Subject: > Health technologies > Health care waste management
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Sections by title: #·A·B·C·D·E·F·G·H·I·J·K·L·M·N·O·P·Q·R·S·T·U·V·W·X·Y·Z
- Achieving Effective Sharps Waste Management in GAVI Host Countries
This document presents an analysis of safer sharps-waste management activities, including practical options using available or emerging technologies. The analysis includes an estimate of the baseline burden of disease from unsafe injection practices, the proposed solutions' potential impact on burden of disease, and a cost-effectiveness analysis of the proposed solutions.
Publication date: June 2006
Region: Global
- Autodisposable Syringes and Sharps Disposal Containers with DMPA
Publication date: 2001
Region: Global
#·A·B·C·D·E·F·G·H·I·J·K·L·M·N·O·P·Q·R·S·T·U·V·W·X·Y·Z
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#·A·B·C·D·E·F·G·H·I·J·K·L·M·N·O·P·Q·R·S·T·U·V·W·X·Y·Z
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- Building a Protected Sharps Barrel
This document explains how to correctly build a protected sharps barrel for the disposal of waste.
- Building a Protected Sharps Pit
This document explains how to correctly build a protected sharps pit for the disposal of waste.
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- Case Study: Andhra Pradesh -- Introducing and Scaling Up a Sharps Waste Management Program
Publication date: 2006
Region: Asia
- Considerations for Building a Protected Sharps Pit Using a Plastic Barrel as a Pit Liner
In this document you will find a one page description and drawing of steps to consider when building a sharps pit with a plastic barrel as a pit liner.
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- Demonstrating Needle Remover Use to Improve Sharps Waste Management in Vietnam
PATH and Vietnam's National Expanded Program on Immunization pilot tested the use of a needle-remover device in rural Vietnam. This fact sheet reports on health workers' experience that needle removers were easy to operate, safe, and effective for treating contaminated syringes at health centers and in the community.
Publication date: 2007
Region: Asia
- Designing Safe Syringe Disposal Systems for Immunization Services: A Guide for Program Managers
- Developing an Introduction Strategy For Needle Removers
This document briefly describes the core components needed to introduce and use needle removers in a safe and sustainable manner.
- Directions in Global Health (Volume 1, Issue 2, May 2004)
This issue of Directions in Global Health profiles five PATH projects: Entre Amigas, which is reaching young adolescent girls in Nicaragua with reproductive health and life skills; the Healthy Start for a Healthy Life project, which is improving the care of newborns in Indonesia; the Ukraine TB project, which is implementing training and IEC activities to control tuberculosis; PATH's Children's Vaccine Program, which is managing medical waste in Nepal; and the Horizons program, which is influencing gender norms among young men in Brazil.
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- Evaluation of a Disposable Needle-Removal Device in Uganda: A HealthTech Report
This report summarizes a three-month evaluation of a disposable needle removal device in Uganda in an effort to collect information on injection safety in the context of delivery of injectable contraceptives.
Publication date: 2005
Region: Africa
- Evaluation of a Needle Remover Demonstration Project: A Study From Huong Khe District, Ha Tinh Province, Vietnam
PATH and the Vietnam Ministry of Health implemented a six-month demonstration project in Huong Khe District, Ha Tinh Province, Vietnam, to assess the acceptability, performance, and impact on waste disposal of a manual needle remover introduced at commune health centers. The results of this demonstration project will enable the Vietnam National Immunization Program to explore alternative methods that may be more effective and appropriate than current practices for managing medical waste at the commune level. This report provides background, methodology, results, discussion, and references associated with an evaluation of the project.
Publication date: 2007
Region: Asia
- Evaluation of a Needle-Remover Device and Sharps Barrel in Health Posts in Senegal: Final Report
This publication provides a final report on the evaluation of needle-remover devices and sharps barrels in health posts in Senegal.
Publication date: 2006
Region: Africa
- Evaluation of a Retractable Syringe in South Africa: Acceptability, Safety, and Cost Implications
In 2006 and 2007, PATH assessed the acceptability, perception of safety, effect on waste management, and cost implications of using retractable syringes in immunization and curative settings in KwaZulu Natal, South Africa. The research included focus group discussions and individual interviews, observations, an anonymous questionnaire, and a spreadsheet-based model to estimate costs, benefits, and cost-effectiveness.
Publication date: September 2007
Region: Global
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- Field Evaluation of the Acceptability and Feasibility of Syringe Melters in Indonesia
In 2006, PATH conducted a field evaluation of three syringe melters temporarily placed in five health centers in Kulon Progo District, Yogyakarta, Indonesia. The evaluation assessed the performance of the devices, acceptability by health workers, fit into the existing waste-management system, and potential design modifications. The evaluation demonstrated that, while feasible, the introduction of syringe melting into an existing health care waste management system may require significant shifts in waste-management practices.
Publication date: May 2007
Region: Global
- Final Report: Evaluation of Three Reuse-Prevention Feature Reconstitution Syringes in Three Districts of Indonesia
In 2007, UNICEF asked PATH to conduct a field evaluation of three World Health Organization prequalified reuse-prevention feature syringes used for vaccine reconstitution during a measles campaign on Lombok, Indonesia. The evaluation sought to identify the training and introduction requirements of these syringes and establish an understanding of their acceptability, performance, and safety during field use.
Publication date: November 2007
Region: Global
- Framework for Conducting a Self-Assessment of National Progress in Injection Waste Management, Version 1
This tool was developed to provide a simple, efficient framework for conducting a self-assessment of health care waste-management (HCWM) planning at the national level. By collecting data on key achievements, knowledge, and practices at the district and national levels, the framework allows programs to quickly aggregate data, highlight trends, and identify gaps. A national-level workshop then provides the opportunity to outline next steps for moving the revised HCWM planning agenda forward.
Publication date: May 2008
Region: Global
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- Global Resources for Health Care Waste Management (HCWM)
This table was developed under the Making Medical Injections Safer project, which PATH partners on in the areas of health care waste management (HCWM) and procurement technical assistance. The table provides brief summaries and contact information on many of the organizations that are actively engaged in HCWM throughout the developing world. It is intended to be a resource for country programs and governments seeking funding to support HCWM activities at the country level.
Publication date: April 2009
Region: Global
- Guiding Principles for Managing Medical Waste
This document provides a brief overview of key considerations for developing a medical waste-management plan at the facility, district, and national levels.
Publication date: February 2005
Region: Global
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- Helping PEPFAR Partners Manage Health Care Waste: Practical Approaches and Lessons Learning From Uganda and Nigeria
Under the Making Medical Injections Safer project, PATH has supported ministries of health and environment to develop the systems needed for effective health care waste management. This paper describes the process, tools, and strategies used to successfully engage PEPFAR partners in Uganda and Nigeria to improve health care waste management.
Publication date: October 2009
Region: Africa
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- Key Steps in Sharps Waste Disposal
This training aid was developed as part of Training Health Workers in the Management of Sharps Waste. The aid includes a graphical representation of the key steps involved in the safe management of health care waste: segregation, containment, handling and storage, transport, treatment or destruction, and disposal.
Publication date: June 2006
Region: Global
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- Maintaining a Needle Remover
In this document you will find a set of guidelines on how to correctly maintain a needle remover for extended use.
- Managing Health Care Waste Disposal: Guidelines on How to Construct, Use, and Maintain a Waste Disposal Unit
This publication provides guidelines on how to construct, use, and maintain a waste disposal unit.
Publication date: 2005
Region: Global
- Managing Health Care Waste Disposal: Operator's Manual
In this document you will find an operator's manual on how to use the waste disposal unit.
Publication date: 2005
Region: Global
- Managing Sharps Waste in Andhra Pradesh: Introduction and Scale-Up of a Sharps Waste Management Program.
This case study reports on the five-year collaboration between PATH and the Government of Andhra Pradesh, India, as we worked to find solutions for appropriate, legal, and effective solutions for disposing of immunization waste from Andhra Pradesh?s 1,400 primary health centers and 12,500 health subcenters.
Publication date: 2007
Region: Asia
- Medical Waste Management for Primary Health Centers in Indonesia
In 2003 and 2004, PATH worked with the Indonesian Ministry of Health to build awareness and provide policy guidance to the country's decision-makers. This report describes the process and lessons learned implementing pilot waste-management systems in three districts of Yogyakarta province. The report was used to guide development of waste-management policy in Indonesia and could serve as a useful model for other countries.
Publication date: October 2005
Region: Global
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- Needle Remover Technical Overview
This document provides technical overview of the needle remover project at PATH and includes information such as links to related materials available on the PATH website.
Publication date: 2006
Region: Global
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- Optimal Settings for Needle Removers
This document reviews the site characteristics of both health facilities and injection settings in order to determine the optimal use of a needle-remover device.
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- Personal Protective Equipment and Segregation Supply Specifications for Health Care Waste Management
This document provides specifications for personal protective equipment for medical waste handlers and incinerator operators. It is intended to help with the selection and purchase of locally available equipment and can be adapted to local policies and product availability.
Publication date: June 2008
Region: Global
- Personal Protective Equipment for Waste Handlers and Incinerator Operators
This training aid was developed as part of Training Health Workers in the Management of Sharps Waste. The aid includes a graphical representation of the equipment needed to help protect waste handlers and incinerators during the collection, treatment, and final disposal of health care waste.
Publication date: July 2006
Region: Global
- Planning for Safe Syringe Disposal
In this document you will find a guide that provides assistance with planning sharps waste disposal systems through the five important steps: review existing legislation and policy, collection of data in your district; review sharps collection options; review options for disposal in non-incineration areas; complete map by assigning disposal systems to non-incinerator health facilities; and create a district planning guide to calculate needs and plan implementation.
Publication date: 2004
Region: Global
- Practical, Local Solutions for Safely Managing Contaminated Syringes and Other Medical Waste
Part of series: CVP Occasional Papers
Author: Wittet S; Bhattari M; Chaudray A
Publication date: 2004
Region: Global
- Proper Handling and Disposal of Auto-Disable Syringes and Safety Boxes: A Training Module for Clinic Managers and Immunization Providers
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- Quantifying Infectious Waste Produced by HIV/AIDS, Malaria, and Tuberculosis Programs and the Needs for Injection Safety Equipment
This document is intended to start discussions around quantifying the need for safe injection equipment and the amount of infectious sharps waste produced by testing and treatment programs for diseases such as HIV/AIDS, tuberculosis, and malaria. The analysis was developed to support advocacy efforts to integrate injection safety as an essential element of all health care programs.
Publication date: June 2009
Region: Global
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- Segregation of Medical Waste
This training aid was developed as part of Training Health Workers in the Management of Sharps Waste. The aid includes a graphical representation of the segregation of medical waste into three categories: non-infectious, infectious, and sharps. Over the last few years, a number of countries have adapted the basic concepts and developed country-specific versions of this aid for training and for display in health facilities. The document available here is a link to an example adapted for Kenya.
Publication date: June 2006
Region: Global
- Small-Scale Autoclaves to Manage Medical Waste: A Buyer’s Guide to Selecting Autoclaves Manufactured in India
This guide provides technical information on small-scale affordable autoclaves manufactured in India that can be used for medical waste treatment. It includes issues to consider when purchasing an autoclave, technical specifications of some devices, and a list of Indian manufacturers of autoclaves. The guide is intended to be used to aid in decision-making for purchase of autoclaves for medical waste treatment. It is available in single-page format as well as booklet style.
Publication date: September 2008
Region: Global
- Small-Scale Incinerator Construction: Recommendations from the Rwanda Experience
This report documents a partnership in Rwanda to support infrastructure and systems development to ensure the safe handling, treatment, and final disposal of infectious medical waste.
Publication date: 2007
Region: Global
- Summary Report: Evaluation of Retractable Syringes in a Measles-Rubella Immunization Campaign in Peru
In 2006, UNICEF, the Peruvian Ministry of Health, and PATH performed an evaluation in Peru to assess perceptions of acceptability and safety of automatic retractable syringes in an immunization setting and their affect on waste disposal. The evaluation showed that retractable syringes were seen as a reliable, easy-to-use, preferred alternative to standard disposables in the campaign setting. The evaluation also found that retractable syringes have the potential to improve the safe management of sharps waste.
Publication date: October 2008
Region: Global
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- Talking Points: Health Care Waste Management: A PEPFAR Priority
PATH and John Snow, Inc., developed these talking points on health care waste management to support advocacy efforts to raise awareness about why health care waste management is important and how programs can improve current practices.
Publication date: June 2009
Region: Global
- Technologies for Immunization Safety
Part of the Technology Updates series, this fact sheet describes PATH's work on safe injections and waste management.
- Training Health Workers in the Management of Sharps Waste
This training manual is available for downloading in four sectioons: first, the guide for facilitation; second, the guide for training injection providers; third, the guide for training waste handlers; and fourth, resources.
- Treatment Alternatives for Medical Waste Disposal
This document describes technology options for treating infectious medical waste, including incineration, chemical treatment, autoclaving, microwaving, and shredding/compacting. Performance issues, environmental impact, and perspectives from several developing countries are described.
Publication date: October 2005
Region: Global
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- Using a Needle Remover
This document provides the user with guidelines on how to use a Balcan type needle remover safely.
- Using a Protected Sharps Barrel
This document provides a set of guidelines for correctly using a protected sharps barrel.
- Using a Protected Sharps Pit
This document provides a list of steps to follow for correctly using a protected sharps pit.
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- Vaccine Resource Library
PATH’s Vaccine Resource Library (VRL) seeks to gather the world’s best immunization resources in a single, easy-to-use website. The VRL offers a wide variety of high-quality, scientifically accurate documents and links on specific diseases and topics in immunization. It is geared for health professionals in the developing and industrialized worlds, as well as for journalists, policymakers, community leaders, parents, and others interested in vaccine-related resources. The resources found on the VRL are collected from a variety of sources, including news media, scientific journals, and leaders in public health.