inappropriate HCWM (law, state and legislation and BAT/BEP practices state programs, control requirements defined, etc.) measures No specifically and end-of-use tailored action plan mercury management The plan exists, and quality data capacity is engaged serves as a is missing. for safe storage model for (identification, replication within No previous capacity training) the country. building and demonstration of Stakeholders’ BAT/BEP to reduce consultations are held uPOPs and mercury with at least (6) releases implemented workshops in selected regions (3) held. Draft action plans in preparation with close consultations Pilot HCWM projects No target hospitals The baseline BAT/BEP (uPOPs and Health facility as ‘Business in selected hospitals, for pilots defined situation is assessed. mercury reduction) documentation. approach usual’ including phase-out before baseline policies are no planning is At least four (4) Project – of mercury assessment. implemented and carried out pilot projects in health reports containing targets recorded. or/and the Plan Waste minimization facilities identified. Formulated thermometers is abandoned. and segregation at Mercury HCWM Plans BAT/BEP, best source not practiced thermometers are The lowest developed, inclusive practices replaced by electronic price criterion is No alternative of BAT/BEP, waste documentation. devices, with resulting dominant. minimization and On-site mercury waste safely thermometers and segregation, waste Significant verification handled alternative product tracking and adoption of EPP substitution reporting, and Health facilities is beyond the demonstrated implemented. dispose IHCW in project time installation. frame. No model facilities Required training is (with individual action provided on spot (at Evaluation and No services plans) pilot sustainable least, 300 staff documentation of exist for MSW BAT/BEP and trained) practical results recycling and/or reduction in waste (inclusive of waste safe disposal of generation and amounts minimized, chemicals. uPOPs/mercury uPOPs/mercury Improved releases releases reduced) in planning on the conjunction with BAT/BEP are not up regional level Outcome 4 taken on a larger scale allows fostering and developing Overall waste
inappropriate HCWM practices No specifically tailored action plan exists, and quality data is missing. No previous capacity building and demonstration of BAT/BEP to reduce uPOPs and mercury releases implemented BAT/BEP requirements defined, and end-of-use mercury management capacity is engaged for safe storage (identification, training) Stakeholders’ consultations are held with at least (6) workshops in selected regions (3) held. Draft action plans in preparation with close consultations (law, state and state programs, etc.) legislation and control measures The plan serves as a model for replication within the country. Pilot HCWM projects in selected hospitals, including phase-out of mercury containing thermometers No target hospitals for pilots defined before baseline assessment. Waste minimization and segregation at source not practiced No alternative thermometers and alternative product substitution demonstrated No model facilities (with individual action plans) pilot sustainable BAT/BEP and reduction in waste generation and uPOPs/mercury releases BAT/BEP are not up taken on a larger scale Overall waste The baseline situation is assessed. At least four (4) pilot projects in health facilities identified. HCWM Plans developed, inclusive of BAT/BEP, waste minimization and segregation, waste tracking and reporting, and implemented. Required training is provided on spot (at least, 300 staff trained) BAT/BEP (uPOPs and mercury reduction) policies are implemented and targets recorded. Mercury thermometers are replaced by electronic devices, with resulting mercury waste safely handled Health facilities dispose IHCW in installation. Evaluation and documentation of practical results (inclusive of waste amounts minimized, uPOPs/mercury releases reduced) in conjunction with Outcome 4 Health facility documentation. Project reports Formulated BAT/BEP, best practices documentation. On-site verification ‘Business as usual’ approach – no planning is carried out or/and the Plan is abandoned. The lowest price criterion is dominant. Significant adoption of EPP is beyond the project time frame. No services exist for MSW recycling and/or safe disposal of chemicals. Improved planning on the regional level allows fostering and developing