This document discusses the GREEN and CLEAN Hospital Project in Thailand which aims to promote collaboration among healthcare facilities to respond to global warming. It outlines the objectives of reducing greenhouse gas emissions and increasing knowledge about health impacts of climate change. It then provides details of the implementation of GREEN and CLEAN management strategies at the 17th Somdejphrasangkharaj Hospital including waste reduction, energy savings, environment protection and nutrition initiatives. The outcomes of the project include cost savings, reduction in greenhouse gas emissions, and various awards received for their leadership in sustainability and healthcare.

1. GREEN and CLEAN Hospital
Project in Thailand
MR.CHALERM SODSRI
Public Health Specialist

2. Situation and GHGs Emission Trend
in Thailand (2009)
0
20000
40000
60000
80000
100000
120000
Energy Industry Agiculture Landuse
Change
Wastes
Ton CO₂ eq.
Source
56.1%
5.4%
24.1%
6.6% 7.8%
and forestry
Source: Thailand Greenhouse Gas Management Organization.

3. GREEN and CLEAN Hospital Project

4. To promote collaboration among healthcare facilities
under the Ministry of Public Health and to campaign for
responding global warming with GREEN & CLEAN
concept;
To enable healthcare facilities under the Ministry of Public
Health to be project prototype;
To increase knowledge and understanding on health
impact
related to global warming for public health personnel.
Project Objectives
2
3

5. GREEN CLEAN
Health
Sector
SuSan Strategy Setting
People
participation
in global
warming
Village
health
voluntee
r
&
Network
Communitie
s
What
we do?
How it
works?
Where
we do?
Good practice models
Promoting for
general
implementation
Conceptual Framework

7. Total Amount of Healthcare
facilities in Thailand (2012)
835
9,769
Total 10,644 unit
Hospital
Sub-district
hospital

8. As of March 2012

9. As of March 2012

10. The Progress of
Implementation
- 3,442 healthcare facilities participated in the project;
- 13 of those healthcare facilities are success as
“ GREEN & CLEAN Hospital Models”
(Completion of GREEN Activities and Carbon Footprint evaluation)

11. GREEN & CLEAN Hospital
The 17th Somdejphrasangkharaj Hospital,
Suphanburi, Thailand

12. The 17th
Somdejphrasangkharaj
Hospital
• 250-bed-hospital
• Service 1,000
patients/day
- 800
Outpatients/day
- 200 Inpatients/day

13. GREEN & CLEAN Hospital
Project
• Objective
- The problem of climate change & global
warming
- Reduce global warming under
supervised by department of health
• Methodology
- GREEN & CLEAN Management

14. GREEN & CLEAN Hospital
Project
Sustainable & Ecological sanitation

15. โรงพยาบาลลดโลกร้อน GREEN&CLEAN HOSPITAL
G
E
R E
NGREEN & CLEAN
Management

16. GREEN: Guidance
Activities
• G: Garbage
- 4Rs: Reuse, Reduce, Recycle & Repair
• R: Rest room
• E: Energy
• E: Environment
• N: Nutrition

17. GREEN: Guidance
Activities
• G: Garbage
- 4Rs: Reuse, Reduce,
Recycle & Repair
• R: Rest room
• E: Energy
• E: Environment
• N: Nutrition

18. Garbage: Reuse
Lung expansion
device
Effective microorganism(EM)
container
Plastic bottle

19. Garbage: Reduce
Canvas bag instead of
plastic bag
Banana leaf as food carrier

20. Garbage: Recycle
- Categorize the
rubbish into paper,
can, glasses and
plastic
- Send to the factory
as categorized

21. Recycle cleaned water

22. Garbage: Repair
Bicycling for plant watering

23. Innovation:Garbage: Repair
Tricycle with solar energy

24. GREEN: Guidance
Activities
• G: Garbage
- 4Rs: Reuse, Reduce, Recycle, Repair
• R: Rest room
• E: Energy
• E: Environment
• N: Nutrition

25. Rest room
• Principle of management
- Separate toilet facilities
- Treat sewage before disposal
- Use the appropriate management
technology
- Make the fertilizer from waste product

26. Rest Room
Before
After
The Best Quality Toilet of
Thailand Award 2009

27. Rest room
• HAS :Thailand public toilet standard
- H: health or hygienic condition
- A: accessibility
- S: Safety

28. GREEN: Guidance
Activities
• G: Garbage
- 4Rs: Reuse, Reduce, Recycle, Repair
• R: Rest room
• E: Energy
• E: Environment
• N: Nutrition

29. Energy
Light system 23%
Air conditioner 63%
Other 14%
Energy consumption in the hospital

30. Energy
• Promote The Energy Saving campaign
- Cooperate by the personnel of the
hospital
- Reduce energy cost by 4,700,000 baht

31. Energy management system
Plan & Do
Evaluation
Review the results
Set Goal
Technical Evaluation
Set Policy & Public relation
Basic Evaluation
Set up team

32. GREEN: Guidance
Activities
• G: Garbage
- 4Rs: Reuse, Reduce, Recycle, Repair
• R: Rest room
• E: Energy
• E: Environment
• N: Nutrition

33. Environment
• 2 strategy: Indoor & Outdoor
management
• Healthy work places

34. Environment
Indoor Activity
Outdoor Activity

35. Outdoor Management: Tree-planting Campaign

36. Outdoor Management
Before
After

37. Effective Microorganisms
(EM)
• Use EM to clean-up
water & environment

38. Indoor Management

39. Environment
• 2 strategy: Indoor & Outdoor
management
• Healthy work places
Healthy Environment
Healthy
EnvironmentSafety

40. GREEN: Guidance
Activities
• G: Garbage
- 4Rs: Reuse, Reduce, Recycle, Repair
• R: Rest room
• E: Energy
• E: Environment
• N: Nutrition

41. Nutrition
• Promote food safety
• Clean food good taste
• ↓ chemical substances

42. CLEAN : Main strategy
• C: Communication
• L: Leader
• E: Effectiveness
• A: Activity
• N: Networking

43. CLEAN : Communication
• Set up team public relations officers
• Publicize the knowledge to personnel of
the hospital & community
- Poster
- Internet
(www.somdej17.moph.go.th)
- Media: local newspaper
• Learning center

44. Public relations officers

45. Poster

46. Internet: hospital
websites

47. CLEAN: Leader

48. CLEAN: Effectiveness

49. Our activities can reduce greenhouse gases emissions
Reduction in emissions
of carbon dioxide 26.45
tons of carbon dioxide-
equivalent (CO2e) in
2010.
- This is a 16.6 percent
reduction in CO2
emissions or similar to
planting 2,939 trees
EFFECTIVENESS

50. CLEAN: Activity
• Cooperativeness
• Sustainable

51. CLEAN: Networking
• Set up community team
• Release the knowledge to other
organizations
- Public schools
- Government sectors
- Nearby hospitals

52. CLEAN: Networking

53. Outcomes of The
Project
GREEN & CLEAN Hospital
Project

54. Greenhouse Gases
(Tons CO2e/year)
1400
1450
1500
1550
1600
1650
1700
1750
1800
1850
2010 2011 2012 2013 2014
ปีงบประมาณ
1553.74
1805.87
Greenhouse gases reduction
13.69 % and 10%, respectively
Greenhouse Gases
(Tons CO2e/year)

55. Reduction in emissions
of carbon dioxide 252.13
tons of carbon dioxide-
equivalent (CO2e) in
2011 or similar to
planting 28,014 trees
13.69 percent
Our activities can reduce greenhouse gases emissions

56. Greenhouse Gases
(Percent)
0
20
40
60
80
100
Energy Waste
Management
Natural
resources
Environment
Hospital
8.26
3.65
87.97
0.09
%

57. Greenhouse Gases
(Tons CO2e)
0
5
10
15
20
25
30
35
40
numberofbeds Patients Staffs sub-division offset
Hospital
0.1 2.5
8.59
36.12
Greenhouse Gases
(Tons CO2e)
20.87

58. Benefits of the project
• Personnel aspect
- Save environment leads to good health
• Organizational aspect
- Budget cost
- Won the GREEN &CLEAN project
Awards

59. Benefits of the project
• People & Community aspect
- Implement knowledge to household
- Sustainable community environmental
health.

60. Benefits of the project
• People & Community aspect
- Implement knowledge to household
- Sustainable community environmental
health.

61. Benefits of the project
• People & Community aspect
- Implement knowledge to household
- Sustainable community environmental
health.

62. Outcomes from
“Green & Clean
Hospital” projects
GREEN&CLEAN HOSPITAL
1) Efficiency: Budget saving (reducing costs / increasing
income).
2) Effectiveness: Reduction of greenhouse gases emissions.
Role model in sharing and learning knowledge, Networking,
Innovating, Having reputations from various awards,
Sustainability of GREEN & CLEAN HOSPITAL project

63. GREEN&CLEAN HOSPITAL
Efficiency in Budget
saving (reducing costs /
increasing income).

64. Efficiency in solid waste management
๘

65. GREEN&CLEAN HOSPITAL
Saving costs of water about 40,000 baht / month.
๙Water storage capacity of pond in health garden 32,000 M3

66. Benefits from wastewater treatment plant
Wastewater treatment in flushing system
of accommodation with 32 units can save
costs up to 21,600 baht / year

67. Analyzing amount of chemical usages
comparing with costs of EM
0
20
40
60
80
100
Costs Amount
Chemical
usages
EM usages
94.3
44.7
5.7
55.3
Saving costs from chemical usages 6,450 baht/month
Saving amount of chemicals 200-300 baht/month๑๐

68. Targets and goals
Promoting and regulatory government buildings project
No
Energy conservation
measures
Saving Results
Electric
Energy
(kWh)
Thermal
Energy
(MJ)
CO2
(Mg
CO2/year)
Saving costs
(baht)
1 Measures without costs 187,102.19 437,040 168.29 936,104.04
2 Measures with costs 1,081,964 1,411,790 849.80 4,294,501.60
Total 1,269,066.19 1,848,830 1,018.09 5,230,605.64
๑๑

69. Outcomes of the projects
Promoting and regulatory government buildings project
No Project efficiency
Average annual saving
Waste
management
Water
consumption
EM
usages
Energy
consumption
1 Saving costs of hospital - 501,600 77.400 789,396
2
Increasing incomes of
hospital
300,000 - - -
รวม 300,000 501,600 77,400 789,396
Hospital can save money at average 1,668,396 baht/year

70. Summary:
Cost-saving of Hospital (baht/year)
0
10
20
30
40
50
Reducing costs Incresing incomes
Waste
management
Water
management
EM usage
Energy
consumption
30.06
47.31
4.64
17.98
Percent

71. GREEN&CLEAN HOSPITAL
2. Effectiveness: Reduction of
greenhouse gases emissions,
Role model in sharing and
learning knowledge, Networking,
Innovating, Having reputations
from various awards,
Sustainability of GREEN &
CLEAN HOSPITAL project

72. GREEN&CLEAN HOSPITAL
Hospital
role
model
๑

73. ๒

74. GREEN&CLEAN HOSPITAL
๓

75. GREEN&CLEAN HOSPITAL
๔

76. GREEN&CLEAN HOSPITAL
๕

77. 77
Healthy Workplace รพ.สมเด็จฯ ๑๗
Healthy Workplace Program
“Somdej 17” Hospital standard
Healthy
Workplace
๖

78. 78
Healthy Workplace รพ.สมเด็จฯ ๑๗
Healthy Workplace Program
“Somdej 17” Hospital standard
Health
promotion
hospital
๗

79. Succeed awards
Thailand
Energy
Awards
2010
๘

80. Succeed awards
Asean
Energy
Awards
2010
๙

81. Received the shield of Honor on
GREEN&CLEAN hospital in 2011
๑๐

82. Received the shield of Honor on
GREEN&CLEAN hospital in 2011
26 Mar 2012,
Bangkok
Reducing GHG emissions
At 13.69 percent in 2011

83. ๑๑

84. Popular VOTE Award
On Healthy Environment
4 July 2012 ๑๒

85. Public Communication
of GREEN&CLEAN hospital
in Taiwan
๑๓

86. Outstanding performance Healthy Workplace
๑๔

87. Role Model on Health Promotion and
Environmental management (8 July 2004)
Healthy Workplace
๑๕

88. Move forwards: GREEN&CLEAN HOSPITAL

89. Thank You
Thank You

90. Thank you all Partners