This study aims to i) conduct a feasibility study to establish the viability of medical waste management (MWM) rules implementation, ii) identify the appropriate technology and management model, iii) establish viable final disposal technological options in which the both parties and other actors can participate as partners, and iv) establish a coordination and partnership model in MWM in Bangladesh. In this pilot research BRAC aims to: i) introduce an appropriate waste management system in hospitals, clinics and diagnostic centers within the Rajshahi City Corporation (RCC) area using a standard manual and training module, ii) develop a core trainer group at BRAC and relevant organizations on MWM. The methods of action were: i) baseline survey to ascertain the training need, ii) sensitization/awareness, iii) training on in-house management, iv) implementation of in-house management, and v) evaluation. The pilot period was from July 2005 to February 2006.
A baseline survey was done to assess the existing hospital waste management practices in RCC area, as well as to ascertain the training needs for relevant institutes establishment. The findings show that the lack of awareness, training and management planning is the basic constraints of hospital waste management at RCC area. Based on training need assessment BRAC prepared a training of trainer (TOT) module (according to the draft MWM manual) and provided ToT for a 15-member core trainer group. BRAC also provided training for healthcare workers e.g. doctors, nurses, cleaners, technicians, administration officers, and City Corporation’s staff. A total 850 healthcare personnel and healthcare workers have been provided with in-house MWM training covering almost all hospitals, clinics and diagnostic centers in Rajshahi city and 257 healthcare workers at Joypurhat hospital. Several orientation seminars and workshops were organized for RCC officials, clinic owners and hospital management personnel. After implementation, an evaluation will be done to assess the impact of training and management practices. The outcome of this pilot are a) medical waste management manual; b) booklet and 2D animation c) core trainer group; d) ToT and training module; e) a model of working partnership; f) pilot implementation of MWM practices at RCC area; and g) initiation of mainstreaming of this pilot model. The draft MWM rule is now under the process of approval by the government.