­S. No.

Project Name

Year

Client

Project cost

Brief Description of Project

1

Knowledge and Compliance of biomedical waste management in healthcare establishments of Delhi

1999

Hazardous Substances Management Division (HSMD), Ministry of Environment & Forests, GoI

Rs. 3 lakhs

Cross-sectional study on the compliance of biomedical waste Management and Handling Rules, 1998 and the prevalent waste management scenario among the healthcare establishments of Delhi

2

Healthcare Establishment Waste Management & Education Programme (HEWMEP)-Project Location Delhi

1999 - 2001

Canadian International Development Agency

Rs. 10 Lakhs

Characterization and quantification of healthcare waste in various healthcare establishments. Implementation of the hospital waste management in various large & medium sized hospitals as well as testing and establishment of the environmental quality protocol for various parameters

3

Development of interactive websites and training materials on biomedical waste management

1999-2002

Ministry of Environment and Forests; Government of India through its UNDP sponsored Sustainable Development Networking Programme (SDNP).and by EMCBTAP- ENVIS nodes, Ministry of Environment & Forests, GOI.

Rs. 10 Lakhs

www.bmwmindia.org has been developed and uploaded. A periodical newsletter HEWMEP on healthcare waste management and related environment & health issues in India is also part of the project, which is being carried out regularly.  

4

Preparation of educational material & training manual on biomedical waste management

1999-2002

World Health Organization (WHO)

Rs. 10 Lakhs

Involved research, compilation, collation of existing educational material to develop a national kit of educational material (posters, pamphlet, manual, booklets, slide shows, presentations, website, audio-video mass media campaign material etc.)

5

Healthcare Establishment  Waste Management & Education Programme (HEWMEP) in Gulbarga city

2000-2005

Indo-Norwegian Environment Programme (INEP), Govt of Karnataka.

Rs.2.11 crores

Involved setting up of the completely operational Common Treatment Facility for biomedical waste management; development of educational material and training and motivation of the various stakeholders.

6

EMCB ENVIS Centre on Biomedical Waste Management

2001

MOEF, Govt of India, World Bank

Rs. 10 lakhs

Detailed studies were conducted in the healthcare establishments (HCEs) at Bhubaneswar, Kannur and Pune (one city each in East, South and West of India respectively; since studies in Delhi – North of India had already been done in 2003) to assess the biomedical waste management practices in the country. To fill the gap in knowledge, attitude and practices of the different HCEs in terns of waste management, various awareness campaigns, workshops and training programme were held.
CEE has helped various HCEs across the country in construction of sharps burial pit, procuring of suitable capacity treatment equipments including getting plastic and special metal sharps shredders designed and fabricated by local fabricators. CEE has also facilitated various HCEs in procuring the details about local technology providers for procuring the onsite treatment equipments.

A study on management of sharps and effectiveness of chemical disinfection for the same has also been carried out by CEE.  The study also highlighted the minimum concentration of the commonly used disinfectant Sodium hypochlorite needed to chemically disinfect the sharp items under clean and dirty conditions. A study on effectiveness of the chemical disinfectants for combating the sturdy microbes associated with waste is also being worked upon by CEE Kannur and CEE Delhi jointly.

7

Training and Awareness programme on biomedical waste management in 5 large hospitals of Delhi

2002-2003

Department of Environment , Delhi Government

Rs. 2.5 lakhs

The activities of the project included the study the existing waste management practices, characterization and quantification of waste in large hospitals of Delhi and conducting pre-training environment monitoring aiming to develop and recommend a strategy for HWM practices for the hospital followed by orientation programmes for various healthcare staff. The outcome of the training and orientation programme was monitored and evaluated. The waste management practices were followed up for further improvement of the waste management practices in the hospital.

8

Biomedical Waste Management – Status & Analysis and Plans for Future

2003-2004

Hazardous Substances Management Division (HSMD), Ministry of Environment & Forests, GoI

Rs.12 lakhs

Conducted five Regional and one National Workshop with all stakeholders from Pollution Control Boards and Health Departments to Common Facility Operators and NGOs for discussing the status of compliance to the Biomedical Waste (Handling and Management) Rules, 1998 region wise and nationally and developed a plan of action to be taken in the next few years.

9

Healthcare Establishment Waste Management and Education Programme in Kannur District

2004- 2005

Kerala State Council for Science, Technology & Environment

Rs. 3.5 Lakhs

Sensitization of healthcare personnel in 4 districts of Kerala on various aspects of biomedical waste management Waste production in healthcare facilities of developing countries has brought about a variety of concerns due to the use of inappropriate methods of managing the wastes. Inappropriate treatment and final disposal of the wastes can lead to adverse impacts to public health, to occupational health and safety, and to the environment.
This study shows a variety of constraints faced by rural healthcare establishments (HCEs) to adequately manage their waste. Lack of sufficient technological resources coupled with lack of awareness and the lax attitude of the healthcare personnel in looking into these issues, hinders the development of appropriate implementation of waste management practices in remote set-ups

10

Healthcare Establishment Waste Management and Education Programme in Gulbarga

2000-2005

Indo Norwegian Environment Programme, Govt of Karnataka

Rs.2.11 crores

The project consisted of setting up of a completely operational centralized treatment facility for BMWM for around 500 HCEs of Gulbarga city and the orientation and training programme of the healthcare functionaries in these HCEs.

11

Operation and Maintenance of CHAMP CTF

Since 2005

On behalf of Govt of Karnataka

Pay and use facility with annual turnover of around Rs. 20 lakhs

The CHAMP CTF established under the HEWMEP Gulbarga project is commissioned since 2005. It caters to HCEs of Gulbarga city, treating around 500 kgs of biomedical waste on daily basis. The CTF also serves as a centre for information dissemination on bmwm by conducting training and awareness programmes and giving opportunities to young professionals in the field of science, medical, engineering and social works to do the projects in the field. 

12

Conducting awareness and training programmes on biomedical waste management in nursing homes and clinics in Delhi

Ongoing project since April 2007

Hazardous substances Management division ,Ministry of Environment and Forests, Government of India

Rs 8 lakhs

Under this project, a total of fifty two (52) training workshops is being organized to train different categories of healthcare workers of 200 nursing homes and clinics on BMWM in Delhi. The main objective of the project is to introduce the concept of “Sustainable Integrated Healthcare Waste Management Plan” in the healthcare establishments (HCEs), which will enable HCEs to conduct regular training programmes at their own facility and can provide guidance to the different categories of healthcare workers on the proper handling of biomedical waste generated in the HCEs and its safe disposal.
Zone wise training of the master trainers of the selected nursing homes and clinics will be organized.
Each Training programme will consist of technical training, demonstration, role-plays, Quizes, segregation game and pre-KAP. Lacunae in the existing healthcare waste management system which is currently in use in the HCFs will be discussed and recommendations will be made to overcome the shortcomings and discrepancies in the existing system.

13

A study on Scenario of Biomedical Waste Management in Nursing homes and smaller Healthcare Establishments in Delhi

2005-2006

Air Marshal L.K.Verma AVSM(retd.),President,Indian Society of Hospital Waste Management

Rs. 30,000

Air MarshalL.K.Verma who is an expert in BMWM was awarded a project titled “To develop monograph on healthcare waste management in nursing homes in Delhi” by department of Science and Technology. CEE has undertaken the survey and analysis of the data collected from the 53 nursing homes which have obtained authorization from DPCC. The data collected from the nursing home survey is the main component for developing the monograph on healthcare waste management.The study carried out a systematic analysis of biomedical waste management system and present existing problems in nursing homes and smaller hospitals in Delhi. 53 nursing homes with bed strength of 20-230 which already had obtained authorization from the Delhi Pollution Control Committee were taken as a sample for the survey.

14.

Evaluation of Common Treatment Facility set up by IMAGE at Pallakad, Kerala

2005

Indian Medical Association, Kerala

Actual cost of trip of experts  and consultancy cost reimbursed

IMAGE invited experts of CEE to evaluate and provide feedback on the working and set up of the common facility set up by them at Pallakad to treat biomedical waste generated by 4 districts of North Kerala.

15

Regional and National Consultation on Biomedical Waste Management

Nov 2003- Oct 2004
Nationwide

Hazardous Substances Management Division,Ministry of Environment & Forests, Govt of India

To address some of these issues in implementation of BMWM Rules, 1998 and to bring about effective compliance to these rules in future, the Ministry of Environment and Forests (MoEF) and the Centre for Environment Education (CEE) organised a series of five regional workshops across the country titled “Biomedical Waste Management – Status Analysis and Planning for the future”. These workshops culminated in a national level workshop in Delhi. The aim of these workshops was to understand the status of compliance in various states to date and to find ways that can bridge the gap in the system currently in use and the necessary infrastructure, awareness and training required for its better implementation.

16

Consultancy for Regional level Training of Trainers (TOT) in Health Care Waste Management 

April 2008-Sept 2008
Tamil Nadu

Tamil Nadu Health Systems Project

The project involved implementation of Healthcare Establishment Waste Management & Education Programme (HEWMEP) through an Integrated Healthcare Waste Management Plan (IHWMP) in the healthcare establishments of Coimbatore Region consisting of 9 districts in Tamil Nadu and establishing practices for waste minimization, segregation, collection, transport, storage, treatment before transport to Common Treatment Facility or final disposal of healthcare waste. The project also involved conducting sensitization and training classes along with on-spot demonstration for effective waste management in the five demonstration units and through them in all HCEs in Tamil Nadu. The project team further conducted awareness and training programmes for a team of Master trainers comprising nodal officers, NGOs, Municipal Health officials from each district and equipped them with suitable educational material.

17

External Audit of BMWM in selected Govt Hospitals in Delhi

Sept 2008 – March 2009
Delhi

Department of Health, Govt of NCT of Delhi

The project involved auditing the practices on biomedical waste management in the selected hospitals in Delhi comprising evaluation and monitoring of practices in the hospitals. The project also involved providing trainings in the hospital wherever required.

18

On Site trainings for implementation of Health Care Waste Management (HCWM) in Primary Healthcare Centres of Rajasthan

Ongoing sinceSept 2009
Rajasthan

Rajasthan Health System Development Project

Rs. 1.92 Lakhs

Project involved conducting on-site trainings for implementation of Health Care Waste Management (HCWM) for 1500 Primary Healthcare Centres (PHCs) in Rajasthan. The objective of the consultancy project is to provide quality training on infection control measures and healthcare waste management practices to all staff and workers at facility level, to sensitize the trainees and make them aware about BMWM Rules 1998 by hands-on experience and training to trainees by demonstrating cradle to grave steps of waste management i.e. segregation, handling, collection, transportation treatment followed by disposal of infectious and non infectious waste generated from healthcare facilities. CEE has also developed the bio-medical waste management training manual in Hindi under the project.