Background: Maintaining cleanliness and hygiene holds great importance within healthcare environments. The Swachh Bharat Abhiyaan represents a nationwide initiative launched by the Indian government with the aim of fostering cleanliness in communal areas. The 'KAYAKALP' scheme serves as an effort to advance cleanliness standards and bolster the caliber of public healthcare facilities.

Furthermore, the Ministry of Health and Family Welfare of the Government of India has initiated a National Program aimed at recognizing public health facilities that demonstrate high standards of hygienic practices, infection control, and overall cleanliness. This research aims to assess the extent of implementation of the Kayakalp initiative in Community Health Centers and Sub-District Hospitals within the Gadag District.

Objectives: To assess the level of implementation of Kayakalp guidelines at Community Health Centres and Sub district hospitals of Gadag District.

Methods: A hospital based cross-sectional study was conducted in Sub district hospitals in Gadag district and universal sampling technique was used to choose the health centres. A kayakalp checklist 2021 was used to obtain the data from December 2023 to January 2024. Data were entered into Microsoft excel and Results were expressed in frequency and percentages.

Results: In the current study Ron Sub district hospital scores 523/700 (74.71%), Shirahatti Sub district hospital scores 380/700 (54.28%), Nargund Sub district hospital scores 410/700(58.57%), Mundargi Sub district hospital scores 404/700 (57.71%), Lakshmeshwar Community Health Centre scores 367/700 (52.42%), Gajendragad Community Health Centre Scores 371/700 (53%).