management system is waste disposal weak services. Establishment of Overall waste Tender is held and HCW treatment Facility as ‘Business HCW treatment management system is the winning bid(s) centres successfully documentation approach usual’ centres in selected weak is/are selected. operate at preliminary and reports, dominates sites planned capacity (950 including despite Health facilities have EIA and permit project’s tpa). microbial efforts no access to organised procedure is carried inactivation waste treatment on Pricing policies Improved efficacy, waste system or the waste is implemented at target planning on the At least 8 rural and log, and incinerated in groups of stakeholders regional level 2 urban HCW financial installations not and service providers allows fostering treatment centres assessment. fulfilling BEP/BAT and developing established with Applicable criteria. On-site waste disposal recommendations on verification services. No non-incineration demonstration possible pricing criteria technologies procured supplied, installed proposed for legislative Project Resistance to and adopted to support and commissioned amendments reports new approaches new management from existing Transportation: Waste reduction system in selected private HCW vehicles supplied or amounts and uPOPs regions treatment reconstructed to meet reductions are initiatives Waste disposal and ADR standards (6 measured and reported transportation of waste items) on Cost in peripheral areas effectiveness of Transportation and (away from municipal non-combustion waste disposal pricing or capital centers) is methods attracts recommendations disadvantaged due to private and drafted for high price public investors. stakeholder review Low quality of (criteria per weight or service provision volume) results in additional sanitary risks Outcome 3.2: Development and No technical Baseline Technical guidelines Printed draft Required Linkages between dissemination of BAT/BEP guidelines in information is approved and printed and final partnerships are sound HCWM BAT/BEP technical line with international collected and (legislative support to guidelines developed and practices and guidelines and benchmarks (SC, BC) processed. back guidelines support to the Project minimization of general awareness for uPOPs/mercury proposed) process secured Draft technical reports uPOPs and raising release reduction and guidelines (concept, Hospitals receive Stakeholder Media reports mercury HCW management in scope, and content) materials for application participation is Changes to demonstrated place prepared and in daily work ensured national through training No guidance consulted with Project team Media support curricula of and awareness materials for data stakeholders. participates in scientific is expected on a medical raising programmes collection and Project team medical conferences (at wider scale institutions
management system is weak waste disposal services. Establishment of HCW treatment centres in selected sites Overall waste management system is weak Health facilities have no access to organised waste treatment system or the waste is incinerated in installations not fulfilling BEP/BAT criteria. No non-incineration technologies procured and adopted to support new management system in selected regions Waste disposal and transportation of waste in peripheral areas (away from municipal or capital centers) is disadvantaged due to high price Low quality of service provision results in additional sanitary risks Tender is held and the winning bid(s) is/are selected. EIA and permit procedure is carried on At least 8 rural and 2 urban HCW treatment centres established with demonstration supplied, installed and commissioned Transportation: vehicles supplied or reconstructed to meet ADR standards (6 items) Transportation and waste disposal pricing recommendations drafted for stakeholder review (criteria per weight or volume) HCW treatment centres successfully operate at preliminary planned capacity (950 tpa). Pricing policies implemented at target groups of stakeholders and service providers Applicable recommendations on possible pricing criteria proposed for legislative amendments Waste reduction amounts and uPOPs reductions are measured and reported on Facility documentation and reports, including microbial inactivation efficacy, waste log, and financial assessment. On-site verification Project reports ‘Business as usual’ approach dominates despite project’s efforts Improved planning on the regional level allows fostering and developing waste disposal services. Resistance to new approaches from existing private HCW treatment initiatives Cost effectiveness of non-combustion methods attracts private and public investors. Outcome 3.2: Linkages between sound HCWM practices and minimization of uPOPs and mercury demonstrated through training and awareness raising programmes Development and dissemination of BAT/BEP technical guidelines and general awareness raising No technical BAT/BEP guidelines in line with international benchmarks (SC, BC) for uPOPs/mercury release reduction and HCW management in place No guidance materials for data collection and Baseline information is collected and processed. Draft technical guidelines (concept, scope, and content) prepared and consulted with stakeholders. Project team Technical guidelines approved and printed (legislative support to back guidelines proposed) Hospitals receive materials for application in daily work Project team participates in scientific medical conferences (at Printed draft and final guidelines Project reports Media reports Changes to national curricula of medical institutions Required partnerships are developed and support to the process secured Stakeholder participation is ensured Media support is expected on a wider scale