SPHS Virtual Session: Promoting Sustainability through Elimination of Plastics: Viet Nam & Philippines
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Modern health care facilities produce large amounts of solid waste: disposable medical devices ranging from IV tubing to single-use medical devices and electronics, cleaning and disinfection products, bandages, food waste, and more. It is estimated that 25% of the waste generated by a hospital is plastic. Moreover, it is estimated that some 15-25% of the total health care waste stream contains some form of biological, chemical, radiological or other hazards. This virtual session discussed the opportunities and challenges of plastic elimination in the global health sector through good practices in Viet Nam and the Philippines, and ultimately collaborate in raising awareness of and acting on these issues.
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SPHS Virtual Session: Promoting Sustainability through Elimination of Plastics: Viet Nam & Philippines
- 1. Promoting Sustainability through Elimination of Plastics from the Health Sector: Viet Nam & Philippines VIRTUAL SESSION 10 December 2019 www.savinglivesustainably.org
- 2. Agenda BINAR SERIES 7 October 2019 www.savinglivesustainably.org 1. Welcome remarks by the moderator 2. UN SPHS & SHiPP 3. Introduction to speakers 4. Presentations ⢠Plastic Elimination in Viet Nam: Government Actions ⢠Progress of Medical Waste Mitigation in Viet Nam ⢠Elimination of Plastics from the Health Sector: Mary Johnston Hospital â Philippines 5. Questions & Answers
- 3. Who We Are Established in 2012, SPHS brings together seven United Nations agencies and three global health financing institutions, committed to introducing sustainable procurement in the global health sector and beyond. Our annual cumulative purchasing power is around US$ 5 billion, which represents a sizable portion of the global pharmaceutical and other health products markets. What We Do MULTI-LEVEL PERSPECTIV E CROSS- CUTTING INNOVATION DRIVER FOR CHANGE INCLUSIVE APPROACH MARKET INTELLIGENC E ONLINE ENGAGEMEN T PLATFORM BUSINESS TO BUSINESS Our UN procurers, suppliers and manufactures work at global, regional and national levels We address sustainability from different perspectives - public health, the environment, procurement. We promote sustainable health systems and inclusive green economies Our engagement with suppliers and manufacturers is based on systematic consultation, ongoing dialogue and collaboration We can draw on the expertise and knowledge from our far-reaching network We maintain a repository of good practice examples on sustainable procurement and sustainable manufacturing We bring together a global network of technical experts who can support suppliers and manufacturers Emerging Opportunities www.savinglivesustainably.org Establishment of a Multi- Stakeholder Partnership Platform on Sustainable Production, Procurement and Disposal of Health Commodities Development of Sustainable Procurement Index for Health (SPIH) Development of Sustainable Health Procurement Guidance Note Delivery of trainings on Sustainable Procurement in the Health Sector Engagement with our supply chains to ensure more sustainable and responsible procurement and sustainable production of health commodities
- 4. Sustainable Health in Procurement Project (SHiPP) Project Duration ⢠Four years, 2018-2021 Programme Objective ⢠Strengthen sustainable procurement in the UN system and in strategic countries to leverage purchasing power and drive policy and market demand for sustainable manufacturing and waste management in the health sector Project Location ⢠Global and in 10 selected project countries (EECA: Moldova and Ukraine, Africa: South Africa, Tanzania and Zambia, Asia: China, India, Vietnam, Latin America: Argentina, Brazil) Development Objective ⢠Promote sustainability in the health sector supply chain to improve human health and reduce greenhouse gases, resource depletion, and chemical pollution
- 5. Speakers Dr. Dao Khanh Tung, Programme Analyst, UNDP Viet Nam Le Manh Hung, Health Environment Management Agency (HEMA), Ministry of Health, Viet Nam Dr. Glenn Roy V. Paraso, M.D., MPH, FPCHA Executive Director, Mary Johnston Hospital, Philippines
- 6. Plastic Elimination in Viet Nam: Government Actions Le Manh Hung, Health Environment Management Agency (HEMA), Ministry of Health, Viet Nam PRESENTATION #1
- 7. BINAR SERIES 7 October 2019 www.savinglivesustainably.org Country Context and Enabling Environment Viet Nam is among the top countries affected by climate change.
- 8. Country Context and Enabling Environment Governmentâs actions ⢠National Green Growth Strategy for the period 2011-2020 with a vision to 2050 ⢠Prime Ministerâs Directive for mitigation of plastic waste ⢠Adoption of a National Action Plan on Marine Plastic Debris Management ⢠Environmental law and other sub-law policies on harmful wastes management are available. Health sectorâs actions ⢠Resolution of Central Party for the health sector, response to climate change included ⢠Adoption of Health sectorâs response to Climate Change ⢠The National Center for Centralized Drug Procurement (NCCDP) is established ⢠The Viet Nam Health Environment Management Agency (VIHEMA), under MOH responsible for environmental issues related to the health sector
- 9. BINAR SERIES Policies in Viet Nam The Law on Environmental protection in 2014 - Regulatory policies on the environmental protection: ďEco-friendly production and consumption ďStrengthen recycling, reuse and reduce waste substances to a minimum - Actions that are advised to protect the environment: ď Control, collect, reuse and recycle wastes; ď Developing and using green and renewable energy sources; make a reduction in the greenhouse gas emission and gases causing the ozone layer depletion; ď Supply environmental protection services; provide green credits and investments.
- 10. The MOH Directive No. 08 / CT-BYT dated July 29 2019 providing for reducing plastic waste in the health sector, which requires health facilities to implement: ď Issuing and implementing the own plan on reducing plastic waste; ď Thoroughly classify plastic waste and hard-decomposed nylon, to collect and recycle. ď Communicateon reducing plastic waste. ď Research, propose and apply effective solutions to reduce plastic waste Policies in Viet Nam
- 11. Until now, there are no: 1. Action plan with detailed criteria and tools for reducing plastic waste in the health sector 2. Technical support to at hospitals in piloting the sustainable procurement Challenges
- 12. 1. Develop plan to reduce plastic waste in the health sector, period 2020-2025 ďReducing plastic waste ďPlastic waste are phased out and substituted with safer alternatives ďSustainable Procurement 2. Organize the implementation of the plan to reduce plastic waste in the health sector, period 2020-2025 3. Review the Plan of "green-clean-beautiful" health facilities ďSustainable Procurement ďreducing plastic waste ďreducing waste generation ďenergy saving ďWASH in HCF Action Plan
- 13. Progress of Medical Plastic Waste Mitigation in Viet Nam Health Sector Dr. Dao Khanh Tung, Programme Analyst, UNDP Viet Nam PRESENTATION #2
- 14. SHiPP Interventions to be implemented in Viet Nam Priorities for implementation in Viet Nam including: Support the Health Sectorâs on implementation of medical plastic and harmful waste mitigation, Support development and revision of legislations, policies, and guidelines for mitigating harmful medical wastes through health procurements. Conduct advocacy workshops on sustainable health in procurement and development of relevant policies/guidelines on sustainable procurement. Support scale up of existing models on sustainable procurement that hospitals are piloting.
- 15. BINAR SERIES 7 October 2019 www.savinglivesustainably.org Results First workshop on the Sustainable Health in Procurement Project (SHiPP) in Vinh Phuc Province, Viet Nam on 24 May 2019. "Deploying to reduce plastic waste in the health sector" on 16 August 2019. SHiPP in Viet Nam
- 16. Activities under 2019 Implementation â˘Support development and implementation of the health sector's resolution in reducing plastic medical waste â˘Technical support to MOH and MONRE in provision of environmental health substantive inputs to revision of Environmental Law â˘Desk review Assessment of legal environment on health procurement for mainstreaming sustainable procurement â˘Technical and Advocacy workshops on development of green procurement guidelines
- 17. 2019 Results â˘MOHâs Directive on âmitigation of plastic waste in the health sector" launched on 16 August 2019 â˘All 63 sub-national health department signed commitments with MOH and Hospitals in implementation of the Directive ⢠All central hospitals signed in commitments in implementation of the Directives â˘Health manufacturers and companies signed commitments in reducing plastic wastes
- 18. 2019 Results Policy review assessment of current health procurement regulations for mainstreaming sustainable procurement Technical workshop on development of tools and guidelines for medical plastic and harmful waste mitigation Providing inputs on medical harmful wastes to revision of environmental law
- 19. Proposed Activities under 2020 Implementation â˘Support MOH in development of national guidelines and regulations on implementation of medical plastic, POP, Mercury waste mitigation through procurement activities â˘Inventory review of medical equipment of hospitals, identification and development of list of alternative items that release less plastic, POP, Mercury wastes â˘Support integration of plastic, Pop, Mercury mitigating criteria in health commodity procurement â˘Support to capacity building for health sector on sustainable procurement â˘Develop indicators for monitoring plastic wastes in the health sector and disseminate for further application â˘Review and documentation of sustainable manufacturers and suppliers practices and initiatives in sustainable production
- 20. Good byeProcurement changes Law revision Regulatory tools and criteria SP Mainstreaming
- 21. Promoting Sustainability through Elimination of Plastics from the Health Sector: Mary Johnston Hospital in the Philippines PRESENTATION #3 Glenn Roy V. Paraso, M.D., MPH, FPCHA Executive Director, CEO, Mary Johnston Hospital, Philippines
- 22. Mary Johnston in Brief Climate Change and Health Mary Johnston Green Table of Contents
- 23. Mary Johnston Hospital (MJH), Inc. is a non-stock, non-profit health care institution established under the Philippine laws. It has a Level III License to Operate granted by the Department of Health and duly accredited by the Philippine Hospital Association and the Philippine Health Insurance Corporation 1221(02) 245-4021 to 25 / www.maryjohnston.ph Nolasco Street, Tondo Manila
- 24. Source: (Health Care Without Harm, 2019)
- 25. The Philippines is the worldâs third largest source of plastic pollution, according to a 2015 report by the Ocean Conservancy charity and the McKinsey Center for Business and Environment. Source: Duterte In Favor Of Ban On Single-Use Plastic â Palace | Philstar.Com The Philippines has 1,071 Department of Health (DoH) licensed private hospitals, and 721 public hospitals. ("At a glance: The Philippine health care system - The Manila Times", 2018)
- 26. Education Campaign Energy Audit Plastic Audit (2nd round) Phase 3 Energy Self- sufficiency Monitoring and Evaluation Waste Management, Plastic Usage Reduction Phase 2Phase 1
- 27. Our approach to becoming environment friendly â˘looks at how Mary Johnston Hospital can effectively mainstream and integrate within its system climate change adaptation measures. MJ Green Project â˘recognizing the strategic roles of stakeholders in our green initiatives â˘institutionalizing stricter policies in lessening the carbon footprint in a hospital setting. Inclusive Approach â˘to effectively communicate to MJH stakeholders and beneficiaries the significance of raising consciousness and embracing adaptation measures on climate change. Effecting Change
- 28. Mary Johnston Hospital Phase 2 Plastic Audit Results
- 29. 251 285 137 24 255 344 157 10 0 50 100 150 200 250 300 350 400 YELLOW BLACK GREEN SHARPS 2018 2019 Total no. of bags generated/24hr
- 30. Percentage of Plastic Waste per Category 2018 & 2019 CATEGORY BAG WEIGHT 2018 PLASTIC (KG) % OF PLASTIC BAG WEIGHT 2019 PLASTIC (KG) % OF PLASTIC Yellow 109.71 71.11 64.82 17.00 5.50 32.35 Black 51.44 20.99 40.80 20.95 13.80 65.87 Green 10.57 1.94 18.35 8.55 1.00 11.69 Sharps 1.04 .001 .10 5.00 .17 3.40 TOTAL 172.76 94.04 54.43% 51.50 20.47 39.74%
- 31. GoodPractices Lesser disposed gloves and face masks Significant reduction of intravenous and pet plastic bottles No identified pharmaceutical wastes Lesser disposed fastfood containers No vials All disposed sharps were treated with Sodium hypochlorite solution ForImprovement One needle (Laboratory) Syringe with blood 100g food waste Styrofoam cups and food containers Two needles (ER) 4,500g of food waste Plastic food plastic containers Diaper (Med. ward) 3 Needles (Pedia Ward) Medicine blister packs 1,250g of food waste Plastic plungers inside the sharp containers Yellow (Infectious) SharpsGreen (Biodegradable)Black (Solid Waste) Significant findings per waste category 2019
- 32. Projected Gross savings from infectious and recyclable waste 2019 COST OF INFECTIOUS WASTE 2018 2019 Generated infectious waste (kg) /day 109 17 Cost of Infectious waste (Php) /day 2,834 442 Cost of Infectious waste (Php) /month 85,020 13,260 Cost of Infectious waste (Php) /year 1,020,240 159,120 Projected Savings in 2019 861,120 Note: Cost of infectious waste/kg Php =26.00 PROJECTED GROSS SAVINGS (PhP) IN 2019 872,640 PROJECTED RECOVERED RECYCLABLE WASTE 2018 2019 Recovered recyclable waste (kg) /day 3 8 Income from Recovered recyclable waste (Php) /day 12 32 Income from Recovered recyclable waste (Php) /month 360 960 Income from Recovered recyclable waste (Php) /year 4,320 11,520 Note: Income from Recovered recyclable waste/kg PhP = 4.00
- 33. Estimated Cost of Improvement on Health Care Waste Management 2019 SUMMARY 2019 Projected gross savings (Php) in 2019 872,640 Estimated cost of improvement (Php) 2019 46,700 PROJECTED GROSS SAVINGS (PHP) IN 2019 825,940 COST OF IMPROVEMENT 2019 Waste Audit: Materials (Reusable), refreshment, etc. 30,200 Manpower (Php 550 x30 Audit team members) 16,500 ESTIMATED COST OF IMPROVEMENT 46,700 Gross Projected Savings on Health Care Waste Management 2019
- 34. (Evidence-based) Waste Reduction Intervention 1. Strictly NO STYRO policy is being implemented inside the hospital premises; 2. Provision of water dispenser so that MJH employees and personnel will refrain from using PET water bottles; 3. Replacement of LED lights and use of inverter air conditioning unit to lessen the carbon footprint; 4. The creation of a vertical garden inside the hospital to absorb carbon dioxide or air pollution; and 5. The continuous advocacy on environmental health. The Hospital has 120 hospital beds and 301 employees
- 35. CONCLUSIONS Conduct of an annual waste audit is strategic in analyzing the effectivity of current waste management system of the hospital The hospital needs to strengthen its campaign on waste management Cost benefit of waste segregation is not immediate but sustained actions can lead to reduction of hospital expenses and stable source of income Environmental health campaign must be a mutual agreement between the hospital and its stakeholders such as the communities it serves, churches and partner institutions. Conduct of regular waste audit allows the hospital to recalibrate or formulate more policies on waste segregations or waste management
- 36. RECOMMENDATION & FUTURE PLANS: Shift of IV Plastic to Glass Bottles No Straw and Disposable Food Utensils Return to Vendor Policy Monitoring and Evaluation Fruits and Vegetables Tower Garden Provision of Educational Materials
- 37. PICTURE REFERENCES ⢠Tower Garden: https://101growlights.com/best-hydroponic-tower/ ⢠Glass IV bottles: https://www.exportersindia.com/denis-chem-lab-ltd/iv-fluids-ahmedabad-india- 1228051.htm ⢠No disposable food utensils: https://www.fastcompany.com/1775602/reusable-silverware-doesnt-leave- bitter-aftertaste-chemotherapy-patients ⢠Return to Vendor policy: https://www.komando.com/happening-now/435448/putting-your-old-amazon- shipping-boxes-to-good-use-is-super-easy
- 38. Send us your questions in the chat box for live answers. Q&A
- 39. We look forward to working with you on a more sustainable health sector. THANK YOU!
Editor's Notes
- Good morning, Good afternoon and Good evening everyone, and thank you very much for joining us for the UN Sustainable Procurement in the Health Sector virtual session. Todayâs session will focus on âPromoting Sustainability through Elimination of Plastics from the Health Sector: Viet Nam & Philippinesâ
- My name is Ian Milimo. I am the Project Manager of UNDPâs Sustainable Health in Procurement Project, known as SHiPP. I will moderate todayâs virtual session. I will start with briefly introducing you to UN interagency Task Team on Sustainable Procurement in the Health Sector, known as SPHS, and SHiPP. I will then introduce you to the speakers, and continue with the presentations, after which we will have a Q&A session. Please feel free to submit your questions in the chat box. We will answer the questions during the Q&A session at the very end. The questions that were not addressed during the Q&A session, will be addressed on the SPHS website, savinglivesustainably.org shortly after the session. Thank you.
- The UN interagency Task Team on Sustainable Procurement in the Health Sector was established in 2012. It brings together 7 UN agencies and 3 global health financing institutions, to strengthen sustainability in the health sector and beyond. The annual purchasing power of the SPHS members is 4 billion USD, which represents a sizable portion of the global pharmaceutical and other health products markets. The SPHS has 11 focus areas: Chemicals, energy, gender equality, human & labour rights, medical products, packaging, procurement, resource efficiency, transportation, waste management and water. [[[[Read through What We Do]]]] [[[[Read through Emerging Opportunities]]]]
- Inspired by a UNDP-HCWH pilot funded by the Skoll and UN Foundations in 2015, the Sustainable Health in Procurement Project (SHiPP) set sail in 2018 as a four-year global project powered by support from the Swedish International Development Cooperation Agency (Sida). The initiative addresses the intersection between health, human rights and the environment in developing countries. It promotes procurement practices that consider environmental and social impacts, as well as cost-efficiency and affordability when defining how processes can be sustainable and mainstreams Gender and human rights including Anti corruption, transparency and accountability. The initiative also aims to aggregate demand for sustainable manufacturing and waste management in a critical number of project countries and to slowly but surely move the supply chain towards greater sustainability. The expected outcome is a corresponding positive impact on the environment and on the health of patients, hospital staff, workers at medical product manufacturing sites and of local communities.
- Now, I would like to now introduce you to our speakers: Our first speaker is Mr. Le Manh Hung. Mr. Hung has been working with the Health Environment Management Agency at the Ministry of Health of Viet Nam since October 2009. He has experience in developing policy for environmental protection in health facilities, including, health care waste management, and reducing plastic waste in the health sector. He also participates in activities such as assessment, training, guiding and monitoring to implement regulations on health care waste management in health facilities in Viet Nam. Our second speaker today is Dr. Dao Khanh Tung, who is a programme analyst in UNDP Viet Nam. Dr. Tung Dao is a medical doctor graduated from the Ha Noi Medical University in 1999 as a general medical practitioner. He also holds a Master of Science degree in international health policies and management granted from the Brandeis University, USA. Working for UNDP Viet Nam, Dr. Tung Dao oversees two portfolios including Biodiversity and Environmental Health. He is providing technical advice and managerial works to overseeing interventions and projects that UNDP Viet Nam is supporting the Health and Environmental sectors. Our last speaker is Dr. Glenn Roy Paraso. Dr. Paraso is a medical doctor by profession and is currently the Executive Director of the Mary Johnston Hospital in the Philippines. He has been appointed by the Government of the Philippines as a health expert in National Technical Panel of Experts, in the Climate Change Commission. He has led the development of health adaptation strategy and has extensively contributed towards climate change adaptation work in the Philippines.
- Now I would like to give the floor to Mr. Le Manh Hung. Please submit your questions in the chat box. We will answer the questions during the Q&A session at the very end.
- In December 2017 Viet Nam joined the list of 127 countries that adopted UN Environment Assemblyâs resolution to tackle plastic waste and marine litter Prime Ministerâs call for global cooperation in addressing marine plastics at G7 Summit in Canada in 2018 Viet Nam also underscored the importance of the matter at the G20 Summit in Japan in May 2019 and on many other occasions
- Thank you Mr. Hung. Now we will proceed with Dr. Tung, who will focus on the progress of medical plastic waste mitigation in the health sector in Viet Nam. Please send your questions to us through the chat box. We will be answering them at the Q&A session.
- Our last presentation is by Dr. Glenn Roy Paraso, who will explain the how Mary Johnston Hospital in the Philippines eliminates plastics. Dr. Glenn, the floor is yours.
- Climate change, together with other natural and human-made health stressors, influences human health and disease in numerous ways. Some existing health threats will intensify and new health threats will emerge. Not everyone is equally at risk. Important considerations include age, economic resources, and location. Citation: Health Care Without Harm. (2019). Climate and Health. [online] Available at: https://noharm-uscanada.org/climateandhealth [Accessed 23 Nov. 2019]. The illnesses as a result of climate change are the challenge of future medicine where mutation and resilience are inevitable. Every year 12.6 million people die from diseases associated with environmental hazards https://twitter.com/WHO The potential role of hospitals in articulating the health impact and in influencing policies on climate change is undeniably huge. Climate change is impacting human lives and health in a variety of ways. It threatens the essential ingredients of good health - clean air, safe drinking water, nutritious food supply, and safe shelter - and has the potential to undermine decades of progress in global health (WHO).
- The President is in favor of a ban on the use of plastics, seen as one of the contributors of pollution according to Presidential spokesman Salvador Panelo Read more at https://www.philstar.com/headlines/2019/11/11 CNN Philippines Twitter Account (02 Dec 2019): Ordinance No. 2876 in Quezon City states that restaurants and hotel are prohibited from distributing single-use plastic and disposable materials to customers dining in their establishments Page 17 of the National Security Policy: There are five (5) channels which the CC could affect security: (1) threat to well-being of the most vulnerable communities; (2) impact to economic development â halting or significantly slowing down growth thereby worsening poverty and increasing desperation; (3) second-order effect of unsuccessful adaptation in the form of uncoordinated coping or survival strategies of a number of local population; (4) threat posed to the viability or survival of a number of sovereign states; and (5) availability or access to natural resources that could result to competition and disputes. Toxicity Exposure Employees, patients and the entire community are exposed to environmental health hazards in the work environment. Exposure to toxic or chemical substances is gradual, and it gets into the human system without noticing and become part of the human food cycle, yet the intervention is limited. The issue of environmental health is also within the bounds of hospital procurement. How many hospitals are environmentally health-conscious when it comes to their procurement practices?
- Goal: To integrate within the hospital system the climate change adaptation measures and to make MJH one of the frontrunners in climate change advocacy. Outcome: The MJH is a climate-friendly hospital. Objectives: To determine the readiness of the hospital in mainstreaming climate change adaptation measures within its system; To enjoin the hospital stakeholders in initiating measure(s) towards the reduction of carbon footprint; To establish green governance with policies and procedures aligned and functioning; and To establish evidence-based results of MJH green governance towards sustainability. Phase 1: Energy Audit and Plastic Audit (2nd round) ENERGY AUDIT The audit is to determine the amount of energy consumption of the hospital and the possible intervention(s) to lower the consumption. The results of the audit will serve as the baseline figure on how the hospital will move forward towards becoming an eco-friendly hospital. PLASTIC AUDIT (2nd Round) MJH in 2018 forged partnership with Health Care Without Harm (HCWH) to conduct plastic audit; to assess ways in which the hospital can improve its waste management procedures; and to identify practical steps to reduce plastic consumption. According to the report, MJH earned PHP 37,436 (USD 693) from recyclables in 2017. Phase 2: Waste Management, Plastic Usage Reduction, and Education Campaign Waste Management and Plastic Usage Reduction seek to establish green governance with policies and procedures aligned with the existing hospital system and are functioning. Waste management connotes recalibration of former intervention should it become ineffective through time. Plastic usage reduction is patronizing suppliers that use eco-friendly materials and establishing an internal mechanism to reduce the use of plastic. Education campaign seeks to effect behavioural change among MJH stakeholders the value of climate change awareness and adherence to adaptation measures. It is a series of brown-bag sessions inside the hospital premises designed for MJH stakeholders. Phase 3: Energy Self-sufficiency and Monitoring and Evaluation Energy self-sufficiency is an intervention that seeks to harvest energy from a natural source using solar panels. Part of the MJH renovation proposal is to add one more floor from its current structure where it can house or pilot harvesting energy from the sun. Solar panel will be installed to harvest energy Energy harvested will supply the energy requirements for this floor Monitoring and Evaluation is an integral part of any project to evaluate the responsiveness and the needed decision points including recalibration for sustainability.
- 2018-2019 Waste Reduction Interventions: Elevate at the policy the need to recalibrate existing hospital system and expand the hospital program on climate change Conduct of continuous orientation activities on proper waste segregation and plastic waste minimization among hospital stakeholders; Strict implementation of No Styrofoam Policy inside the hospital premises; Use of paper bags in medical supplies and medications Created a much wider program on climate change and continuous participation in climate change campaigns; Provision for free potable hot and cold water supply (in partnership with OSH Committee), to reduce the use of plastic bottles among hospital employees and promote the use of personal mug or tumbler during in-house seminars and meetings Conduct of monitoring on proper waste disposal per unit, particularly in clinics or medical areas
- Objectives: To determine the effectiveness of interventions facilitated after the results of the 1st phase of plastic audit in 2018; To build from the gains of the 1st plastic audit and continue initiating change with the purpose of reducing carbon footprint in the hospital; To continue effecting change among hospital stakeholders and rally support behind our advocacy on climate change; To create more policies strengthening the integration of climate change adaptation measures into the organizational system and culture; To live the notion without guilt that Mary Johnston is a mother and child friendly institution
- The results reveal that MJH produces more healthcare waste in 2019 with a total of 766 bags that in 2018 with a total of 697 bags. The percentage distribution of waste based on category, from the total is 45% black; 33% yellow; 21% green and 1% sharp.
- The result reveals that the 2019 produced waste in all waste category were significantly lower in in comparison to 2018, predominantly on infectious waste. This implies that location of waste bin and strict monitoring as part of initiatives were become effective techniques to minimize the infectious waste. Total of 50 black bags audited, 20,95 kgs of waste with 13.80 kgs of plastic waste Total of 45 yellow bags audited, 17 kgs of waste with 5.50 kgs of plastic waste Total of 25 green bags audited, 8.55 kgs of waste with 1.0 kg of plastic waste The sharp bag contained 3 kinds of syringe, a total of 68 items and weighs 174.2 grams
- Table 7: All identified significant findings on audit were communicated to respective units for immediate actions. One of the actions is the provision of needle cutter to properly segregate the plastic plunger to syringe needle.
- Conclusion: Conduct of an annual waste audit is strategic in analyzing the effectivity of current waste management system of the hospital Conduct of regular waste audit allows the hospital to recalibrate or formulate more policies on waste segregations or waste management Cost benefit of waste segregation is not immediate but sustained actions can lead to reduction of hospital expenses and stable source of income The hospital needs to strengthen its campaign on waste management Environmental health campaign must be a mutual agreement between the hospital and its stakeholders such as the communities it serves, churches and partner institutions.
- The tables show the projected tangible benefits of waste management and plastic waste minimization program in 2019. It reveals significant savings from proper management of infectious and recyclable waste which can be utilized for further improvement and support to occupational safety and health programs of the hospital such as provision of free potable hot and cold water for employees, safety training and education, etc. This endeavour also provides intangible benefits for employees, patients/relatives, to waste audit team and the whole institution in general.
- Admission kit should have no plastic Needle Cutter Picture References: Composting: https://www.greenandgrowing.org/bokashi-composting-101/ Tower Garden: https://101growlights.com/best-hydroponic-tower/ Water Treatment Facility: https://mcmgrp.com/portfolio/town-of-westville-wastewater-treatment-facility-upgrade/ Glass IV bottles: https://www.exportersindia.com/denis-chem-lab-ltd/iv-fluids-ahmedabad-india-1228051.htm No disposable food utensils: https://www.fastcompany.com/1775602/reusable-silverware-doesnt-leave-bitter-aftertaste-chemotherapy-patients Return to Vendor policy: https://www.komando.com/happening-now/435448/putting-your-old-amazon-shipping-boxes-to-good-use-is-super-easy Competition and Incentives: https://bluedreamer27.com/recycled-christmas-lanterns-parol-at-bangenge-festival-2015/
- This is the end of the presentations. The floor is now open for the Q&A session. We will try to answer as many questions we can. As mentioned before, questions that were not addressed during the virtual session will be answered on the SPHS website, savinglivesustainably.org
- This is the end of our virtual session. Thank you very much for joining us. For more information on our work and current projects; you can also follow us on Twitter, and receive regular updates on the SPHS initiative by subscribing to our Newsletter. In case you have any questions, please do not hesitate to ask. Thank you and we look forward to reconnecting with you for our next virtual sessions. Good bye for now.