Esmf annexes draftver01

P a g e 2 |
ANNEX 1: MAP OF SRI LANKA

P a g e 3 |
ANNEX 2: RESOURCE LIST: COVID-19 GUIDANCE
Given the COVID-19 situation is rapidly evolving, a version of this resource list will be regularly
updated and made available on the World Bank COVID-19 operations intranet page
(http://covidoperations/).
GOSL guidance from the Health Ministry
https://www.hpb.health.gov.lk/en/covid-19
Interim guidelines for Sri Lankan primary care physicians new
Management of Accidental Discovery of Suspected COVID-19 Patient in the Hospital new
Guidance of resumption of immunization services during COVID - 19 outbreak new
Operational Guidelines on preparedness and response for COVID-19 Outbreak for work settings new
Screening and management of healthcare workers following exposure to a confirmed/suspected case of
COVID-19 new
Release of persons who have quarantined from the quarantine centers
Maintenance of a Register for workers exposed to COVID 19
Guidance on the rational use of personal protective equipment (PPE) in hospitals in the context of COVID-
19 disease
Environmental Cleaning Guidelines to be used during the COVID-19 outbreak
Construction Industry Development Authority (CIDA)
Health and Safety Guidelines for Sri Lankan Construction sites to be adopted during COVID 19
outbreak, April 29th
2020 version
http://www.cida.gov.lk/newsevents/COVID%20Guidelines.Version.29thApril.2020.pdf
WHO Guidance
Advice for the public
• WHO advice for the public, including on social distancing, respiratory hygiene, self-quarantine,
and seeking medical advice, can be consulted on this WHO website:
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
Technical guidance
• Infection prevention and control during health care when novel coronavirus (nCoV) infection is
suspected, issued on March 19, 2020
• Recommendations to Member States to Improve Hygiene Practices, issued on April 1, 2020
• Severe Acute Respiratory Infections Treatment Center, issued on March 28, 2020
• Infection prevention and control at health care facilities (with a focus on settings with limited
resources), issued in 2018
• Laboratory biosafety guidance related to coronavirus disease 2019 (COVID-19), issued on March
18, 2020
• Laboratory Biosafety Manual, 3rd edition, issued in 2014

P a g e 4 |
• Laboratory testing for COVID-19, including specimen collection and shipment, issued on March
19, 2020
• Prioritized Laboratory Testing Strategy According to 4Cs Transmission Scenarios, issued on March
21, 2020
• Infection Prevention and Control for the safe management of a dead body in the context of COVID-
19, issued on March 24, 2020
• Key considerations for repatriation and quarantine of travelers in relation to the outbreak COVID-
19, issued on February 11, 2020
• Preparedness, prevention and control of COVID-19 for refugees and migrants in non-camp settings,
issued on April 17, 2020
• Coronavirus disease (COVID-19) outbreak: rights, roles and responsibilities of health workers,
including key considerations for occupational safety and health, issued on March 18, 2020
• Oxygen sources and distribution for COVID-19 treatment centers, issued on April 4, 2020
• Risk Communication and Community Engagement (RCCE) Action Plan Guidance COVID-19
Preparedness and Response, issued on March 16, 2020
• Considerations for quarantine of individuals in the context of containment for coronavirus disease
(COVID-19), issued on March 19, 2020
• Operational considerations for case management of COVID-19 in health facility and community,
issued on March 19, 2020
• Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19), issued
on February 27, 2020
• Getting your workplace ready for COVID-19, issued on March 19, 2020
• Water, sanitation, hygiene and waste management for COVID-19, issued on March 19, 2020
• Safe management of wastes from health-care activities, issued in 2014
• Advice on the use of masks in the community, during home care and in healthcare settings in the
context of the novel coronavirus (COVID-19) outbreak, issued on March 19, 2020
• Disability Considerations during the COVID-19 outbreak, issued on March 26, 2020
WORLD BANK GROUP GUIDANCE
• Technical Note: Public Consultations and Stakeholder Engagement in WB-supported operations
when there are constraints on conducting public meetings, issued on March 20, 2020
• Technical Note: Use of Military Forces to Assist in COVID-19 Operations, issued on March 25,
2020
• ESF/Safeguards Interim Note: COVID-19 Considerations in Construction/Civil Works Projects,
• Technical Note on SEA/H for HNP COVID Response Operations, issued in March 2020
• Interim Advice for IFC Clients on Preventing and Managing Health Risks of COVID-19 in the
Workplace, issued on April 6, 2020
• Interim Advice for IFC Clients on Supporting Workers in the Context of COVID-19, issued on
April 6, 2020
• IFC Tip Sheet for Company Leadership on Crisis Response: Facing the COVID-19 Pandemic,
• WBG EHS Guidelines for Healthcare Facilities, issued on April 30, 2007
ILO GUIDANCE
• ILO Standards and COVID-19 FAQ, issued on March 23, 2020 (provides a compilation of
answers to most frequently asked questions related to international labor standards and COVID-
19)

P a g e 5 |
MFI GUIDANCE
• ADB Managing Infectious Medical Waste during the COVID-19 Pandemic
• IDB Invest Guidance for Infrastructure Projects on COVID-19: A Rapid Risk Profile and
Decision Framework
• KfW DEG COVID-19 Guidance for employers, issued on March 31, 2020
• CDC Group COVID-19 Guidance for Employers, issued on March 23, 2020

ANNEX 3: HEALTH CARE WASTE MANAGEMENT IN SRI LANKA HEALTH SECTOR – SUMMARY OF A RAPID SURVEY
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Tertiary care Hospitals – National Hospitals, Teaching hospitals and DGH
1 National Hospital Colombo - Information taken from MO/PH
3271 81% 8000 total - 4000 -
5000 kg/day
Anatomical
- unable to
measure
Clinical -
1800 -
2000kg/day
sharps -
100kg/day
General
infectious -
1800 -
2000kg/day
General -
1500 -
200kg/day
yes CW - Sisili
Hanaro
incineration
Gen W - CMC
incineration After
Autoclaving
connected to
CMC
drainage
system
connected
to CMC
drainage
system
yes SWL
obtained
EPL
applied
Autoclave
machines
available in
relevant
units -
functioning
adequate yes
Specific additional arrangements for medical waste disposal due to COVID 19 operation - Allocated separate bins to collects COVID-19 related waste and daily removal by Sisili Hanaro Encare (PVT)Ltd for
incineration
2 National Hospital Kandy - Information taken from MO/PH

P a g e 7 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
2496 82% 6000 Total - 4000-
5000kg/ day
Anatomical
waste -
~75kg/month
(50 units)
Chemical
waste
- ~700l/day
Sharps -
100kg/day
General
Infectious
waste -
1200kg/day
General
waste -
3000kg/day
700 m3/
day
yes Transport via
lorry and
tractor
Stored in
septic
Chambers
Clinical W -
Sisili
Hanaro
General W -
MC
By sewerage
system plant
sewerage
system
plant
yes obtained Do not have
any
- -
Specific additional arrangements for medical waste disposal due to COVID 19 operation - -
3 TH Batticaloa - Information taken from MO/Infection Control unit
1057 75.14% 1907 Total -
2800kg
9000-10000
liters per
month
yes Transport via
a fully covered
registered
lorry
Inclinator
installed
5km away
Not available Sewerage
treatment
plant.
Yes Applied
for 2020.
Mettamizer
out of order/
yes

P a g e 8 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Anatomical
waste - 400
-500kg
Chemical
waste -
Unable to
calculate
Sharps -
200kg
General
Infectious
waste -
500kg
General
Waste -
1400kg
Temporarily
store in a store
room and in a
land.
from
hospital
need to be
repaired
Cutter is
used for
sharps
incinerator -
available
Specific additional arrangements for medical waste disposal due to COVID 19 operation - At present metamizer is out of order. Now we are operating an incinerator with the special approval of the
Environmental Authority.
4 TH Anuradhapura - Information taken from ICNO
2072 100% 3964 Total -
11800kg
Anatomical
- 18-
20kg/day
40000L Yes transport -
waste cart
A Store room
available for
General waste
Incineration
/metamizer
Gen W -UC
Chlorination Chlorinati
on
yes no Incinerator
– available
but not
funnctiong
Not
adequate

P a g e 9 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Chemical -
Unable to
measure
Sharps-
500kg/day
General
Infectious -
1000kg/day
General -
600kg/day
Anat W-
florists
Metamizer –
available
and
functioning
Specific additional arrangements for medical waste disposal due to COVID 19 operation - No
5 TH Jaffna - Information Taken from MO/PH
1314 81% 1808 Total -
10000kg/day
Anatomical -
30kg/day
Chemical -
unable to
measure
180000
l /day
yes Closed trolley
and ideal
separated
storage rooms
with partial
covered doors
Incineration
&
metamizer
Treatment
plant
(Aerators)
Aeration
treatment
plant
yes yes HCW
sterilizer,
Autoclaves,
Metamizer
and
Incinerator -
functioning
adequate

P a g e 10 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
sharps -
100kg/day
General
infectious -
700kg/day
General - 2
tractor load/ day
Specific additional arrangements for medical waste disposal due to COVID 19 operation -Medical waste from COVID-19 Management Area treats as potentially infectious medical waste materials.
6 TH Kuliyapitiya – Information taken from MO/Planning /ICNO
663 56.5% 743 Sharps – 10-
15kg/day
General
Infectious – 140-
150kg/day
General – 200-
250 kg/day
- Yes By carts
Waste storage
rooms
Infected –
metamizer
Sharps –
transport to
Dambadeni
ya hospital
incinerator
Glass/card
board/plast
ic –
recycling
General -
MC
Sewerage
treatment
plant
Sewerage
treatment
plant
Yes No Metermizer
- functioning
Adequate
Specific additional arrangements for medical waste disposal due to COVID 19 operation --
7 National institute of infectious diseases, Angoda - Information taken from Matron

P a g e 11 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
110 94% 453 Sharps -
126kg/month
General
infectious -
1782kg/month
5202
units
Yes
According
to colour
code
Transport -
from wards by
carts
Plastic and
paper are
stored in a
storage facility
use TCL
Inf W -Sisili
Hanaro
Food waste
taken by a
farm for
animal food
Plastic and
papers are
burnt
Waste water
is treated at
NIID at on
site water
treatment
plant
Soakage
pits
On site
sewege
treatment
plant
yes nil Autoclaves -
functioning
Not
adequate
8 LRH - information taken from ICNO/PHI
1015 67 -80%
(750 - 900)
2375 Total - 57
tons/month
Anatomical
waste -
9000kg/month
sharps- 75kg/day
General
Infectious Waste
- 300kg/day
930
m3/day
yes transport - by
carts
Stored
separately
according to
the categories
Anat W -
Sisili
Hanarro
and florists
Gen W -
CMC
Recycling
projects -
plastic &
polythene
taken by CMC Nil yes yes Nil -

P a g e 12 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
general waste -
2000kg/day
Specific additional arrangements for medical waste disposal due to COVID 19 operation - no
9 CSTH
110 85% 3200 Yes CW – out
source
Sewerage
treatment
plant
EPL
Specific additional arrangements for medical waste disposal due to COVID 19 operation – n-
10 Sirimawo Bandaranayake Children’s Hospital , Peradeniya
350 51% 780 Anatomical –
60kg
Sharps –
50kg/month
General
infectious –
1500kg/month
General –
30000kg/month
300m3 Yes Inside the
coloured
containers
Sisili
Hanaro
Central waste
water system
Central
sewerage
system
No No
equipment
Storage
capacity-
yes
3. Specific additional arrangements for medical waste disposal due to COVID 19 operation - -
11 National Institute of Mental Health – Information taken from MO/PH
900 67% 800 Total – 250kg/day 927m3/
day
Yes Waste is
stored in waste
Effluent is
sent to a
Effluent is
sent to a
Effluent is
sent to a
Yes SWL is
already
- -

P a g e 13 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Anatomical – not
generated
Chemical – not
generated
Sharps –
80kg/month
General
Infectious –
1000kg/month
General –
3000kg/month
collection room
inside the
hospital after
segregation.
-General waste
is taken by
pradeshiya
saba.
-Clinical waste
is taken by
Sisili Hanaro
encare
sewage
plant at the
hospital
premises
and sent
out to a
tank after
chlorinatio
n.
sewage plant
at the hospital
premises and
sent out to a
tank after
chlorination.
sewage
plant at
the
hospital
premises
and sent
out to a
tank after
chlorinatio
n.
obtaine
d.
Applied
for EPL.
Specific additional arrangements for medical waste disposal due to COVID 19 operation
Infectious waste is collect and dispose according to the guidelines issued by ministry of health regarding COVID 19 , and training acquired from National Institute of Infectious Diseases. (add TCL to the yellow
bag and seal and handled after wearing proper PPE)
12 Rheumatology & Rehabilitation Hospital Ragama - Information taken from ICNO
272 29% 407 Total - 1151kg/wk
Anatomical - No
AW
Chemical - No
CW
140
l/wk
yes Clinical waste
store at
Sampath
Piyasa
Transport by
Encare
No proper
method
Conventional
- close pit
No
sewerage
system
No yes Autoclaves -
functioning
Not
adequate

P a g e 14 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Sharps - 25kg/wk
General
infectious -
126kg/wk
General -
1000kg/wk
Specific additional arrangements for medical waste disposal due to COVID 19 operation - Polythene-Burning, Other infectious waste - Encare
13 National Eye Hospital
503 60% 697 Sharps – 12500 –
15000 kg/year
General
Infectious – 8000
– 10,000 kg/year
Anatomical - -
Chemical - _
General – 90,000
– 100,000kg/year
Not
measur
ed
Yes Waste
segregation is
done according
to National
Color code.
Storage
facilities are
available.
By SISILI
Hanaro
Company
NO No Yes Yes
EPL No.
04702
(R6)
Scheduled
Waste
Managem
ent
License
0087-A68-
WM-CE-
2018
NA NA
14 Castle Street Hospital for Women - Information taken from MO/PH

P a g e 15 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
469
67.37% 1093 Sharps -
250kg/month
General
Infectious -
5500kg/month
General - 5000kg/
month
100000
00 l
yes store in
separate area
in the backyard
of the hospital
General
waste taken
by CMC
Clinical
waste and
sharp taken
by SISILI
HANARO
ENCARE
Anatomical
waste taken
by Neela
Florist for
burial
CMC common
water
drainage
system
CMC
common
water
drainage
system
yes EPL Sharp
shredder -
not
functioning
Autoclave -
not
functioning
Not
adequate
Specific additional arrangements for medical waste disposal due to COVID 19 operation - Waste generated in the Covid 19 suspected units taken by SISILI HANARO ENCARE in a separated container given
by them as early as possible. Storage is separately done till transport
15 Provincial General Hospital - Badulla
1585 63% 2146 Sharps – 40-45
bin/day
General
infectious – 400-
500kg/day
General – 1000-
1500 kg/day
~
200000
L
Yes Incineration
Metamizer
Sewerage
system
Sewerage
system
Sewerage
system
EPL
obtained
Incinerator –
functioning
Metamizer –
not
functioning
yes
16 District General Hospital Matale

P a g e 16 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
825 64.9% 987 Sharps –
20kg/day
General
Infectious –
165kg/day
General – 200kg
~6000 L Yes Sharp waste,
General
Infectious
waste
transport by
using cart to
the final waste
management
area. Store in
covered
building
Sharps
&
General
Infectious
waste
Incineration
Anatomical
waste
burring.
Chemical
waste (X
ray
dept) store
and hand
over to out
side(Tender
)
waste
water
treatment
plant
with two
aerators
Aeration(
Two
aeration
motors)
Filtration
&
chemical
adding
(TCL)
Yes - Incinerator –
functioning
Adequate
Specific additional arrangements for medical waste disposal due to COVID 19 operation - If the incinerator shutdown we have to transport waste to Theldeniya Hospital (Nearest Incinerator)
17 DGH Trincomalee
523 68% 710 Sharps –
765kg/month
General
Infectious –
4750kg/month
Anatomical -
125kg/month
Yes By hand to the
storage rooms
Incineration
Metermizer
ation
Waste water
treatment
plant
Waste
water
treatment
plant
No No Incinerator
and
metamizer –
functioning
but
frequently
goes out of
order
Not
adequate

P a g e 17 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Chemical –
2500L/month
General –
7500kg/month
Specific additional arrangements for medical waste disposal due to COVID 19 operation - All types of Wastes From our Acute Respiratory Unit (Waste related to COVID) consider as an Infected waste, due to
this increase the amount of Infected waste for Incineration, Our Incinerator does not have capacity to handle Extra waste generated from COVID related treatment. Incinerator and metamizer doesn’t have capacity
to dispose the daily waste management, the
COVID related waste is additional burden for us, we managed with support of Trincomalee Urban council.
18 District General Hospital Avissawella - Information taken from ICNO
545 84.2% 806 Total - 340
kg/day
General waste
- 185kg/day
Sharps -
25kg/day
Infectious
waste -
130kg/day
Anatomical
waste -
25kg/day
yes transport by
trolley to store
room
incineration chlorination chlorinatio
n
yes EPL incinerator -
functioning
yes

P a g e 18 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Chemical
waste - unable
to measure
specific additional arrangements for medical waste disposal due to COVID 19 operation - -
19 District General Hospital Chilaw
568 68% 945 General waste
Sharps 39Kg
Infectious
waste
130kg
Anatomical
waste
Chemical waste
45L/d
34272
L/d
Y By cleaning
staff using
carts
No proper
storage place
Metamizer N/A N/A NA Metamizer N Y
Specific additional arrangements for medical waste disposal due to COVID 19 operation- COVID related waste is not putting to the metamizer and managing by open burning
20 District General Hospital Embilipitiya

P a g e 19 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
484 102% 107
9
General waste
Sharps 40kg/d
Infectious
waste 800kg/d
Anatomical
waste
Chemical waste
50 L/d
250,0
00L/d
y By cleaning
staff using
carts
No adequate
storage place
Metamizer y y 70% EPL y
HWL- n
Metamizer Y Y
Specific additional arrangements for medical waste disposal due to COVID 19 operation - N
21 District General Hospital Gampaha
864 100
0
General waste
Sharps
250kg/wk
Infectious
Waste
4200kg/wk
y separate
room
available
Incinerator N/A Not
properly
functioni
ng
only
TCL
used
N-
90%
N/A Incinerator -
functioning
Y Y

P a g e 20 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Anatomical
waste 110kg/wk
Chemical waste
4kg/wk
Specific additional arrangements for medical waste disposal due to COVID 19 operation – infectious waste from MOH officers are disposed in our hospital incinerator
22 District General Hospital Hambanthota
943 47.13 136
0
General waste
Sharps 10kg/d
Infectious
Waste and
Anatomical
waste
200kg/d
Chemical waste
100L/d
y by hand/room
by movable
waste
bin/open area
(placenta
store cooler)
by waste
line/storage
pit
Incinerator
Incinerator
No
treatment
By treatment
plant
By
treatme
nt plant
No No Incinerator Y Y
23 District General Hospital Kegalle

P a g e 21 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
1800Kg/d
Sharps 45Kg
Infectious
Waste 655Kg/d
Anatomical
waste
Chemical waste
20,000
m3
/d
Y Transport
from Land-
master.
There is a
proper design
waste
storage
Metamizer
Metamizer
Authorize
d Florist
Authorize
d Buyer
Sewerage
system
Sewera
ge
system
Metal
filterin
g &
Chlori
nation
No
proper
trainin
g
Both
license
was
obtaine
d till
2018
Metamizer N Occas
ional
proble
ms
Specific additional arrangements for medical waste disposal due to COVID 19 operation – MOH Kegalle and Rambukkana are sending their infectious waste
24 District General Hospital Mathara
1054 68% 250
5
General
waste 1000kg/d
Sharps 50kg/d
Infectious
Waste 450/d
50000
L/d
Y Use carts to
transport
Storage place
available
Incinerator Wastewater
treatment
plant
Sewer
age
treatm
ent
plant
Monthl
y
progra
mme
availa
ble
Applied
for EPL
Metamizer :
Functioning
capacity
20kg per
turn
N Y

P a g e 22 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Anatomical
waste
Chemical waste
Specific additional arrangements for medical waste disposal due to COVID 19 operation- N
25 District General Hospital Monaragala
545 75% 994
Clea
ning
staff
105
Secu
rity
servi
ce 6
8
General
waste
29,370kg/
month
Sharps 12
00kg
/month
Infectious
waste 660
0kg/
month
Anatomic
al waste
04
kg/month
, Placenta
240 kg
100m3/d Yes waste
collected in
to colour
coded
bags and
transported by
colour
coded
hand carts
-Storage in
colour
coded
waste
storage
compartm
ents.
Food and
kitchen
waste -
Composting
and biogas
production
Infection
and sharp
waste are
hydroclave
d through
a
metamizer
Placenta-
Disposal in
to a water
Effluent
of waste
water is
treated
with UV
radiatio
n sludge
is
Pumped
in 5
drying &
dried
sludge is
used as
fertilizer
All waste
water
managed
in one
system
Regular
training
has
been
done
Obtained Autoclaves
are
functioning
Metamizer is
functioning
with frequent
break
downs
Medical
incinerator
is required
Yes

P a g e 23 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
/month
Chemical
waste
-All sharps
collected
sharp bins.
seal pit or
burial
Specific additional arrangements for medical waste disposal due to COVID 19 operation - separately burned
26 District General Hospital Polonnaruwa
943 47.13 1
3
6
0
General waste
Sharps 10
kg/day
Infectious
Waste 200
kg/day
Anatomical
waste
Chemical waste
100 L/day
Y
By hand /
Room
By movable
waste Bin /
open area
(placeta store
cooler)
By waste line
/
Storage Pit
Incinerate
Incinerate
No
treatment
By
Treatment
Plant
By
Treatme
nt Plant
No N
o
Incinerator Y Y
District General Hospital Mullativu, North

P a g e 24 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
27 230 53.7%
(March
2020)
3
3
8
General
infectious
waste 30kg/day
Sharps 5 kg/day
General Waste
30 kg/day
Anatomical
waste 5kg/
week
Chemical waste
-
Y (No
colour
code
facility
Transported
by tractor
daily. No
storage
facilities in
the hospital
Incinerate
Incinerate
-
Bury
- Septic
tank
Y
05
Y
By
CEA
(13095
R3)
Incinerator
(60kg/h) at
central
treatment
centre
Y
To be sent
to central
treatment
centre
5km from
hospital
Y
28 General Hospital Ampara
723 55.11 1
3
8
0
General
waste 700kg/da
y
Sharps 20 -30
kg/day
- Y Wheel barrow
system
Municipal
Council
Incineratio
n
Incineratio
n
By waste
water
Treatment
Plant (by
filtration)
and
discharged
to surface
Y Y Y Incinerator
Functioning
Capacity
200kg/day
Y Y

P a g e 25 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Infectious
Waste 200
kg/day
Anatomical
waste
Chemical waste
100 L/day
Bury
-
Secondary care Hospitals - Base Hospitals A & B
29 Base Hospital Anamaduwa
130 115 General waste
Sharps
Infectious Waste
-10kg/d
Anatomical
waste
Chemical waste
Y By hand Burning in a
concrete pit
Septic tank Septic
tank
NA N N -
30 BH Beruwala

P a g e 26 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
49 55.08% 126 General
waste 50Kg/d
Sharps 2kg/d
Infectious Waste
25kg/d
Anatomical
waste N/A
Chemical waste
2L/d
Yes
Yes
-
Yes
Store in Steel
Cupboard and
Transport to
DGH Kaluthara
Closed
Area Pit
By Sisili
Hanaro
Closed
Burning
-
-
To sewerage
System
Using
Urban
Council s
ewerage
Draining
System
03 N - Y -
Specific additional arrangements for medical waste disposal due to COVID 19 operation N
31 Base Hospital Eravur
95 61.8% 121 General waste
12kg/d
Sharps 1.5kg/d
Infectious waste
6kg/d
Anatomical
waste 0.75kg/d
15000L/
d
Yes Stored in a
temporary hut
General
waste send
to PS for
dumping
Burn in a
open place
(Barrel
burning)
Placenta pit
NA
send to
normal
drainage
system
NA Only
one
ICNO
trained
on HC
WM
EPL Autoclave at
CSSD
N N

P a g e 27 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Chemical waste
1kg/d
Specific additional arrangements for medical waste disposal due to COVID 19 operation - PPE also burn in a barrel
32 Base Hospital Galgamuwa
35-40kg/d
Sharps 30kg/wk
Infectious waste
30-40kg /wk
Anatomical
waste
Chemical waste
50000L/
d
Yes Daily stored at
waste station
Weekly
transported for
incineration
Treatment
plant
Incineration
By treatment
plant
By
treatment
plant
yes No Autoclave
Incinerator
Adequate Yes
Specific additional arrangements for medical waste disposal due to COVID 19 operation treatment plant and incinerator
33 Base Hospital (Teaching) Gampola
372 68.98% 640 General waste
192000 kg
Sharps 260 kg
Not
Measur
ed
Yes By cart Urban
council and
for Animal
food
Locally
build
Incinerator
• Super
chlorinatio
n
Yes No Locally build
Incinerator
Y Y

P a g e 28 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Infectious Waste
54750 kg
Anatomical
waste
2450 kg
Chemical waste
- N/A
capacity
5kg,
Specific additional arrangements for medical waste disposal due to COVID 19 operation -N
34 Base Hospital Kabithigollawa
63 30.9% 87 General waste -
Sharps 1kg/d
Infectious
Waste- 5kg/d
Anatomical -
waste N/A
Chemical
waste –
General waste
-20kg/d
1500-
200m3/
d
Y By hand/cart Sharp-
Incinerator
Infectious
waste- Burn
Canal system - 01 N Incinerator
Sterilizer
Autoclave
Needed Y

P a g e 29 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
35 Base Hospital Kahawatta
253 53.74%
March
2020
330 General
waste 29kg
Sharps 30kg
Infectious
Waste 65kg
Anatomical
waste N/A
Chemical waste
N/A
Not
measur
ed
y By hand
Temporary
storage
Locally
made
incinerator
(Burner)
NA Septic
tank
No EPL -
2017
only
Autoclave
Temporary
Incinerator
Not
Adequate
Y
36 Base Hospital Kalawana
59 101% 1
5
6
General waste
Sharps
Infectious
Waste
y Both sharps
and infectious
waste is
transported in
a closed truck
PS
Send to
DGH
Embilipitiy
a
Septic tank Septic
tank
100
%
EPL -
Avail
able
- - -

P a g e 30 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Anatomical
waste
Chemical waste
37 Base Hospital Marawila
362 2019-66%
2020-33%
425 General waste
1750 kg / mo
Sharps
200kg /month
Infectious Waste
2100/month
Anatomical
waste
225/month
Chemical waste
200 L/month
Y Vehicle-
DH Dankotuwa
By minor staff
Mortuary
By pit
Incinerator
at DH
Dankotuwa
Metamizer
Burial by
Pradeshiya
sabha
By pit
No Removal
by
pradeshiy
a sabha
Yes No Metamizer
under
repair since
17.04.2020
No No

P a g e 31 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
38 Base Hospital Mirigama
180 62.06% 204 General waste -
Sharps 1.5kg/d
Infectious Waste
6kg/d
Anatomical
waste 0.5kg/d
Chemical waste
0.2kg/d
3000L Y By hand Incineration Soakage pit Soakage
pit
Y Y Incinerator Y Y
Specific additional arrangements for medical waste disposal due to COVID 19 operation _ N
39 Base Hospital Muthur
142 72.3 180 General waste
11 kg/d
Sharps 3-4kg/d
Infectious Waste
27kg/d
Anatomical
waste 75kg/mo
Chemical waste -
- Y Transported
from point of
generation to
the waste
management
unit separately
Incinerator
Placental
pit
Not
available
Not
available
Awaren
e
ss
training
given to
all staff
5 staff
trained
on
handlin
g
Appli
ed for
EPL
Incinerator No Out of
order
recently

P a g e 32 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
N/A
40 Base Hospital Nintavur
85 50-60% 113 General
waste 37kg/d
Sharps 4kg/d
Infectious Waste
13kg/d
Anatomical
waste 2kg/d
Chemical waste
20L/d
24993L/
d
Y Transported
from wards by
trolley and
stored in a
separate cages
Send to
nearest
hospital for
incineration
rotationally
(BH
Sammanthu
rai, BH
Kalmunai
North,
AMH)
Sewerage
plant is
available
Internal
training
is given
and
need to
refresh
Obtained
from
CEA
- - -
41 Base Hospital Pimbura
20kg/d
No Yes Separated
waste
transported to
the “Sampath
Incinerator No No Yes Yes 08 -
Sterilizers, 01
- Autoclave
and 01
Incinerator
Yes Yes

P a g e 33 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Infectious
waste 75kg/mo
Sharps 7kg/mo
Anatomical
waste
Chemical waste
piyasa” by
carts
Disposed
by incineration
42 Base hospital Udugama
126 89 % 225 General waste 50
Kg/day
Sharps 1.5Kg/d
Infectious Waste
15Kg/d
Anatomical
waste 2Kg/d
Chemical waste-
no solid waste,
chemical water-
4L/day
20000
L/day
YES Waste store in
separate
rooms which is
designed for
waste storage
according to
the colour
system.
All sharp
and
infectious
wastes are
transport to
Base
Hospital
Elpitiya
Treated with
1% TCL
solution
before direct
to the pit.
No
sewerage
system
establishe
d yet.
dispose to
a ground
pit
Y YES Three mini
autoclaves,
seven
sterilizers an
d a high
pressure
sterilizers
(450L)
machine
No
***
YES
Specific additional arrangements for medical waste disposal due to COVID 19 operation No
***Equipment capacity – not adqquate ;we have to face several issues related to transportation, storing and autoclaving of COVID suspected infectious waste during this crisis

P a g e 34 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
43 Base Hospital Walasmulla
174
79.3% 250 General
waste 35-40
Kg/pay
Sharps
5-10 Kg/d
Infectious Waste
30-35 Kg/ d
Anatomical
waste
30 Kg/ mo
Chemical waste
7.5 l/mo
600
l/day
Yes Cart
Clinical waste
Cart
General
Waste –
disposed by
local
government
(pradeshiya
sabha )
Clinical
waste –
Incineration
Wastewater
treatment
plant
Sewerage
treatment
plant
Done
on
several
times
EPL
Applied
and
pending
Incinerators –
Yes 30
kg/hour
No Functi
oning
but
awaitin
g a
repair
Specific additional arrangements for medical waste disposal due to COVID 19 operation N
44 Base Hospital Warakapola
336 43% 447 General
waste 27kg/d
Sharps 18kg/d
Y store them in a
separated
store and then
transport them
to BH
Karawanella
transport
them to BH
Karawanell
a for the
incineration
sewerage
treatment
plant
Y EPL
Available
No - -

P a g e 35 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Infectious Waste
85kg/d
Anatomical
waste 6kg/d
Chemical waste
Not measured
for the
incineration
45 BH Akkareipaththu – Information taken from MO/Quality
319 74.64% 490 Total -
10,000kg/month
Anatomical
waste -
3,500kg/month
Chemical waste -
40 - 50 l
Sharps - 36kg
General
infectious waste
- 3465kg
~98000l
/day
yes internal and
external
transportation
1.Metamize
r(Hybrid,
Hydroclave,
Shredding)
2.
Incinerator-
(incineratio
n 800- 1200
c)
3. Placenta
pit
conventional
method and
waste water
recycling
Conventio
nal
internal
and
external
training
Optined
LC No
07710(R
3)
Metamizer -
functioning
Incinerator-
under repair
yes

P a g e 36 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
General waste -
6500kg
Specific additional arrangements for medical waste disposal due to COVID 19 operation - according to the guidelines
46 BH Dambulla - information taken from MO/PH
326 98.72 417 Total -
2000kg/month
Anatomical
waste -
160kg/month
Chemical waste -
~500g/month
Sharps - 120kg
General
infectious waste
- 400kg
General Waste -
1200kg
300000
0
liters/m
onth
yes from
segregation to
waste
collection point
in garbage
bags via a
carrier
Then to central
treatment
center at DGH
Matale via a
vehicle
General W,
Antatomical
W - MC
Infectious
W, sharps -
DGH
Matale for
incineration
Chlorination
and
sedimentation
Chlorinati
on and
sedimenta
tion
yes not
obtained
Autoclave
and
sterilizers
available
and
functining
Not
adequate
Specific additional arrangements for medical waste disposal due to COVID 19 operation - Infectious waste generated from respiratory ward and the isolation for covid-19 patients are collected in infectious
waste bags, then sealed and TCL is sprayed over the container. Then collectively sent to DGH Matale for incineration
47 BH Elpitiya - information taken from ICNO

P a g e 37 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
372 69% 590 Total - 150 kg
Anatomical
waste - 20 - 30m
kg/day
Chemical waste -
10 l
Sharps - 8 kg
General
infectious waste
- 30 kg
General waste -
80 - 19=00 kg
3000 l
per
month
yes A trolley with
fully covered
plastic bin is
used to
transport waste
Store in a
storage room
An
incinerator
stalled 300
m away
from the
hospital
sewerage
system
filtering
and
sewerage
system
yes Applied
for 2017
incinerator -
functioning
yes
48 BH Horana - information taken from ICNO
511 72.5 757 Total -
3500kg/month
Anatomical
waste -
600kg/month
Chemical Waste
- 1400kg/month
Sharps - 16kg/wk
General
infectious waste-
50kg/wk
General waste -
1250kg/wk
30000
liters
per day
yes Waste storage
facility
available (
Sampath
Piyasa)
incineration
and
sewerage
system
Placenta pit
sewerage
system
sewerage
system
yes yes incinerator -
functioning
Adequate
Specific additional arrangements for medical waste disposal due to COVID 19 operation No

P a g e 38 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
49 BH Kamburupitiya - Information taken from ICNO
281 73% 518 Total - 243 kg/day
Anatomical -
1kg/wk
Chemical -
unable to
measure
Sharps - 3kg/day
General
infectious -
90kg/day
General -
150kg/day
5000
l/day
yes transportation -
by hand
Stored in
divided store
rooms
Infec W -
incineration
Gen W -
sell for
outside
buyers
Food W -
Taken by
Pradeshiya
saba
Chemical -
sewerage
system
sewerage
system
sewerage
system
yes no Incinerator -
functioning
15kg/cycle
not
adequate
50 BH Sammanthurai - Information taken from ICNO
250 70% 250 Total - 2200 kg /
day
Anatomical -
2000 kg/ day
Chemical -
Unable to
measure
Sharps - 5kg/day
General
Infectious -
35kg/day
~2000
units/m
onth
yes transport via a
wheelbarrow
Temporarily
storage place
Recycling /
selling –
plastics,
bottles
Local
governmen
t-
paper,polyt
hene
Burning/In
cinerator-
infected,
sharps
No waste
water
treatment
plant
No
sewerage
treatment
system
NO yes incinerator -
not
functioning
Not
adequate

P a g e 39 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
General -
50kg/day
Chemical -
chemical pit
Anatomical
– buried in
a land
51 BH Valaichenai - Information taken from AO/ICNO
223 41.18% 155 Total - 137 kg/day
Anatomical - 2.5
kg/day
Chemical -
4.3kg/day
Sharps - 3kg/day
General
infectious -
24kg/day
General -
110kg/day
780
l/day
yes stored
according to
the color code
Infect W -
Incineration
Gene W -
Local
authority
No treatment
system
No
treatment
system
0.1% TCL
is used
no EPL incinerator -
not
functioning
Not
adequate
Specific additional arrangements for medical waste disposal due to COVID 19 operation - 1% TCL is used to treat infected materials and items
52 Ashraff Memorial Hospital Kalmunai - Information taken from MO/PH
283 85% 850 Total - 233kg/day
Anatomical -
35kg/day
Chemical - 2.5 l
/day
Sharps - 5kg/day
120
units/da
y
yes separated
carts for
segregated
waste
incineration
and
metamizer
sewerage
plant
aerobic yes yes incinerator -
not
functioning
Metamizer -
functioning
not
adequate

P a g e 40 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
General
Infectious - 105
kg/day
General -
123kg/day
53 BH Kalmunai North - Information taken from MO/ Infection Control
413 56% 632 Total -
8815kg/month
Anatomical -
108kg/month
Chemical - 5l/day
Sharps-
150kg/month
General
Infectious-
2755kg/month
General -
5252kg/month
~3250
l/month
yes push carts up
to collecting
center and
then tractors
and trucks
Stored in
Storage rooms
for each
category
Incineration
/metamizer
composting
recycling
General W -
MC
Not available Not
available
yes yes Metamizer -
functioning
Incinerator -
30-45kg per
cycle, 3
cycles per
day
Not
adequate
Specific additional arrangements for medical waste disposal due to COVID 19 operation - Arranged bins with double bags (yellow) in the needed areas and removed as soon as possible for immediate
incineration. Staff handling it will be provided with locally made PPE
54 BH Dickoya - Information taken from ICNO
198 80% 480 Total -
12,000/month
Anatomical -
100kg/month
Chemical - 60
l/month
200,000
l
no no Dumping
Open
burning
No No yes no
Sterilizer -
01
Not
adequate

P a g e 41 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Sharps-
1000kg/month
General
Infectious -
7000kg/month
General -
3840kg/month
bio gas
system
Autoclave -
02
Not
functioning
55 BH Wathupitiwala - Information taken from ICNO
600 53.9% 833 Total -
14000kg/month
Anatomical -
300kg/month
Chemical - 700
l/month
Sharps - 350kg
General
Infectious-
3000kg
General -
14000kg
~10000
m3
yes standard
transportation
practices
Incineration
Composting
Reusing
Selling
sewerage
treatment
plant
sewerage
treatment
plant
yes no Incinerator -
functioning
but building
roof need to
be repaired
urgently
yes
3. Specific additional arrangements for medical waste disposal due to COVID 19 operation -
1.Doubled yellow bags for all waste of COVID unit
2.Waste transportation using additional safety measures ( Overall ,surgical masks etc)
3. All waste from COVID units will be incinerated immediately.
56 BH Panadura - Information taken from MO/PH

P a g e 42 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
320 94% 622 Total - 6000kg/
month
Anatomical -
4000kg/month
Chemical -
500kg/month
48000
l/day
yes incineration
recycling
Bio gas
producing
Chlorination Chlorinati
on
yes EPL/HW
L
obtained
for 2019
- 2020
Incinerator -
functioning
Autoclaves -
functioning
not
adequate
Specific additional arrangements for medical waste disposal due to COVID 19 operation -
12 hospitals and MOHs in Kalutara district send their infectious waste and suspected COVID 19 infectious waste to BH Panadura to be incinerated.
(Kethumathi, MOH Wadduwa, DH Katugahahena, DH Dodangoda, DH Nebada, moh Panadura, MOH Dodangoda,MOH BandaGonaduwa, etc.
Currently we don’t have a separate hut to keep covid 19 suspected waste sent from other hospitals to avoid cross contamination and protect from rain.
Incinerator chimney length is comparatively short and needs a new assessment.
57 BH Tellippalai - Information taken from MO/PH
439 60% 391 Anatomical -
150kg
Chemical - 50 kg
Sharps - 5-10kg
General
infectious -
100kg
General - 50kg
yes transport -
carts
Separate
stores are
available
incineration
and
sewerage
system
no sewerage
system
no still in the
process
incinerator -
functioning
Metamizer -
under repair
not
adequate
58 BH Tangalle - Information taken from ICNO
280 99% 592 Chemical - 40l unable
to
yes store in
separate
rooms
CW -
Incineration
sewerage
treatment
plant
Apply
TCL
Not yet
applied
incinerator -
not 100%
functioning
Not
adequate

P a g e 43 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
General
Infectious -
600kg/wk
General - 250
kg/wk
measur
e
Gen W -
tender
method
sewerage
treatment
plant
59 BH Homagama – Information taken from MO/PH
474 75-80% 716 Anatomical – 80-
100kg/month
Sharps and
Infectious waste
weighted together
– 150 -165kg/day
General – 400 -
500kg/day
Chemical - none
6000 –
6200
m3/mon
th
yes Carried by
hand by minor
staff from
wards to place
of storage.
Separate
storage place
for waste until
they are
incinerated or
taken away by
Municipal
council.
Infectious
and sharps
–
incineration
Regenerativ
e waste
taken away
by
Municipal
council.
sewerage and
water
treatment
plant
sewerage
treatment
plant
yes no autoclaves –
06 -
functioning
Incinerators
– 01 -
functioning
adequate
Specific additional arrangements for medical waste disposal due to COVID 19 operation -As only COVID 19 suspected patients are treated here, all necessary precautions are taken during waste
management. E.g.: Waste handlers/minor staff wear proper PPE, waste collected in double bags, All waste is disposed within 24hours
60 BH Thabuththegama
181 95% 300 Yes No Open
burning
Septic tank Sewerage
treatment
plant
No No Incinerator is
being
installed

P a g e 44 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
61 BH Mawanella
300 55% 600 Sharps – 4kg/day
General
Infectious –
12kg/day
yes RDHS cluster
system
Incineration
at BH
Karawanell
a
Septic tanks Gully
system
No no
62 BH Madirigiriya
170 80% 300 Yes No Open
burning
No No No No
63 BH Deniyaya
144 51% 160 Yes No Open
burning
No No No No
64 BH Mahiyanganaya – Information taken from ICNO
365 86% 574 Total –
600kg/month
Anatomical –
300kg/month
Chemical –
50kg/month
50,000
l/day
Yes Use carts and
4 rooms for
store
Recycling
Burring
Incineration
No Pumping
and
sedimenta
tion
Tes No Incinerator –
functioning
10 HCW3
Not
adequate

P a g e 45 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Sharps –
25kg/day
General waste –
30kg /day
General –
200kg/day
65 Base Hospital Dehiattakandiya/ Ampara East
164 79 2
6
5
General waste
about 500kg/
day
Sharps about
3kg/day
Infectious
Waste about
50kg/day
Anatomical
waste -
Chemical waste
-
About
40,00
0L
mont
h
Y Cart in hospital
premises
General
waste -
Local
governme
nt waste
disposal
Sharps
and
infectious
waste –
incinerate
Paper,
cardboar
d, glass -
sale
N Water
sealed
gully pit
Y Y Incinerator available
– functioning - total
capacity 50Kg/ cycle
Y Y

P a g e 46 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Specific additional arrangements for medical waste disposal due to COVID 19 operation – N. ( same method as infectious waste)
66 Base hospital Kalpitiya
64 38 6
5
General waste
10kg/day
Sharps ½
kg/day
Infectious
Waste 2kg/day
Anatomical
waste -
Chemical waste
-
10,00
0L/da
y
Y Separate
storage
system
No transport
system
General
waste -
Open
burning
Sharps -
Stored
Infectious
waste -
Open
burning
N N No N
o
No
RDHS plan to
transport to the
Puttalum incinerator
but it does not
happen.
No
still
collecting
and
looking for
solutions
for more
than 2
years
Y
Specific additional arrangements for medical waste disposal due to COVID 19 operation – N
67 BH Padaviya
108 61% 120 Sharps – 2kg/day
General
Infectious –
32kg/day
10 l Yes No
transportation
Sharps and
infected
waste –
burning
canal system canal
system
01
trained
person
No Autoclaves
– not
functioning
Not
adequate

P a g e 47 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
General –
31kg/day
Specific additional arrangements for medical waste disposal due to COVID 19 operation – -
68 BH Kalutara
1200 80% 2000 yes No Out source No Sewerage
system
Yes Yes
69 BH Negambo
750 98% 900 Yes No Incineration No Sewerage
system
No Incinerator -
functioning
70 BH Badulla
1493 80% 1600 Yes No Incineration
and
metarmizer
Sewerage
system
EPL Incinerator
and
metarmizer -
functioning
71 BH Balangoda
360 60% 700 Yes No No No
72 BH Bibila
220 55% 228 Yes No Not
installed yet
Sewerage
system
EPL
73 BH Dambadeniya
246 75% 390 Yes No Incineration No EPL

P a g e 48 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
74 BH Kiribathgoda
185 55% 176 Yes No Send to BH
Wathupitiw
ala
No EPL
75 BH Nikawaratiya
417 74% 423 Yes Incineration No EPL Incinerator –
functioning
76 BH Rikillagaskada
152 70% 60 Yes Send to
Teldeniya
No EPL
77 BH Walimada
135 73.5% 108 Yes No No no
78 BH Diyatalawa
356 64% 540 Yes Incineration Sewerage
system
EPL Incinerator –
functioning
79 BH Mahaoya
90 43% 164 Not available Not
available
Incinerator –
functioning

P a g e 49 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
80 BH Kanthale – information taken from ICNO
235 40% 450 Total- 13kg/day
Anatomical – 8kg
/day
Chemical - 5l/day
Sharps – 4kg/day
General
infectious –
50kg/day
General -
200kg/day
127800l
/day
Yes Inside the
hospital -By
hand, Carts
Lorries and
tractors –
Pradeshiya
Saba
Geneneral
W-
Pradeshiya
Saba
FOOD - bio
gas
infectious ,
sharps -
incineration
plastic -
Recycling
Anatomical
- placenta
pit
Waste water
treatment
Waste
water
treatment
1
trained
person
EPL
applied
Incinerator-
functioning
30kg/hr
don’t have
proper
garbage
stores for
store
infectious
waste
Specific additional arrangements for medical waste disposal due to COVID 19 operation – infectious waste treat according to the Guideline
81 BH Higurakgoda
105 40% 110 Sharps – 9
kg/month
General
infectious –
2kg/day
750
m3/mon
th
2L/day
Yes Yes
Sharp bins
Dustbin
Placenta bin
Separate
waste water
tank
Burning
Placenta pit
Drainage
system
NA NA Yes No Autoclave –
functioning
80 L
Incinerator –
not
functioning
due to lack
NO

P a g e 50 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Anatomical –
500g/month
Chemical - nil
General –
10kg/day
of three
phase power
supply
82 BH Cheddikulam
92 22% 79 Sharps – 3kg/day
General
Infectious –
10kg/day
General – 100-
150 kg/day
200000
– 25000
L/day
Yes Transport
IW by vehicle
Storage –
segregation
are
IW – send
to
Omanthai
Gen W –
Pradeshiya
Saba
Not Available Not
Available
Yes Yes NA -
Specific additional arrangements for medical waste disposal due to COVID 19 operation-
83 BH Kattankudy
70 83% 96 Sharps – 25kg
General
infectious – 150
kg
General – 50 kg
5390 L Yes Secruation Incineration Water
treatment
plant
Water
treatment
plant
No Out of oder

P a g e 51 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
84 BH Karawanella
357 61.5% 567 General –
57kg/day
Infectious –
36kg/day
Sharps – 1kg/day
Anatomical –
20kg/day
Chemical - nil
Yes Incineration
Metamizer
burning
NA Not
functionin
g
Yes No Incinerator
Metamizer
85 BH Eheliyagoda
141 55% 186 Send HCW
to BH
Karawanell
a
Not Available Not
Available
- -
86 BH Puthukkudiyiruppu
90 45.36% 70 Sharps – 30kg/wk 8000
L/day
Yes Sending to
RDHS
- NA NA Not
received
in this
year
NA

P a g e 52 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
General
Infectious –
50kg/wk
General –
100kg/wk
87 BH Mallavi
65 43.7% 83 Sharps – 2kg/day
General
Infectious –
10kg/day
Anatomical – 1-
2kg/day
Yes Yes
Spray TCL to
HCW and put
in bags and
send to RDHS
Incineration
at RDHS
office –
60g/h
- - 01 Yes Incinerator at
RDHS
Yes
Specific additional arrangements for medical waste disposal due to COVID 19 operation - Incineration after Proper care (TCL Spray)
88 BH Point Pedro – Information taken from MS/PPD Hospital
292 45% 303 Sharps –
15kg/day
General
Infectious –
75kg/day
General – 300kg/
day
110,000
L/day
Yes Store in
Separate
rooms.
Waste bin
trolley for
transportation
within hospital.
Incineration
Recycling
Dumps
Sewerage
treatment
plant
Full
sewerage
system
Yes Obtained Needle
burner – not
functioning
Incinerator –
not
functioning

P a g e 53 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
Specific additional arrangements for medical waste disposal due to COVID 19 operation –
1. General waste - Transport through Predeshiya Saba vehicle
2. Clinical waste - Incinerator not functioning. Transport to another hospital
3. Plastic & Cardboard – Send to recycling.
89 BH Murunkan
105 50% 62 Sharps – 06
boxes/month
General
Infectious –
10buckets/day
General –
25buckets/day
5000 L No Transport to
DGH Mannar
General waste
–Urban
Council
- Through soil Nil No No Nil -
Specific additional arrangements for medical waste disposal due to COVID 19 operation –
90 BH Tissamaharama
200 67% 264 Sharps – 40-50
kg/wk
General
Infectious – 240-
250kg/wk
General – 60-
80kg/wk
75900L/
day
Yes By hand
Separate
rooms
available
Clinical W-
BH
Walasmulla
Gen W-
Pradeshiya
Saba
Commerci
al W – by
selling
Waste water –
gully
browser
transformati
on due to
treatment
plant is
not
functioning
since 10
years
Not
functionin
g
Yes Not
obtained
- No

P a g e 54 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
1.Urgently need an incinerator (Capacity 40kg)
2. Urgently need to repair /re – construct Non – functioning waste water treatment plant
3.Industrial Washing machine
4.CSSD Unit
5.Autoclave machine
91 BH Balapitiya – Information taken from ICNO
474 67.4% 690 Total – 421.26
Anatomical –
12kg/day
Chemical – -
General
infectious- 150
General – 294
Clinical –
123.61kg/day
Sharps measured
through clinical
waste
- Yes
According
national
colour
codes at
the point of
generation
Clinical
Waste
transportation
- By trained
person who
works as
health care
assistant.
Transport by
a cart easily
move.
Normal
Waste
transportation
- by cleaning
service
Storage –
separated
cubicals
provided
according to
color codes.
Clinical
waste-
incinerate
from
Elpitiya
hospital or
other
(most
probably
Elpitiya
hospital).
Normal
waste –
transport
out by
pradeshiy
a sabha
Balapitiya
and refer
to re-
cycling.
Water
treatment
plant
Sewerage
treatment
treatment
plant
Yes
02
- No
300kg /wk
sent to
Elpitiya
hospital for
incineration

P a g e 55 |
Bed
Strength
Bed
Occupancy
rate
No
of
Staff
Quantity of
solid waste
generated
Quantity of
Waste
water
generated
Waste
segregation
practiced
Y/N
Method of
Waste
Transportation
and Storage
Method of
Waste
Treatment &
Disposal
Method
of Waste
water
treatment
Method
of
Sewerage
Treatment
Training
on
HCWM
EPL/
HWL
obtained
Existing
equipment,
capacity,
functioning
capacity
adequate
to handle
extra waste
due to
COVID
Equipm
ent are
functio
ning
This cubicles
can locked.
Placenta
pit
Specific additional arrangements for medical waste disposal due to COVID 19 operation - Build a new storage cubical
92 BH Puttalam - Information taken from Metron
402 87.5% 578 Anatomical –
1274
Chemical – 4800
L
Sharps – 20000
kg
General
Infectious –
14488kg
General – 7888kg
4800 L Yes Placenta pit
Septic tanks
for chemicals
Treat with
2% TCL
overnight
Treat with
2% TCL
overnight
None 02
autoclaves -
yes

ANNEX 4: ENVIRONMENTAL AND SOCIAL MANAGEMENT PLAN FOR IMPLEMENTATION OF COVID-19 RESPONSE SUB-PROJECTS.
The following detailed Environmental and Social Management Plan (ESMP) has been developed in line with guidance provided in the following documents and presents best practice measures to
be incorporated into the various stages of project implementation in order to ensure and mitigate associated environmental and social impacts of related to the following project activities:
Expansion and upgradation work in existing HCFs to make room for isolation and quarantine facilities and ICU units as emergency response.
Installation of prefabricated isolation units
Establishment of new quarantine centers and small-scale infrastructure, such as waste storage areas, equipment storage areas.
Operation of HCFs and quarantine facilities.
The Infection Control and Health Care Waste Management Plan presented in the ESMF is considered part of this ESMP.
The ESMP makes reference to pertaining E&S instruments as required by ESF, including the LMP.
The guidance documents presented below can be referred to for further in-depth details for design recommendations and detailed measures in terms of equipment selection and operational guidance
for HCFs. Additional pictorial guidance presented in Annex 29 and specific guidance on Management of infection among labor in construction sites is presented in detail in Annex 32.
All relevant internal best practice guidelines issues by the World Health Organization (WHO) and national guidelines issued by the Health Promotion Bureau and Ministry of Health (MoH) have
been referred to in all respective sections in the ESMP itself.
Guidelines Used:
Guidelines for Environmental Infection Control in Health-Care Facilities Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC) U.S.
Department of Health and Human Services Centers for Disease Control and Prevention (CDC)-Updated: July 2019.
Guidelines for Design and Construction of Hospital and Health Care Facilities- The American Institute of Architects Academy of Architecture for Health the Facility Guidelines Institute
With assistance from the U.S. Department of Health and Human Services: 2018
o (Further guidance is available in the form of the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities- 2018 and Guidelines for Design and
Construction of Outpatient Facilitie-2018)
Infection prevention and control Infection prevention and control (IPC) practices in communities and health facilities, The World Health Organization: March 2020 Presented in Annex 11
Safe management of wastes from health-care activities-Second edition. The World Health Organization: 2014
Safe management of wastes from health-care activities A summary. The World Health Organization: 2017
Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19) Interim guidance 27 February 2020
Water, sanitation, hygiene, and waste management for the COVID-19 virus Interim guidance 19 March 2020
Mainstreaming Environmental Management in the Health Care Sector Implementation Experience in India & A Toolkit for Managers-VOLUME I & II- The World Bank: 2012
World Bank Group General Environmental Health and Safety Guidelines:2007
World Bank Group Environmental, Health, and Safety Guidelines for Health Care Facilities: 2007

P a g e 57 |
Coronavirus disease (COVID-19) advice for the public, World Health Organization, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public, Accessed on 20
April 2020
World Bank Group, ‘ESF/Safeguards Interim Note: COVID-19 Considerations in Construction/Civil Works Project,’ April 7, 2020
UNICEF — COVID-19 response: Considerations for Children and Adults with Disabilities, http://www.internationaldisabilityalliance.org/sites/default/files/covid-
19_response_considerations_for_people_with_disabilities_190320.pdf, Accessed on 19 April 202
ESMP MATRIX COVERING THE DESIGN, CONSTRUCTION, OPERATION AND DECOMISSIONING PHASES OF HCFs
Activities and Associated
Environmental and
Social Impact
Protection and preventive measures Timeline Mitigation
cost
Responsibility
Implementation Monitoring
Design Stage
1. Location of HCFs and sites
for project associated
works- Establishment of
Quarantine centers and
isolation units within
existing HCFs
All upgradation work and indoor expansion and remodeling work associated with the
establishment of Quarantine areas and ICUs will be limited to the footprint of existing
HCFs and other government owned property.
Consultations with relevant stakeholders, including local communities in the vicinity
of these HCFs, will be organized to seek their feedback on the location of the HCFs,
the quarantine facilities and isolation units.
Civil works requiring expansion beyond the existing facility, involving new
construction on a virgin site, or any form of land acquisition, will not be supported
under the project.
At the site
selection phase
No Associated
Cost
MoH and HCF
Management
PMU/MoH,
EPA,IC
2. Incorporation of
Environmental Design
Recommendations
The engineering design of the project should take the following into consideration:
o the connection of the building or infrastructure to the potable water system and
the capacity of the existing water distribution network, or the need to establish
a water supply system for the building (well, storage tank, desalination system
or station, etc.);
o the connection to the sewerage network and the need for capacity expansion
for receiving collectors or the need for a wastewater treatment system for the
building (septic tank, infiltration ditch);
o the treatment of wastewater from cafeterias and restaurants before being
discharged to the sewerage networks or the wastewater treatment system;
o the adequate management of runoff and the facilities for its recollection and
evacuation, having in mind the existing downstream systems;
During design
preparation
Design Cost MoH and HCF
Management
PMU/MoH,
EPA,IC

P a g e 58 |
Environmental and
Social Impact
cost
Responsibility
o the systems of recollection, storage and transportation of solid wastes
generated in the building, incorporating the structures for separation and
recycling;
o appropriate access systems for pedestrians, cars and bicycles, and in city
traffic.
o appropriate access system for children and handicapped people, including
ramps for wheelchairs and other requirements as per universal access norms;
o the need to integrate building design with architectonic characteristics of the
surrounding neighborhood;
o avoiding the use of materials such as wood from unlicensed sources, lead-
based paints, asbestos.
o ensuring structural safety
o clearly demarcating exit and entry ways and ensuring adequate light and
ventilation via natural sources where possible, in the design.
3. Functional layout and
engineering control for
nosocomial infection
The following minimum design requirements should be taken into consideration during
facility layout and design to ensure infection control.
o Installation guidelines for sheetrock Management of water-related infections
in HCFs can be reduced by taking special care of the water supply such as
supplemental treatment of water with heat and/or chemicals.
▪ Ensure appropriate wastewater treatment infrastructure is built into the
design or existing facilities are augmented to handle and additional
load of waste water.
o Location of sinks and dispensers for handwashing products and hand hygiene
products
o Types of faucets (e.g., aerated vs. non-aerated)
o Air-handling systems engineered for optimal performance, easy maintenance,
and repair
▪ Heating, Ventilation and air conditioning (HVAC) systems in health-
care facilities should be designed to maintain the indoor air
temperature and humidity control odors, remove contaminated air,
facilitate air-handling requirements to protect susceptible patients and
During design
preparation
Management
PMU/MoH,
EPA,IC

P a g e 59 |
Environmental and
Social Impact
cost
Responsibility
minimize the risk for transmission of airborne pathogens from infected
patients.
▪ Decreased performance of health-care facility HVAC systems, filter
inefficiencies, improper installation, and poor maintenance can
contribute to the spread of health care–associated airborne infections
so the systems should be evaluated in existing HCWFs and augmented
as required via design.
▪ Construction design and function considerations for environmental
infection control are detailed in the guidance documents (as referred
above).
o Air Change per Hour (ACH) and pressure differentials to accommodate special
patient-care areas
o The design should incorporate adequate designated areas for the storage of
health care waste management.
▪ Where required appropriate specific areas for establishment of
autoclaves and other on-site disposal facilities well away from patient
care areas.
▪ Location of fixed sharps containers
▪ Types of surface finishes (e.g., porous vs. non-porous)
o Well-caulked walls with minimal seams
o Location of adequate storage and supply areas
o Appropriate location of medicine preparations areas (e.g., >3 ft. from a sink)
o Appropriate location and type of ice machines and water dispensers (e.g.,
preferably ice dispensers rather than ice bins)
o Appropriate materials for sinks and wall coverings
o Appropriate traffic flow (e.g., no “dirty” movement through “clean” areas)
o Isolation rooms with anterooms as appropriate
o Appropriate flooring (e.g., seamless floors in dialysis units)
o Sensible use carpeting (e.g., avoiding use of carpeting in special care areas or
areas likely to become wet)*
o Convenient location of soiled utility areas
o Properly engineered areas for linen services and solid waste management

P a g e 60 |
Environmental and
Social Impact
cost
Responsibility
o Location of main generator to minimize the risk of system failure from
flooding or another emergency
4. Incorporation of Green
Design
The architectural and engineering designs of projects should incorporate and reinforce
the criteria of environmentally friendly buildings.
o This should take place during the conceptualization stage and should include:
o solar panels to satisfy totally or partially the electricity needs (as the project
will finance potential installation of solar units and battery storage (BESS
systems)- Annex 18 should be used as minimal guidance for works associated;
o rainwater storage for the irrigation of gardens and green zones;
o recycling of wastewater for irrigation;
o separation of the potable water systems from irrigation systems;
o maximizing natural light in order to minimize artificial light needs;
o planting of native species in gardens and green areas;
o natural ventilation systems, minimizing the necessities of air-conditioning
where appropriate
During design
preparation
Management
PMU/MoH,
EPA,IC
5. Application of principles of
universal access in HCF
design
Seek input from local community and other relevant stakeholders, including people
with disabilities, women, and elders, Disabled People’s Organizations (DPOs), etc., on
the HCF design
Incorporate principles of universal access for groups of higher sensitivity or vulnerable
(potentially elderly, those with preexisting conditions, or the very young)
o HCF to be built at ground level, where appropriate, or at least have one
entrance ramp and level internal design
o Chairs placed for use by people who cannot stand while transacting business.
o Enough open space in the waiting areas for wheelchair users, luggage, etc.
o Doors sufficiently wide for wheelchair users and people who assist patients.
o Directional signage that is visible, easily understood and clearly marked,
including with pictographs, for reception desk, bathrooms, doctor’s offices, etc
o Accessible, spacious toilets and dressing rooms
During design
preparation
Management
PMU/MoH,
EPA,IC

P a g e 61 |
Environmental and
Social Impact
cost
Responsibility
Universal design will be integrated into the procurement process by establishing
procedures which mandate universal design concepts
6. Design of facility should
reflect specific treatment
requirements, including
triage, isolation or
quarantine
The design, set up and management of will take into account the advice provided by
WHO guidance for Severe Acute Respiratory Infections Treatment Center.
Hand washing facilities should be provided at the entrances to health care facilities in
line with WHO Recommendations to Member States to Improve Hygiene Practices.
Isolation rooms should be provided and used at medical facilities for patients with
possible or confirmed COVID-19.
Isolation rooms should:
o be single rooms with attached bathrooms (or with a dedicated commode);
o ideally be under negative pressure (neutral pressure may be used, but positive
pressure rooms should be avoided)
o be sited away from busy areas or close to vulnerable or high-risk patients, to
minimize chances of infection spread;
o have dedicated equipment (for example blood pressure machine, peak flow
meter and stethoscope
o have signs on doors to control entry to the room, with the door kept closed;
o have an ante-room for staff to put on and take off PPE and to
wash/decontaminate before and after providing treatment.
During design
preparation
Management
PMU/MoH,
EPA,IC
7. Design to consider
mortuary arrangements to
ensure no impacts arise in
relation to insufficient
capacity or existing
facilities and potential
spread of infection.
Include adequate mortuary arrangements in the design
See WHO Infection Prevention and Control for the safe management of a dead body in
the context of COVID-19)
During design
preparation
Management
PMU/MoH,
EPA,IC

P a g e 62 |
Environmental and
Social Impact
cost
Responsibility
8. Environmental
Management Plan (ESMP)
A site specific. ESMP and relevant guidelines will be included as a Special Condition
in the Bid Document; and ESMP should be attached to contract to form part of the
contract requirement.
The ESMP will also be equally applicable to sub-contractors including nominated sub-
contractors if any. The Contractor will be responsible for the compliance with the
requirements of the ESMP. With the assistance of the “Engineer” on behalf of the
Employer the Project Proponent (PP) will monitor the compliance of the ESMP by the
Contractor.
The bidders are advised to carefully consider the ESMP requirements during
construction stage when preparing the bid and pricing the items of work. The
prescriptions and clauses detailed in the ESMP are integral components of the
specifications for relevant item of work unless separate items are included in the Bill
of Quantities. Thus, separate payments will not be made in respect of compliance with
the ESMP.
The ESMP will be consulted with the relevant stakeholders, and disclosed to the
general public
In case the Contractor or the sub-contractor/s fails to implement the ESMP
recommendations, the Engineer will inform them in writing. After informing in writing
to the Contractor, the Engineer will take whatever actions it is deemed necessary to
ensure that the ESMP is properly implemented.
The Contractor through an Appointed Environmental Officer (AEO) shall assist the
“Engineer” to conduct his duties as required in the ESMP implementation by;
(a) maintaining up to date records on actions taken by the Contractor with regard to the
implementation of ESMP recommendations
(b) through timely submission of reports, information and data to the Employer through the
Engineer,
(c) via participating in the meetings conveyed by the Engineer or any relevant line agency
and
(d) any other assistance requested by the “Engineer”.
Prior to
contractor
mobilization on
the ground
Preparation
cost incurred
by MOH,
implementation
cost embedded
in engineering
cost of
contractor. To
be provided as
a provisional
sum and/or as
part of the
engineering
cost
To be provided as
a provisional sum
and/or as part of
the engineering
cost
To be provided as
a provisional sum
and/or as part of
the engineering
cost
Pre-Construction/Site preparation phase

P a g e 63 |
Environmental and
Social Impact
cost
Responsibility
9. Site Access Closure to avoid
risk to public and HCWs
from construction site.
All public access to the site via adequate fencing and signage which prohibit public
access completely, in order to avoid risk to the public.
The site entrance will include adequate signage indicating the details of the proposed
subproject, implementing agencies etc as well as safety signage to keep public away.
A fence shall be erected to cover the entire perimeter of the facility using cost effective
fence materials consisting of chain link fence fabric, concrete post, etc. as specified in
the Technical Specifications in order to ensure, animals and public are unable to access
the site.
o To avoid land disturbance and movement, the fence shall generally follow the
contour of the ground.
o Grading shall be performed where necessary to provide a neat appearance
Prior to
commencing
works on site
Engineering
Cost
Contractor PMU/MoH,
EPA,IC
10. Material Sourcing leading
to an impact on Natural
Resource supplies
cumulatively.
The contractor is required to ensure that all construction materials, including
gravel, sand, earth as well as other quarry material for construction is sourced from
licensed sources.
Sourcing of any material from protected areas and/or designated natural areas, such
as earth is strictly prohibited.
.
Prior to
commencing
works on site
Engineering
Cost
Contractor PMU/MoH,
EPA,IC
11. Work Site Management to
ensure minimal accidents on
site.
The contractor will be required to identify an area onsite to store construction
materials and equipment which should be approved by the engineer and
demarcated for material storage as per the site plan.
Parking, repairing vehicles, machinery and equipment shall be done stationed only
at the work site and/or in any other designated areas by the engineer.
The contractor should provide instruction and advice should be given to drivers
and operators (both companies owned and hired) to park vehicles and store
equipment at this designated area.
Prior to
commencing
works on site and
During
construction
Engineering
Cost
Contractor PMU/MoH,
EPA,IC
12. Potential capacity of spread
of infection due to
introduction of workers to
local communities.
Specifically, workers
coming from infected areas,
Where possible all attempts must be taken to use labor already present in the local
area.
In addition, the following measures in reference to the LMP must be undertaken to
mitigate and manage these potential impacts.
o Consider ways to minimize/control movement in and out of construction
areas/site.
Prior to
commencing
works on site
Engineering
Cost
Contractor PMU/MoH,
EPA,IC

Esmf annexes draftver01

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