MODEL FACILITIES

Demonstrating and Promoting Best Techniques and Practices for Reducing Health Care Waste to Avoid Environmental Releases of Dioxins and MercuryProject Activities

MODEL FACILITIES Activities: • Baseline assessment (at least one month) • Application of modified rapid assessment tool • Measurement of waste generation rate • Documentation of waste management practices • Estimation of mercury release rate • Documentation of mercury handling and disposal • Documentation of current costs for healthcare waste management • Dioxin estimation • Others studies (e.g., needle-stick injuries)

MODEL FACILITIES Activities: • Promulgation of hospital policies • General commitment to best environmental practices and best available technologies • Commitment to environmentally preferable purchasing (including mercury phase-out) • Required training on healthcare waste management • Occupational safety and health

MODEL FACILITIES Activities: • Development of a healthcare waste management plan • Organization • Defining roles and responsibilities • Identifying environmental champions • Stakeholder participation

MODEL FACILITIES Activities: • Development of a healthcare waste management plan • Review of baseline assessment data • Technical and economic evaluation of waste minimization options • Prioritization (e.g., early focus on sharps waste management and source reduction) • Development of a written HCWM plan including timeline • Allocation of human and financial resources • Strategy for implementation

MODEL FACILITIES Activities: • Development of a healthcare waste management plan • Waste classification • Segregation • Waste minimization • Containerization • Color coding • Labeling • Signage • Handling • On-site transport • Storage • Treatment • External transport • Final disposal • Contingency planning • System of monitoring and continuous improvement

MODEL FACILITIES Activities: • Implementation of the healthcare waste management plan • Criteria for evaluation • System of monitoring and evaluation • Record keeping • Cost tracking • Photo-documentation • Sustainability

MODEL FACILITIES Activities: • Training and capacity building • Raising awareness of risks, safe practices • Training of trainers • Periodic, multi-level training • Evaluation • Certification

TREATMENT TECHNOLOGY Activities: • Work with local government, waste transporter, landfill operator, etc. • Gathering site-specific data • Technology specifications • UN bidding process • Technology selection • Obtaining clearances and permits • Site preparation • Operator training • Installation and commissioning • Validation testing

TREATMENT TECHNOLOGY Activities: • Ensuring the technology is incorporated into the healthcare waste management system • Documentation of usage, maintenance, repairs, microbial inactivation, costs, etc. • Photo-documentation • Monitoring and evaluation • Spot checking

Mercury Waste Management and Mercury-Free Devices Activities: • Baseline assessment • Mercury policy • Development of a mercury plan with stakeholder participation • Procurement and construction • Training • Monitoring and evaluation • Educational and replication materials • National conference on mercury

National Training Activities: • Setting benchmarks for monitoring & evaluation • Defining overall goals, outcomes, approaches, indicators for success, methodology, etc. • Developing training content • Collaboration with certification entity • Finalization of training plans and implementation • Follow up, support and networking • Inclusion in existing professional curricula • Sustainability

National Policy Activities: • Review of existing policies • Development of recommendations • National policy review conference • Agreement of policy updates and implementation plans

National Dissemination Activities: • Announcement of project • Development of awareness-raising, educational and replication materials and toolkits • Targeted outreach to the health sector • Media outreach • National conference • Follow up • Sustainability

MODEL FACILITIES