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Green and Clean Hospital : Sustainable Sanitation through Green and Clean Hospital Approath : A Strategy for Reducing Global Warming (Case Thailand)
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Sustainable Sanitation through GREEN and CLEAN Hospital Approach: A Strategy for Reducing
Global Warming
Dr.Narong Saiwongse, Duputy Director General,Department of Health, MOPH, Thailand
Population : 63.87 Million
Area : 513,115 Km2/ 198,115 mile2
Public Health hospitals : 831 hospitals
Sub district Hospitals: 9,802 sub district Hosp.
Thailand’s environmental condition : have been affected by numerous changes both in the global context and the country’s internal factors Climate changes
Population growth
Urbanization
1. Background and rationale
Urbanization Impact
• The water quality has been deteriorating• The number of clean surface water sources has been
declining
wastewater drainage from communities and other places
caused by
Contamination with faecal coliform bacteria
Wastes from Health-care facilities
reduce carbon footprint and return to new resources
Promote appropriate management
• solid wastes• health-care waste• wastewater
: Public Health Collaborative Campaign to Reduce Global Warming through Sustainable Sanitation
The campaign aims : To promote collaborative efforts among state health-
care facilities under the Ministry of Public Health for reducing global warming with the GREEN and CLEAN approach and enable them.
To serve as a role model for other agencies including local authorities and communities.
GREEN and CLEAN Hospital
The campaign expectation : To increase health personnel’s awareness
and understanding of health effects of global warming and how sustainable sanitation can contribute to climate change mitigation and adaptation.
GREEN and CLEAN Hospitals GREEN and CLEAN Hospital
2. Project’s Objectives
To promote the state health-care facilities under the Ministry of Public Health to implement the GREEN and CLEAN Strategies.
To promote the good practice models of GREEN and CLEAN Hospitals to serve as a role model for others.
To increase awareness and understanding of health personnel in reducing global warming by sustainable sanitation.
3. Project’s main activities
GREEN
is a group of activities
CLEAN
is includes strategies
Encourage the hospitals
to practise in a sustainable manner.
Project’s main activities (cont.)
The GREEN comprises activities
related to - Garbage
- Restroom
- Energy
- Environment
- Nutrition
G
R
E
E N
Project’s main activities (cont.)
Garbage or solid waste management
using the 3-Rs principles
Project’s main activities (cont.)
G
Project’s main activities (cont.) Restroom improvement, especially public
restrooms or toilets in the hospitals to meet the
Healthiness, Accessibility and Safety (HAS)
toilet standards.
Project’s main activities (cont.)
R
• Waste water management
Project’s main activities (cont.) Project’s main activities (cont.)
• Nutrient recovery
Energy use reduction and alternative energy
promotion, including the use of renewable
energy such as biogas
Project’s main activities (cont.)
E
Project’s main activities (cont.)
Environmental improvement and healthy
workplace promotion
Project’s main activities (cont.)
E
Nutrition promotion including food safety as
well as the use of organic food for patients and
products from neighbouring communities in
order to decrease the use of chemical fertilizer
and to save energy for food transportation.
Project’s main activities (cont.)
N
Project’s main activities (cont.)
The CLEAN strategies comprise Communication,
Leadership, Effectiveness, Activities and Networking.
C : communication for creating good understanding and awareness .
L : leadership for starting a prototype project and resolving any problems .
Project’s main activities (cont.)
E : effectiveness enhancement to achieve the target .
A : activity creation with strengthened cooperation .
N : networking for all project sites to work together.
Project’s main activities (cont.)
• The guidelines and technical documents on the GREEN and CLEAN Hospital Project have been developed and disseminated to the participating hospitals
4. Project Accomplishments
4.Project Accomplishments
• The training courses have been conducted for building the capacity of responsible personnel.
Project Accomplishments (cont.)
• The carbon footprint calculator programme has been created and promoted to the participating hospitals to use as the tool for evaluating the effectiveness of the project.
Project Accomplishments (cont.)
• The annual seminar has been organized. It aims to promote the collaborative among GREEN and CLEAN Hospitals Network, to share experiences and knowledge, and to reward the best practice models.
Project Accomplishments (cont.)
Project Accomplishments (cont.)
• There are over 4,000 hospitals throughout Thailand that are implementing the GREEN and CLEAN Hospital Project.
Project Accomplishments (cont.)
0
5001000
15002000
2500
30003500
4000
2010 2011 2012year
num
ber
Hospitals (Regional,Provincial anddistrict Hospital)Subdistrict Health-care facitities
• A number of good practice models of GREEN and CLEAN Hospitals in 49 provinces over the country welcome and ready to share their experiences and key of success factors of GREEN and CLEAN Hospitals with others.
Project Accomplishments (cont.)
The health-care sector is well-positioned to “ lead by example ”
Sustainable sanitation and climate change can be linked by GREEN and CLEAN Hospital Approach
5.Lesson learned
The active role of the health sector in sustainable sanitation management can benefit health and contribute to long term goals of reducing global warming
The capacity and awareness of health personnel need to be built continuously
The integrated approach of GREEN activities and routine work should be encouraged among health personnel in the hospitals
Lesson learned (cont.)
The evaluation method for measuring the linkage between GREEN and effectiveness of reducing GHG should be developed, so that the participating hospitals can implement the project with more confidence.
The GREEN and CLEAN Strategy can be applied and promoted in other sectors as well.
Lesson learned (cont.)
Increase the involvement of the rest hospitals and other sectors in the project.
Develop method of measurement for monitoring and evaluation the effectiveness of the project implementation.
6.The way forward
Create and strengthen the GREEN and CLEAN Hospital network both at national, regional and global level.
Promote innovation and appropriate technologies in managing sustainable sanitation in GREEN and CLEAN Hospital.
The way forward (cont.)
Thank You For Your Attention
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