Health Care Waste Management Guideline 2014
Highlighted Contents Included With PDF Downloadable File

  • Background

    The goal of ‘Health for all’ through primary health care approach was set by World Health Assembly. The Interim Constitution of Nepal 2063 has given emphasis that every citizen has right to a clean environment and right to basic health care. Government of Nepal has a major concern in providing good quality of health services to all the people in the country. Different types of diseases and problems that the country is facing are being solved through different programs by governmental and nongovernmental organizations.

    One of the major problems the country is facing is proper management of health care waste (HCW). Poor management of HCW causes high risk of infection and environmental pollution. Health care wastes not only affect the waste generators, but also the waste handlers and
    General public. One of the manifested impacts of mismanagement of HCW is the alarming incidence Of hospital acquired infection.

    Accroding to UNEP/SBC/WHO, 2004 waste from the HCFs includes following categories of wastes:
    • Non-risk HCW
    • HCW requiring special attention
    • Infectious and highly infectious waste
    • Other hazardous waste
    • Radioactive waste

    Objective of the Guideline:

    • Protection of public health by reducing the exposure of employees, patients, attendents, and entire community to hazardous HCWs in the work environment
    • Facilitate compliance with regulatory requirements
    • Enhance community relation by demonstrating a commitment to environmental protection
    • Reduce waste handling and disposal volumes along with costs without compromising the quality of health care
    • Increase employee morale resulting from a healthier and safer working environment

    Highlights On This Guideline :

    1.1. Background
    1.2. Objective of the Guideline
    1.3 Health care Waste and its Management in Nepal

    1. Policy, Legal provisions and Commitments
      2.1. International agreements and underlying legislative and regulatory
      2.2 Existing National Acts, Rules and Regulation related to HCWM
    2. Categorization
      3.1 Definition
      3.2 Categorization based on the UNEP/SBC/WHO
      3.2.1 Non-risk Health Care Waste
      3.2.2 Health Care Waste Requiring Special Attention
      3.2.3 Infectious and Highly Infectious Waste
      3.2.4 Other Hazardous Waste
      3.2.5 Radioactive Waste
      3.3 Categorization at Neplese Context
    3. Possible Environmental and Health Impacts
      4.1 Occupational and public health risks
      4.2 Indirect risks via the environment
    4. Organizational Issues
      5.1 Planning and organization
      5.2 Implementation
      5.3 Monitoring and Evaluation
    5. Waste Management
      6.1 Waste Minimization
      6.1.1 Waste Reduction at source
      6.1.2 Giving preference to reusable and recyclable items
      6.2 Waste Segregation
      6.3 Waste Collection and Storage
      6.4 Waste Transportation
      6.4.1 On-site transportation
      6.4.2 Off-site transportation
      6.5 Waste Treatment and Disposal
      a. Biological Procedure
      b. Autoclave
      c. Chemical disinfection
      d. Encapsulation
      e. Sanitary Landfill
      f. Burial
      g. Septic/Concrete Vault
      h. Incineration
      i. Inertisation
    6. Health and Safety Practices
      7.1 Infection Prevention
      7.2 Personal hygiene and hand hygiene
      7.3. Workers’ Protection
      7.4. Protective clothing
      7.5. Immunization
      7.6. Injection Safety
      7.7. Response to injury and exposure
      7.8. Special precaution’s for clearing up spillages of potentially
      hazardous substances
      7.9. Safe Use of Cytotoxic Drugs and Radioactive Materials

      7.10. Emergency Response in case of spillage
      7.11. Management practices
    7. Methods of Health Care Waste Management at different levels of
      Health Care Facilities
    8. Training and Raising Awareness

    To Download Guidelines On PDF File Click Here.