This is just a partial list of the projects going on around the world. If you think your project should be included here, get in touch.
- UNDP GEF Global Healthcare Waste Project
- Bir Hospital, Kathmandu, Nepal
- Bagamoyo Hospital
- Small Facilities pilot project
With HCWH and the WHO as principal cooperating agencies, this project has set out to create model hospitals in 7 countries: Argentina, India, Latvia, Lebanon, the Philippines, Senegal and Vietnam. These hospitals will have non-incineration waste treatment technology and non-mercury medical devices. In an eighth country, Tanzania, the project is working with the University of Dar es Salaam to designing autoclaves and other waste treatment technology appropriate for the special circumstances found in Africa. The project is also creating arrange of policy documents, technology specifications and training materials that will be applicable to many other facilities.
HCWH member Healthcare Foundation Nepal, working with HCWH technical support, has transformed the waste treatment at the 450-bed Bir, Kathmandu’s oldest hospital. In the past, the waste was all dumped on the street for municipal garbage collectors. Now waste is properly segregated at source, and safely transported to the new in-house treatment center. There, infectious waste is autoclaved, and recyclable waste is stored until it is sold. Food waste is biodigested and produces biogas, which will be used for cooking. Mercury waste is safely stored as there is not yet a proper disposal route in Nepal and the hospital has stopped buying mercury thermometers to limit the flow of this toxic metal. The amount of waste requiring disposal has dropped by half and the sale of recyclables generates thousands of dollars per year which can help to pay for the waste treatment system.
- Case study of autoclave validation. This abstract of a conference paper gives a brief account of an autoclave validation. Stringer, R. et al. Validating autoclaves for medical waste disinfection- a case study. Paper presented at SIGN 2010, Annual Meeting of the Safe Injection Global Network, 9 to 11 November 2010, Dubai, United Arab Emirates
- Bir interim report: HECAF & HCWH (2011) Interim report of health care waste management system in Bir Hospital Kathmandu. Publ: HECAF, Kathmandu, 27p 4
As a prelude to the larger UNDP/GEF Global Healthcare Waste Project, HCWH and partners set out to demonstrate the applicability of autoclaving in an African setting. Bagamoyo was chosen as an example of a typical district hospital, with around 100 beds and no waste treatment options other than small scale incinerator, which broke down during the project planning process. A small, low cost autoclave and shredder were installed- the shredder being used to destroy syringes and their needles so they could not be reused, and to reduce the chance of them causing injury during and after final disposal. The autoclave has proved effective at disinfecting the waste and required only minor maintenance in the first two years of operation. The lessons learned from the project have been carried forward into the Tanzania part of the UNDP/GEF healthcare waste project.
- Tanzanian autoclave pilot. HCWH and partners piloted autoclaving in a district hospital in Tanzania. The report annexes include the experimental procedures for setting up the autoclave.
- Stringer, R. et al. (2010) Non-Incineration Medical Waste Treatment Pilot Project at Bagamoyo District Hospital, Tanzania. Publ: HCWH, 37pp.
Most of the research into safe and sustainable medical waste management technologies has been targeted at larger facilities, from the district level upwards. However, primary healthcare facilities provide the majority of treatment around the world, and in low to middle income countries there are also major constraints due to the lack of resources and funding. In addition, there is an absence of reliable infrastructure such as electricity, roads and vehicles for waste transportation, and waste recycling and treatment facilities. To counter this, HCWH is starting to work with partners to test and validate low cost, low tech options for this type of facility in different parts of the world.