Chad - Mother and Child Health Services Strengthening Project : Environmental assessment : Plan de gestion des dechets biomedicaux (法语)
The objective of the biomedical waste management plan for Chad was to develop, as part of the activities of second project of population and AIDS prevention, an emergency plan for a year (June 2012 -June 2013) of biomedical waste management whose implementation... 更多显示
The objective of the biomedical waste management plan for Chad was to develop, as part of the activities of second project of population and AIDS prevention, an emergency plan for a year (June 2012 -June 2013) of biomedical waste management whose implementation will contribute to improving public health, while respecting environmental, technical and sociocultural aspects. The plan identifies the various stages of specific management, investment needs and capacity building and coordination and monitoring mechanisms. The comparative analysis shows three methods that can suit the health system of Chad: 1 pyrolytic incinerator (modern incinerator) is recommended for large hospitals and those located in the District of N'Djamena; The incinerator in a combustion chamber (artisanal incinerator), recommended for District hospitals and urban health centers; 2 ditches for landfill (or so the burning pen) may be appropriate for centers of rural health, given the modest productions; 3 Chemical disinfection: in particular situations such as operating theaters and health centers. Major problems in the management of biomedical waste (DBM): 1) Managing DBM is not a priority in the national health policy of Chad; 2) The legal framework for DBM suffers from a lack of implementation; 3) There are laws governing DBM, but their implementation requires implementing legislation and standardized procedures (technical guides) for the collection, transport, storage and processing DBM; 4) The DBM management in health facilities has some shortcomings, despite efforts noted in some health centers. 5) The major constraints are: lack of plans and / or internal management procedures; lack of reliable data on the quantities produced; 6) Public / private partnership is not very developed in the management of DBM. 7) The financial resources allocated to the management of sanitation activities are insufficient. Mitigation measures have been identified in relation to the services concerned: a) Conduct an environmental audit in the targeted health facilities in the project; b) Review the implementing legislation on waste management and protection of the Environmental Code; c) Develop a good practice guide on managing DBM; d) Train staff of health facilities in the management of DBM; e) Provide health facilities targeted by the project bins, protective equipment and incinerators; and f) Monitoring and evaluation of the Action Plan at the national and district levels.