Knowledge Resources

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HCWM logistic items and mercury free devices - Sample Bill of Quantities (BoQ) for medium size hospitals
Year
2019
·

Sample excel sheet containing type and quantities needed for mercury free devices and healthcare waste management including logistics and transportation for medium size hospitals.

Presentation GEF UNDP HCWM Africa project lessons learnt
Year
2019
·

UNDP GEF regional Africa project in Ghana, Madagascar, Tanzania and Zambia. Results and lessons learnt, long-term sustainability, and repository tools for greener health care waste management. For more information: https://greenhealthcarewaste.org/reducing-upops-and-mercury-releases-from-the-health-sector-in-africa-ghana-madagascar-tanzania-and-zambia/

Tanzania Monitoring the Placenta Digester at Mwananyamala Referral Hospital
Year
2019
·

Monitoring report on biogas production resulting from the bio-digester of pathological waste in Dar es Salaam.

Factsheet GEF HCWM Africa project
Year
2018
·

Summary of actions, achievement and lessons learned of the GEF financed UNDP/WHO/HCWH project to Reduce UPOPs and Mercury Releases from the Health Sector in Africa (Ghana, Madagascar, Tanzania and Zambia). For more information: https://greenhealthcarewaste.org/reducing-upops-and-mercury-releases-from-the-health-sector-in-africa-ghana-madagascar-tanzania-and-zambia/

Factsheet Mercury reduction healthcare in Africa
Year
2018
·

Summary of actions, achievement and lessons learned undertaken to reduce mercury of the GEF financed UNDP/WHO/HCWH project to Reduce UPOPs and Mercury Releases from the Health Sector in Africa (Ghana, Madagascar, Tanzania and Zambia). For more information: https://greenhealthcarewaste.org/reducing-upops-and-mercury-releases-from-the-health-sector-in-africa-ghana-madagascar-tanzania-and-zambia/

India Standard Operating Procedures (SOP) for BioMedical Waste Management
Year
2018
·

Contains information on segregation, waste transportation within the health care facility, temporary waste storage, the use personal protective equipment, managing spills, post exposure prophylaxis for HIV. Also available in Kannada. For more information: https://www.biomedicalwastemanagementinindia.in/

India Tools Biomedical waste management
Year
2018
·

Zip file of documents containing domestic market analysis tools for the following groups: state pollution control boards, officials of municipal corporations, the Department of Health and Family Welfare and health care facilities and the operators of chemicals and biomedical waste treatment facilities. For more information: https://www.biomedicalwastemanagementinindia.in/

India Training Manuals Biomedical waste management
Year
2018
·

Zip file of documents including handbooks for administrators, doctors, nurses, waste handlers on biomedical waste management and Standard Operating Procedures. Training covers segregation, decontamination and compaction of the medical waste as well as participatory funding systems and enhancement of relevant existing laws and regulations. Also available in Kannada. For more information: https://www.biomedicalwastemanagementinindia.in/

Kyrgyzstan UNDP GEF Terminal Evaluation for HCWM Project
Year
2018
·

Independent evaluation of the project: Protect Human Health and the Environment from Unintentional Releases of POPs and Mercury from the Unsound Disposal of Healthcare Waste in Kyrgyzstan. For more information: https://www.thegef.org/project/protect-human-health-and-environment-unintentional-releases-pops-and-mercury-unsound

Tunisia World Bank GEF Project Terminal Evaluation - Healthcare Waste and PCBs
Year
2017
·

Final evaluation report of the project: Managing Healthcare Waste and Polychlorinated Biphenyls (PCBs) Project in Tunisia. For more information: https://projects.worldbank.org/en/projects-operations/project-detail/P100478

Kazakhstan UNDP GEF Terminal Evaluation for POPs and Healthcare Waste Management Project
Year
2017
·

Independent terminal evaluation of the GEF financed UNDP implemented project: NIP update, integration of POPs into national planning and promoting sound healthcare waste management in Kazakhstan. For more information: https://www.thegef.org/project/nip-update-integration-pops-national-planning-and-promoting-sound-healthcare-waste

Standard Operation Procedures (SOP) for Healthcare Waste Management
Year
2016
·

A zip folder containing SOP templates for HCWM including pharmaceutical waste, mercury waste, long-lasting insecticidal nets (LLINs) and formaldehyde spillages.

Sample Healthcare Waste Equipment Bill of Quantities (BoQ)
Year
2016
·

Excel file – List of estimated costs and equipment – including personal protective equipment (PPE), consumables, logistic, transport and storage equipment as well as waste treatment equipment – needed to set up onsite waste treatment solutions in healthcare facilities ranging in size, up to 300 beds hospital.

WHO Guidance Developing national strategies for phasing out mercury in health sector
Year
2015
·

The document gives key considerations and step by step guidance for the phasing out of mercury containing thermometers and sphygmomanometers. For more information: https://apps.who.int/iris/handle/10665/259448

Guidance on Microbiological Challenge Testing for Autoclaves (Arabic)
Year
2014
·

توجيهات حول اختبار تحدي الأحياء المجهرية لأجهزة تعقيم أوتوكلاف لمعالجة مخلفات الرعاية الصحية

Guidance on Microbiological Challenge Testing for Autoclaves
Year
2014
·

This is a guidance for microbiological challenge test using self-contained biological indicators of Geobacillus stearothermophilus placed into carriers that are then placed inside the waste bag to demonstrate a > 4 log reduction of the bacterial spores. The objective of the test protocol is to demonstrate the ability of an autoclave to effectively treat medical waste according to accepted treatment standards. Also available in Arabic, French, Spanish and Russian.

Egypt UNDP GEF Medical Waste and E-Waste Midterm Review Report
Year
2014
·

A mid-term review report of the “Protect Human Health and the Environment from Unintentional Releases of POPs Originating from Incineration and Open Burning of Healthcare- and Electronic Waste” Project in Egypt. For more information, project website: http://mewm-egypt.net/en/e-waste-management-project

Guidance on Maintaining and Calibrating Non-Mercury Thermometers and Sphygmomanometers
Year
2013
·

The replacement of mercury thermometers and sphygmomanometers (blood pressure measuring device) with non‐mercury alternatives is a major step towards mercury‐free health care. This guidance presents general procedures for maintaining and calibrating common types of non‐mercury thermometers and sphygmomanometers. General information is also provided on validation protocols for non‐mercury devices. Also available in Arabic, French and Russian.

Philippines Best Practices Initiatives of Hospital Workers
Year
2013
·

Health Care Without Harm – Profiling the initiatives of healthcare workers in 7 hospitals in the Philippines. 1) The zero-waste practice at Maria Reyna-Xavier University Hospital in Cagayan de Oro City; 2) Safe practices to prevent radiation exposure in General Santos Doctors Hospitals; 3) Use of safer alternatives for hospital cleaning at St. Paul Hospital, Tuguegarao City; 4) Sustainable energy production through a biodigester at Perpetual Succor Hospital in Cebu City; 5) Wastewater treatment at Our Lady of Peace in Las Piñas and 6) Philippine Heart Center; and 7) Mercury-free dental service at San Lazaro Hospital.

WHO Technical Guidelines on Transport of Infectious Waste - UN 3291
Year
2013
·

This document provides guidance on how to package and transport Infectious Waste (classified as UN 3291) on public roads. Postal, airline and shipping of Infectious Waste is not considered by this document, because it is subject to special international or national regulations.

UNEP Toolkits for Identification and Quantification of Releases of Dioxins, Furans and Other Unintentional POPs
Year
2013
·

This publication is intended to assist countries to establish release inventories of polychlorinated dibenzo­p­dioxins and dibenzofurans at a national or regional level. For more information: https://toolkit.pops.int/

Compendium Technologies Treatment Destruction Healthcare Waste
Year
2012
·

UNEP guidance provides detailed process descriptions and information on types of waste treated, ranges of capacities, pathogen destruction, emissions, operational details, installation requirements, and maintenance needs for 10 generic treatment technologies:

1) Autoclaves, 2) Hybrid autoclaves, 3) Continuous steam treatment, 4) Batch microwave, 5) Continuous microwave, 6) Frictional heat treatment, 7) Dry heat treatment, 8) Incineration and related technologies, 9) Alkaline hydrolysis, and 10) Chemical treatment systems.

Elements of a Model Facility Policy
Year
2012
·

Facility level policy example for healthcare waste management. Also available in Arabic, Russian and Spanish.

GEF Global HCWM Terminal Evaluation report
Year
2012
·

Independent evaluation of the GEF financed UNDP/WHO/HCWH implemented global project: Demonstrating and Promoting Best Techniques and Practices for Reducing Healthcare Waste to Avoid Environmental Releases of Dioxins and Mercury – Argentina, India, Latvia, Lebanon, the Philippines, Senegal and Vietnam. For more information: https://greenhealthcarewaste.org/demonstrating-and-promoting-best-techniques-and-practices-for-reducing-health-care-waste-to-avoid-environmental-releases-of-dioxins-and-mercury/

Guidance on Conducting a Baseline Assessment of the Model Healthcare Facility
Year
2012
·

The baseline assessment is comprised of the following elements: i) Basic facility data; ii) Baseline rapid assessment; iii) Information on current waste management practices; iv) Waste generation data; v) Information on current training practices; vi) Occupational safety data; vii) Cost data; viii) Dioxin inventory; ix) Mercury usage data. Also available in Arabic, French, Spanish and Russian.

Guidance on Estimating Baseline Dioxin Releases from Healthcare Facilities
Year
2012
·

The estimation methods in this guidance is to estimate dioxin releases specific to a model healthcare facility, a model centralized treatment plant (if applicable), a model immunization program (if applicable), and to compare them with national estimates from the country’s dioxin inventory under the Stockholm Convention. This guidance also includes estimation methods for other persistent organic pollutants that may be found in the model facility or plant. Also available in Arabic, French and Russian.

Guidance on Measurements and Documentation - Data Collection
Year
2012
·

Guidance document for health care waste management data collection intended for project coordinators, technical consultants, and model facility staff. Also available in Arabic, French and Russian.

Guidance on Reducing Mercury Releases from Dental Facilities
Year
2012
·

This document provides a brief general guidance on best management practices and technologies to reduce mercury releases from dental departments in hospitals, private dental clinics, dental schools, dental laboratories, and other dental facilities. Also available in Arabic, Spanish and Russian.

HCWM Master Curriculum Instructor Manual
Year
2012
·

Healthcare Waste Management Training Curriculum and Instructor Manual, developed by GEF financed UNDP/WHO/HCWH implemented global project. Also available in Arabic, French, Russian and Spanish. Full training package with all modules in one zip folder is available here.

Establishing and Designing a Central Waste Treatment Unit within a Hospital
Year
2012
·

Presentation conveyed in Indian Society of Hospital Waste Management Conference 2013

Vietnam Sharps Waste Container NARIME Design
Year
2012
·

Sharp waste container designed by the National Research Intitute of Mechanical Engineering in Hanoi, Vietnam. Includes engineering drawings.

Comparative evaluation of non mercury thermometers in Lebanon
Year
2011
·

Comparative study of healthcare staff preferences on non-mercury thermometers – compact electronic, electronic, infrared tympanic, infrared temporal, and Galinstan in-glass thermometers. The study was carried out in Nabatieh Governmental Hospital in Lebanon.

 

UN Human Rights Report on Medical Waste
Year
2011
·

In this report, the UN Special Rapporteur focuses on the adverse effects that the unsound management and disposal of medical waste may have on the enjoyment of human rights. Also available in Arabic, French, Russian and Spanish.

Guidance on Cleanup Storage and Transport of Mercury Waste from Healthcare Facilities
Year
2010
·

This guidance document deals with different forms of mercury waste from healthcare facilities: i) Elemental mercury collected from broken mercury devices; ii) Undamaged mercury thermometers and sphygmomanometers; iii) Devices and equipment containing elemental mercury (gastro-intestinal tubes such as Cantor tubes, esophageal dilators, bougie, and Miller-Abbott tubes; mercury switches, etc.); iv) Broken glassware contaminated with elemental mercury (specifically, broken thermometers and sphygmomanometers); v) Fluorescent lamps (fluorescent tubes, compact fluorescent lights, UV germicidal lamps); vi) Dental amalgam. Also available in Arabic, French, Spanish and Russian.

HCWM Individualized Rapid Assessment Tool (IRAT) for facilities (French)
Year
2010
·

Outil d’Évaluation Rapide – Individualisé Gestion des déchets des activités de soins

HCWM Individualized Rapid Assessment Tool (IRAT) for facilities (Russian)
Year
2010
·

Индивидуализированный инструмент быстрой оценки • Управление медицинскими отходами.

Notes on Selecting Mercury Reduction Activities
Year
2009
·

The decision to engage in a specific mercury replacement activity, in addition to the substitution of mercury thermometers and sphygmomanometers, should be based on eight factors: 1.Overall environmental impact; 2.Cost-effectiveness of the activity; 3.Total installed capital cost of the activity; 4.Operating costs resulting from the activity; 5.Availability of mercury-free or mercury-reduced products; 6.Impact on energy consumption; 7.Ease of implementation; 8.Acceptance by the healthcare facility management and staff. Also available in Arabic, Russian and Spanish.

WHO Management of wastes from immunisation campaign activities
Year
2004
·

This document provides practical guidelines for planners, managers of health-care facilities or mobile vaccine team leaders to improve planning and coordination at the central level as well as waste management practices at the local level where immunization activities are conducted. For more information: https://www.who.int/water_sanitation_health/publications/hcwm/en/

Article: Stakeholders urged to support and protect waste management actors amidst COVID-19
Year
2020
·

Article discusses a virtual meeting of health care waste management stakeholders in Ghana. It gives a snapshot of the COVID-19 pandemic’s impact on the group including waste pickers/ transporters and discusses Ghana’s Waste Recovery Platform. Article accessible at: https://www.gh.undp.org/content/ghana/en/home/presscenter/pressreleases/2020/stakeholders-urged-to-support-and-protect-waste-management-actor.html