized <48 hour
CBWTF for the transportation,
treatment and final disposal of
BMW. at <48 hours frequency
c No burning/ dumping of any type of
Bio Medical Waste (BMW) generated
at health facility
2015-16
5
2016-17 2017-18
6
7
2018-19
8
To be sustained
100%
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Hospital Waste Management
(BMW)
Objectives: To develop, implement and maintain a Waste Management Policy to
reduce rate of HAI & increase customer satisfaction
Sr.
Activity/Invervention
2014-15
No.
1
2
4
I Short term (December-2014)
d Training
on
Hospital
Waste 100%
Management of health care workers
e Display of BMW colour coding posters 100%
for waste segregation in all the patient
care area up to PHC level
f Availability of functional syringe and 100%
needle destroyer in all patient care
areas in all facilities up to PHC level
g Annual report submission to the 100%
competent authority by 31st January
every year by health facilities
2015-16
2016-17
2017-18
2018-19
5
6
7
8
To be sustained
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Hospital Waste Management
(BMW)
Objectives: To develop, implement and maintain a Waste Management Policy to
reduce rate of HAI & increase customer satisfaction
Sr. No.
Activity/Invervention
2014-15 2015-16 2016-17 2017-18 2018-19
1
2
4
5
6
7
8
II Medium Term (2014-16)
a Availability of Adequate no. 50%
100%
of color coded BMW
containers and bags as per
BMW Guide line.
b Availability & usage of 25%
100%
To be sustained
appropriate
personal
protective measures for
handling biomedical Waste
in Public health facilities.
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Hospital Waste Management
(BMW)
Objectives: To develop, implement and maintain a Waste Management Policy to
reduce rate of HAI & increase customer satisfaction
Sr.
Activity/Intervention
2014-15 2015-16 2016-17 2017-18 2018-19
No.
1
2
4
5
6
7
8
III Long term (2014-19)
a Availability of separate storage 25%
50%
70%
90%
100%
facility for BMW up to PHC level
b Composting pit facility for <5%
10%
25%
50%
100%
processing organic waste at PHC
& CHC level
c
Pre Exposure prophylaxis with
TT, Hepatitis B, Measles, Rubella
of all eligible employees as per
guidelines up to SC level
<10%
50%
70%
90%
100%
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Hospital Solid Waste Management
(Non-Medical)
Objectives: To develop, operatiolinaze & maintain a environment friendly
hospital solid waste management system
Sr.
N
o.
Activity/Intervention
1
2
I Short term (December-2014)
2014-15 2015-16 2016-17 2017-18 2018-19
3
4
5
6
Training on Hospital Solid Waste
a Management (Non-Medical) of health 100%
care workers
Design & implementation of policy to
ban spitting & littering in health facility
b
100%
premises; The nodal person assigned to
facilitate implementation & review
To be sustained
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
7
Hospital Solid Waste Management
(Non-Medical)
Objectives: To develop, operatiolinaze & maintain a environment friendly
hospital solid waste management system
Sr.
N
o.
Activity/Intervention
1
2
II Medium Term (2014-16)
2014-15 2015-16 2016-17 2017-18 2018-19
3
4
Provide sufficient dustbin as per equipment
(e.g. Office rooms, OPD area, IPD area,
a
General area and canteen etc.) at all
facilities up to SC level
50%
100%
Design & Display of appropriate pictorial
b signage to indicate the dustbin & its usage
at all health Facilities up to Sub-centre level
50%
100%
c Disposal of Debris of construction activity
50%
100%
5
6
To be sustained
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
7
Hospital Solid Waste Management
(Non-Medical)
Objectives: To develop, operatiolinaze & maintain a environment
friendly hospital solid waste management system
Sr.
N
o.
Activity/Intervention
1
2
2014-15 2015-16 2016-17 2017-18 2018-19
3
4
5
6
7
Provision of Composting pit facility for
a processing organic waste at PHC & CHC <5%
level
10%
25%
50%
100%
All health facilities kitchen/canteen to be
b compliant to the cleaning as per <5%
guidelines
10%
25%
50%
100%
III Long term (2014-19)
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Drainage Facility in Public Health
Institutes
Objectives: To develop and maintain a proper drainage system
Sr.
N
Activity/Intervention
2014-15 2015-16 2016-17 2017-18 2018-19
o.
1
2
3
4
5
6
7
I Short term (December-2014)
Gap analysis for proper drainage facility up
a
100%
to Sub Centre (SC) level
To be sustained
Minor work (e.g. Replacing of Broken
b Covers of Inspection Chamber / Manhole; 100%
etc.)
II Medium Term (2014-16)
Minor work (e.g. Cleaning of Drainage line
with cover of Inspection chamber and
a manhole chamber, repairing of drainage 50%
100%
To be sustained
line pipe, repairing Inspection Chamber /
manhole chamber etc.)
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Drainage Facility in Public Health
Institutes
Objectives: To develop and maintain a proper drainage system
Sr.
N
o.
Activity/Intervention
1
2
III Long term (2014-19)
2014-15 2015-16 2016-17 2017-18 2018-19
4
5
6
7
Major work (e.g. Cleaning of Septic
Tank, Replacing of broken Drainage
Pipe line, Replacing of Broken door &
a
10%
ventilators, Major electrification work,
flushing facilities and Dado / flooring
tiles etc.)
35%
65%
85%
100%
New Construction of drainage line if
10%
required as per gap analysis
35%
65%
85%
100%
b
3
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Water Supply, Sanitation & Hygiene
Facilities & Practices in Health Centers
Objectives: To develop & maintain Water supply, sanitation & hygiene Compliant
facilities & communities
Sr.
Activity/Intervention
2014-15
No.
1
2
3
I Short term (December-2014)
Gap analysis of availability
of functional toilet
separately for Male & Female up to PHC level ; at least
a one disable friendly toilet up to PHC level; at least one 100%
toielt for SC level ; & attached toilet within labor room
up to PHC level
Gap analysis of availability of 24*7 piped running water
supply in all toilets & washbasins; drinking water facility
b
100%
with functional water purifier; water tank in all
facilities up to SC level
Gap analysis of availability of functional wash basin
attached with all toilets, nursing stations, injection
c rooms, mamta clinic, immunization clinic, doctor's 100%
chamber, labor room, wards & operation theater in all
facilities up to SC level
2015-16
2016-17
2017-18
2018-19
4
5
6
7
To be sustained
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Water Supply, Sanitation & Hygiene
Facilities & Practices in Health Centers
Objectives: To develop & maintain Water supply, sanitation & hygiene Compliant
facilities & communities
Sr.
No.
Activity/Intervention
2014-15
1
2
3
2015-16 2016-17 2017-18
4
5
2018-19
6
I Short term (December-2014)
Minor work (e.g. Replacement of water tap;
cleaning of chocked toilets; Repair of wash basin &
d
toilet pipes; Repair of water purifier; Replacement
of cover of water tanks & light bulb in toilets, etc.)
100%
e
Implementation of standard cleanliness checklist in
all patient care areas of facility
100%
f
Display of Posters on Techniques of Hand washing at
all the wash basins in health facilities up to SC level
100%
g
Ensuring soap/sterilium at all washbasins & patient
care areas
100%
To be sustained
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
7
Water Supply, Sanitation & Hygiene
Facilities & Practices in Health Centers
Objectives: To develop & maintain Water supply, sanitation & hygiene Compliant
facilities & communities
Sr.
No.
Activity/Intervention
2014-15
1
2
3
4
Minor work (e.g. Replacement of WC Pan / Wash
basin/ Gully trap; Repairing of vent pipes / cowls;
Repairing of floor for proper slop towards Nahni Tap
a
(NT), Flushing facilities, Light facility, Color work,
Door and ventilator of toilets; provision of water
tank & purifier etc.)
50%
100%
All facilities up to SC level to have adequate quantity
b of soap & sterilium with established standard
procurement, supply & stock monitoring system
50%
100%
Capacity building of health functionaries on
sanitaion & hygiene
50%
100%
2015-16 2016-17 2017-18
5
2018-19
6
II Medium Term (2014-16)
c
To be sustained
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
7
Water Supply, Sanitation & Hygiene
Facilities & Practices in Health Centers
Objectives: To develop & maintain Water supply, sanitation & hygiene Compliant
facilities & communities
Sr.
Activity/Intervention
2014-15
No.
1
2
3
III Long term (2014-19)
a New constructions of toilets as per requirement
<5%
Newer construction/installations to ensure 24*7 running
b
<5%
water in all toilets & washbasin as per requirement
Newer construction/installations of wash basins as per
c
<5%
requirement
Design & Display of appropriate pictorial signage for toilets
e at proper places in all health Facilities up to Sub-centre
<5%
level
Display of IEC materials on importance of 'Swatch Bharat'
f for 'Swasth Bharat'; usage of toilets; importance of hand
<5%
washing
Capacity building of RMNCH+A counselor, FHW/ANM, &
ASHA for providing counselling on usage of toilet, sanitary
g
<5%
napkin disposal, sanitation & hygiene practices, importance
of safe water etc.
2015-16
2016-17
2017-18
2018-19
4
5
6
7
10%
25%
50%
100%
10%
25%
50%
100%
10%
25%
50%
100%
10%
25%
50%
100%
10%
25%
50%
100%
10%
25%
50%
100%
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Campus Cleanliness in our
Healthcare facilities
Objectives: To develop, implement and maintain a Outdoor Housekeeping Policy
Sr.
No
Activity/Intervention
2014-15 2015-16 2016-17 2017-18 2018-19
.
1
2
3
4
5
6
7
I Short term (December-2014)
Cleaning of campus ground (e.g. removal of
Grass /elimination of unnecessary water body by
a leveling or filling /removal of empty containers & 100%
To be sustained
refuse/ elimination of other potential mosquito
& housefly breeding sites)
b Trace cleaning (Pre and Post Monsoon)
100%
II Medium Term (2014-16)
Plantation & its maintenance for green
a
50%
100%
To be sustained
environment
III Long term (2014-19)
Landscaping & Green
a
equipment
Garden
as
per
<5%
10%
25%
50%
100%
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Instruments & Equipment
Objectives: To develop instrument/equipment maintenance system
Provide Quality Care to the Community
Sr.
Activity/Intervention
2014-15
No.
1
2
4
I Short term (December-2014)
a Gap analysis of condemnable
100%
instruments & equipments
II Medium Term (2014-16)
a Condemnations of non repairable
100%
instruments & equipments at all
facilities up to SC level as per the
government policy
III Long term (2014-19)
a Quarterly bacteriological investigations <5%
& reporting by swabs taken from sterile
instruments in OT, labor room up to PHC
level
b All equipments covered under AMC/
<5%
calibration
2015-16
2016-17
2017-18
2018-19
5
6
7
8
To be sustained
To be sustained
25%
50%
75%
100%
25%
50%
75%
100%
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat
Quality Improvement Programme
Thanks
Mahatma Gandhi Swachhta Mission - Action Plan, Health & Family Welfare Department- Gujarat