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New Agreement with Health Care Without Harm
and the German Development Agency GIZ 
HECAF360, Health Care Without Harm and the German Development Agency are working on fostering environmental resilience and improving health care waste management practices in Nepal.

HECAF360 and Health Care Without Harm have partnered with the Deutsche Gesellschaft für Internationale Zusammenarbeit (German Development Agency, GIZ) for a 22 month project to foster environmental resilience and improve health care waste management practices as part of German Development Cooperation (GDC)’s support in the health sector in Nepal. For more on this new project click here.

Important new case study launches...
Health Care Waste Management
Towards the Circular Economy

This case study reports on the development of a healthcare waste management system at Tribhuvan Teaching Hospital (TUTH) in Kathmandu Nepal produced in collaboration with HECAF360, Health Care Without Harm and WHO Nepal.


This case study is supported by the United Nations Environment Programme – International Environmental Technology Centre (UNEP-IETC) with financial assistance from the Ministry of Environment Japan (MOEJ).


The report describes factors at TUTH that acted – both for and against – making the necessary procedural changes toward safer healthcare waste management.


By enhancing waste separation at source, distributing needle cutters throughout the hospital, installing a biodigester to treat organic waste and investing in autoclaves to treat infectious waste, levels of hygiene have risen and risk of exposure to infectious disease and injuries associated with waste handling have been reduced. What’s more, emission of air pollutants and greenhouse gases caused by incinerators has been minimised through non-burning treatment technology.


By designing-out waste and pollution and by keeping products and materials in use as much as possible (recycling), this project is actively promoting the concept of “the circular economy” in Nepal. You can access the full case study here.

HECAF360 participates in...
A Special Session of
The 8th 3R International Scientific Conference
organized by the Japan Society of Material Cycles and Waste Management 
This special session featured a mix of presentations from researchers, practitioners and business entrepreneurs in the field of HCWM who shared recent research findings and work experiences. 
More than Health Care Waste Management
Incinerator Removal in Kathmandu Medical College
Incinerator Removal in Kathmandu Medical College

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No incineration–No Burn
No incineration–No Burn

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University collaboration
University collaboration

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Incinerator Removal in Kathmandu Medical College
Incinerator Removal in Kathmandu Medical College

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Working in 3 Program Areas:

Once solely a provider of health care waste management services, Health Care Foundation Nepal (HECAF) has evolved into HECAF 360 and is today the leading provider of clean, green, climate-smart appropriate technology solutions for environmentally sound healthcare systems in Nepal and other low-resource countries.


Working closely with various international development agencies as well as national and international NGOs, HECAF 360 today manages an array of projects across 3 program areas: Health, Environment and Climate.

HECAF 360 have also been heavily involved in Nepal’s response to Covid-19. HECAF 360 interventions include: securing lifesaving donations of ventilators and PPE;  assisting the Ministry of Health and Population in the management of hospitalised Covid-19 patients; training workshops in infection control; and the clean-up, handling and safe disposal of potentially hazardous Covid-19 waste. 

Read more about these interventions on the Covid Response page.


HECAF 360 are also engaged in awareness raising activities across Nepal. HECAF 360 regularly make presentations to professional groups and social clubs about the risks to human welfare if we ignore the consequences of inaction in protecting and cleaning up the environment we inhabit.

If your organisation would like to request a presentation on clean, green, climate-smart health care systems, email your inquiry to

To learn more about HECAF 360's scope of work for both Nepali and international clientele, select a project from the Projects pulldown menu above or click one of the links below.

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