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Medical Waste
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Hospitals and Small Clinics
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In the past, hospitals and clinics in Kathmandu were notorious for their improper waste management practices, simply dumping medical waste onto the street for collection by the municipal waste workers. This potentially hazardous waste would linger on the streets for weeks putting the local community, health workers and patients themselves at risk from injury or infection.

The pioneering appropriate technology solutions provided by HECAF's Mahesh Nakarmi to address these problems have long been supported and assisted by Health Care Without Harm and the World Health Organisation South-East Asia Regional Office. Their continued encouragement and support in these endeavours are greatly appreciated.


Since its initial implementation at the National Kidney Center in 1999, HECAF and its allies have been actively spreading the Clean, Green, Healthy Hospital idea throughout Nepal. Here below you can read individual case study reports on HECAF's work at six major hospitals in Kathmandu. These hospitals are members of Health Care Without Harm's Global Green and Healthy Hospitals network ( These case studies and many more, on waste, climate, procurement, and other aspects of sustainability in healthcare, can be found on the GGHH site 

Small Facilities

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. Small facility clinics and outpatient centers – just as with the large multi-bed hospitals – require a careful diagnostic evaluation before any project is designed and implemented.

14 minute video illustrating HCW procedures at small health facilities

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