Hospitals and clinics, both private and public, across Nepal are making great strides to protect the health of the communities they serve through the adoption of safe health care waste management technologies and practices. 

Bir HospitalThe installation of autoclaves, devices that sterilize waste with a very hot and high pressure steam, have been a key addition to several hospital waste management programs.  Autoclaves have replaced incinerators and the toxic byproducts they would generate.

  • Norvic International Hospital, the first private hospital in Nepal to become a member of GGHH, installed a new autoclave and started a segregation system that resulted in the reduction of its total risk waste from 68% to 32% in just one year.
  • The National Kidney Center opened its improved non-burn waste treatment facility.  Included in this facility is the first vacuum autoclave for health care waste management in Nepal.
  • The Chainpur Sub Health Post in the Chitwan District debuted its new autoclave.  The implementation of safe and environmentally friendly health care waste management systems will spread to five other small-scale health care facilities throughout the district throughout 2014.

In addition to autoclaves, hospitals in Nepal are adopting several other innovative practices and technologies to improve their waste management programs.Norvic

Vermicomposting

  • Pithuwa Sub Health Post in Chitwan has begun a vermicomposting program, a method of composting that uses worms to break down material, to process its food waste

Biogas

  • Chainpur Sub Health Post in Chitwan has built a biogas plant to dispose of the placenta generated during birthing at the facility.  The kitchen will use the gas generated during the process to power its cooking appliances.
  • Norvic International Hospital is currently designing a biogas plant to manage its biodegradable waste and provide supplemental energy for the facility

Immunization Waste

  • Kathmandu Municipal City collaborated with Health Care Without Harm (HCWH) and Health Care Foundation Nepal (HECAF) to pilot management of immunization waste such as used syringes and vaccine vials.  This program will serve as a model from which other facilities can learn.

Health Care Foundation Nepal, a GGHH founding member, along with Health Care Without Harm have collaborated to bring the guidance, expertise and training necessary to make these programs possible and continue a growing trend throughout the country for safe, environmentally friendly health care waste management.