Introduction :  Kayakalpa is to  promote cleanliness , hygiene and infection Control Practices in Public Health Care Facilities.  To recognize such HI that shows  exemplary performance in Adhering to standard protocols of cleanliness and infection control. It is inculcate a culture of ongoing assessment and peer review of performance related to  hygiene, cleanliness and infection control  which  create and share sustainable practices related to improved cleanliness in Public Health Facilities linked to positive health outcomes KAYAKALP ACTIVITIES UNDERTAKEN IN ASSAM State Level Award Committee Constitution: Already Formed in 2015 for promoting cleanliness in the Public Health Institutions and declare award in pursuance with MoHFW. District Level Award Committee Constitution. All Districts have constituted a district Level Award committee to ensure the assessments and declaration of award in PHC level. Different Assessment Team has done Internal, Peer and External Assessment for Kayakalp in the Public Health Institutions FINAL ASSESSMENT SCORE/RESULT  for District Hospital 2016/17 A) KAYAKALP SCORE FOR DISTRICT HOSPITAL Sl. No. District HI External Assessment Score Rank 1 KarbiAnglong Diphu Civil Hospital 81.2 1st 2 Nalbari SMK Civil Hospital 77.4 2nd B) KAYAKALP SCORE FOR CHCs/FRUs/SDCHs 2016/17 Sl. No District HI SCORE 1 Jorhat Titabar SDCH 75.8 1st Prize 2 Nalbari Mukalmuwa FRU 73.7 2nd prize KAYAKALP SCORE FOR PHC Sl. No. District HI  SCORE % 1 Cachar Nargigpur MPHC 72.3 2 Tinsukia Bodirak MPHC 83.7 3 Ledo MPHC 74 4 Dibrugarh Barbaruah PHC 90.6 5 Lahowal PHC 72 6 Dibrugarh SD 72 7 Golaghat K.B.Ali BPHC 82.7 8 Somonigaon MPHC 90 9 Kokrajhar Dholmara MPHC 72 10 Jorhat Melmati MPHC 82.5 11 Tipomia MPHC 83.5 12 Chenijan MPHC 70.5 13 Attapam MPHC 85 14 Nalbari 1.Kamarchi MPHC 71 15   4.Daulashal MPHC 87.7 16 Bongaigaon Lengtisinga MPHC 90.7 Some photographs of S.M.K Civil Hospital, Nalbari after Kayakalpa 1. Installation of Signage strategically for easy accessibility Utilizing and Beautifying the Open areas by plantation Photographs of Before- After Comparison