1. Ministry of Environment and Forests (MoEF), Govt of India
  2. Central Pollution Control Board
  3. Waste and Resource Management (WaRM) group of Centre for Environment Education (CEE)
  4. Ministry of Health and Family Welfare, (MoHFW) Govt of India
  5. World Health Organisation (WHO)
  6. UNDP- GEF – Global Healthcare Waste Project –India
  7. Health Care Waste Management (HCWM) Cell, Dept of Community Medicine, M.S. Ramaiah Medical College (MSRMC)
  8. Toxics link
  9. Indian Society of Hospital Waste Management
  10. National Solid Waste Association of India (NSWAI)
  11. Indira Gandhi National Open University

 

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003.__Waste and Resource Management (WaRM) group of Centre for Environment Education (CEE)

Centre for Environment Education (CEE) is a national institution engaged in developing programmes and material to increase awareness about the environment and sustainable development. CEE was established in 1984 as a Centre of Excellence in Environmental Education, supported by the Ministry of Environment and Forests (MoEF), Government of India. It is affiliated to the Nehru Foundation for Development (NFD). CEE works in 21 thrust areas; sustainable waste management being one of them. 
Waste and Resource Management (WaRM) group of CEE can be said to have started in 1989. Although WaRM group continued to work on concepts, demonstrations, academic and policy formulation work, having helped the Ministry of Environment & Forests, GOI, to formulate the Biomedical Waste (management & handling) Rules from 1995 onwards, later promulgated in 1998, the Recycled Plastics Manufacture and Usage Rules, in1999, the Municipal Solid Waste Management Rules in 2000, Hazardous Waste Management (Revised) Rules in 2003, all under the EPA, 1986 and many guidelines concerning waste and other urban & rural settlements issues, it attained a separate status only in April 2005.

 WaRM group has the expertise in the field of BMWM owing to active involvement in the formulation of

  • Bio-medical Waste (Management and Handling) Rules 1998. 
  • Integrated Healthcare Waste Management Plan (IHWMP) as a possible method of managing hospital waste, which could be adopted by a healthcare establishment anywhere in the country
  • Healthcare Establishment Waste Management and Education Programme (HEWMEP) as a communication cum implementation strategy for implementing BMWM Rules, 1998. HEWMEP is the flagship programme of WaRM group of CEE in the field of biomedical waste management which involves addressing the biomedical waste issues of hospitals, nursing homes, clinics, dentists, private and state funded health centres including veterinary healthcare establishments, diagnostic laboratories, blood banks and domiciliary treatment homes such as households, hostels, schools and colleges.

The WaRM group has developed a repertoire of field experience and knowledge in the field of Hospital Waste Management. The most notable projects in the field are:

  • A survey of hospital waste management health care practices under the aegis of the Hazardous Substances Management Division of the MoEF Govt of India in 1998-1999, which was completed in 2001
  • A CIDA – ICEF grant supported assessment of the role of BMW management practices in infection control in 4 hospitals in Delhi, which was completed in 2002
  • In 2002 designed and developed educational material and training manual on BMWM supported by World Health Organisation (WHO).
  • A Delhi Govt. and Ministry of Health funded project for assessing, implementing and evaluating five large Govt. hospitals in Delhi for Healthcare Establishment Waste Management & Education Programme (HEWMEP) in 2002-03.
  • Under EMCB ENVIS node on Healthcare Waste Management project, conducted similar studies as done in Delhi in 2001 in 2002-03 in Delhi, Pune, Bhubaneswar and Kannur and submitted report to MoEF in 2003. 
  • CEE was designated as the Environment Management Capacity Building (EMCB) node for EE on Biomedical Waste Management (BMWM). As part of this, CEE launched HEWMEP website and printed and distributed four issues of HEWMEP newsletter in 2002-2004.
  • A series of regional consultations followed by a national consultation on status of compliance to the BMWM Rules and status of implementation of biomedical waste management which revealed a range of practices and actors engaged in this sphere; conducted in five regions in the country and national one in New Delhi in March 2004.
  • Designing and setting up a completely operational common facility for bio-medical waste collection, transportation, treatment and disposal of biomedical waste of all the HCEs in Gulbarga city. The CBWTF is titled ‘Common Healthcare waste Appropriate Management Plant’ or in short ‘CHAMP’ and is in operation since 2005.
  • Designed and developed an integrated Healthcare Establishment Waste Management and Education Programme (HEWMEP) which is the flagship programme of WaRM group of CEE in the field of biomedical waste management and involves addressing the biomedical waste issues (at all levels) of hospitals, nursing homes, clinics, dentists, private and state funded health centres including veterinary healthcare establishments, diagnostic laboratories, blood banks and domiciliary treatment homes such as households, hostels, schools and colleges. The various components of the HEWMEP have been implemented at Bangalore, Ahmedabad, Tirupur, Kannur, Coimbatore, Gulbarga, Delhi, Tirupathi, Vrindavan, Ujjain, Puri, Pune, Agra, Lucknow, and in many cities in Rajasthan and in the district of Coorg, Karnataka.  
  • Conducted external audit of IMAGE CBWTF at Kannur, Kerala. Also collaborated with ISHWM for external audit of BMWM system and technologies in 10 major govt controlled hospitals in Delhi.

HEWMEP Coimbatore Zone project in Tamil Nadu was implemented in 2008 wherein the most important component of all was the education and training aspect of the integrated waste management plan which involved the training of several medical and para-medical employees of the establishment for source reduction, segregation, disinfection, transportation, treatment and disposal. The main objective was to implement Integrated Healthcare Waste management plan (IHWMP) in healthcare establishments in Coimbatore Region having 9 districts of Tamil Nadu. The achievements were training, sensitization and monitoring programmes of various functionaries in the health care systems as well as outside the health care systems, since it is vital for the successful implementation of hospital waste management plan in the Tamil Nadu state.
Presently going on Onsite training on healthcare waste management in 759 PHCs of Rajasthan in two phases, first phase package-2 comprising of 16 districts wherein first round is for motivating and informing the PHCs and organising equipment infrastructure like pits etc. The second round is the reinforcement training along with all equipments and infrastructure in place like deep burial pits for anatomical waste, needle cutters and sharp pits for metal and glass sharps, bins and liners of appropriate colour codes in all PHCs. The achievements are completed first round of training in all 759 PHCs of 16 districts and completed reinforcement training at 250 PHCs in 7 districts. The main objective of the project is to provide hands on experience to trainees by demonstrating cradle-to-grave steps of waste management – segregation, handling, collection, transportation, treatment and disposal of infectious and non-infectious waste generated from healthcare facilities.

  • Several training programmes in many parts of India on request done by the group and several queries answered and aspects clarified as part of ENVIS node and ENVIS centre activity of CEE till date.

 

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