Report

1. United Nations Development Programme
'Saving Lives Sustainably'
Healthcare Waste:
Environmental Safeguarding
of Global Health Initiatives
Dr. Christoph Hamelmann, UNDP
Jan-Gerd Kühling, ETLog
Presentation at The Global Fund
Geneva, 15 April 2015

2. WHO Core Principles (HCW)
Governments should:
 Request donors, partners and other
sources of external financing
 Include an adequate contribution
towards the management of waste
associated with their interventions
Donors and partners should:
 Include a provision in their health
program assistance
 Cover the costs of sound healthcare
waste management systems

3. What the Others Do…
Environmental Safeguarding
is today a standard in nearly
all international major
health projects.

4. Example GAVI
 Started to take responsibility already
in 2007
 HCW included in Injection Safety
activities (in GAVI context)
 Supported dozens of countries in the
development of HCW management plans
 Included HSS for waste management in the grants
 HCW equipment and budgeting for HCW
services is a standard in all grants today

5. Example World Bank
 Environmental safeguards in place
since long time, currently updating
 Integrated Safeguards and Environmental
Assessment carried out for all
major health projects
 Typical environmental classification of
health projects: Class B (action required)
 Example Uzbekistan - Health System Improvement Project:
about 8 Million US$ included to upgrade the national HCW
system at primary level

6. Example KfW
 Environmental policy and sustainability
guideline in place
 Healthcare waste management included
as part of healthcare infrastructure
 Example Indonesia - Improvement of
the RS Wahidin Hospital (2010)
o Rehabilitation of the waste water system
o Set up of a hazardous healthcare waste system
o Hospital received ISO 14000

7. Example GEF
 Stockholm and Minamata Convention
 Demonstrating and promoting the use of
best practices and techniques for
healthcare waste management in 7
countries:
o Argentina, India, Latvia, Lebanon, Philippines,
Senegal, Tanzania, Vietnam
 Goal: to protect public health and the
global environment from the impacts of
dioxin and mercury releases

8. Example Ebola response
 Autoclaves as alternative to burning waste in open
pits, barrels or inexpensive incinerators

9. Thank You!
United Nations Development Programme
Towards
Sustainable
Development Goals
christoph.hamelmann@undp.org
Twitter: @cahamelmann