Green and Clean Hospital : Sustainable Sanitation through Green and Clean Hospital Approath : A Strategy for Reducing Global Warming (Case Thailand)
Sustainable Sanitationthrough GREEN and CLEAN Hospital Approach: A Strategy for Reducing Global Warming Dr.Narong Saiwongse, Duputy Director General, Department of Health, MOPH, Thailand
Population : 63.87 MillionArea : 513,115 Km2/ 198,115 mile2Public Health hospitals : 831 hospitalsSub district Hospitals: 9,802 sub district Hosp.
1. Background and rationaleThailand’s environmental condition : have been affected by numerouschanges both in the global context andthe country’s internal factors Climate changes Population growth Urbanization
Urbanization Impact• The water quality has been deteriorating• The number of clean surface water sources has beendeclining caused bywastewater drainage from communities and other places Contamination with faecal coliform bacteria
Wastes from Health-care facilities• solid wastes• health-care waste• wastewater Promote appropriate management reduce carbon footprint and return to new resources
GREEN and CLEAN Hospital: Public Health Collaborative Campaign to ReduceGlobal Warming through Sustainable SanitationThe campaign aims : To promote collaborative efforts among state health- care facilities under the Ministry of Public Health for reducing global warming with the GREEN and CLEAN approach and enable them. To serve as a role model for other agencies including local authorities and communities.
GREEN and CLEAN Hospital GREEN and CLEAN HospitalsThe campaign expectation : To increase health personnel’s awareness and understanding of health effects of global warming and how sustainable sanitation can contribute to climate change mitigation and adaptation.
2. Project’s Objectives To promote the state health-care facilities underthe Ministry of Public Health to implement theGREEN and CLEAN Strategies. To promote the good practice models of GREENand CLEAN Hospitals to serve as a role model forothers. To increase awareness and understanding ofhealth personnel in reducing global warming bysustainable sanitation.
3. Project’s main activities GREEN CLEAN is a group of activities is includes strategies Encourage the hospitals to practise in a sustainable manner.
Project’s main activities (cont.)The GREEN comprises activitiesrelated to G E - Garbage - Restroom - Energy R - Environment - Nutrition E N
Project’s main activitiesProject’s main activities cont (cont.) Garbage or solid waste managementG using the 3-Rs principles
Project’s main main activities (cont.) Project’s activities cont Restroom improvement, especially publicR restrooms or toilets in the hospitals to meet the Healthiness, Accessibility and Safety (HAS) toilet standards.
Project’s main activities Project’s main activities cont (cont.) • Waste water management• Nutrient recovery
Project’s main activities (cont.) Energy use reduction and alternative energyE promotion, including the use of renewable energy such as biogas
Project’s main activities (cont.) Environmental improvement and healthyE workplace promotion
Project’s main activities (cont.) Nutrition promotion including food safety as well as the use of organic food for patients andN products from neighbouring communities in order to decrease the use of chemical fertilizer and to save energy for food transportation.
Project’s main activities (cont.)The CLEAN strategies compriseCommunication, Leadership, Effectiveness, Activitiesand NetworkingC : communication for creating goodunderstanding and awarenessL : leadership for starting a prototype project and resolving any problems
Project’s main activities (cont.)E : effectiveness enhancement to achieve the targetA : activity creation with strengthened cooperationN : networking for all project sites to work together.
4. Project Accomplishments• The guidelines and technical documents on the GREEN and CLEAN Hospital Project have been developed and disseminated to the participating hospitals
Project Accomplishments (cont.) 4.Project Accomplishments• The training courses have been conducted for building the capacity of responsible personnel.
Project Accomplishments (cont.)• The carbon footprint calculator programme has been created and promoted to the participating hospitals to use as the tool for evaluating the effectiveness of the project.
Project Accomplishments (cont.)• The annual seminar has been organized. It aims to promote the collaborative among GREEN and CLEAN Hospitals Network, to share experiences and knowledge, and to reward the best practice models.
Project Accomplishments (cont.)• There are over 4,000 hospitals throughout Thailand that are implementing the GREEN and CLEAN Hospital Project. 4000 3500 3000 Hospitals (Regional, 2500 Provincial and number 2000 district Hospital) 1500 Subdistrict Health- care facitities 1000 500 0 2010 2011 2012 year
Project Accomplishments (cont.)• A number of good practice models of GREEN and CLEAN Hospitals in 49 provinces over the country welcome and ready to share their experiences and key of success factors of GREEN and CLEAN Hospitals with others.
5.Lesson learned The health-care sector is well- positioned to “ lead by example ” Sustainable sanitation and climate change can be linked by GREEN and CLEAN Hospital Approach
Lesson learned (cont.) The active role of the health sector in sustainable sanitation management can benefit health and contribute to long term goals of reducing global warming The capacity and awareness of health personnel need to be built continuously The integrated approach of GREEN activities and routine work should be encouraged among health personnel in the hospitals
Lesson learned (cont.) The evaluation method for measuring the linkage between GREEN and effectiveness of reducing GHG should be developed, so that the participating hospitals can implement the project with more confidence. The GREEN and CLEAN Strategy can be applied and promoted in other sectors as well.
6.The way forwardIncrease the involvement of the rest hospitals and other sectors in the project.Develop method of measurement for monitoring and evaluation the effectiveness of the project implementation.
The way forward (cont.)Create and strengthen the GREEN and CLEAN Hospital network both at national, regional and global level.Promote innovation and appropriate technologies in managing sustainable sanitation in GREEN and CLEAN Hospital.