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A Guide to Safer Health Care Waste Management Practices - Program Guidance

The resources in the toolkit’s program guidance component provide VMMC implementing partners with guiding principles for the design, implementation, and monitoring of VMMC environmental health programs. Resources include:

  • A program management guide on safer HCWM practices in VMMC programs
  • Assessment tools
  • Incident management tools
  • Audit tools
  • Disposal guidance for unusable medical products
  • Disposal guidance for unusable pharmaceutical products

Lead Document: Voluntary Medical Male Circumcision: A Guide to Safer Health Care Waste Management Practices - Program Management Guide

These standards aim to inform USAID implementing partners (IPs) on proper procedures to ensure that waste is handled and managed in such a way to minimize adverse effects on human health or the environment.

Voluntary Medical Male Circumcision: A Guide to Safer Health Care Waste Management Practices

Voluntary Medical Male Circumcision: A Guide to Safer Health Care Waste Management Practices - Program Management Guide

Health care waste management is an integral component of any VMMC program. It is essential for any VMMC project/program to develop a phased approach to support the VMMC project lifecycle, spanning situational analysis to system evaluation of hazardous waste management. To support the analysis and evaluation methods, SCMS developed assessment tools to collect data for design, development, and implementation of a comprehensive VMMC program. These tools can be used to provide policy makers with a better understanding of what is required to manage hazardous waste appropriately.

These standards aim to inform USAID implementing partners (IPs) on proper procedures to ensure that waste is handled and managed in such a way to minimize adverse effects on human health or the environment.

Health Care Waste Management Initial Assessment Tool

Health Care Waste Management Initial Assessment Tool

For VMMC Campaigns

In many (mainly low-income) countries, improper management of wastes generated at health care facilities (HCFs) is having direct health impacts on the staff working in the HCFs, the public as well as the environment. In addition, pollution generated by inadequate treatment and destruction of HCW exposes the community to toxins and other potentially harmful by-products.

This initial assessment tool has been designed to help VMMC campaigns (or other health programs) implementing partners and stakeholders gather critical information needed to develop a robust, actionable HCWM Plan that will guide campaign planning and implementation.

Infrastructure Requirements for Reusable VMMC Kits

Infrastructure Requirements for Reusable VMMC Kits

The following guide provides a decision tree for PEPFAR Implementing Partners to make informed decisions as to whether to use Reusable or Disposable VMMC Kits to support their campaigns. For the Reusable Kits, sophisticated equipment and skills in addition to a minimum disciplined infrastructure are required to ensure that Reusable Metal Instruments are correctly sterilized and managed for reuse to reduce the risk of health-care caused infections.

Health Care Waste Management Auditing Tool

Health Care Waste Management Auditing Tool

As a health care activity, voluntary medical male circumcision (VMMC) campaigns generate health care waste (HCW). HCW can vary in nature and form, and comprises hazardous as well as non-hazardous elements that require careful handling, treatment and disposal.

This monitoring tool will assist your VMMC campaign in efficiently evaluating the current health care waste management practices at your campaign sites.

Health Care Waste Management Monitoring Tool

Health Care Waste Management Monitoring Tool

As a health care activity, voluntary medical male circumcision (VMMC) campaigns generate health care waste (HCW). HCW can vary in nature and form, and comprises hazardous as well as non-hazardous elements that require careful handling, treatment and disposal.

This monitoring tool will assist your VMMC campaign in efficiently evaluating the current health care waste management practices at your campaign sites.

Disposal of Unusable Medical Products in VMMC and Health Intervention Campaigns

Disposal of Unusable Medical Products in VMMC and Health Intervention Campaigns - Management Guide

Some products distributed in a voluntary medical male circumcision (VMMC) campaign, or other health interventions (HI), may occasionally be damaged or held past their expiration date. As a result, they are no longer usable. Unusable medical products (including expired/damaged male circumcision (MC) kits, chemical/pharmaceutical products, and single-use instruments) may also result from periodic “de-junking,” or routine inventory clearance processes.

This guide describes recommended procedures for disposing of unusable medical products.

Treatability and Demonstration Testing of Cement-Based Solidification/Stabilization

Treatability and Demonstration Testing of Cement-Based Solidification/Stabilization Technology Applications for Unusable Pharmaceutical Products Technical Report

The collection, treatment, and disposal of large volumes of unusable pharmaceutical products (UPP) comprising expired drugs and medicinals, test kits, laboratory reagents, and the like typically pose substantial and difficult challenges. This is particularly the case in most developing countries where UPP generators are widely dispersed and with available or viable UPP treatment and disposal options being very limited and very costly.

This report is the result of a project commissioned to identify, evaluate, and recommend the best, most efficient, and most cost-effective system or technology for treating and disposing of these large volumes of UPP on an on-going basis.

Standard Operating Procedures for Pharmaceutical Waste Processing

Standard Operating Procedures for Pharmaceutical Waste Processing Using a Cement-Based Solidification/Stabilization System

Pharmaceutical waste generally comprises pharmaceutical products and medicinals that are no longer useable because of being expired, withdrawn, recalled, damaged, or for any other reason.

The standard operating procedures (SOPs) described herein are recommended for the treatment or processing of pharmaceutical waste, or unusable pharmaceutical products (UPP), using a cement-based solidification/stabilization (S/S) system. These SOPs are applicable or limited to processing certain types and forms of pharmaceutical waste, to the use of a S/S system having certain components and features as described herein, and for attaining process residues having high strength structural properties or qualities.

Procurement of Pharmaceutical Waste Treatment System-in-a-Box

Procurement of Pharmaceutical Waste Treatment System-in-a-Box

Procurement of pharmaceutical waste treatment system-in-a-box (PWTSiB) provides a simple, low cost, reliable, and proven means for processing and disposing of unusable pharmaceutical products and laboratory reagents, or pharmaceutical waste. It comprises a complete, preassembled, pre-tested, and ready-to-use system that is securely mounted within a standard ocean shipping container for overseas transport, delivery, set up, and operation at any location, site, or facility worldwide.

This document explains the types of PWTSiB and other information about the system that a potential buyer will need.