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Health care waste management, Kingdom of Lesotho 

Photo: COWI
Bins, containers and boxes used for storage of health care general waste, infectious health care risk waste and sharps

In corporation with experts from South Africa and Lesotho, COWI is assisting the Kingdom of Lesotho in turning its current health care waste handling practices into a system which will minimise public and occupational health risks and abate environmental pollution.

Poor handling of health care waste and lacking compliance with international waste management standards are posing a threat to health care staff and to the environment due to low standard incineration of health care waste and inadequate disposal of its residues.

COWI is providing technical assistance to the Ministry of Health and Social Welfare in Lesotho in the development of an improved health care waste management system.

Initiative under the Millennium Challenge Corporation

The upgrading of Lesotho's health care waste management is part of a five-year Compact signed by the Government of Lesotho and the United States under the Millennium Challenge Corporation. The Compact focuses on improving the provision of water for industrial and domestic use, improving health outcomes and removing barriers to foreign and local private sector investment.

Proper health care waste management practices

The improved system will be based on well documented policies, strategies and a legal framework enabling the enforcement of proper health care waste management practices.

Capacity building and knowledge transferThroughout the process of developing the policy, strategy and legal framework, COWI will build capacity within Ministry and other stakeholders through on-the-job coaching and active involvement, so that they are able to sustain a proper management of health care waste in Lesotho in future.

COWI's services 

  • Analysing the current health care waste management system in Lesotho 
     
  • Developing policy, strategy and legal framework 
     
  • Reviewing, upgrading or rewriting health care waste management plans, regulations, standards and guidelines 
     
  • Developing licensing and accreditation procedures for health care facilities 
     
  • Providing on-the-job coaching for health care waste management staff and other stakeholders 
     
  • Arranging focus groups, workshops and developing training materials and documents on health care waste management 
     
  • Developing information packages on health care waste management for health care staff, the private sector as well as information for the general public 
     
  • Introducing health care waste management systems as pilot projects on selected hospitals and health clinics.
  • LAST UPDATED: 24.07.2012