Green and Clean Hospital : Sustainable Sanitation through Green and Clean Hospital Approath : A Strategy for Reducing Global Warming (Case Thailand)

1. Sustainable Sanitation
through GREEN and CLEAN Hospital
Approach: A Strategy for Reducing
Global Warming
Dr.Narong Saiwongse, Duputy Director General,
Department of Health, MOPH, Thailand

2. Population :
63.87 Million
Area :
513,115 Km2/ 198,115 mile2
Public Health hospitals :
831 hospitals
Sub district Hospitals:
9,802 sub district Hosp.

3. 1. Background and rationale
Thailand’s environmental condition :
have been affected by numerous
changes both in the global context and
the country’s internal factors
 Climate changes
 Population growth
 Urbanization

4. Urbanization Impact
• The water quality has been deteriorating
• The number of clean surface water sources has been
declining
caused by
wastewater drainage from communities and other places
Contamination with faecal coliform bacteria

5. Wastes from Health-care facilities
• solid wastes
• health-care waste
• wastewater
Promote appropriate management
reduce carbon footprint and
return to new resources

6. GREEN and CLEAN Hospital
: Public Health Collaborative Campaign to Reduce
Global Warming through Sustainable Sanitation
The campaign aims :
 To promote collaborative efforts among state health-
care facilities under the Ministry of Public Health for
reducing global warming with the GREEN and CLEAN
approach and enable them.
 To serve as a role model for other agencies including
local authorities and communities.

7. GREEN and CLEAN Hospital
GREEN and CLEAN Hospitals
The campaign expectation :
 To increase health personnel’s awareness
and understanding of health effects of global
warming and how sustainable sanitation can
contribute to climate change mitigation and
adaptation.

8. 2. Project’s Objectives
 To promote the state health-care facilities under
the Ministry of Public Health to implement the
GREEN and CLEAN Strategies.
 To promote the good practice models of GREEN
and CLEAN Hospitals to serve as a role model for
others.
 To increase awareness and understanding of
health personnel in reducing global warming by
sustainable sanitation.

9. 3. Project’s main activities
GREEN CLEAN
 is a group of activities  is includes strategies
Encourage the hospitals
to practise in a sustainable manner.

10. Project’s main activities (cont.)
The GREEN comprises activities
related to G E
- Garbage
- Restroom
- Energy R
- Environment
- Nutrition E N

11. Project’s main activities
Project’s main activities cont (cont.)
Garbage or solid waste management
G using the 3-Rs principles

12. Project’s main main activities (cont.)
Project’s activities cont
Restroom improvement, especially public
R restrooms or toilets in the hospitals to meet the
Healthiness, Accessibility and Safety (HAS)
toilet standards.

13. Project’s main activities
Project’s main activities cont (cont.)
• Waste water
management
• Nutrient recovery

14. Project’s main activities (cont.)
Energy use reduction and alternative energy
E promotion, including the use of renewable
energy such as biogas

15. Project’s main activities (cont.)

16. Project’s main activities (cont.)
Environmental improvement and healthy
E workplace promotion

17. Project’s main activities (cont.)
Nutrition promotion including food safety as
well as the use of organic food for patients and
N products from neighbouring communities in
order to decrease the use of chemical fertilizer
and to save energy for food transportation.

18. Project’s main activities (cont.)

19. Project’s main activities (cont.)
The CLEAN strategies comprise
Communication, Leadership, Effectiveness, Activities
and Networking
C : communication for creating good
understanding and awareness
L : leadership for starting a prototype project
and resolving any problems

20. Project’s main activities (cont.)
E : effectiveness enhancement to
achieve the target
A : activity creation with strengthened
cooperation
N : networking for all project sites to
work together.

21. 4. Project Accomplishments
• The guidelines and technical documents on
the GREEN and CLEAN Hospital Project have
been developed and disseminated to the
participating hospitals

22. Project Accomplishments (cont.)
4.Project Accomplishments
• The training courses have been conducted
for building the capacity of responsible
personnel.

23. Project Accomplishments (cont.)
• The carbon footprint calculator programme
has been created and promoted to the
participating hospitals to use as the tool for
evaluating the effectiveness of the project.

24. Project Accomplishments (cont.)
• The annual seminar has been
organized. It aims to promote
the collaborative among
GREEN and CLEAN Hospitals
Network, to share experiences
and knowledge, and to reward
the best practice models.

25. Project Accomplishments (cont.)

26. Project Accomplishments (cont.)
• There are over 4,000 hospitals throughout Thailand
that are implementing the GREEN and CLEAN
Hospital Project.
4000
3500
3000 Hospitals (Regional,
2500 Provincial and
number
2000 district Hospital)
1500 Subdistrict Health-
care facitities
1000
500
0
2010 2011 2012
year

27. Project Accomplishments (cont.)
• A number of good practice models
of GREEN and CLEAN Hospitals
in 49 provinces over the country
welcome and ready to share their
experiences and key of success
factors of GREEN and CLEAN
Hospitals with others.

28. 5.Lesson learned
 The health-care sector is well-
positioned to “ lead by example ”
 Sustainable sanitation and climate
change can be linked by GREEN and
CLEAN Hospital Approach

29. Lesson learned (cont.)
 The active role of the health sector in
sustainable sanitation management can
benefit health and contribute to long term
goals of reducing global warming
 The capacity and awareness of health
personnel need to be built continuously
 The integrated approach of GREEN
activities and routine work should be
encouraged among health personnel in the
hospitals

30. Lesson learned (cont.)
 The evaluation method for measuring the linkage
between GREEN and effectiveness of reducing
GHG should be developed, so that the
participating hospitals can implement the project
with more confidence.
 The GREEN and CLEAN Strategy can be applied
and promoted in other sectors as well.

31. 6.The way forward
Increase the involvement of the rest
hospitals and other sectors in the project.
Develop method of measurement for
monitoring and evaluation the
effectiveness of the project
implementation.

32. The way forward (cont.)
Create and strengthen the GREEN and
CLEAN Hospital network both at
national, regional and global level.
Promote innovation and appropriate
technologies in managing sustainable
sanitation in GREEN and CLEAN Hospital.

33. Thank You For Your Attention