Management of biomedical
waste presents a bleak scenario in Uttar Pradesh, owing to the poor
implementation of Bio medical waste Rules and improper segregation of waste and
lack of awareness in the healthcare sectors. On visits made by Toxics Link in
cities like Kanpur and Lucknow, some shocking revelations came to the fore like
On-Site incineration happening in one of the biggest hospital in Kanpur i.e.
Lala Lajpat Rai Hospital (Hallet) which has the largest O.P.D in Asia. Also,
the hospital staffs were ignorant about the Rules.
pertinent issues which came up included:
Autoclave required maintenance, No
segregation of waste before incineration.
Unequal participation of all
stakeholders of hospital.
Lack of knowledge of the staff members
regarding the role of CTF in BMW management.
Absence of color coded bins.
Ĝ In Lala
Lajpat Rai Hospital, on site incineration was posing a real threat to
Ĝ Lala Lajpat
Rai is still not connected to CTF.
it imperative to provide training in some hospitals in the state. The trainings
were organized in 3 hospitals namely, Lala Lajpat Rai and Associated Hospital
(Hallet Hospital) Kanpur, District Hospital,Sitapur, R.K Sindhi Sang Maternity
Hospital, Govindnagar, Kanpur were chosen. The training sought to turn these
hospitals into model hospital in terms of BMW management. The intervention was
done in collaboration with Ganga (regional partner in U.P)
day capacity building session was organized by Toxics link and representative
of Ganga were brifed about issues in BMW management. Also, visits were organized
in Delhi were they got a chance to see the BMW management practices in the city
and a demo of training was given in selected hospital of U.P to help them
conduct training sessions.
hospitals staffs were given guidelines regarding:
Segregation of waste, its
transportation, management policies, and techniques they can follow to have
successful BMW management program.
Management of cytotoxic drugs and
Rules and policy for medical
Alternate technology for waste
Despite having a lot of drawbacks the support
from the staffs and their interest in learning tools of BMW management contributed
in improving the system. Continuous efforts made by Toxics Link in improving
the system and increasing compliance to the BMW rule, translated into some
positive actions on ground. Some of the major achievements were:
Segregation of waste initiated in all
Color coded bins are now in regular
use in hospitals.
Lala Lajpat Rai hospital is in process
to connect them to CTF.