Shrawasti Karmacharya

Health Care Foundation Nepal

Global Green and Healthy Hospital Initiatives in Nepal

GGHH Nepal Team
Mahesh Nakarmi, Director/Team Leader , Saraswoti Thakuri, Program Manager Shrawasti Karmacharya, Program Officer Prerana Dangol, Program Coordinator

Health Care Foundation Nepal (HECAF-Nepal)

Glimpse from Nepal

Green Nepal: Nature

Green Nepal: Biodiversity

Known in Tibetan and Nepali as "yartsa gunbu" (winter worm, summer grass) and prized in traditional medicine in China and Tibet for centuries, the fungus - some pieces measuring no more than 4cm - retails at up to US$800 for around 28 grams.

Green Nepal: Culture

Healthy Nepal: Environmental Crisis

Healthy Nepal: Waste Crisis

Healthy Nepal: Energy Crisis

Healthy Nepal: Water Crisis

Health Care Foundation Nepal

Established in 1994 Non-government and not for profit organization

Mandate to work on
Health Care Environmental Health Disaster Medicine

Health Care Foundation-nepal

HECAF
HEALTH ENVIRONMENT DISASTER MEDICINE

NATIONAL KIDNEY CENTER

RURAL ENVIRONMENTAL HEALTH POGRAM

CAPABILITY ENHANCEMENT PROGRAM

COOMUNITY HEALTH CENTER

HEALTH CARE WASTE MANAGEMENT PROGRAM

HOSPITAL PREPAREDNESS PROGRAM

HEALTH CARE MAGAZINE

NATIONAL AMBULANCE CENTER

Why HECAF promoting GGHH Initiative?

GGHH Initiative will help
to preserve our Nature to clean our Environment to solve our problems Waste to solve our water crisis to solve our energy crisis

HECAF as GGHH Member

Leadership goal,
Advocacy on GGHH Agenda- for safe and sustainable waste management and other goals relevant to GGHH with health care facilities operating inside and outside Kathmandu Valley, with government agencies within Nepal and at international scientific and technical meetings.

Waste Goal,
promoting non-burn waste treatment system and sending waste for recycling as much as possible.

Energy Goal,
Bio-digester is being promoted to treat the biodegradable and pathological waste generated from the hospital. HECAF has already been successful to generate biogas as a renewable fuel form the bio-digester.

Chemicals Goal:
Mercury Free Campaign

Leadership: Advocacy on GGHH Agenda

.Discussion on How GGHH agenda could be synchronized in regular plan and programs? with Dr. Sheela Verma, Ministry of Health and Population, Mr, Kehar Singh Godar, District Public Health Office, Mr. Gopal Sherchan, UNDP/GEF/ Small Grant Program

Leadership: Awareness Raising on GGHH at district level programs

District Level Program on Safe Health Care Waste Management in Small Health Care Facilities

Leadership: Awareness Raising on GGHH at Central Hospital

Leadership: Awareness Raising on GGHH at Health Post level

Waste: Promoted Safe Healthcare Waste Management System in Hospitals

National Kidney Centre

Bir Hospital

Gunja Man Singh Hospital

Bayalpata Hospital

Energy: Promotion of use of Renewable Energy in Health Care Facilities

Provided Technical Assistance to build Biodigester to recover energy from biodegradable waste
Armed Police Force Hospital
Bir Hospital

Facilitated to raise financial resources to support the construction of Biodigester

Energy: Partnership with Alternative Energy Promotion Center

Alternative Energy Promotion Centre (AEPC)
Governments Focal Institution for promotion of renewable energy HECAF & HCWH has signed MoU with AEPC for promotion of renewable energy in healthcare institutions AEPC has also shown interest to be the member of GGHH

Progress of Activities of Members of GGHH from Nepal

Bir Hospital
National Government Hospital and Academic Center 124 years old Located at the capital city of Nepal, Kathmandu

GGHH Goals accepted Goal 1: Leadership Goal 3: Waste Management Goal 4: Energy (Waste to energy)

Leadership: National Leader

National Visitors
Nursery School Primary School Secondary School Nursing Colleges Public Health Colleges Hospitals Health Posts NGOs Municipality Communities Research Organizations

Leadership: International Leader

International Visitors
Bangladesh Bhutan
Cambodia

East Timor

India Indonesia Myanmar

Phillipines Thailand UK USA

Bhutan

World Health Organization

Waste: Safe and Sustainable waste Management System

Segregation at source

Segregation System in wards

Segregation System in wards (Trolley system )

Storage of Recylables

Treatment System

Vermi Composting for Cotton & Gauze Waste

Energy: Renewable energy

Biodigestion Plant

Gunja Man Singh Hospital, Chitwan

Hospital in rural settings. Committed to Environmental Health

Goals Accepted:
Goal 1: Leadership Goal 3: Waste Management Goal 5: Water

Leadership: Leader in small health care facility

Leader in that reason of the district Schools, health posts of that village and surrounding villages visited UNDP/GEF/SGP has provided grant to replicate in other similar small facilities of that area of the district

Mercury Awareness Program

Compost Training to Community

Orientation to School Students

Leadership: Replication To Five Small

Healthcare Facilities Under UNDP/GEF/SGP Project

Inaugurating the system in small health care facilities, Chitwan

Handover of equipment to small healthcare facilities in Chitwan

Waste: Safe and Sustainable waste Management

System

Segregation System in rooms

Waste Storage Area

Segregation System for general waste

Treatment System

Composting

Water: Solar Disinfection (SODIS)

SODIS technology has been introduced for safe water supply in the hospital. Initiated by Dr Ruth Gonseth, Swiss Doctor, Former Member of Parliament of Switzerland

Energy: Solar Panels as alternative Energy source

Western Regional Hospital Pokhara

300 bedded Government Regional Hospital Located at Pokhara, Nepal Goals accepted
Leadership Waste

Leadership
First Regional Hospital to initiate the waste management . Leader at the regional level

Waste : Safe Health Care Waste Management System

Waste Segregation at source

Separate collection of infectious and non infectious waste Autoclave of infectious waste

Future Possible Member of GGHH

 ISO certified Private Hospital in Kathmandu First Private Hospital to initiate the waste management Goal already achieved

Norvic International Hospital, Kathmandu 125 bedded hospital

Leadership among private hospital Waste Energy: In process to construct Bio- digestion plants and Solar panels as alternative energy source

 Hospital in remote area of Nepal i.e., Achham District, Nepal Goal Addressed
Goal : Leadership Goal : Waste Goal: Energy

Bayalpata Hospital, Achham

Community Cleaning Campaign

Kathmandu Model Hospital, Kathmandu

100 bedded NGO hospital located in Kathmandu, Nepal In recent year, hospital will achieve the goals:
Goal : Leadership Goal : Waste

Paropakar Maternity Hospital

415 bedded Specialized Governmental hospital In recent year, hospital will achieve the goals:
Goal : Leadership Goal : Waste Goal: Energy Biodigestion plant for Placenta and Biodegradable waste

Thank you

healthcarewastenepal@gmail.com FB healthcarewastenepal
Mahesh Nakarmi mahesh.nakarmi@gmail.com Saeraswoti Thakuri saruthakuri09@gmail.com Shrawasti karmacharya shrawastikarmacharya@gmail.com Prerana Dongol prerana.dongol@gmail.com