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AIDSTAR-One Issue Brief: Health Care Waste Management Public-private Partnerships in Uganda
 

AIDSTAR-One Issue Brief: Health Care Waste Management Public-private Partnerships in Uganda

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  • Hallow, am responding to the advertisement of the Health Care Waste Management adviser. however the contact's email address is not responding. Could you please assist me with the right one. the one given is jkymazima@mmis.co.ug. Thank you
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  • Hallow, am responding to the advertisement of the Health Care Waste Management adviser. however the contact's email address is not responding. Could you please assist me with the right one. the one given is jkymazima@mmis.co.ug. Thank you
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    AIDSTAR-One Issue Brief: Health Care Waste Management Public-private Partnerships in Uganda AIDSTAR-One Issue Brief: Health Care Waste Management Public-private Partnerships in Uganda Document Transcript

    • AIDSTAR-One ISSUE BRIEFPublic-Private Partnerships for a Centralized Waste DisposalTreatment Plant in Eastern UgandaBackground and the Ugandan Ministry of Health at the national and district levels through District Health Teams andIn Uganda, health facilities are generating ever increas- AIDSTAR-One. The AIDSTAR-One/Uganda projecting volumes of hazardous waste, however, very few is funded by the U.S. President’s Emergency Plan forfacilities have acceptable methods of health care waste AIDS Relief through the U.S. Agency for Internationaldisposal and open burning is widely practiced. Some Development and is focused on establishing an environ-larger facilities have incinerators to reduce the volume ment where health workers, patients, communities, andof waste but the majority do not achieve recommend- the environment are better protected against hazardsed temperature and smoke emission requirements. As posed by unsafe handling of health care waste.a result, unsafe disposal continues to pose serious po-tential health and environmental risks to health work- What are public-private partnerships?ers, patients, waste handlers, and communities. Public-private partnerships are collaborative endeavorsIn view of the continued challenge of unsafe health care that combine resources from both the public and pri-waste disposal, a centralized waste disposal plant is vate sectors to achieve targeted goals. These partner-being established at Bulowooza village in Iganga districtin Eastern Uganda. Once complete, the plant will havea sanitary landfill, lagoons, a large scale autoclave, ashredder, and an incinerator. The plant will use cost-effective and environmentally-friendly methods forhandling, treating, and disposing of health care wastegenerated from all of the health facilities in the six initialdistricts of Kapchorwa, Mbale, Kamuli, Jinja, Bugiri, andIganga. The plant could subsequently expand to reach atotal of 26 districts in the eastern region.The establishment of a centralized health care wastedisposal plant will be achieved through a public-privatepartnership between Green Label Services Limited Total commitment from each partner maximizes(GLSL; a private waste handling service provider) effortsThis publication was made possible through the support of the U.S. Agency for International Development under contract number GHH-I-00-07-00059-00, AIDS Support andTechnical Assistance Resources (AIDSTAR-One) Project, Sector I, Task Order 1 and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). 1 July 2012
    • ISSUE BRIEF:PUBLIC-PRIVATE PARTNERSHIPS FOR A CENTRALIZED WASTE DISPOSAL TREATMENT PLANT IN EASTERN UGANDA ships enable governments and private sector entities ditional benefits resulting from the partnership include to maximize their efforts through joint objectives, the following: program design, and implementation, as they share resources, risks, and results. • Accelerated private investment in health care waste disposal in the country Implementing the public-private partnership model in eastern Uganda • Availability of an acceptable and affordable, imme- diate and long-term solution to health care waste Eastern Uganda is facing a serious medical waste dis- disposal posal problem. The region has geologic and hydrologic features—such as high water tables, rocky ground, • Increased access for health facilities to quality dis- significant soil erosion, and landslides—that prevent the posal methods that allows health managers to attend use of traditional medical waste pits. The region also to more important chores has a high number of people who use outpatient health • Protection for health workers, communities, and the services which results in a lot of health care waste. In environment. The centralized system will improve addition the scaling-up of services such as HIV testing, health care waste disposal practices thereby reduc- tuberculosis directly observed treatment short-course, ing the risk of exposure of health workers, patients, rapid diagnostic testing for malaria, and prevention of communities, and the environment to hazardous mother-to-child transmission of HIV generate large vol- waste umes of health care waste. Unfortunately, health facili- ties are failing to cope with the situation. Many facilities • Timely removal of expired medicines from the have no more space to bury waste. Methods used in health system, which reduces the risk of improper disposing of waste are polluting neighboring develop- use ments and continue to pose risks to the environment. • Reduced burden on the Ministry of Health to Experience elsewhere in the developing world and in provide health care waste management services countries like Malaysia, Singapore, and South Africa directly allows the Ministry to concentrate on other shows that centralized waste treatment and disposal important areas such as improving access to health systems operated under public-private partnerships services present the most efficient and sustainable approach to solving health care waste management challenges in the • Wide-scale improved quality of health care. short and long run. Implementation Benefits of the public-private partnership model GLSL will use its own resources to set up and operate the centralized waste treatment and disposal facility. The public-private partnership model provides a num- AIDSTAR-One will procure a high-temperature incin- ber of benefits for health workers, patients, community, erator capable of destroying 1,000 kilograms of waste and the country at large. While the public sector (gov- per hour. GLSL will also procure trucks and other ernment) will provide overall leadership in the manage- waste management commodities that will be used for ment of health care waste disposal, the private sector collecting waste and transporting it to the centralized will contribute to timely collection, transportation, and facility for safe disposal. A geographical information disposal at the centralized disposal plant in Iganga. Ad- system will be utilized to map routes that will be used 2
    • ISSUE BRIEF:PUBLIC-PRIVATE PARTNERSHIPS FOR A CENTRALIZED WASTE DISPOSAL TREATMENT PLANT IN EASTERN UGANDA when picking up the waste from health facilities to help waste management into its annual planning processes identify the most efficient routes. and budgets. Similarly, all health implementing part- ners working in the eastern region of Uganda will be It is a best practice that all waste is segregated at the encouraged to use the centralized waste treatment and source where it is generated before being handed over disposal facility and to include waste management in to the waste handling service provider. Each type of their plans and budgets. waste is treated and disposed of differently, therefore waste segregation enables the waste handling ser- Who will use the disposal facility? vice provider to use the most cost-effective method available but without posing harm to people and the The following is a summary of targeted users of the environment. AIDSTAR-One and U.S. Government centralized waste treatment and disposal facility: implementing partners operating in the six benefiting districts will provide financial and technical support for • Public health facilities training and mentoring of health facility staff on appro- • Private health providers priate health care waste segregation procedures. • Private-not-for-profit organizations Health facility managers will enforce waste segregation practices and provide technical oversight in treating • Government ministries and departments and weighing waste before it is handed over to GLSL (GLSL charges health facilities based on the weight of • Government regulatory authorities such as the waste transported). To avoid exposures and possible National Environmental Management Authority, the subsequent transmission of infections, the waste will be Uganda Revenue Authority, and the National Drug double bagged and transported in closed rigid contain- Authority ers. • Multilateral agencies. The U.S. Agency for International Development will initially pay for transportation and destruction of the For more information, contact: waste collected from government and private not- Dr. Victoria Masembe, Country Director for-profit facilities. Waste generated by private health John Snow, Inc., AIDSTAR-One Uganda service providers will be paid for by the owners of the Tel: + 256 414 221 581 facilities at cost recovery rates. To sustain these efforts, email: vmasembe@mmis.co.ug the central Ministry of Health plans to incorporate 3