Healthcare Waste Report - Environment Health

INSTITUTIONAL ANALYSIS
The Health Department in each Aimag is
responsible for medical waste management
from the healthcare facilities. At the national
level, the Ministry of Environment (MoE) and
MoH are responsible for healthcare waste
management while at the Aimag health
centers, epidemiologists are responsible. There
are no special officers responsible for
healthcare waste management at the local
level. Every healthcare facility has a team or a
responsible officer for special healthcare waste
management. Figure below shows institutional
setup governing healthcare waste management
in Mongolia.
Institutional Setup Governing
Healthcare Waste Managment
National
Level
Aimag
Level
Ministry of Environment
Ministry of Health
Health Department
POLICIES AND LEGISLATION
The National Action Plan on Improvement of
Solid Waste Management (2002), the law on
Municipal and Industrial Waste (2004) and
the regulation on Removal and Disposal of
Hazardous Waste (2002) were approved by the
Government of Mongolia and are being
implemented. The Regulation for
Improvement of Healthcare Waste
Management and the regulation for Chemical
Waste Management (2003) were approved
through joint order issued by both the MoH
and the MoE. Technical support was provided
by WHO for the Regulation for Improvement
of Healthcare Waste Management.
Management. MoH is developing a national
Action Plan on HWCM with WHO support.
The Health Sector Master Plan (HSMP) for
developing the sector and improving the
health of Mongolians was approved by the
Government Resolution 72 in April 2005.
Following the development of the HSMP
2006-2015, it became clear that an
intermediate step was necessary if the
implementers were to be able to use
the HSMP and its strategic actions in
the development of their operational
plans. It also became evident that
much more focus would be needed to
move from the broad strategies listed
in the HSMP to their actual
implementation. Hence, the
development of an Implementation
Framework became inevitable.
Improvement of healthcare waste
management and proper disposal of
expired drugs are included in the
strategic actions of HSMP and
identified as an issue of high priority
for resource allocation and
international support.
63 HEALTHCARE WASTE IN ASIA: INTUITIONS & INSIGHTS