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HEALTH CARE RISK WASTE MANAGEMENT IN KWAZULU-NATAL. PROBLEM IDENTIFICATION. INSTITUTIONS BIGGEST GENERATORS OF HCRW. LACK OF KNOWLEDGE ON APPROPRIATE TECHNONOLOGIES AND PRACTICES. POOR TRAINING ON HOSPITAL HYGIENE. RESOURCES IN SMALL RURAL HOSPITALS AND CLININC. HIV/AIDS TRANSMISSION AND
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PROBLEM IDENTIFICATION. • INSTITUTIONS BIGGEST GENERATORS OF HCRW. • LACK OF KNOWLEDGE ON APPROPRIATE TECHNONOLOGIES AND PRACTICES. • POOR TRAINING ON HOSPITAL HYGIENE. • RESOURCES IN SMALL RURAL HOSPITALS AND CLININC. • HIV/AIDS TRANSMISSION AND HEPATITIS B. • INCINERATOR OPERATION.
PROBLEM IDENTIFICATION. • LACK OF WASTE INFORMATION SYSTEM. • NO INSTITUTIONAL/PROVINCIAL DEDICATED BUDGETTING FOR HCRWM. • NO INSTITUTIONAL WASTE MANAGEMENT PLANS. • HCW AND HCRW? - HOSPITAL WASTE AND MEDICAL WASTE? • HCRW FROM CLINICS?
PROBLEM SOLVING. • HEALTH CARE RISK WASTE MANAGEMENT: • WASTE PREVENTION & MINIMIZATION. • WASTE IDENTIFICATION. • WASTE SEGREGATION/ SEPERATION. • WASTE HANDLING. • WASTE TREATMENT AND DISPOSAL.
PROBLEM SOLVING CONT. • ESTABLISHMENT OF STRUCTURES TO MONITOR AND EVALUATE PROGRESS ON IMPLEMENTATION OF HCRW MANAGEMENT STRATEGY.
THE STRUCTURES REGULATORY AUTHORITIES COMMITTEE PROVINCIAL HEALTH CARE WASTE MANAGEMENT COMMITTEE PROVINCIAL HEALTH CARE WASTE MANAGEMENT COMMITTEE DISTRICT HEALTH CARE WASTE COMMITTEE DISTRICT HEALTH CARE WASTE COMMITTEE HOSPITAL INFECTION CONTROL COMMITTEE HOSPITAL INFECTION CONTROL COMMITTEE INSTITUTIONAL WASTE MANAGEMENT OFFICER INSTITUTIONAL WASTE MANAGEMENT OFFICER
PROBLEM SOLVING. CONT. • TRAINING AND AWARENESS: • TRAINEES TO ROLL OUT TRAINING WITHIN SET TIME FRAMES. • TRAINEES TO DEVELOP AND IMPLEMENT INSTITUTIONAL WASTE MANAGEMENT PLANS WITHIN SET TIME FRAMES. • TRAINEES TO INTRODUCE WASTE BUDGETTING AT INSTITUTIONS. • TRAINING COMPANY TO EVALUATE EFFECTIVENESS OF TRAINING.
PROBLEM SOLVING CONT. • TRAINING THE STRUCTURES • INSTITUTIONAL WASTE MANAGEMENT OFFICERS. • PROVINCIAL COMMITTEE E.H.P’s. • TRAINING ROLLOUT AT INSTITUTIONS. • DEVELOPMENT OF WASTE MANAGEMENT PLANS. • INSTITUTIONAL WASTE BUDGETTING. • HCRW INFORMATION SYSTEM. • BEST PRACTICAL ENVIRONMENTAL OPTION (BPEO).
PROBLEM SOLVING. CONT. • DEVELOPMENT AND COMMISSIONING OF HCRW DATATOOL. • IDENTIFICATION OF INSTITUTIONS NOT IN CONTRACT AND FINANCIAL ASSISTANCE TO THEM. • PHASING OUT OF INCINERATION. • E.I.A. AND PUBLIC PARTICIPATION ON ALTERNATIVE TECHNOLOGY TO INCINERATION.
PROBLEM SOLVING. CONT. • PROVINCIAL HCRWM COMMITTEE TO MONITOR & EVALUATE TRAINING ROLL OUT & ITS EFFECTIVENESS. • TRAINING COMPANY TO EVALUTE THE EFFECTIVENESS OF THE IMPLEMENTATION OF WASTE MANAGEMENT PLANS. • PROVINCIAL HCRWM COMMITTEE TO EVALUATE EFFECTIVENESS OF IMPLEMENTATION OF WASTE MANAGEMENT PLANS.
MONITORING AND EVALUATION. • INSTITUTIONAL WASTE MANAGEMENT OFFICER INFECTION CONTROL COMMITTEE. • DISTRICT AND PROVINCIAL HEALTH CARE WASTE COMMITTEES. • REGULAR INSPECTION OF HEALTH FACILITIES. • PROVINCIAL HEALTH CARE WASTE REGULATORY AUTHORITIES COMMITTEE.
THE CHALLENGES • INTEGRATED APPROACH. • HUMAN BEHAVIOUR & ATTITUDE. • INSTITUTIONAL WASTE MANAGEMENT PLANS. • WASTE BUDGETTING AT INSTITUTIONS.
I THANK U ALL THE KINGDOM CALLS.