Guidelines for Sustainable Health Care Waste Management in Gauteng

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Guidelines for Sustainable Health Care Waste
Management in Gauteng

• Presented by
• - Albert Marumo, Gauteng Department of Health
• - Niels Juul Busch, RAMBØLL A/S.

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What is the objectives of the Guidelines ?

• Improved occupational health and safety
• Public health
• Environment
• Financial savings
• Meeting legislative requirements
• Improving working conditions
• Improve the image of the health care sector.

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Why prepare Guidelines ?

• For the authorities to decide on level of
  standards for HCWM
• To consult the practical implementation of HCWM
  with stakeholders
• To communicate - to the involved staff - ways and
  means to improve HCWM.

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What is sustainable Health Care Waste Management
?

• Integrated cradle-to-grave system
• Environmentally sustainable
• Occupationally healthy and safe
• Financially viable
• Institutionally feasible
• Operationally practical.

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The process of preparing the Gauteng Guidelines

1. Establishing an overview of present state of
   HCWM, the Status Q
2. Establishing of a working group
3. Discussions of objectives, scope and target
   groups
4. Linking with Policy, Strategy, Feasibility Study
   etc.
5. Structure of the Guidelines
6. Prepare draft Guidelines
7. Testing Guidelines in Pilot Project
8. Consultation of Guidelines
9. Revising Guidelines
10. Implementation.

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Target groups ?

• All stakeholders involved from cradle-to-grave
• Provincial and national health authorities
• Provincial and national environmental authorities
• Representatives of health care facilities
• Representatives of the various staff groups
• Service providers for transport and treatment of
  health care risk waste
• Service providers for disposal
• Designers of equipment and materials for health
  care.

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Structure of the Gauteng Guidelines
Module Content Main target groups
Module 1 General introduction. All readers.
Module 2 How to organise health care waste management systems Senior managers and other managers at health care facilities.
Module 3 How to reduce waste generation and improve segregation and containerisation. Managers and supervisors at HCFs.
Module 4 Internal collection, transport and storage. Managers and supervisors at HCFs.
Module 5 Collection and transport of HCRW. Managers and supervisors at transport service providers.
Module 6 Treatment of HCRW with emphasis on environmental aspects. Managers and supervisor at treatment facilities.
Module 7 Proper handling of HCRW residues. Managers and supervisor at landfills
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Module 1 General introduction

• Overview of other modules
• Readers guide
• Definition of waste categories
• Basic data and cost estimates
• Overview of legislation
• List references, abbreviations glossary.

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Module 2 Planning for improved health care waste
management

• What should the management of the health care
  facility do ?
• Analyse the present state of the HCWM
• Establish a Steering Committee
• Establish a firm organisational structure
• Implement green procurement
• Develop Technical Specifications for waste
  handling equipment etc.
• Implement tender procedures
• Develop training programmes for the staff
• Conduct audits of the HCWM system
•  

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Module 3-7 Technical recommendations for the
HCWM from-cradle-to-grave.

• Waste generation (waste minimisation)
• Containerisation
• Intermediate storage
• Internal collection and transport
• Centralised storage
• External transport
• Treatment
• Disposal.

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Structure of the technical modules

• Objectives
• Target groups
• Scope
• Reference to other Modules
• Technical recommendations
• Specification of equipment
• Costs
• Examples of equipment etc.
• Annexures information material, templates for
  reports etc..

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What is the next step ?

• Implementation of permanent environmental
  management system, e.g. accord to ISO 14001, that
  includes all environmental aspects.

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