Abstract
Assessment of Health Care Waste generation rate in Ulaanbaatar 1Enkhjargal G, 1Nandinerdene B, 2Jan-Gerd K 1Depertment of Environmental Health Sciences, School of Public Health, HSUM 2ETLog Health, Consulting LTD, Germany Background. Healthcare activities protect and restore health. At the same time they generate large quantities of wastes that need to be managed safely and disposed properly. Aim : We aimed to assess the medical waste generation rates, the available reports on medical waste picked up by the medical waste disposal company from healthcare facilities in UB were collected and evaluated. Results: The result of collected data analysis showed that in average 48,66 ton of medical waste was collected and treated by the company per month. The waste generation rate is not linear but is fluctuating between 40 and 60 tons per month, with a higher generation rate during the second part of the year. The majority of about 45% of the total medial waste stream is generated by the tertiary level hospitals managed by the MoH and in average 30% is generated by secondary level hospitals under the control of City Health Department. Primary level healthcare facilities (>100 in UB City) produce only about 3% of the total medical waste and the rest of 22% of medical waste is generated by the nearly 900 private healthcare facilities. The analysis of the collected data showed a total medical waste generation of about 50 tons per month in Ulaanbaatar. Conclusion: While ¾ of the waste is produced by governmental owned hospitals, about ¼ is generated by private healthcare facilities, for the future it can be expected that the share of the waste from private healthcare facilities will increase. The average waste generation rate in a typical secondary or tertiary level general hospital was about 0,25 kg per occupied bed and day. Primary level healthcare facilities produce about 20-40 kg medical waste per month, the share within the total medical waste is minor with about 3-8%.
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