Narrative description of Project:

Health care waste (HCW) is an inevitable by-product of health services delivered by the facility, including in response to a global pandemic like COVID-19. Minimizing the adverse effects of widespread health interventions on human health and assisting in environmental protection require sustainable health care waste management (HCWM). Objectives are to assess the HCWM status in Nepal, build the capacity on HCWM including GESI considerations and operation and maintenance (O & M) of HCW treatment technologies, assist local level/municipality for integrated HCWM, and assist in awareness building on HCWM practices, ensuring inclusivity and capacity development across the healthcare sector.

ADB recruited a WAI-LLRP JV to support the implementation of the HCWM work plan through (i) strengthening and implementing HCWM Plan; (ii) enhancing off-site waste management and supply equipment; (iii) developing capacity building training for HCWM stakeholders; (iv) conducting HCWM training at HCF levels; and (vi) developing waste management tracking system and link with health management information system.

Description of actual services provided in the assignment:

Objective of the Assignment

The overall objective of this assignment is to support DoHS/MoHP for effective implementation of HCWM plan. The specific objectives are:

• To assess the HCWM status in Nepal
• build the capacity on HCWM and operation and maintenance (O & M) of HCW treatment technologies
• To assist local level/municipality for integrated HCWM
• To assist in awareness building on HCWM

Scope of the services

The scope of the services to be accomplished by the Consulting firm includes, but are not necessarily limited to the following tasks:

• Develop methodology including methods and tools to implement the activities of this assignment
• Assess HCWM practices, methods, actors, gap and challenges in Nepal
• Conduct diagnostic assessment of HCWM in Sudurpaschim Province of Nepal
• Assist to one selected local level/municipality for IHCWM by establishing HCWM unit as part of Central treatment Facility
• Develop pool of TOT on sustainable HCWM and O & M of HCW treatment technologies
• Develop comprehensive HCWM audio visual materials (also can be used for trainings) and standard HCWM sticker
• Build the capacity of both public and private Health Care Facilities on sustainable HCWM and O & M of HCW treatment technologies
• Assist to organize technical working group meetings and study finding dissemination workshops
• Assist to develop waste management tracking system and link with health management information system.
• Coordinate with EHHCWMS/Management Division of the DOHS to plan and implement the assignment

Approx. value of the contract (in current NRs; US$ or Euro): US$ 426,340.00

Duration of assignment (months): 10 months

Total No. of person-months of the assignment: 35.75-person months

Approx. value of the services provided by your firm under the contract (in current NRs; US$ or Euro): US$ 426,340.00

Name of joint venture partner or sub-Consultants, if any:

Water Asia International (P) Ltd. (WAI-Lead Form)

Lifeline Laboratory and Research Center (P) Ltd. (LLRP-JV Partner)

Name of Senior Staff (Project Director/Coordinator, Team Leader) involved and functions performed:

Team Leader/HCWM Expert- Dhiraj Mainali

DTL/HCWM Study and ToT Expert- Ravindra Thapa

HCW Treatment Technologies ToT and Diagnostic Assessment Expert - Anuj Purush Dhakal

Field Coordinator: Ms. Lalita Chaudhari

Civil Engineer – Ms. Kreeti Bajracharya

IHCWM Experts: Ram Bikram Dahal