Panadura Hospital Waste Management Program l Final Report

8/8/2019 Panadura Hospital Waste Management Program l Final Report

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Human & Environment Links Progressive Organization (HELP-O)

No, 364 / 18 A, Samagi MawataDangedaraGalleT.P. / Fax - 091-4380121E-mail [email protected]

Integrated Solid Waste Management System in Panadura BaseHospital Final Report


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FinalReportWasteManagementProgramPanaduraHospital 2

Human&

Environment

Links

Pro ressive

Or anization

HELP- OWaste Pollution to Solution

Integrated Solid Waste Management System in PanaduraBase Hospital Final ReportReportonHELPOActivities

UndertheIntegratedSolidWasteManagementSysteminPanaduraHospitalProject

June2009

November

2009

JointlyImplementedandby

HELPO&ASIAONLUS

ProjectFundedby

RegioneLazioincollaborationwithOICS.


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Cont ent s o f Repor t

1. DescriptionoftheProject2. MessagefromStakeholders3. ExecutiveSummery4. BasicDiscussionandSitevisit5. ExperienceExchangeProgram6. Biogasunitconstruction7. AwarenessPrograms7.1 EffectiveandBenefitsofthebiogasunits7.2 WastesortingimportantandNonOrganicwasteManagement7.3 OrganicFertilizer,Newcultivationsystemsandorganicagriculture7.4 EvaluationandChallengesdiscussionworkshop8. DustbinsandMobileCarts9. AwarenessMaterials9.1 Colorwisewasteseparationcardsandposters9.2 Leafletaboutcommonrulesandregulation10. OpeningCeremonyBiogasprogram11. MonitoringandEvaluationProcess12. FollowedStrategies13. SustainabilityoftheProgram14. ChallengesoftheProgram15. LesionandLearnedthingsoftheProgram16. AchievementsoftheProgram17. FuturePlansandExpansion oftheprogram18. Effectiveofthebiogasprogram19. VoteofThankstofundedOrganizations20. PartnershipsoftheProgram


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Desc r ip t ion o f t he Pro ject

PanaduraisthemostpopulatedcityoftheKalutharaDistrictthepopulationamount

is163,492. (PopulationbyD.S.Divisionand sex,Census2001) thiscity is closed to

Colombo andmanypeople live inhere and this commercial area.The cityhasbeen

spreadoutwithin44sqkm.

ThePanaduraBaseHospital is themainhospitalof theareaandonedaymore than

1500patientsarecomingtogetthetreatments.Thetotalpatientsmorethan1000come

tohospital. In last fewyears thishospitalhasbeen facingahugeproblem that is the

wasteproblem.Thetotalwastegenerationisnearly520KGperday.Theycantmanage

thiskindofwasteandmanymassiveproblemswerebegunfrom thiswasteproblem.

Some times local authority carries this waste but that is not enough to solve this

problem.Even theyexpendedmuchmoney toLPGas.Early times theyexpendmore

thanRs.28,000forLPGas.

OnthattimeHELPO&ASIAONLUSorganizationswereinvolvedtosolvethismatter

through implementing a proper waste management program. As a first step we

conductedafieldsurveyandabletofinalize toconstruct thebiogasunit insideof the

PanaduraHospital. The capacity of thebiogas unit is 22m that can dump 500 KG

organicwasteperdayincludingconductingmanyawarenessprogramswhichisrelated

tobiogasunit.

UnderthisprojectweexpectedtodistributetheDustbinsandMobilecartstocarrythe

wastealsoweprinted someawarenessmaterials likehandbillsandposters.Mostof

importantthing

is

conducted

experience

exchange

program.

Through

this

program

PanaduraHospitalstaffcouldabletorealizetheimportantofthisprograminowneyes.

Afterthatexchangeprogramtheyhaveinvolvedtothisprograminactiveway.

Thisprogramisajointworkandthisisaresultofateamworkatthismomenttheyare

notgivingtheorganicwastetocarrytolocalauthority.Thehospitalcouldabletomake

wasteasausefulresourceandtheyaregettingbenefits.Thisisthesuccessstoryofthe

PanaduraHospital.

BeforeSituation AfterSituation


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Message f rom Stak eholders

Mr.MarcoBaldiCountryRepresentativeASIAONLUS

Thisprogram

was

funded

by

the

Regione

Lazio

in

collaboration

withOICS. Iwant to say this isa resultofagoodpartnership

withtheallstakeholders.Wewereneededtofindasustainable

solutionforthePanaduraHospitalWasteproblemandHELPO

withother stakeholderscouldable to findasustainsolution to

that problem.And hospital has a responsibility to implement

thisprogramcontinually.Duringthisperiodmanythingsableto

achieved.

Mr.ChathuraWelivitiya Chairman/ChiefExecutiveHELPO

First of all I want to say we are the first organization that

implementedbiogasunitinHospitalatKarapitiyaHospitalin2004.

This program is still running without any problem and waste

problemhasbeenminimized.

In this hospital we didnt constructed a biogas unit and we

implementedaprograminthishospitalandithasseveralsteps.We

expectto

monitor

this

program

continually.

Ithink

this

program

is

veryvaluable for the environment aswell as for the city.Through thisprogramwe

wanttogiveastrongmessagetotheoutsideworldaboutwecanimplementsuccessful

wastemanagementplanineverywhereeveninhospital.

Dr.SagaiKiriwandeniyaMedicalSuperintendentPanaduraBaseHospital

Duringthepastfewmonthswehadabigproblemaboutwastethen

hopefullywecouldabletoimplementthisprogram.Theotherthing

through this program we could able to reorganized the hospital

becausethrough

this

program

every

person

has

been

changed

and

they tried to waste separation in their homes and they feel the

benefitsof theprogramalsomostofpeople startcultivation.Asa

hospitalweexpendmuchmoneyfortheenergybutlastmonthwe

earnedRs.45, 000 from oneburner andwe got anotherburner. I

thing this program is suitable for every hospital because many

hospitalsaresufferingfromthisandwewanttoexpandourbenefits.

AbstractionfromOpeningceremonyspeech

AbstractionfromOpeningceremonyspeech


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Ex ecut i ve Summ ery

This report has been summarizes the program which has been implemented in

PanaduraBaseHospitalwiththesupportofAISAONLUSOrganizationandHELPO

jointwork.

This

program

is

been

funded

from

the

Regione

Lazio

in

collaboration

with

OICS. The objectivewas this program Provide a sustainable solution for thewaste

problem ofHospital and protect the Environment.Under this program obtain the

great achievements one is we could able to solve the waste problem and able to

segregatethewaste100%beforedumpthebiogasunit.

ReducetheLPGasusagefrom50%withinmonthandgetaprofitRs.40,000onlyfrom

theLPGasusage.Early time theydidnt think thewastewillbecomea resourceand

theyjust dump it away. But not itbecause a very valuable thing to them and they

gettingmorebenefitsfromtheorganicwasteaswellaspolytheneandplastics.Under

thisprogram

we

provide

asustain

solution

for

all

waste

and

at

this

moment

they

could

findthebuyersforthepolytheneandplasticwaste.

Whilethisprogramimplementingwecouldabletoincreasetheteamworkofhospital

throughtheawareness.Thiswastemanagementprogrambeeneffectiveforthepatients

of the hospital because they learn the important of waste segregate through this

programandother staffwaste segregation startedon theirownhomeand theyhave

minimizethepolytheneandplasticusageasmuchtheycan.

Asaresultofthisprogrammanypeopleandprivatesectorisrequestingtobiogasunit

asasustainablesolutionofthewasteproblem.EvenWesternProvinceCouncilhasbeen

agreed to introduce thisprogram to everyhospital of theprovincebecause they are

sufferingthisproblem.

Thehospitalexpectstoestablishafundtomaintainthisbiogasunitcontinually.During

this program implement we could able to increase the links between Karapitiya

Hospital and Panadura Hospital through an experience exchange program. This

strategywasveryeffectivewhenweimplementthisprogramongroundlevelbecause

theycouldabletorealizetheresultsofthebiogasintheirowneyes.

Finallywe implemented one of success programwith the full of support of our all

stakeholders.But

we

expect

to

introduce

this

solution

to

every

place

because

through

thisprogramwecanachievemanybyproductsanditsveryeffectivetoenvironmentas

well as for the attitudes.Webelieve that construction abiogas is not a sustainable

solutiontosolvethismassiveproblemandwehavetoawarethemaboutthisandhow

tomaintainthisalsothisshouldbecomeapropertyofthemthentheywillprotectitand

implementcontinually.


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Bas ic Discuss ion & Si te V is it

Inbeginning of theMay 2009HELPO staff, ASIA

ONLUSstaffandPanaduraHospitalstaffconducteda

basicdiscussion

and

site

visit

before

start

this

program.During thismeetingwecollected thebasic

dateandweanalyzedthosedata.Thenwecouldable

tomakesomedecisionsaboutthisprogramandabout

howtoimplementthisprogram.

During this meeting

abletofinalizethecontributionofeachstakeholderand

madeaplanfortherestofotheractivities.On that time

werealizewhataretheactivitiesshouldweimplementin

future.On

that

time

we

aware

the

Hospital

management

andkeypersonsoftheproposeprogram.Theobjectiveof

thisdiscussionexplainsthefutureprogramandactivities

to theHospitalandgets theirmaximumcorporation for

thisprogram.

Ex per ience Ex c hange Program

Theoneofmost importantactivityof thisprogram

isthis

experience

exchange

program

between

Panadura and Karapitiaya Hospital. They didnt

knowwhatisabiogasunitandhowitsfunctionand

whatarethebenefitsofthebiogasunit.Duringthis

visittheycouldabletoseethebenefitsofthebiogas

unit in their own eyes. During this program also

theywenttoseesomecommunitybiogasunits.One

of the main

aspects of the programwas aware thebeneficiaries

aboutthis

program

and

benefits.

Thisprogrambecame one of focalpoint for success

theprogramduringthisvisittheyrealizetheground

level challenges and biogas function process. Even

theycouldabletoknowabouttheimportantofwaste

separation. For this program Doctors, Nurses and

otherstaffwereparticipatedwiththeofficersofASIAONLUSOrganization.


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Biogas Un i t Const ruc t ion

HELPO and ASIA ONLUS Organization has

beendecidedtoconstructabiogasunitasoneof

solutionfor

the

organic

waste

problem

of

the

Panadura Base Hospital. The capacity of the

biogas unit is 22m3 that can dump 500 KG

organic waste per day. Early time they

expendedmuchmoneyfortheLPGasandthey

used 36KG 07 LP Gas cylinders only for the

monthbut now they can use this 07 LP Gas

cylinder for twomonths thatmeans they can

earn 07LPGas cylinders for onemonth also they able to savemore thanRs.40,000

money

within

a

month.

Now

they

are

doing

good

waste

sorting

system

in

beginning

levelandeverywardwisealsoweprovidedmobilewastecollectioncartstocarrythe

waste ineasyway.Theycanget themaximum

efficiencybecausewastesortingishighinevery

ward and all staff has been aware about this

system and they monitor about the waste

separation process. That is another reason for

success thisprogram.NowHospital expects to

giveup theLPGasusageandnow they try to

dothat.Inthosedaystheyhavecultivatedmany

vegetableswith

using

the

organic

fertilizer

whichgetsfromthebiogasunit.


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EspecialMoments

of

the

Construction

time


10/27


Aw areness Program s

EffecitveandBenefitsoftheBiogasunitsThis is the first

awarenessprogram

for the Hospital

Staff. Topic is

Effective and the

Benefits of the

biogas unit.Under

this program we

discussed about

whatisabiogasunitandwhatthedirectbenefitsareandwhataretheindirectbenefits.

Under

this

section

we

aware

what

are

the

direct

benefits

as

mention

below

CandecreasetheGlobalWarmingandClimateChange PreventtheEnvironmentPollution AlternativeEnergyfortheenergyproblem SolvetheWasteproblemandwastebecomeavaluablething MinimizethewaterpollutionAresomeoffewmaintopicswerediscussedonthattimealsowediscussedaboutthe

importantofthewasteseparation.

WasteSortingImportantandnonorganicwastemanagementThesecondprogramwaswastesortingandnonorganic

wastemanagement. This program is very essential for

them because they didnt have a proper non organic

waste management process and waste sorting. Under

thisprogramweexplainedthemabouttheinternational

standardofthewastesortingandwhatistheimportant

ofthewastesorting.

Alsowe explained aboutwhat

are waste recycling and its benefits and bad benefits of

without waste recycling under this topic especially we

explained about the non organicwastes and itsbad effects.

Alsowehavemadeaplacetostorethepolytheneandplastic

thentosellthewholelot.Alsotheyagreedtoimplementthis

andthisisotherincomefortheHospital.


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OrganicFertilizer,NewCultivationsystemandOrganicagricultureThis is the third awarenessprogram that has

been organizedby theHELPO to aware the

hospitalstaff.Ontheotherhand thisprogram

isspecial

because

thorough

this

program

we

expectedtostarttheOrganiccultivationinside

of the Hospital with using the Organic

Fertilizerwhichgetsfromthebiogasunit.

Under this program we explain about the

benefitsandeffectiveofthisorganicmanureof

thebiogasunit andweexplained them about

whatarethetypesthatwecanusealsoawareaboutthismanurecanuseasafertilizer

andasahormoneandasainsecticideandthebestthingisthismanuredoesntheartto

environment.

Also during this program they could able to

learn about thenew cultivation techniques and

urban agriculture strategies. Because this

hospitalhaslimitedspaceandtheyhaveagreed

tocultivateinnearplacesofthebiogasunitwith

usingthismanure.Thisprogramwasatechnical

training about aware new techniques of the

cultivation.

EvaluationandChallengesdiscussionworkshopWhenwedesign thisprogramwe expected to conduct an evaluationworkshop and

challengesdiscussionworkshop.Becausewhentheyimplementbytheirwaytheyface

someproblemsandchallengesandwehave toconductaprogramanddiscussion to

solvethisproblemotherwisethisprogramwillnotfunctionwell.Throughthisprogram

weprovidedmuchtechnicalassistanceforthehospitalstaffandthatknowledgemuch

helpfulthemtocarrythisprogramwell.

At

this

moment

we

didnt

conducted

this

program

and

in

beginning

the

December

expect toconductbecauseon that time theyhaveenoughexperienceand facedsome

challengeswhileimplementthisprogram.ThisisnotanEvaluationworkshopandwe

provide technical advices and develop the current plans like waste collection and

disposal plan and this happenwith their support and from this program they can

realize that thecurrentsituation.Anyway thiskindofprogram isveryessential fora

successwastemanagementprogram.


12/27


Dust b ins and Mobi le Car t s

Wehavefollowedalateststrategiesforimplementthisprogram.Thecoloreddustbins

are forwastesortingandcoloredmobilecarts tocarry thewaste.Thissystem isvery

accretivebecause

it

is

very

colorful

and

easy

to

understand

about

what

is

the

process.

We conducted many programs and aware them about the important of the waste

sorting and now they equipments to sort the waste. At this moment the waste

separation is 100%. On the other hand this proper waste sorting is much help to

implementthebiogasunitinaproperway.

Thispartisthemainpartofthebiogasprogrambecauseifwastedoesntseparatewell

thebiogasunitwillnotfunctionwellandtheproblemwillneversolve.Wegaveourall

strengthtoaccomplishthisworkbecausethisistheheartoftheprogram.Wecouldable

to

complete

05

dustbins

to

waste

segregation

and

establish

a

recycling

centre

for

the

otherpolytheneandplasticsrecycle.


13/27


Aw areness Mater ia ls

Colorwisewasteseparationcards&PosterWith

the

support

of

ASIA

ONLUS

organization

we

could

able

to

print

a

card

for

dump

thewaste.Thiscardislittledifferentfromothersbecausewehavedrawsomepicture

thenanyonecanunderstandwhatitisandeasytodumpthewastetocorrectplace.We

haveshowthiscardsanddustbinsineverywardtheneverybodycaneasilyunderstand

aboutwhat is the correct dustbin andwe could realize that this system isworking

withoutanyproblemanditissuccess.

Alsowehaveprintedaposterwhichincludesallpicturesthroughthiswayanyonecan

easilyunderstand thewholepicture inaminute.Through thisposterweexpected to

giveaninstantwholepictureforthepersonwhoseesthis.

PrintedColorwisewasteseparationCadres


14/27


LeafletaboutBiogasandCommonrulesUnderthisprogramwehaveplannedtostartnewlythingthatisprintaleafletwhichis

sayaboutourbiogasprogramwaste sorting system includingwhatare the common

rulesinsideofthePanaduraHospital.Becausewethinkthisisveryessentialtovisitors

whocome

to

the

Hospital

every

day.

When

some

patient

arrives

to

the

Hospital

as

a

residentpatientweprovidethisleaflet.Throughthisdocumenttheycanlearnaboutthe

situationof thehospital andwhat are the rules inside of thehospital.We think this

programismucheasiertowastesegregationbecauseeverybodyknowtheprocessand

thisactivityweintroducetohospitalinfirsttimebutitissuccess.

Openi ng Cerem ony Biog as Program

On 17th November is the most important day of the whole program because we

expectedto

open

this

program

on

that

day

with

the

participation

of

many

distinguished

guests.ThechiefgustwasHon.GovernorofWesternProvincealsoHon.JagathAngage

MinisterofHealthofWesternProvince.Mr.SheltonPereraDivisionalDirectorand

Mr.AmalHarshaProvincialDirectorHealthwereparticipated to thisceremony.Even

officersofASIAONLUSandHELPOwereparticipatedwithHospitalOfficers.

In beginning speech conducted by the MS of

Hospitalandshewarmlywelcomealldistinguish

gueststhensheexplainedaboutwhytheyneeded

thissolutionandwhatarethebenefitstheygetting

fromthis

biogas

unit.

Even

she

explained

she

said

within testing time they could able to earn from

thisbiogasprogrammorethanRs.45,000fromLP

Gas.

Also she explained that they have started the

cultivationandthatisonlyfromorganicfertilizerandexpecttogetagoodincomefrom

thatandsellingthepolytheneandplasticstoo.


15/27


Then Mr. Chathura Welivitiya Chairman and Chief

Executive of HELPO explained about theprogram andwhy

we implemented this program and what the goal of this

programis.Alsoheexplainedthatthebenefitsoftheprogram

andwhy this is important for hospital alsohe told about the

challengeswhile this implementing and also he proposed to

establishafundformaintainthisprogramproper.Ifthiscould

not able to establish this programwill failbecausewe cant

support forever to implement this and explained about the

importantofthekeepmonitoring.

Duringhisspeechheexplainedwhatthegoaloftheorganizationgoalofthisprogram

becausewehelptoreduce themethanegasemission toairthat iswhywe implement

thisprogramalsowehelpotherstosustainablewastemanagementprogram.

After that Mr. Maro Baldi Country

RepresentativeASIAONLUSexplainedwhy they

involved to this program and their role of the

program.He said thisprogram is so valuable for

thehospitalandhesaidthroughthisprogramthey

couldabletogiveastrongmessage tocommunity

as well as for the government also he expect to

introducethissystemtomanyhospitalinthearea.

They expect togetgoodprofit from thisprogram

andimplement

this

process

continue

and

he

said

my

expectation

is

to

carry

this

programcontinueandprotecttheenvironmentforourtomorrow.

Dr. Shelton Perera Regional Direcotr Kaluthra

District (WP)was expressed his ideas about this

program and he said I could able tojoin this in

KarapitiyaHospitalandon that time IwasMSof

the hospital and I know about the benefits of a

Biogas unit and through this we can solve this

problem

and

achieve

great

achievements.

And

we

wanttoimplementthisinsustainwaybecauseitis

easy to start but difficult thing is to carry this

sustainway.Alsohesaidthatheexpecttointroducethisprogramineveryhospitalof

the province since next year because at this moment every hospital is facing this

problemandneedasustainsolution.BecauseIknowaboutthevalueofthisprogram

andthroughthiswecanreducethecostandearnmoremoneyfromthewaste.


16/27


On that time the Mr. Jagath Angage Minister of

Health of Western Province hasbeen explained

aboutthe importantofthisprogramandhowthe

municipalitygettingbenefitandalsoproposed to

establish a fund formaintains of thebiogasunit

alsoheexpecttointroducethisprogramstoother

hospitalsof thewesternprovince. I came to start

this program and I am very happy that I could

able to participate to opening ceremony of the

biogasunitandIsawinmyowneyesthebenefitsandhowtheycultivatedinhereandI

amremember thebeforesituationandIexpect to introduce this toallhospitalsofthe

provincebecausethisisagoodsystem.

Finally speech was conducted by the Western

Province

Governor

Secretary

Mr.

A.W

Gunarathne andheexplained thathe could able

to identify the value of this process and he told

that he expect to introduce this system to all

hospitalsof theprovincebecause thisprovince is

thewell populated province of the country and

waste problem is high in here and we need a

sustainable solution for it. Inhere Icouldable to

see how they cultivated and see the flame of

Biogas

and

waste

became

a

resource

in

here

and

this

is

a

very

good

program

for

introducetoallhospitals.Ithinkmodernworldisfacingabigproblemthatisclimate

changeandwehavetofindthiskindsolutionforsolveourmothernatureandIreally

appreciatethisgreatefforttosolvethewasteprobleminPanaduraHospital.

OpeningofPanaduraHospitalBiogasunit


17/27


Moni tor ing and Evaluat ion Proc ess

HELPOimplementedthisprogramwithagreatgoalandthatisforimplementproper

wastemanagement program in PanaduraHospitalwith providing other facilities to

themincluding

equipments

and

knowledge.

From

the

beginning

level

we

believe

that

we need a strongmonitoring and evaluationprocess from our side aswell as from

Hospital side. While this program implement we conducted monthly monitoring

programsalsowefollowednewstrategiestomonitorthisprogram.

We have formed a co group inHospital tomonitor this program and they get the

responsible tomonitor the program. Through the programswemade a competition

betweenthehospitalwardandallstaffgottheresponsibleformonitorthisprogramin

lowest level.From theAISAONLUSOrganizationsside theyalsomonitorabout this

programalso

they

helped

to

monitor

those

all

activities.

FromtheHELPOsideweexpecttomonitor

thisprogram ineverymonthandconducta

meetingwiththecogroupanddiscussabout

the current situation. From the beginning

stage we conduct technical visit in every

month to monitor the program and we

provide thenecessary technicalassistance to

the officers.During those visits our officers

helped them to overcome some challenges.Also this strategy was much important to

implement good and correct waste

managementprogram.Sometimeswevisitto

some hospital wards to check about the

waste separation process and it related

works.Throughthosevisitswecouldableto

stopsomewrongmethodsoftheminorstaff

andwehad to stepby step todevelop and

increasethe

knowledge

of

them.

Now

they

do finalwaste segregationbeforedump the

wastetobiogasunitandearlytheydidntdo

thatandaftertheawarenesstheydothatand

thatisgoodforthebiogasunit.


18/27


Fol low ed St ra t eg ies

Whenwe implement thisprogramwehave followedourownstrategies toovercome

the challenges and implement the program. Themain strategy was the conducted

awarenessprograms.

When

we

design

the

program

we

have

consider

about

what

are

thesuitablesubjectsandwhataretheareaswillbeaproblemwhentheyimplementthis

program.Onbeginning levelwehavedesignverysuitablesubjects for theawareness

program

Valueandthebenefitsofthebiogas Wastesortingandnonorganicwastemanagement Technicalsideofthebiogasunit Organicfertilizer&ModernCultivationprocessandbenefits EvaluationworkshopstodiscussaboutthefaceddifficultiesThose programs hasbeen linked to othersbecause this goes stepby step from the

beginningprogramtheycanunderstandaboutthevalueandbenefitsofthebiogasand

secondweexplainwhatisthesuitablestepsandprocesstorunthisprograminproper

waybywaste sorting and non organicwastemanagement. Third program is about

Organic fertilizer andModernCultivation process and itsbenefits through thisway

they start the organic cultivation. Finally we discuss about the challenges and

difficultiestheyhavebeenfacedduringthisprogramimplementing.

Second strategy we have followed for success this program make a competition

betweenstaff

and

wards.

This

is

very

good

strategy

because

everybody

expects

to

become first and implement thisprogramproperly and through thisway everybody

monitorthisprogram.Andfromacogrouptomonitortheprogrambecausethisisone

ofgoodprocesstomonitorprogramanditisthesustainablethingtorunthislongtime.

HELPO implemented another strategy that is inserting the pictures to the waste

separationcardsotherwiseitwonttoeasytounderstand.Thosecardsarecolorfuland

everybodywouldlike toseethiscard twicebecausetheydidntsee thiskindof thing

and through this dustbins people and othersbecome to dump thewaste to correct

dustbin. Eventhroughpicturesdrawcaneasilyunderstandaboutprogramanddump

correctlyand

in

03

languages.

This

process

is

much

easier

to

implement

correct

waste

program. Providing the mobile carts were one of best strategy to implement this

programinsustainwaybecausethosecartscancarryineverywardandeasytocollect

thewaste and those are colorwise. And at thismoment they established a waste

collectionstoreandotherpolythene,plasticandcardboardcaneasytocarry.


19/27


Inherewehavefollowedanewstrategythatprintlittlestrangeleafletaboutthisbiogas

programandincludeabutcommonrulesandregulationsforaresidentpatients.When

patientcomestohospitalgavethisleafletandwhentheyleavethehospitaltheyhaveto

hand over this leaflet. This activitywas very effective to aware the resident patient

becausetheycantawarebyconductingameetingandthisisthebestsolutiontoaware

themandtheyknowaboutwhatistherulesandregulationsandthroughthiswecould

abletomakeeverywardtobestwasteseparationevenallnursescanmonitorthewaste

separation of theward.And every resident patient dumps thewaste to correctbin

becausewhentheyarrivetohospitaltheyhavebeenwellaware.

The key strategy was conducing an Experience Exchange program between Galle

KarapitiyaHospitalandPanaduraHospitalbefore implement thisprogram.Hospital

staffofPanaduradidntseeabiogasunitand itsprocessand theydidntbelieve this

storywhentheyvisitedtotheKarapitiayaHospitaltheycouldabletoseethisstoryin

theirowneyesandthentheybelievedthiscando in theirhospitalinbetterway than

KarapitiyaHospital. In thisprogram theysaw theeffectiveof thebiogasandbenefits

andhowKarapitiyaHospitalcouldabletodecreasetheLPGasusageandearnmoney

and their separation process and non organicwastemanagement. Then everybody

thinkwecanimplementthiskindofprogram.

Whenweimplementthisprogramwehavefollowedmanystrategiestoimplementthis

program insustainandsuccessway.Wehadvariousstrategiesforeveryactivityand

through this way we could able to implement one of success program. Especially

experience exchangeprogramweremuchhelpedus to implement thisprogram and

thatwasthefoundationoftheprogram.

Sust a inab i l i ty o f t he Program

HELPOexpectedtoimplementthisprograminsustainwayandwehaveformedaco

group formonitor this program and they keepmonitor this program alsoHospital

managementhaveplanned toestablishafund formaintainsandforsustainabilityfor

thisprogram.NowtheycouldabletoreducetheLPGasusageandthatearnedmoney

willexpecttousetothisfundtoo.Whenthereisarepairthatfundwillusetorepairthe

biogas

unit

and

other

related

things.

Fromtheorganizationsideweexpecttoprovidethetechnicalsupportwhentheyneed

andbecausethiscomponentisoneofmainthingforsustainandthisisoneofpartof

our partnership program.At thismoment hospitalmanagement appointed separate

teamforthisbiogasunitandtheymaintainthisbiogasunitandcultivatealsotheyhave

goodknowledgeaboutthisprocessandtheywelltrained.


20/27


Throughourawarenessandotheractivitiesallstaffawareaboutourprogramandthey

knowaboutthecorrectprocessandthereisagoodmonitoringteamandwhenallthose

thingsbe together theprogram implement in sustainway.Even they finallyseparate

theallwastebeforedumpthebiogasunitandthatisoneofmainthingforlonglasting

success.

Chal lenges of t he Program

01 ThefirstchallengewasweconductedanExperienceExchangeprogrambetweenKarapitiyaHospitalandPanaduraHospitalbeforebegintheprogrambutunfortunately

we had to start the program after severalmonths. From that reason their positive

attitudesweregoesdownandwehad to improve that frombeginning level.Because

theysawthesuccessandtheyneededtostartthisprogramassoonaspossiblebutthe

processwere

slow

and

it

took

much

time

to

approve

the

program.

For

overcome

this

challenges we conducted a basic discussion with the hospital staff and able to

encouragethemtostartthisprogram.

02 The secondmain challengewas about how toawaretheresidentpatientsabout thewasteseparation

and this program. Because patients are change

everydaybydayand those is thekeypersonofwaste

generation and their visitors. Ifwe cant aware them

aboutthisprogramthewholeeffortwillbegoesdown.

Wehave

followed

agood

and

strong

strategy

for

this

that isprinta leaflet forevery residentpatient.When

newpatientscometohospitalasaresidentpatientthis

leaflet issues topatientorpatient relative.Andpatient leave thehospital theyshould

handoverthisleaflettohospitalandweincludethenormalregulationsandrulesofthe

hospitalandthroughthisleafletwecouldabletoaware

thekeypersonandtheyknowabouthowtodumpthe

waste and its process.Now patient knows about the

normalprocedureandusually theydontgo todump

the waste to wrong dustbin. And that leaflet much

easier for the hospital to implement good service

because every person knows about the systems and

procedures.Through this leafletwaste sortingquality

wasincreasedineverywardandpatientscouldabletounderstandaboutthevalueof

thewastesorting.Thisleafletprocesswasverysuccessfulandthissystemhasstartedin

firsttimeinhospital.


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03 Theotherchallengewasgather theallstafffor trainingsandforovercomethatwe conductedmoreprogramsand second thing is the trained staff aware theothers

abouttheprocess.Ontheotherhandthisisanexperienceexchangeprogramandthis

processismucheasiertoovercomethechallengebecausewecantgathertheminsame

time

and

all

staff

should

be

aware

about

the

whole

system

and

if

we

could

not

able

to

solvethiswearefailing.Butfollowingthatstrategywecouldabletoovercomethat.

04 Whenwe implement thisprogramwehad toworkwith theWesternProvinceWasteManagementAuthoritythechallengewastheirgoalsandourprojectgoalsdidnt

sameandmatchandtheyhadseparateprogramforthisbutbeforeimplementthiswe

both should have a one goals. For overcome this challenge we conducted some

meetingswithallstakeholdersandwehaveexpressedaboutour ideasandgoalsand

sharebothpartiesideasandbecameonesolutionforimplementthisprogram.

05 Theotherchallengeweexpect there isno fund for themaintainsbecauseafteroneandtwoyearslatertheallequipmentswillbebrokedownandthehospitalhastofindnewdonationstocarrythisprogramcontinueandweexpecttoguidethehospital

to establish a fund andwe expect to get the income from the earnedmoney from

decreaseLPGasandtheotherwayissellingthepolytheneplastics.

Lesion and Leaned t h ings o f Program

From this program we realize many things one is we can implement good waste

management

program

inside

of

the

Hospital

because

many

people

are

saying

that

nobodycantimplementwastemanagementprograminsideofthehospitalbutitisnot

trueinherebecauseatthismomentithappensandpastonemonththeycouldableearn

morethanRs.45,000fromwaste.Alsoweknewthatwecanprovideasustainsolution

towasteproblem through thebiogasprogram and for the environmentpollution as

well as Global Warming and Climate Change. The other learned thing was that

Hospitalcandoawastemanagement incorrectwaybecauseevery timeallstaffand

patientscanbechangeanditishardthingtogatherandawaretheybutwecouldable

tochangethat.

The second thingwe could learned is the teamwork and listen to others ideas and

discussionbecausewhenweimplementallactivitieswedidnttrytopushourideato

them andwe conducted adiscussion about the need and gather the allparticipants

ideasandablefinalsolution.Wepreparedthewastemanagementplanwiththemand

theydecidedtheplacesputthedustbinsthatcaneasilymonitorandthatthingwasvery

successfulbecausetheyget theresponsibleformonitorand implement this insuccess

way.Wecouldable torealize the importantof teamworkbecausewithout their team


22/27


work the system will not work and we believe that teamwork is much need to

implementtheprogram.Sometimeswehavechangedourideasandplansafterdiscuss

withthembecausetheyknowthecorrectneed.Foranexampletheleafletinbeginning

timewetriedtoprintaleafletaboutbiogasprogramandthentheyinformedusthatit

shouldbe includeabout common rulesand regulationsand theyexpect to issue this

whenpatient arrive to hospital as a residentpatient.Through this the all staff and

patientsawarethesystemandthiswasmucheasytowastesortingandimplementthis

programinsuccessway.

Theother learnedthingiswehaveagoodexample toshowotherhospitalbecausein

here theallactivitiesmuchhelpful for the implement.Andwehaveapackofwaste

managementprogramthatcanintroducetootherplacesandalldistinguishguestswere

expect to introduce this tootherplacesbecause through this they saw the resultand

benefits.

Theother

thing

is

the

important

of

the

Partnership

because

we

had

astrong

partnership

ofASIAONLUS,PanaduraHospital,HELPObecausethosearethekeyplayersofthe

game. Before implement everythingwe discuss and then implement andwe didnt

createanythingwithoutotherspermissionandinformationsharingis100%andwehad

agoodmutualunderstandingabouteachothersresponsibilitiesandrole.

Ach ievements o f t he Program

Whenwe implementwecouldable toachievemany thingsduring the implementing

periodand

after

implement.

The

main

thing

is

we

could

able

to

expand

our

program

to

manyhospitalsafter implement thisministerofhealthofwesternprovincehasbeen

requestedfromustoimplementthisbiogasprogramineveryhospitalofthearea.After

thatPadiyathalawaHospital,UdugamaHospital,MathaleHospitalandTrincoNaval

CampandHospitalwererequestedthebiogasprogramandatthismomentUdugama

andMathaleandTrincoNavalCampandHospitalwecouldabletostartthisinsuccess

way.

SecondachievementismakenewrequestsfromthePrivatesectorbecausemanysmall

hotelsandrestaurantswererequestedfromustoconstructbiogasunitsintheirplaces.

Becausethey

are

expend

much

money

for

the

LP

Gas

and

they

have

abig

problem

of

waste.ThroughthisHELPOcouldabletoexpandourwastemanagementprogramto

manyplacesandexpectstoreducethemethanegasemissiontoair.Becauseotherscan

seethebenefitsofthisandtheywouldliketohaveaoneintheirplaces.

Eventhroughthisexperiencewecouldabletomakeawastemanagementpackage.We

haveourowntrainingmodulesandstrategiesprocesstoawarethebeneficiariesandwe


23/27


haveourownbiogasunitwithwemodifiedbecauseweconstructchinamodelandwe

havemodifiedit.Alsowehavepostersandleafletsanddustbinsforthispackageand

HELPOexpectstointroducethismanyplacesinfuture.

When we implement this program HELPO could form new and well trained

professionalconstruction

team

with

the

labors.

Through

this

team

we

started

to

construct more biogas units in various places because we had little professional

constructionteammembersbutfromthisbiogasunitweformedmoremembersandwe

couldabletoexpandthecapacityofourtechnicalside.

TheMainachievementisHospitalcouldearnmorethanRs.45,000fromthedecreasing

theLPGasusageduringthelastmonthandtheyearned07LPGascylinderswhichhas

40KG inonecylinder.Before theyused this07cylinder inonemonthbutwhen this

biogas unit established they could able to use this for twomonths thatmeans they

earned07cylinders.Alsotheyhavestartedtheorganiccultivationinthehospitalthen

theyexpect

to

sell

the

organic

fertilizer

which

gets

from

the

biogas

unit.

For

the

non

organicwastemanagement theyconstructedstorage in thehospitalandexpect toget

anotheradditionalincomefromsellingthat.

Fut ure Plans and Ex pansion of Program

HELPOexpects toexpand thisprogram tomanyhospitalsof theareaand introduce

this program tomany hospitals especially forHoranaHospital, KalutharaHospital

including theotherhospitalsofwesternprovince.Many localauthorities inKaluthara

andother

district

were

requesting

the

biogas

units

at

this

moment

including

the

Army,

Navy camps.We havemany requests from the every hospital of theKaluthara and

otherwesternprovincehospitalandtheministerhasagreedtoimplementthiskindof

program in hospital and he gave the permission to itwhile hewas conducting his

speechonopeningceremony.

EvenwegotrequestfromtheeasternprovincehospitalsandSabaragamuwaProvince

Hospitalsbecause those all places could able to see the result from their own eyes.

HELPO expects to implement and introduce this system to other placebecausewe

haveenoughexperienceabovethisfiledandweintroducedagoodmodeltoPanadura

Hospital.Even

the

secretary

of

the

western

province

governor

has

been

agreed

to

provide thenecessarypermission toestablish thebiogasunit ineveryhospitalof the

provincebecausethisprovinceissufferingwasteproblemandmanypeoplearecoming

tothoseareaseverydayandwastecollectioncantmanagetolocalauthorities.

We expect to introduce thismodel to private sectorbecausewe have thousands of

requests from private sector to construct biogas units for their hotels and small


24/27


25/27


Vote o f Thank s t o Funded Organizat ions

Thisprogram isbeen funded from theRegione

LazioincollaborationwithOICS.ASIAONLUS

Organizationbeen

implemented

this

program

with the coordination of theHELPO.On this

time we vote of thanks to our all funded

organizations for thisprogrambecause through thisprogram theycouldable toearn

more thanUS$450 inamonth fromreducing theLPGasusage.Also theyexpect to

start tosell theorganic fertilizer.Allstakeholderscouldable to this targetbecauseof

our donor support and ones again we would like to thanks to Regione Lazio in

collaborationwithOICS.

Part nersh ips o f t he Program

HELPO(HumanandEnvironmentLinksProgressive

Organization)

NGO(nongovernmentorganization)basedinGalleinSriLankasSouthernProvince.

HELPOwasformedin1993withtheaimsof

helpingpeopletosecuretheirhumanrights; protectingtheenvironmentforthefutureand; strengtheningthecommunitytowardsindependentdevelopmentFollowingtheSouthAsiantsunamiinDecember2004,HELPObecameinvolvedinarangeof

programstohelpcommunitiesrecoverfromthedisaster.Ourworkaspartofthereliefefforthas

included developing housing for displaced people, reconstructing community facilities and

providingadvice,assistanceandmicrofinancetosmallbusinesses.

Ourvision

Ourvisionisofaworldwithsocialjusticeandenvironmentallyfriendlyeconomicdevelopment.

Ourmission

Ourmission is to support vulnerable communities in Sri Lanka to identify their needs and

developsolutionsthroughpartnershipswithstakeholders.


26/27


AssociazionediSolidarietInternazionaleinAsia ASIAONLUS

Organization

This is a leading organizationwhich implementsmanyprograms in Sri Lanka since

manyyears.Since2005ASIAhasbeenworkingwithonPostTsunamiProjects inSri

Lanka.ASIA isaregisteredNGO inSriLankaandhaspartnershipswithwithpublic

intuitionsandlocalNGOatnationallevelandlocallevel.IntheframeofPostTsunami

interventions,ASIAhasdevelopedprojects in theSouthWestCoast (Kaluthara,Galle,

andMatara

Districts)

and

in

the

east

coast

(Batticaloa

District)

Duringthepasttimetheyhelpedthegrassrootlevelcommunityinvarioustypesliketo

develop their lost livelihood and housing including the environmental protection

programs.

ASIAONLUS implementmanyprograms to help tograss root level community and

their living standards too. This organization has beenworkingwith Sir Lanka since

Tsunamitime.

Panadura

Base

Hospital

PanaduraHospitalisoneofmainhospitalofthedistrictandmanypeoplearecomingto

everydayforgettingtreatment.Foronedaymorethan1000patientsarecomingforthis

hospitalandthisisabasehospitalandthegovernmentexpectstoexpandthisprogram

withthefacilities.

ThevisionofHospital

QualitativeHealth

Service

through

the

consecration

TheMissionofHospital

Provide qualitative, effective, continues and developing health service on Agreeable,

affableenvironmentandusingtopicalmedicalstrategiesandusingtrainingsofthestaff

andmanagingtheresources.


27/27

WesternProvinceWasteManagementAuthority

Vision

WasteFreeEnvironment

Mission

Protection,Management and Enhancement of theprovincial environment byway of

establishingasuitableWasteManagementStructure,StrategyandLegalFrameworkfor

the Province with the Coordination of relevant Institutes/Organizations in the

ProvincialandCentralGovernments.

AimsandObjectives

1.ToimplementtheprovisionsoftheStatute.

2.

To

keep

the

environment

of

the

urban

and

rural

areas

in

the

Province

clean

for

the

well

beingofthepeopleaswellasforthefloraandfaunaoftheprovince.

3.TointroducewastemanagementregulationsforSolidWaste,hazardouswaste,clinical

orinfectiouswasteintheprovince.

4. To implement the said guidelines with the help of local authorities and waste

managementcontractorswhoarepresentlyinvolvedinwastemanagement.

5.ToassistLocalAuthorities in themanagementandcontrolofallcategoriesofwaste

(municipal,hazardous

and

clinical

or

infectious)

its

collection,

transportation,

treatment,

transferanddisposal.

Documents

Panadura Hospital Waste Management Program l Final Report