Capacity assessment and implementation analysis of common treatment facility for the management of infectious healthcare waste in rapidly urbanising city of Nepal

Capacity assessment and implementation analysis of common treatment facility for the management of infectious healthcare waste in rapidly urbanising city of Nepal

This study is one of the first systematic attempts to examine the possibility of a common treatment facility (CTF) to treat infectious healthcare waste (HCW) in Nepal. First, the survey was conducted in 14 healthcare facilities (HFs) ranging from health posts to large hospitals selected from 120 tot...

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Published in:Waste management & research Vol. 39; no. 1_suppl; pp. 64 - 75
Main Authors: Pathak, Dhundi Raj, Nepal, Suvash, Thapa, Tejendra, Dhakal, Nimesh, Tiwari, Pravin, Sinha, Tirtha Kumar
Format: Journal Article
Language:English
Published: London, England SAGE Publications 01-06-2021
Sage Publications Ltd
Subjects:
Case studies
Cities
Developing countries
Health care
Health care facilities
Health services
Hospitals
Infectious wastes
Landfills
LDCs
Materials recovery
Medical wastes
Municipal landfills
Municipal solid waste
Municipal waste management
Solid waste management
Waste disposal sites
Waste management
Nepal
public private partnership
common treatment facility
Healthcare waste
autoclave
infectious waste
integrated solid waste management
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Summary:This study is one of the first systematic attempts to examine the possibility of a common treatment facility (CTF) to treat infectious healthcare waste (HCW) in Nepal. First, the survey was conducted in 14 healthcare facilities (HFs) ranging from health posts to large hospitals selected from 120 total HFs in Nepalgunj sub-metropolitan city (SMC), a rapidly urbanising city of Nepal to investigate the current practices of HCW management (HCWM) and to estimate the waste generation and characteristics in the different HFs. The result shows that the average unit waste generation rate for health posts, clinics, urban health centres, and hospitals was estimated at 1.397 kg day−1, 1.608 kg day−1, 0.178 kg day−1 and 1.818 kg bed−1 day−1, respectively. Of the total 1242 kg day−1 HCW generated in Nepalgunj SMC, 73% is infected in the current situation, but if fully sorted at source, only 32% of the waste will be infected. Based on these HCW generation data and fraction of infectious waste, including waste management practices, three different scenarios are proposed for the capacity assessment and designing implementation modality of the CTF to treat infectious waste from all HFs of Nepalgunj SMC as a case study where an integrated solid waste management facility including material recovery facility and sanitary landfill site for municipal solid waste management is already in operation. The different implementation analyses are discussed, and the best implementation arrangement has been recommended for the sustainability of the project. This approach can be replicated in other cities alone or regions with many neighbouring cities of Nepal and explores a workable solution for HCWM in the rapidly urbanising cities of developing countries to help them improve their condition.
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ISSN:0734-242X
1096-3669
DOI:10.1177/0734242X211013910