A waste audit: understanding the dimensions of the problem
Health Environment and Climate Action Foundation (HECAF 360), formerly Health Care Foundation Nepal (HECAF), is a Non-Governmental Organization (NGO) registered as "Company Not Distributing Profit" pursuant to sub-section (1) of section 5 of the Companies Act, 2006 of Nepal.
PROJECTS HECAF 360
Making Nepal's Waste Management Safer
HECAF 360 is committed to promoting a clean, green, climate-smart health care system in Nepal. HECAF 360 is a pioneer in environmentally-safe health care waste management systems based on Zero Waste principles and non-burn technology.
Our work in health care settings includes:
Eliminating mercury-containing devices
Instituting safe injection systems
Planning and instituting renewable energy projects
Promoting climate-smart healthcare solutions
Encouraging green building design
Ensuring effective Water Sanitation, Hygiene and Waste Management (WASH)
Building safe waste water treatment systems
Designing and building biodigesters for safe disposal of infectious and non-infectious biodegradable waste
Implementing safer chemical substitution
Safely managing pharmaceutical waste
Safely disposing of menstrual sanitary waste
Advocating for sustainable green procurement
We also work outside of health care settings, including:
A major international refugee camp
Schools and religious institutions
In all of our work, HECAF 360 prioritizes safe environmental health to protect human health.
GUIDELINES & PRINCIPLES
Protect public health by making hospitals and other health care facilities SAFE, for patients, for staff and for the communities in which the hospitals and clinics are located.
Eliminate dangerous incineration of medical waste throughout the country which creates air-borne pollutants
Eliminate toxic, unnecessary and hard-to-dispose of waste through green purchasing and circular economy strategies
End dumping and landfilling, which contaminate ground water and soil.
HECAF has implemented Health Care Waste Management projects in over 25 in-patient hospitals throughout the country. These multi-bed facilities can now recycle much of the waste they generate, including pathological wastes. Each project begins with an elaborate diagnostic assessment of the kinds of wastes being generated and an evaluation of the safest and most effective methods of reusing, recycling or disposing of the waste.
Clinics and out-patient treatment centers in both urban and rural environments also generate health care waste and pose risks to patients, staff and the community at large if the waste generated is not properly treated and processed. Just as with the large multi-bed hospitals, clinics and out patient centers rely on a careful diagnostic evaluation before any project is designed and implemented.
It's not just hospitals and clinics that generate health care waste. Pharmaceutical waste is also a major problem once products exceed their use-by date.Expired pharmaceuticals must be handled in a safe and responsible manner when being disposed of HECAF has devised a program that can safely recycle a great of the the waste from expired pharmaceuticals.
In Nepal schools are also generating potentially infectious waste because of a recent Government of Nepal policy making menstrual hygiene pads available to schoolgirls. The safe disposal of these sanitary pads is an issue that HECAF has also addressed.
Zero Waste is a set of principles focused on waste prevention that encourages "rethinking" what waste is and "redesigning" how waste is handled so that all products are reused. The goal is for no trash to be sent to landfills, incinerators, or waterways. As much as possible HECAF deploys Zero Waste principles in its Health Care Waste Management work.