Capacity assessment and implementation analysis of common treatment facility for the management of infectious healthcare waste in rapidly urbanising city of Nepal.

This study is one of the first systematic attempts to examine the possibility of a common treatment facility (CTF) to treat infectious healthcare waste (HCW) in Nepal. First, the survey was conducted in 14 healthcare facilities (HFs) ranging from health posts to large hospitals selected from 120 total HFs in Nepalgunj sub-metropolitan city (SMC), a rapidly urbanising city of Nepal to investigate the current practices of HCW management (HCWM) and to estimate the waste generation and characteristics in the different HFs. The result shows that the average unit waste generation rate for health posts, clinics, urban health centres, and hospitals was estimated at 1.397 kg day-1, 1.608 kg day-1, 0.178 kg day-1 and 1.818 kg bed-1 day-1, respectively. Of the total 1242 kg day-1 HCW generated in Nepalgunj SMC, 73% is infected in the current situation, but if fully sorted at source, only 32% of the waste will be infected. Based on these HCW generation data and fraction of infectious waste, including waste management practices, three different scenarios are proposed for the capacity assessment and designing implementation modality of the CTF to treat infectious waste from all HFs of Nepalgunj SMC as a case study where an integrated solid waste management facility including material recovery facility and sanitary landfill site for municipal solid waste management is already in operation. The different implementation analyses are discussed, and the best implementation arrangement has been recommended for the sustainability of the project. This approach can be replicated in other cities alone or regions with many neighbouring cities of Nepal and explores a workable solution for HCWM in the rapidly urbanising cities of developing countries to help them improve their condition.

Quantification and characterization of the municipal solid waste for sustainable waste management in newly formed municipalities of Nepal.

This study was conducted to set up a new reference line for municipal solid waste quantification and characterization in the least urbanized cities of a developing nation. A survey was run to collect baseline data from 60 new municipalities of Nepal. The study covered a sample size of 3300 households, 600 institutions and 600 commercial establishments in those municipalities. The municipalities were further stratified according to geographical location, the degree of urbanization, household expenditure and population size to assess the influence on waste generation. The results indicated that the average per capita household waste generation is 115 g day-1 while the average total municipal waste generation was estimated to be 180 g day-1 per capita.The study also revealed that size of municipal population, geographic location, household expenditure and degree of urbanization were found to have a significant influence on the unit waste generation. The larger the size of municipal population the higher the per capita household waste generation, degree of urbanization and per capita waste production. Increasing household expenditure revealed an increase in the unit waste generation. The waste categories included organic waste, plastics, paper and paper products, textiles, rubber and leather, metals, glass, and others. The results indicated that organic waste dominated the characterization (62%), followed by plastics (12%) and paper/paper products (11%).