At baseline (October 2012) there was only two member infection control committee on paper without regular meetings, hand hygiene faculties were at the end of each ward with soap and water facility and compliance rate of 10%, no education program regarding infection control & prevention was conducted, and no HAI surveillance was done and finally no antibiotic stewardship program was present in the hospital. In the next 6 months (March 2013) with the infection control implementation the IC team expanded to include nurse, infectious disease physician and housekeeping staff with regular monthly meetings. Alcohol hand rub was introduced at each bed side of patient with subsequent improvement in the hand hygiene compliance to 50%. Regular infection control education to both physicians and staff were started in person and through tele-medicine. HAI surveillance for catheter associated urinary tract infection and surgical site infection was initiated. Antibiotic stewardship in the form of removing irrational combinations from the pharmacy and single dose surgical peri-operative antibiotic prophylaxis was initiated.