Abstract: Hospital acquired infection (HAI) is an important cause of morbidity, mortality and prolonged hospital stay, and leads to increased treatment costs. The DGH, Matale was surveyed in January 2013 and in August 2014 for HAI by a team of two infection control nurses and one medical officer in 2013 and three infection control nurses and one medical officer in 2014.Infection Control strengthening Package (ICSP) was introduced to reduce HAI which includes fundamental changes in the infection control activities.