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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04. __Ministry of Health and Family Welfare, (MoHFW) Govt of India

MoHFW, GoI has laid down the National Guidelines on Hospital Waste Management in March 2002, which apart from covering the aspects included in the Bio-Medical Rules, also lay down recommendations for safety measures, training, management & administration functions. The Govt. of India endeavours to achieve a compliance of the guidelines at all levels of healthcare facilities to the extent these relate to Reproductive and Child Health-II programme, in a phased manner. In the states, where State Health Systems Development Programme (SHSDP) projects have been implemented, the implementation of the Health Care Waste Management (HCWM) up to the CHC (Community Health Centre) / FRU (First Referral Unit) level health care facilities and above already exists. However, at the level of PHC and below efforts would be required to implement HCWM systems. The Ministry of Health & Family Welfare hence commissioned the development of a National Policy document to address the issues relating to infection control and waste management and defined a framework for implementation of an Infection Management and Environment Plan (IMEP) in healthcare facilities. The purpose of the IMEP is to ensure that all parties/stakeholders recognize that the maintenance of sanitary conditions, use of appropriate disinfection and sterilization techniques, provision of potable water and clean air in the healthcare facilities and noso-comial infection control are the basic infrastructural requirements for delivery of RCH services. The IMEP identifies the key issues and has listed out the key interventions that need to be made in order to ensure safety to healthcare service providers, the patients, the general public and the environment. These interventions range from formulating composite national guidelines on infection management to building awareness and capacity at all levels to implement these guidelines.  The plan contains a time bound action plan and a broad institutional framework to enable its implementation. This policy document was commissioned under the Reproductive and Child Health Programme Phase - II, with technical and financial support from DFID and the World Bank. The IMEP Guidelines will be implemented and monitored under the auspices of the National Rural Health Mission (NRHM) and will go a long way to internalise state–of–the art, best practices in managing health and environment risks in the healthcare institutions of our country.

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