8/4/2019 S3_NEPAL

1/43

Mercury Free Health Care

Initiaves in Nepal

Dr. Praveen Mishra,Secretary of Health

Ministry of Health and Population

Mahesh NakarmiDirectorHealth Care Foundation Nepal

Dr. Pramita SuwalAssistant Professor

BP Koirala Institute of Health Sciences

Country Presentation on

Asian Conference onMercury Free Health Care

March 15-16, 2011

8/4/2019 S3_NEPAL

2/43

South Asian Regional Mercury ConferenceDecember 1-5, 2008, New Delhi

Organized by Toxics Link, HCWH, WHO

8 Nepalese participants attendedDelegation

Participation were from Government,Non-government and Academic

Action Plan Prepared

Commitment from all sector

8/4/2019 S3_NEPAL

3/43

First Mercury Free Health Care Facility HECAF Initiation

As a model facility it was

tested in its own healthcare facility in NationalKidney Center

It was recognized: service to Kidney patients

Enviro-friendly hcwm system

GON, WHO HCWH etc. Supporting Partners HCWH

and Toxics Link

It was a small facility withstron commitment

8/4/2019 S3_NEPAL

4/43

Mercury Free National Kidney Center

Replaced mercury thermometer

to digital thermometer

Replaced Mercury Sphygmomanometers

to Aneroid BP sets

8/4/2019 S3_NEPAL

5/43

National Workshop on Sensitization aboutMercury Free Health CareMinistry of Health and PopulationOctober , 2009

8/4/2019 S3_NEPAL

6/43

Mercury Free Health Care Partners inNepal Collaborative Partners

MoHP/Department of Health Services focalunit Management Division

World Health Organization (WHO)

Health Care Without Harm (HCWH)UNDP GEF SGF ( Approached)

HEalth CAre Foundation Nepal ( HECAF)

CEnter for Environment, Public Health andEnvironmental Development (CEPHED)

Academic Institutions

8/4/2019 S3_NEPAL

7/43

IEC Material Production andDisseminations

8/4/2019 S3_NEPAL

8/43

Orientation Manual for MercuryManagement in Health Facility,2010Published and Disseminated by MoHP/ Department of Health Services (DoHS)

8/4/2019 S3_NEPAL

9/43

20 District Level Awareness andCapacity building programs

EDR: Morang, Sunsary, Dhankuta, Ilam , Siraha

CDR: Dhanusha, Makwanpur, Kavere, KathmanduWDR: Kaski,Palpa, Rupandehi, Tanhu, Baglung,

MWDR: Bardia, Surkhet, Dang

FWDR: Doti, Kanchanpur, Kailali,

8/4/2019 S3_NEPAL

10/43

Trainings: Theory and Practical based

8/4/2019 S3_NEPAL

11/43

Mercury Free Health Care Challenge Long history

Golden Standard Quality Products

Awareness to Action Policy

8/4/2019 S3_NEPAL

12/43

Mercury in our hospital environment

Tested mercury presence in hospitalenvironment

Bir Hospital, Kathmandu

Western Regional Hospital, Pokhara

Test was performed in

Air samplesWater samples

Waste samples

8/4/2019 S3_NEPAL

13/43

Assessment on Use of Mercury contentitems in Selected Hospitals of Kathmandu

8/4/2019 S3_NEPAL

14/43

Assessment on Use of Mercury contentitems in Selected Hospitals of Kathmandu

8/4/2019 S3_NEPAL

15/43

Assessment on Use of Mercury contentitems in Selected Hospitals of Kathmandu

8/4/2019 S3_NEPAL

16/43

Analysis of Mercury Level in Hospital

Air Sampling

8/4/2019 S3_NEPAL

17/43

Analysis of Mercury Level in Hospital

Water Sampling

8/4/2019 S3_NEPAL

18/43

Analysis of Mercury Level in Hospital

Solid Waste Sampling

8/4/2019 S3_NEPAL

19/43

Analysis of Mercury in LakeFish Sampling

Water Sampling

8/4/2019 S3_NEPAL

20/43

Lab Analysis

All the lab analysis was carried out inWater Engineering and Training Center Pvt.

Ltd.

8/4/2019 S3_NEPAL

21/43

Results of Mercury Level inIndoor Air of Hospital A

8/4/2019 S3_NEPAL

22/43

Results of Mercury Level in Indoor AirHospital B

8/4/2019 S3_NEPAL

23/43

Results of Mercury level in Waste Water

in Hospital A

8/4/2019 S3_NEPAL

24/43

Results of Mercury level in WasteWater in Hospital B

8/4/2019 S3_NEPAL

25/43

Results of Mercury level in SolidWaste in Hospital A

8/4/2019 S3_NEPAL

26/43

Results of Mercury level in SolidWaste in Hospital B

8/4/2019 S3_NEPAL

27/43

Fish Sampling in Phewa Lakecollectedfromfishdealers.

Thetissuesofthefisheswereextractedfromdifferentpartsofthefishbody

8/4/2019 S3_NEPAL

28/43

Results of Mercury Level in Fishes ofPhewa Lake

8/4/2019 S3_NEPAL

29/43

Integrated approach: Tri cycle concept Introducing three

concepts together

Safe medical wastemanagement

Mercury Free

Injection safetyH

CW

MMercuryFree

InjectionSafety

8/4/2019 S3_NEPAL

30/43

Model Ward Inauguration

8/4/2019 S3_NEPAL

31/43

Mercury Free

Collecting Mercurycontaining equipments

Handing over DigitalThermometer to the WardIncharge

8/4/2019 S3_NEPAL

32/43

Replicating Model Wards

8/4/2019 S3_NEPAL

33/43

Information Spot on Mercury Risk

8/4/2019 S3_NEPAL

34/43

Impacts of Campaign

Collecting Mercury Containing Equipment During Training

8/4/2019 S3_NEPAL

35/43

Mercury Free School CampaignAvoid Mercury,Save Environment,Stay Healthy

Started from June 5, 2010 Oriented nearly 1000 students of different

schools of Kathmandu Valley

8/4/2019 S3_NEPAL

36/43

Mercury CampaignAvoid Mercury,Save Environment,Stay Healthy

8/4/2019 S3_NEPAL

37/43

Mercury CampaignAvoid Mercury,Save Environment,Stay Healthy

8/4/2019 S3_NEPAL

38/43

Mercury Campaign in Schools,

2010 -2011Oriented About 500 students in different schools in Kathmandu Valley

8/4/2019 S3_NEPAL

39/43

Mercury Campaign With Rotary Clubs

Mercury Free Rotary CampaignReplace One Donate one

Many Doctors are Rotarians

8/4/2019 S3_NEPAL

40/43

Mercury Spill ManagementVideo

8/4/2019 S3_NEPAL

41/43

National Workshop on Health Care

Waste Management and MercuryMinistry of Health and PopulationJanuary 2011

8/4/2019 S3_NEPAL

42/43

Regional Conference on Health Care

Waste Management and Mercury in NepalMinistry of Health and PopulationProposed for October-December 2011 ???

8/4/2019 S3_NEPAL

43/43

ANY QUESTIONS?