Presentation on theme: "10/07/02 Waste Management Planning Process in St Louis - Sénégal P. Jaillard, AMP, CVP/PATH SIGN Meeting, Phnom Penh."— Presentation transcript:
10/07/02 Waste Management Planning Process in St Louis - Sénégal P. Jaillard, AMP, CVP/PATH SIGN Meeting, Phnom Penh
10/07/02 Planning process, 5 steps Situation analysis on vaccination safety Training of contractors on incinerator building Injection safety and waste management policy Planning of waste management system Implementation of waste management plan
10/07/02 Situation analysis (1) EPI regional review (May 2002) –Interviews and observations ; –1 regional health office, 5 district health office, 5 health centers, 33 health posts ; –Results on vaccination safety : »Use of both sterilizable, single use, AD material »Syringe re-used by 25% of health facilities »AEFI noticed by 86% of vaccinators / 6 months »53% of health workers injured by needles / 12 months »10% of HF use safety box; 42% use empty bottle »8% use incinerator; 60% burn waste; 5% leave waste in open air
10/07/02 Situation analysis (2) Injection safety national assessment (April 02) –Interviews and observations –8 districts, 10 health center/post –Results : »No policy on injection safety and waste management; »67% use sterilizable syringes; 58% equiped with sterilizer ! »49% of health worker re-cap needles ; »70% reporting needle stick injuriy ; »45% of health facilities with used seringes/needles around; »7,5% with fonctional incinerator; »68% burn waste.
10/07/02 Training of contractors June 2002, in Mpal (St Louis region) ; 5 contractors pre-selected ; 1 of them contracted for building ; 2 incinerators tested (DeMontfort 8a, Medicin 400) ; Trained on site by DeMontfort ingeneers ; Registred for invitation to bid ; Participation of Regional Service of Hygiene and Sanitation discussion on implementation, monitoring and supervision process.
10/07/02 Planing workshop September 2002 in Saint Louis 2 regions, 5 districts, National Division of Prevention, partenairs (CVP, WHO, UNICEF) Objectives : –To agree on the main points regarding the national policy on injection safety and waste management ; –To define plan of action for waste management in the districts of St Louis and Matam Region
10/07/02 Planing workshop (2) Activities –Demonstration of AD syringes, safety boxes, needle removal/disposal, incinerators –Presentation on training and supervision issues –Discussion on disposal systems and training issues –Presentation of draft policy on sharps disposal –Round table discussion on policy issues ; –District planning of waste management system.
10/07/02 Planing workshop (3) Main issues on policy making : »Use of AD syringes and safety boxes, »Use of needle puller coupled with protected pit, »Incinerators : installation, maintenance, training »Collection and transport of waste : integration, »Monitoring of waste disposal (n° of syringes/n° of boxes…), »Human ressources management : training, supervision, definition of responsabilities, »Community and local authorities must be involved (advocacy) »Sustainability to be prospected for each operational decision
10/07/02 Planing workshop (4) Main issues on planning activity »Mapping of health facilities in the district ; »Evaluation of waste volume ; »Daily collection of waste in urban areas, monthly collection in rural areas ; »Needle removal/disposal and burning of syringes in remote areas ; »Definition of responsabilities for each level of waste management system ; »Has to be finalized in the districts and communicate to the region
10/07/02 Next steps National policy on injection safety and waste disposal to be approved Introduction of waste management in microplan Mobilization of ressources for implementation Invitation of contractors to bid (incinerators). Test of needle removal/disposal in a small scale By 2003, every district should have a functional waste management system