Shrawasti Karmacharya Health Care Foundation Nepal

Global Green and Healthy

Hospital Initiatives in Nepal

Mahesh Nakarmi, Director/Team Leader ,

Saraswoti Thakuri, Program Manager

Shrawasti Karmacharya, Program Officer

Prerana Dangol, Program Coordinator

Health Care Foundation Nepal (HECAF-Nepal)

GGHH Nepal Team

Glimpse from Nepal

Green Nepal: Nature

Known in Tibetan and Nepali

as "yartsa gunbu" (winter

worm, summer grass) and

prized in traditional medicine

in China and Tibet for

centuries, the fungus - some

pieces measuring no more

than 4cm - retails at up to US$800 for around 28 grams.

Green Nepal: Biodiversity

Green Nepal: Culture

Healthy Nepal: Environmental Crisis

Healthy Nepal: Waste Crisis

Healthy Nepal: Energy Crisis

Healthy Nepal: Water Crisis

Health Care Foundation Nepal

• Mandate to work on – Health Care

– Environmental Health

– Disaster Medicine

• Established in 1994

• Non-government and not for profit organization

HECAF

HEALTH ENVIRONMENT DISASTER

MEDICINE

NATIONAL

KIDNEY CENTER

COOMUNITY

HEALTH CENTER

HEALTH CARE

MAGAZINE

RURAL

ENVIRONMENTAL

HEALTH POGRAM

HEALTH CARE

WASTE MANAGEMENT

PROGRAM

CAPABILITY

ENHANCEMENT

PROGRAM

HOSPITAL

PREPAREDNESS

PROGRAM

NATIONAL

AMBULANCE

CENTER

Health Care Foundation-nepal

• GGHH Initiative will help

– to preserve our Nature

– to clean our Environment

– to solve our problems Waste

– to solve our water crisis

– to solve our energy crisis

Why HECAF promoting GGHH Initiative?

HECAF as GGHH Member • Leadership goal,

– Advocacy on GGHH Agenda- for safe and sustainable waste management and other goals relevant to GGHH with health care facilities operating inside and outside Kathmandu Valley, with government agencies within Nepal and at international scientific and technical meetings.

• Waste Goal, – promoting non-burn waste treatment system and sending waste for

recycling as much as possible.

• Energy Goal, – Bio-digester is being promoted to treat the biodegradable and

pathological waste generated from the hospital.

– HECAF has already been successful to generate biogas as a renewable fuel form the bio-digester.

• Chemicals Goal: Mercury Free Campaign

Leadership: Advocacy on GGHH Agenda

.Discussion on How GGHH agenda could be synchronized in regular plan and programs? with Dr. Sheela Verma, Ministry of Health and Population, Mr, Kehar Singh Godar, District Public Health Office, Mr. Gopal Sherchan, UNDP/GEF/ Small Grant Program

Leadership: Awareness Raising on GGHH at district level programs

District Level Program on Safe Health Care Waste Management in Small Health Care Facilities

Leadership: Awareness Raising on GGHH at Central Hospital

Leadership: Awareness Raising on GGHH at Health Post level

Waste: Promoted Safe Healthcare Waste Management System in Hospitals

Bir Hospital National Kidney Centre

Gunja Man Singh Hospital Bayalpata Hospital

Energy: Promotion of use of Renewable Energy in Health Care Facilities

Armed Police Force Hospital

Bir Hospital

• Provided Technical Assistance to build Biodigester to recover energy from biodegradable waste

• Facilitated to raise financial resources to support the construction of Biodigester

Energy: Partnership with Alternative Energy Promotion Center

• Alternative Energy Promotion Centre (AEPC)

– Government’s Focal Institution for promotion of renewable energy

– HECAF & HCWH has signed MoU with AEPC for promotion of renewable energy in healthcare institutions

– AEPC has also shown interest to be the member of GGHH

Progress of Activities of Members of GGHH from Nepal

Bir Hospital

• GGHH Goals accepted

– Goal 1: Leadership

– Goal 3: Waste Management

– Goal 4: Energy (Waste to energy)

• National Government Hospital and Academic Center

• 124 years old

• Located at the capital city of Nepal, Kathmandu

Leadership: National Leader

• National • Nursery School

• Primary School

• Secondary School

• Nursing Colleges

• Public Health Colleges

Visitors • Hospitals

• Health Posts

• NGOs

• Municipality

• Communities

• Research Organizations

East Timor

World Health Organization Bhutan

Leadership: International Leader

• International • Bangladesh

• Bhutan

• Cambodia

• India

• Indonesia

• Myanmar

Visitors • Phillipines

• Thailand

• UK

• USA

Waste: Safe and Sustainable waste Management System

Segregation System in wards

Vermi Composting for Cotton & Gauze Waste

Segregation System in wards (Trolley system )

Treatment System

Segregation at

source

Storage of Recylables

Energy: Renewable energy

Biodigestion Plant

Gunja Man Singh Hospital, Chitwan

• Goals Accepted:

– Goal 1: Leadership

– Goal 3: Waste Management

– Goal 5: Water

• Hospital in rural settings.

• Committed to

Environmental Health

Leadership: Leader in small health care facility • Leader in that reason of the district

• Schools, health posts of that village and surrounding villages visited

• UNDP/GEF/SGP has provided grant to replicate in other similar small facilities of that area of the district

Mercury Awareness Program

Compost Training to Community

Orientation to School Students

Leadership: Replication To Five Small Healthcare Facilities Under UNDP/GEF/SGP

Project

Inaugurating the system in small health care facilities, Chitwan

Handover of equipment to small healthcare facilities in Chitwan

Waste: Safe and Sustainable waste Management

System

Segregation System in rooms

Composting

Segregation System for general waste

Treatment System

Waste Storage Area

Water: Solar Disinfection (SODIS)

• SODIS technology has been introduced for safe water supply in the hospital.

• Initiated by Dr Ruth Gonseth, Swiss Doctor, Former Member of Parliament of Switzerland

Energy: Solar Panels as alternative Energy source

Western Regional Hospital Pokhara

• 300 bedded Government Regional Hospital

• Located at Pokhara, Nepal

• Goals accepted

– Leadership

– Waste

Leadership

• First Regional Hospital to initiate the waste management .

• Leader at the regional level

Waste : Safe Health Care Waste Management System

Waste Segregation

at source

Separate collection of infectious and

non infectious waste

Autoclave of infectious waste

Future Possible Member of

GGHH

Norvic International Hospital,

Kathmandu • 125 bedded hospital

• ISO certified Private Hospital in Kathmandu

• First Private Hospital to initiate the waste management

• Goal already achieved

– Leadership among private hospital

– Waste

– Energy: In process to construct Bio- digestion plants and Solar panels as alternative energy source

Bayalpata Hospital, Achham • Hospital in remote area

of Nepal i.e., Achham District, Nepal

• Goal Addressed

– Goal : Leadership

– Goal : Waste

– Goal: Energy

Community Cleaning Campaign

Kathmandu Model Hospital, Kathmandu

• 100 bedded NGO hospital located in Kathmandu, Nepal

• In recent year, hospital will achieve the goals:

– Goal : Leadership

– Goal : Waste

Paropakar Maternity Hospital

• 415 bedded Specialized Governmental hospital

• In recent year, hospital will achieve the goals:

– Goal : Leadership

– Goal : Waste

– Goal: Energy – Bio-digestion plant for Placenta and Biodegradable waste

Thank you

healthcarewastenepal@gmail.com

FB healthcarewastenepal

Mahesh Nakarmi mahesh.nakarmi@gmail.com

Saeraswoti Thakuri saruthakuri09@gmail.com

Shrawasti karmacharya shrawastikarmacharya@gmail.com Prerana Dongol prerana.dongol@gmail.com