Compilation of - UN/GEF Global Healthcare Waste Project

Draft
Summary
Outline
of
Training
Materials
For
the
Global
Medical
Waste
Project
Emily
Armitano
3/16/2009
This
document
includes
outlines
for:
brochure,
train
the
trainer
manual,
participants’
manual,
presentation,
sample
training
workshop,
training
workshop
tools.

Contents
BROCHURE: informational with an overview of the program, certificate training ...................... 3
GENERAL Train the Trainers Manual or Facilitators Guide............................................................. 4
GENERAL Participants Manual - printed training manuals topics overview for healthcare waste
management .................................................................................................................................................. 6
GENERAL Presentations Outline........................................................................................................... 12
SAMPLE Training Health Care Waste Management Workshops .................................................... 14
Training Workshop Tools and Suggestions (Developed by Gina).........Error! Bookmark not defined.
2




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

BROCHURE:

informational
with
an
overview
of
the
program,
certificate
training
• Title
page,
including
location
and
partners
• About
the
Institution
and
program
providing
the
training
• Certificate
context/need,
objectives,
beneficiaries,
program
package
• Detailed
program
design
(for
example):
o Definitions
o Facility
Policies
and
Procedures
o Storage
and
Containment
o Labeling
o Generator
Requirements
o Treatment
o Health
care
Waste
Transport
o Alternative
technologies
o Treatment
and
Disposal
Facilities
o Treatment
Facilities
Requirements
o Disposal
Facility
Requirements
o Accountability
o Health
and
Safety
• Admission
information,
including
fees,
eligibility,
duration,
and
sessions
• Credit
System
• Implementation
plan
• Evaluation
• For
further
information
contact
3




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

GENERAL
Train
the
Trainers
Manual
or
Facilitators
Guide
1.
Introduction
(examples
below):
• Purpose:
The
Facilitators’
Guide
provides
information,
strategies
and
activities
for
the
facilitator
and
is
designed
to
emphasize
key
points
during
training
sessions:
o To
raise
awareness
o To
provide
information
o To
identify
waste
management
practices
and
technologies
o To
enable
managers
to
develop
their
waste
management
plans
o To
enable
course
participants
to
develop
training
programs
• How
to
use
the
Facilitators
Guide
• Objectives
of
the
course
• Principles
of
Effective
Communication
• 50
(some
number)
of
useful
tips
for
trainers
2.
Identifying
training
needs
(examples
below):
• What
is
training
• Why
Train
• Possible
sources
of
training
needs
• Identifying
training
needs
• Clarifying
intended
learning
outcomes
• How
to
identify
the
target
group
‐
Who
are
the
Likely
Learners
• Setting
objectives
–
what
training
staff
for
(examples
below):
o Good
health
care
waste
management
practices
o Waste
minimization
o observe
universal
precautions
for
infection
control
o Handling,
segregation,
storage
and
labeling
o Transport,
disposal
and
treatment
o Proper
record
keeping
3.
Training
design:
elements
to
consider
if
you
decide
to
organize
a
new
training
event,
planning
the
course
program
(examples
below):
• Identifying
training
resources
• selection
of
trainers
and
experts
o a
good
trainer
is
someone
who
is
a
good
communicator
o a
nurse
or
doctor
from
the
same
hospital
who
can
speak
in
local
dialect
• Interpretation
• Selection
of
materials
and
resources
o written
materials
o web‐based
resources
• key
training
design
questions
• putting
the
training
programme
together
4.
Practical
Issues
–
training
hospital
workers
(examples
below):
• Establishing
the
best
learning
environment
o How
doctors
learn
o How
nurses
learn
o How
hospital
workers
learn
4




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

• Timing
• making
the
trainees
feel
at
ease
• establish
appropriate
ground
rules
5.
Methodology
(examples
below):
• adult
learning
principles‐
Critical
Elements
of
Learning
• role
of
the
trainer
• barriers
to
effective
training
6.
Training
techniques
(examples
below):
• Methods
of
Teaching
• group
work
• Gaining
audience
interaction:
participatory
techniques
• Running
a
case
study
• Writing
a
case
study
• Running
a
role
play
• writing
a
role
play
• conducting
report
back
session
• Presentations
• The
problem
solving
approach
to
learning
7.
Training
materials/teaching
aids
(examples
below):
• Audio‐visual
o why
do
we
use
audio‐visual
aids
in
presentations
o PowerPoint
and
overhead
projectors/slides
o videos
and
DVDs
o Flipcharts,
posters
• Handouts:
bags,
bleach,
containers,
protective
gear
8.

Feedback
and
evaluation
(examples
below):
• why
seek
feedback
• giving
feedback
to
trainees
• giving
feedback
to
trainers
and
training
institutes
• identifying
future
training
needs
• disseminating
the
lessons
from
training
9.

Sample
training
workshops
–
Course
Resources
(these
are
modules
with
examples
of
organization
below):
• duration
• training
materials
• methodology
• expected
outcomes
• facilitator
activities
• evaluation
5




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

GENERAL
Participants
Manual
‐
printed
training
manuals
topics
overview
for
healthcare
waste
management
Course
Introduction
–
provides
context,
learning
expectations,
and
outcomes
• Purpose
and
learning
objectives
• Audience
o Training
of
doctors
o Training
of
nurses
o Training
of
hospital
staff
• How
to
use
these
materials
• Description
of
training
materials
• Introduction
to
Learning
blocks

‐
explanation
for
order
and
topics
of
learning
blocks
or
elements
• Adaptation:
adapting
these
training
materials
for
your
program
•
Block
1:
Fundamentals:
Environment
and
Health,
Health
Care
Waste,
Management
Regulations
a. Introduction
to
Environment:
Information,
activities,
quotes
from
famous
people
and
leaders,
good
descriptive
graphics.
Examples
below:
• Learning
Objectives
• Introduction
• What
is
Environment?
• Features
of
Our
Environment
• Ecosystem
• Food
and
Energy
Flow
• Matter
Cycles
• Population
and
Community
• Energy
• Pollution
and
Pollutants
• Let
Us
Sum
Up
• Key
Words
• Further
Readings
b. Environmental
Pollutants:
Information,
activities,
quotes
from
famous
people
and
leaders,
good
descriptive
graphics.
Examples
below:
• Learning
Objectives
• Introduction
• Historical
Development
• Air
Pollution
• Noise
Pollution
• Water
Pollution
• Radiation
Pollution
• Global
Issues
• Let
Us
Sum
Up
• Key
Words
• Further
Readings
6




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

c. Interrelationship
of
Environment
and
Health:
Information,
activities,
quotes
from
famous
people
and
leaders,
good
descriptive
graphics.
Examples
below:
• Objectives
• Introduction
• Concept
and
Definition
of
Health
• Dynamics
of
Development
of
Disease
• Environment
and
its
Effect
on
Health
• Let
Us
Sum
Up
• 
Key
Words
• Further
Readings
d. Waste
Management:
Information,
activities,
quotes
from
famous
people
and
leaders,
good
descriptive
graphics.
Examples
below:
• Objectives
• Introduction
• Waste
Around
Us
o Definition
and
Identification:
hospital,
medical,
clinical,
pathological,
infectious,
sharps,
chemical,
etc.
o Streams
of
waste
production
o Classification
of
Wastes
o Characterization
of
Wastes
and
its
Importance
• Principles
of
Waste
Management
o Collection
and
Segregation
o Recycle,
Recovery
and
Reuse
o Transportation,
Treatment
and
Disposal
• Waste
Disposal
Versus
Waste
Management
o General
introduction
to
waste
treatment
technologies
• Let
Us
Sum
Up
• Key
Words
• Further
Readings
Block
2:
Health
Care
Waste
Management
a. Block
Introduction
–
provides
context,
learning
expectations,
and
outcomes
b. Definition,
Types
and
Categories
of
Waste.
Examples
below:
• Objectives
• Introduction
• Definition
of
Waste
o Municipal
Waste
o Health
Care
Waste
o Sources
of
Health
Care
Waste
• Types
of
Health
Care
Waste
• Categories
of
Health
Care
Waste
• Waste
Audit
–
how
to
do
this?
• Let
Us
Sum
Up
• Key
Words
• Further
Readings
c. Principles
of
Health
Care
Waste
Management.
Examples
below:
• Objectives
7




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

• Introduction
o Policies,
Laws
and
Guidelines
Related
to
HCWM
• General
Principles
of
Waste
Management
o Do
No
Harm
o Disposables
versus
Durables
(Non‐disposables)
o Reduce,
Recycle,
Reuse
and
Recover
o Flow
of
Waste
• Principles
of
Managing
Different
Categories
of
Waste
o Principles
of
Managing
Sharps
o Chemical
Disinfectants
o Waste
from
Dental
Clinics
o Waste
from
Laboratories
and
Blood
Banks
o Waste
from
Other
Patient
Care
Areas
o Radioactive
Waste
o Expired
Pharmaceuticals
o Attenuated
Vaccines
• Principles
of
Waste
minimization
and
recycling
• Principles
of
Segregation,
Collection,
and
Transportation
of
Health
Care
Waste
• Principles
of
Treatment
o Incineration
hazards
o Alternative
Technologies
• Principles
of
Disposal
of
Health
Care
Waste
• Principles
of
Accident
Reporting
and
emergency
contingency
planning
• Occupational
Hazards
Due
to
Biomedical
Waste
• Let
Us
Sum
Up
• Key
Words
• Further
Readings
d. Handling
Health
Care
Waste.
Use
of
flow
chart.
Examples
below:
• Objectives
• Introduction
• Source
Identification
o Point
Sources
of
Waste
Generation
o Area
and
Sources
of
Waste
Generation
• Attitudinal
Change—Concept
of
Clean
and
Unclean
Practices
&
General
Rules
for
handling
waste
o Hazards
of
Waste
o Preventing
Infections
o Hand
Washing
o Use
of
Gloves
o Use
of
Disinfectants
and
procedures
o House
Keeping
o Record
Keeping
o Duties
of
Employees
• Segregation,
Collection,
Transportation
and
Disposal
o Segregated
Collection
o Storage,
containers,
labeling
o Transportation
Chain
o Final
Treatment
8




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

Incineration
(advantages/disadvantages)
Non‐incineration
technologies(advantages/disadvantages)
• Thermal
o Autoclave
o Microwave
o Steam
o Dry
heat
• Chemical
o Non‐chlorine
• mechanical
o Disposal
Methods
• Management
and
handling
of
specialized
waste
o Management
of
Sharps
o Management
of
Metal
Sharps
o Management
of
Glass
Sharps
o Management
of
Plastics
o Management
of
Liquid
Waste
o Management
of
Chemical
Waste
o Management
of
Soiled
Linens
o Infectious
Waste
Management
• Let
Us
Sum
Up
• Key
Words
• Further
Readings
Block
3:
Need
for
a
Sound
Health
Care
Waste
Management
a. Block
Introduction
–
provides
context,
learning
expectations,
and
outcomes
b. Impact
of
Health
Care
Waste
on
our
Environment:
uses
case
studies.
Examples
below:
• Objectives
• Introduction
• Chemicals
in
Health
Care
Waste
o Mercury
o Dioxin
• Impact
on
Environment
o Effect
on
Atmosphere
o Impact
on
Food
and
Livestock
o Impact
on
Water
and
Aquifer
o Impact
on
Marine
Ecosystem
• Healthcare
Waste
Management
Planning
for
Health
Facilities
• Let
Us
Sum
Up
• Key
Words
• Further
Readings
c. Impact
of
Health
Care
Waste
on
Human
Health.
Examples
below:
• Objectives
• Introduction
• Effects
of
Physical
Pollutants
• Effects
of
Chemical
Pollutants
• Effects
of
Biological
Pollutants
9




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

• Effects
of
Radiological
Pollutants
• Sources
of
Infectious
Agents
in
Health
Care
Waste
• Susceptibility,
Risk
and
Impact
of
Health
Care
Waste
on
Health
Providers
• Let
Us
Sum
Up
• Key
Words
• Further
Readings
d. Worker
Safety
and
Precautions.
Examples
below:
• Objectives
• Introduction
• Safety
and
Precautions
o Principles
of
Safe
Handling
o Occupational
Safety
o Safety
Precautions
for
Doctors,
Nurses,
Paramedical
and
for
Waste
Handlers
o Emergency
Planning
• Job
Responsibilities
in
HCWM(Roles
and
Responsibilities):
o Medical
Officer
in
Charge
of
Hospital
o Healthcare
Waste
Management
Team
o Healthcare
Waste
Management
Officer
o Head
of
Administration
o Patron/Matron
of
Hospital
o Head
of
operations
and
maintenance
o Cleaning
Staff
o Autoclave
Operator
o Incinerator
Operator
o Landfill/waste
pit
Staff
e. Action
plan
for
implementing
a
waste
management
plan
(examples):
• Objectives
• Introduction
• Need
• Procedure
o Appointment
of
waste
manager
o Appointment
of
infection
control
committee
o Defining
roles/responsibilities
o Creation
of
policy
o Development
of
guidelines
o Development
of
training
o Immunization
• Elements
of
a
waste
management
plan
(flow
chart
example):
o Waste
minimization
o Separation
o Waste
identification
o Waste
handling
o Waste
treatment
o Record
keeping
o Let
Us
Sum
Up
• Key
Words
• Further
Readings
10




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

• Let
Us
Sum
Up
• Key
Words
• Further
Readings
Block
4:
Current
Status
of
Health
Care
Waste
Management
Legislation
in
the
Region
(country/Region/Continent)
a. Block
Introduction
–
provides
context,
learning
expectations,
and
outcomes
b. Rules
and
Legislations.
Examples
below:
• Objectives
• Introduction
• Legislation
in
Country
o Pressure
Groups
and
Court
Cases
o Difficulties
in
Monitoring
and
Implementation
• Evolving
Legislation
and
Rules
in
Other
Regional
Countries
• Let
Us
Sum
Up
• Further
Readings
• Examples
of
legislation
c. Regulatory
Mechanisms.
Examples
below:
• Objectives
• Introduction
• Regulatory
Authorities
in
Country
o Role
of
Ministry
of
Environment
o Role
of
Ministry
of
Health
o Role
of
State
Governments
o Role
of
Municipal
Authorities
o Monitoring
Mechanism
• Regulatory
Authorities
in
Other
Regional
Countries
• International
Agreements
and
Underlying
Legislative
and
Regulatory
Principles
o The
Stockholm
Convention
on
Persistent
Organic
Pollutants
o The
Basel
Convention
on
the
Control
of
Transboundary
Movements
of
Hazardous
Wastes
and
their
Disposal
o Legal
Provisions
• Discussion
• Let
Us
Sum
Up
• Key
Words
• Further
Readings
d. Current
Status
in
Specific
Country
or
Countries.
Examples
below:
• Objectives
• Introduction
• Current
Status
• Country
Profile
• Health
Care
in
Country
• Current
Waste
Management
Practices
11




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

GENERAL
Presentations
Outline
1. OVERVIEW
and
OBJECTIVES
a. To
prevent
occupational
and
public
exposure
to
the
hazards
b. To
foster
responsibility
among
health
care
workers
for
health
care
waste
management
c. To
create
awareness
and
educate
about
the
risks
and
ways
to
prevent
exposure
2. ENVIRONMENTAL
CONCERNS
a. Toxic
Pollutants
from
Medical
Waste
Incinerators
b. Mercury
c. Disease
transmission
3. HEALTH
CONCERNS
a. Community
‐
Who
is
at
risk?
4. LAWS
AND
REGULATIONS
a. International
b. National
c. Hospital
–
do
they
have
one?
d. Principles
i. Polluter
pays
ii. Precautionary
iii. Duty
of
care
iv. Proximity
v. Cradle
to
grave
e. Cost
of
compliance
(this
might
be
US‐specific)
f. Where
to
get
help
5. GOOD
(or
SAFE)
HEALTH
CARE
WASTE
MANAGEMENT
a. Obstacles
to
good
health
care
waste
management
programs
b. Guiding
principles
i. Prevent
health
care
risks
ii. Prevent
environmental
risks
iii. Short
term
strategy
iv. Long
term
strategy
c. Roles
&
Responsibilities
i. Staff
ii. Organization
iii. Waste
management
officer
iv. Infection
control
committee
v. Product
selection/purchasing
vi. Waste
audit
d. Waste
Minimization
Techniques
i. Segregation,
source
reduction,
reuse,
recycling,
composting
e. Classification
(includes
statistics
of
types/amounts
produced)
i. Regular/General
ii. Biomedical/Infectious
12




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

iii. Hazardous
iv. Low‐level
radioactive
f. Handling
i. Who
is
at
risk?
ii. General
strategies:
eliminate
unnecessary
injections,
iii. Specific
strategies:
PPE,
gloves,
bags,
Sharps,
linen,
hand
washing,
hygiene
iv. Minimum
approach
g. Collection
i. General
strategies
ii. Sharps
waste
management
iii. Pathological
waste
management
h. Segregation,
Labeling,
Color
Coding
i. Containers
ii. Monitoring
and
evaluation
i. Transport
i. Outside
the
facility
ii. Inside
the
facility
j. Treatment
Technologies
(Comparison)
i. Incineration
ii. Non‐incineration
treatment
Technologies
1. Criteria:
effectiveness,
on‐site,
environmentally
friendly,
reduction
in
volume/mass,
handles
various
types,
simple,
safe,
affordable
2. Thermal
3. Chemical
4. Irradiation
5. Mechanical
k. Storage
l. Disposal
Methods
6. CONTINGENCY
PLANNING:
Spill
containment
and
cleanup
procedures
7. DEMONSTRATION
8. HEALTH
PROTECTION
AND
SAFETY
PRACTICES
a. Training
i. New
staff
&
refresher
courses
ii. Training
tools
b. Immunizations
c. Public
Education
i. Posters,
handouts
and
verbal
instructions
9. ADOPTING
HEALTH
CARE
WASTE
MANAGEMENT
a. Part
of
planning
campaign
10. PRESENTATION
OF
HEALTH
CARE
WASTE
MANAGEMENT
PLANS
DEVELOPED
&
IMPLEMENTED
IN
OTHER
COUNTRIES
13




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

SAMPLE
Training
Health
Care
Waste
Management
Workshops
Introduction:
to
impart
the
knowledge
and
skills
of
proper
healthcare
waste
management.
The
concepts
of
behaviour
change
communication
should
be
integrated
accordingly.
General
Objectives:
At
the
end
of
the
training,
participants
will
be
able
to
(for
example):
• Understand
the
issues
related
to
healthcare
waste
and
explain
its
effect
on
people
and
the
environment;
• Identify
laws,
guidelines
and
policies
related
to
healthcare
waste
management;
• Demonstrate
knowledge
of
proper
healthcare
waste
management,
such
as
waste
minimization,
segregation,
handling
and
storage,
transport,
treatment
and
destruction,
and
final
disposal,
including
home‐based
infectious
waste;
• Understand
their
roles
and
responsibilities
in
healthcare
waste
management;
• Develop
a
healthcare
waste
management
plan.
Module
1:
Introduction
to
Healthcare
Waste
• Duration:
2
hours
• Methodology
o Lecture/Discussion;
o Small
group
discussion.
• Training
Aids
o Overhead
projector;
o Video;
o Flip
chart;
o Marker
pens;
o Board;
o PowerPoint
presentation.
• Expected
Outcomes
Participants
are
able
to
(examples
below):
o Explain
the
risk
and
hazards
of
healthcare
waste;
o Classify
healthcare
waste.
• Facilitator/Learner
Activities
o Facilitator
begins
the
training
session
with
an
overview
of
the
topics
and
objectives
(for
example):
Define
“healthcare
waste;”
Discuss
risks
and
hazards
of
healthcare
waste;
Classify
healthcare
waste
(infectious
and
non
infectious);
Discuss
the
importance
of
proper
waste
disposal;
Identify
personnel
to
be
trained.
o Facilitator
defines
the
term
health
care
waste
and
explains
its
classification;
o Facilitator
divides
participants
into
groups
of
2
to
3
people,
assigns
them
to
discuss
risks
and
hazards
of
health
care
waste
and
encourages
them
to
participate
actively;
o Facilitator

and
participants
discuss
the
importance
of
proper
health
care
waste
disposal;
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UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

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UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials
o
Facilitator
summarizes
the
session
by
providing
participants
with
relevant
answers
if
not
covered
in
their
discussions.
o
Assessment
of
Learning:
Quiz
and
answer
Module
2:
Policies,
Laws
and
Guidelines
Related
to
Healthcare
Waste
Management
• Duration:
1
hour
• Methodology
o
Lecture/Discussion;
o
Small
group
discussion;
o
Quiz
and
answer.
• Training
Aids
o
Overhead
projector;
o
Video;
o
Flip
chart;
o
Marker
pens;
o
Board;
o
PowerPoint
presentation.
• Expected
Outcomes
‐
Participants
are
able
to
(examples):
o
Explain
the
national
and
local
law
and
policy
for
health
care
waste;
o
Explain
the
international
guidelines
for
health
care
waste.
• Facilitator/Learner
Activities
o
Facilitator
begins
with
an
overview
of
the
topic
and
objectives
(examples):
National
and
local
laws
and
policy
guidelines
related
to
healthcare
waste
management;
International
healthcare
wastes
management
guidelines
and
policies.
o
Facilitator
provides
participants
with
some
questions
on
Tanzanian
laws
related
to
health
care
waste;
o
Facilitator
and
participants
discuss
international
healthcare
waste
management
guidelines
and
policies;
o
Facilitator
directs
the
participants’
attention
to
other
relevant
resources,
especially
Tanzanian
laws
related
to
HCWM
and
the
national
guidelines
for
HCWM.
o
Assessment
of
Learning:
Quiz
and
answer
Module
3:
Key
Steps
in
Healthcare
Waste
Management
• Duration:
2
hours
• Methodology
o
Lecture/Discussion;
o
Small
group
assignment;
o
Practical
skills
demonstration;
o
Field
visits
to
healthcare
facilities,
waste
pits
and
incinerators
to
observe
HCWM;
o
Case
study
and
role
plays;
o
Discussion
on
photographs
from
the
field
visit
if
available.
• Training
Aids
o
Overhead
projector;
o
Safety
boxes;
o
Needle
removal
(if
being
used
in
the
facility);

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UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials
o
Syringes
with
needle
attached;
o
Waste
bins;
o
Colour
coded
liners;
o
Personal
protective
equipment
(gloves,
gumboots,
aprons,
masks
and
eye
shields);
o
Video;
o
IEC
materials;
o
Flip
chart
and
marker
pens;
o
Board;
o
Power
Point
presentation.
• Expected
Outcomes
Participants
will
be
able
to
(for
example):
o
Explain
the
key
steps
of
HCW
management;
o
Explain
waste
segregation
methods;
o
Demonstrate
the
use
of
safety
boxes
and
explain
what
goes
in
the
safety
boxes;
o
List
PPEs
and
explain
their
use;
o
Explain
the
storage
and
transportation
of
HCW;
o
Describe
waste
treatment
and
explain
final
disposal
methods.
• Facilitator/Learner
Activities
o
Facilitator
begins
with
an
overview
of
the
topic
and
objectives
(for
example
below):
At
the
end
of
the
topic,
participants
should
be
able
to
discuss
the
key
steps
in
HCWM
which
include:
Waste
minimization;
recycling
Segregation;
Handling
and
storage;
Transport;
Treatment
&
destruction;
Final
disposal.
o
Facilitator
leads
a
discussion
on
waste
minimization
procedures;
o
Facilitator
and
participants
discuss
the
segregation
of
sharps
and
non‐sharps
healthcare
waste,
including
the
colour
coding
system;
o
Facilitator
demonstrates
how
to
use
a
safety
box;
o
Facilitator
and
participants
discuss
handling
and
storage
of
healthcare
waste,
demonstrate
how
to
wear
and
use
PPEs,
how
to
carry
a
waste
bin
and
how
to
replace
bin
liners;
o
Facilitator
and
participants
discuss
on‐site
and
off‐site
transportation
systems,
together
with
required
specifications
for
wheelbarrows
and
vehicles
used
in
transporting
waste;
o
Facilitator
and
participants
discuss
the
treatment
and
destruction
options
for
healthcare
waste;
o
Facilitator
and
participants
discuss
different
options
for
final
disposal
of
healthcare
waste;
o
Participants
visit
healthcare
facilities
and
ensure
all
steps
of
the
HCWM
process
are
observed.
This
includes
visiting
wards,
waste
pits
and
incinerators.
(approximately
120
minutes);
o
Facilitator
assigns
participants
to
observe
strengths
and
weaknesses
in
overall
HCWM;
o
Participants
present
conclusions
and
recommend
the
way
forward;
o
Facilitator
invites
participants
to
share
personal
experiences
in
relation
to
HCWM;

o Facilitator
directs
participants’
attention
to
other
relevant
resources,
especially
the
national
policy
guideline
for
healthcare
waste
and
standard
and
procedures
for
HCW.
o Assessment
of
Learning:
Quiz
and
answer
Module
4:
Home‐based
HCWM
• Duration:
30
minutes
• Methodology
o Lecture/Discussion
• Training
Aids
o Overhead
projector;
o Video;
o Flip
chart;
o Marker
pens;
o Board;
o IEC
materials;
o PowerPoint
presentation.
• Expected
Outcomes
• Explain
the
collection
of
health
care
waste
in
the
home‐based
care
setting;
• Explain
safe
disposal
of
home‐based
health
care
waste.
• Facilitator/Learner
Activities
o Facilitator
begins
with
an
overview
of
the
topic
and
objectives;
At
the
end
of
this
topic,
participants
will
be
able
to:
Discuss
the
interim
guidelines
for
disposal
of
home‐based
infectious
waste,
including
sharps
and
non‐sharp.
o Facilitator
and
participants
discuss
the
interim
guidelines
for
disposal
of
sharps
homebased
infectious
waste;
o Facilitator
and
participants
discuss
the
interim
guidelines
for
disposal
of
non‐sharps
home‐based
infectious
waste;
o Facilitator
directs
the
participants’
attention
to
other
relevant
resources.
o Assessment
of
Learning:
Quiz
and
answer
Module
5:

Job
Responsibilities
• Duration:
2
hours
• Methodology
o Lecture/Discussion;
o Small
group
discussion.
• Training
Aids
o Overhead
projector;
o Video;
o Flip
chart;
o Marker
pens;
o Board;
o PowerPoint
presentation.
• Expected

Outcomes
Participants
are
able
to
(for
example):
o Explain
the
roles
and
responsibilities
of
different
people
in
HCWM.
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UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials

18




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials
o
Worker’s
health
and
safety
and
emergencies
• Facilitator/Learner
Activities
o
Facilitator
begins
with
an
overview
of
the
topic
and
objectives;
For
example:
At
the
end
of
the
topic,
the
participants
will
be
able
to:
Define
the
roles
and
responsibilities
assigned
to
different
cadre
of
staff
involved
in
overall
management
of
healthcare
waste
at
facility
level.
Understand
the
procedures
to
ensure
worker’s
health
and
safety
and
what
to
do
in
emergencies
o
The
facilitator
discusses
roles
and
responsibilities
assigned
to
different
cadre
of
staff
involved
in
the
overall
management
of
healthcare
waste
at
facility
level;
o
Facilitator
ask
participants
about
duties
they
currently
perform;
o
Facilitator
and
participants
discuss
roles
and
responsibilities
assigned
to
different
cadre
of
staff
involved
in
the
overall
management
of
healthcare
waste
at
facility
level;
o
Facilitator
summarizes
the
session
and
provides
participants
with
relevant
answers
to
their
questions.
o
Assessment
of
Learning:
Quiz
and
answer
Module
6:

Healthcare
Waste
Management
Planning
for
Health
Facilities
• Duration:
2
hours
• Methodology
o
Lecture/Discussion;
o
Small
groups.
• Training
Aids
o
Overhead
projector;
o
Video;
o
Flip
chart;
o
Marker
pens;
o
Board;
o
PowerPoint
presentation.
• Expected

Outcomes
o
Explain
the
factors
to
be
considered
in
making
a
regional
HCWM
plan;
o
Explain
the
steps
in
making
a
health
facility
HCWM
plan.
• Facilitator/Learner
Activities
o
Facilitator
opens
the
training
session
with
an
overview
of
the
topic
and
objectives;
Develop
a
healthcare
waste
management
plan
for
their
region
if
one
does
not
exist;
Develop
a
healthcare
waste
management
plan
for
their
facility/hospital.
o
Facilitator
describes
the
district
healthcare
waste
management
plan;
o
Facilitator
describes
the
facility
healthcare
waste
management
plan;
o
Facilitator
divides
participants
into
small
groups
of
5
from
each
healthcare
facility
and
assigns
them
to
develop
a
healthcare
waste
management
plan
for
their
facility
according
to
the
sample
form
provided
as
Appendix
4
in

the
Participants
Manual;
o
Facilitator
supervises
the
planning
session
done
by
each
group.
o
Assessment
of
Learning:
Quiz
and
answer

E.
Warren
March
2009
Version
This
 document
 was
 developed
 by
 the
 UNDP
 GEF
 Project
 on
 Healthcare
 Waste
 and
 may
 be
 used
 as
 a
 resource
 to
 improve
healthcare
 waste
 management.
 The
 document
 is
 copyrighted
 but
 may
 be
 reproduced
 in
 its
 original
 unaltered
 form
 without
permission
for
 advocacy,
 campaigning
 and
 teaching
 purposes.
 Reproduction
 and
 distribution
 for
 commercial
 resale
 is
 strictly
prohibited.
 If
 more
 than
 five
 copies
 are
 reproduced
 for
 distribution,
 UNDP/GEF
 must
 be
 notified
 by
 email
 at
http://www.gefmedwaste.org/contactus.php.
If
 quotations
of
excerpts
 or
short
passages
are
used,
users
 must
 provide
 proper
citation
of
the
source.
UNDP
GEF
does
not
warrant
that
the
information
contained
in
this
document
is
complete
and
correct
and
shall
not
be
liable
for
any
damages
incurred
as
a
result
of
its
use.
19




















UNDP
GEF
Global
Healthcare
Waste
Project:
Draft
Summary
Outline
of
Training
Materials