Presentation on theme: "Healthcare Waste Management Programme"— Presentation transcript:
1 Healthcare Waste Management Programme PROGRESS REPORT ON THE IMPLEMENTATION OF HEALTH CARE WASTE MANAGEMENT PLANPresented byHonest AnicetusNational CoordinatorHealthcare Waste Management ProgrammeDirectorate of Preventive Health ServicesMinistry of Health and Social WelfareTanzania
2 IntroductionTanzania has created an extensive network of Health –Care FacilitiesThere a total of 219 hospitals 481 HC and 4679 dispensariesOf these the Govt own 64.2The Basel Convention rests the responsibility for waste management to the polluter and in this case, it is the Health facility.
3 Introd…National Health Policy, address effectively the management of HCWDevelopment of Public Health Act, (2009). Which address protection of environmental healthThe HSSP III which translate the NHP 2007 under strategy 8 - emphasize to provides for HCWM implementation at all level
4 Why Healthcare WasteIt pose a potential health risks to health workers, environment and community at large i.e HIV/AIDsA Major input into the delivery of quality health servicesSource of no-socomial infection in all health care facilitiesHas a significant contribution in achieving the MDGs and specifically on;- Child Mortality due to unsafe and unhygienic delivery* sepsis/pneumonia account for high (30%) causes of infant mortality rate.Maternal death following,Sepsis, HIV/AIDS, TB and other diseases.Protect and sustaining the living environment.
5 Situational analysisIn 2001 and 2003 The Ministry of Health in Collaboration with WHO and WB conducted various surveys on HCWM2001 survey focused on quantities, types and practices of HCW generated in various HCF levels2003 situational analysis focused more on policy, institutional and legislation framework.
6 Situation analysis Identified gaps No specific policy on healthcare waste managementNo legislation governing management of HCWNo clear plans and budget for managing healthcare waste at all levelsThere is no formal categorization of healthcare wasteColor-coding for receptacles receiving different types of waste is not in practice.3-bin system
7 Boots for all waste handlers Gaps(cont…Gloves (all waste handlers)Sanitary labors were not protectedAccess is not restricted and no protection from the weather (sun, rain and scavenging animalsNo standardized safe ways of collecting sharps using standard containersHighly infectious waste not separated and pretreated before being disposed.Poor sanitation and unreliable water supplyBoots for all waste handlers
8 Country initiativeIn 2003 the Government of Tanzania in collaboration with World\Bank developed a National Action Plan on HCWM based on the situation analysis. Major componentsDevelop the legal and regulatory frameworks for HCWM;Standardize HCWM procedures;Facilitate provision of treatment and disposal facilities at medical institutions;Launch training and awareness measures on HCW to Health workers.
9 Implementation Status of the National HCWM Plan. the National Guidelines for Healthcare Waste Management in placeNational Standards and Practices on HCWM setMonitoring Plan for the NHCWM developedTraining Manual for Health Workers on HCWM -doneDesignation of a National Coordinator for HCW management Programme;Costing guideline for HCWM equipment
10 Future Plans At National level Encourage districts and health facilities to incorporate HCWM in the Comprehensive District Health PlansSolicit support from key stakeholders and partners on HCW ManagementMonitoring HCWM implementationCapacity building to health facility staff and waste handlersFacilitate provision of safe and adequate water supply and sanitation
11 Future plans…. Regional Level Translate policy guidelines and standards into actionsFollow-up districts on HCWM monitoring issuesSupport districts to solicit adequate funds for maintaining hospital hygieneEnsure that the HCWM plan of each hospital is in conformity with the National Guidelines. They shall set up regular monitoring and control procedures.Summarize district HCWM monitoring reports and forward them to the RHMT
12 Future plans… At District Level Include HCWM in the CCHP and supervision checklist and Report on HCWMProvide adequate sanitary latrines at facility levelCreate community and house holds awareness on HCWM risks and provide adequate water supply and storage facilities at facility levelSupervise and inspect health facilities on the implementation of HCWM procedureEnsure safe practices collection, storage, treatment and disposal of HCW
13 Future plans… Facility level Ensure that monitoring tools are completed at each point in the HCW steam (generation, storage, transportation and disposal)Identify gaps/weaknesses in HCWM processPractice proper segregation, collection, storage, treatment and disposal of Healthcare wasteOrder and procure working equipments for HCWM and ensure adequate sanitationMonitor and supervise daily HCWM activities
14 ConclusionWith the few exceptions, the current HCWM practices observed in Tanzania are not yet safe and may have harmful effects to the health and environment.Soliciting for appropriate financial sources for the regular implementation of the National health Care Waste Management Plan will remain a key issue for its applicationAdequate supply of water and equipments at the health-care facilities will facilitate application of the standardized proceduresLast but one we need support of our development partners in financing the strategy and technical assistance where needed.
15 Let us Keep our environment safe Thank youLet us Keep our environment safe