Hospital Waste Management


Training objectives:

On completion of the course, participants will:-

Knowledge
Describe the sources, composition and characteristics of hospital wastes and the likely health hazards from improper management of hospital wastes.

Explain the techniques and practices for effective management of hospital waste, covering collection, segregation, minimisation, storage and handling, transportation, treatment and disposal of hospital wastes.

Explain the socio-economic dimensions and legal requirements in the context of hospital waste.

Skill
Initiate action for facilitating safe collection and disposal of hospital waste.

Evaluate and streamline hospital waste management practices and procedures.

Identify factors relevant for planning and implementing hospital waste management systems for a region.

Attitude
Consistently promote safe practices and systematic approaches for the collection, storage and handling, segregation, transportation, treatment and disposal of hospital wastes.


Detailed Training Plan

Background and rationale of the course:

In India, urban solid wastes have traditionally been handled by the municipal authorities in most cities and towns. This includes among other things, wastes emanating from hospitals and nursing homes, which generate both clinical and non-clinical wastes. Unfortunately, these two categories require distinct waste management options. Non-clinical wastes can be handled by the municipal authorities in the traditional manner similar to that of usual garbage. Clinical wastes, however, deserve special attention for on-site storage, handling, transportation, treatment and ultimate disposal.
At present, both clinical and non-clinical wastes are collected and disposed together, without much effort being taken for separating them. In addition, hospital wastes also act a s a source of income for rag-pickers, since many of the materials are recycled. The consequences of such practices would prove disastrous in the long run and pose serious threats to the entire community, especially in terms of infection and disease spreading.
The Ministry of Environment & Forests, Government Of India, having realised the gravity of the situation, has notified the Biomedical Waste Management Rules 1995. There is also a higher public awareness on these matters, thus making it imperative for hospital and municipality officials and NGOs, to acquire the necessary know-how and skills for tackling the issues relating to the safe collection, treatment and disposal of hospital waste
During the Training Needs Assessment (TNA) conducted for the municipalities for the ETIs at Chennai and Bangalore, it was observed that while hospital waste was considered as a key problem by the municipalities, the staff were unaware of the application and implications of various hospital waste treatment technologies like incineration. The TNA report identified the need for installing appropriate hospital waste management systems, under non- training interventions. It also recommended a training programme on hospital waste management, to enable development and implementation of appropriate systems, by hospitals, in co-operation with the municipalities. This training programme is intended to benefit not only the top and middle management cadres in municipalities at whom it is targeted, but also senior hospital staff attending the programme.

Participants


Target population
Top and middle management cadre from municipalities and municipal corporations of major towns and cities, including top administrators, officers in charge of solid waste management and health officials.
Top and middle level administrators and doctors including housekeepers and engineering personnel attached to hospitals and nursing homes.
Other participants benefiting from this course include senior and middle senior level officers in Pollution Control Boards, NGOs involved in collection, treatment and disposal of hospital waste and institutions dealing with health care.

Participant's background

Bachelor/ Masters degree in Science/ Medicine

Around 5 years experience in senior capacity at a municipal corporation/ municipality or in a hospital/ nursing home or in an NGO.

Experience in solid waste management / hospital utility services preferably related to hospital wastes, desirable.

Recommended minimum and maximum number of participants:-

Between 12 and 20 participants.

The group should be heterogeneous consisting of administrators, planners, doctors and surgeons from the
target population and include NGOs, to facilitate exchange of ideas and concerns for mutual benefit.