Neeranuch Arphacharus

Department of Health, MOPH Thailand

GREEN and CLEAN Hospitals:

A Strategy for Reducing Global Warming Neeranuch Arphacharus,
Senior Policy and Plan Analyst, Bureau of Environmental Health, Department of Health, MOPH, Thailand

General Information
Population:
64,6 Million

Areas:
513,115 Km2/ 198,115
mile2

Public Health Hospitals: 10,623 Hosp.

(838 Regional& Provincial Hospitals 9,785 Sub-district Hospitals)

July 2013

1.Background and Rationale

1. Environmental Health Challenges
Urbanization Climate Change

2. The Second National Environmental Health Strategic Plan 2012-2016 Air quality
Water, hygiene and sanitation Solid wastes Toxic chemical and hazardous substances Climate change Environmental health management emergency and public disaster Health Impact Assessment

2.GREEN and CLEAN Hospitals

A National Campaign on Public Health Collaborative Campaign to Reduce Global Warming through Sustainable Sanitation Aims: 1. To promote collaborative efforts among state healthcare facilities under the Ministry of Public Health for reducing global warming with the GREEN and CLEAN approach. 2. To encourage state health-care facilities to serve as a role model for other agencies including local authorities and communities in reducing global warming.

GREEN and CLEAN Hospital

: Public Health Collaborative Campaign to Reduce Global Warming through Sustainable Sanitation

Aims:
3. To increase awareness and understanding of health personnel in reducing global warming by sustainable sanitation management.

Wastes from Health-care facilities

Solid wastes

Organic waste Infectious waste Wastewater

Promote appropriate and sustainable management
Reducing carbon footprint and turn into new resources

3.Projects main activities

GREEN
A group of activities

CLEAN Strategies

Encourage the hospitals to practise in a sustainable manner

Reduce Global Warming

Projects main activities (cont.)

The GREEN comprises activities
related to
G E

Garbage Restroom Energy Environment E Nutrition

R N

Projects activities Projects mainmain activities (cont.)(cont.)

Garbage or solid waste management by using the 3-Rs principles

Projects main activities (cont.)

Organic and Food wastes from the hospitals have been collected and composed for producing biogas and liquid organic fertilizer

Projects activities Projects main main activities (cont.)(cont.)

Waste water management

Nutrient recovery

Projects activities Projects mainmain activities (cont.) (cont.)

Restroom improvement, especially public restrooms or toilets in the hospitals to meet Healthiness, Accessibility and Safety (HAS) toilet standards.

Projects main activities (cont.)

Energy use reduction and alternative energy promotion, including the use of renewable energy

Projects main activities (cont.)

Projects main activities (cont.)

Environmental improvement and healthy workplace promotion

Projects main activities (cont.)

Nutrition promotion focusing on food safety, the use of organic food for patients and local products from neighbouring communities in order to decrease the use of chemical fertilizer and to reduce energy consumption from food transportation

4. Projects Strategies
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.

4.Projects Strategies

(cont.)

E : effectiveness enhancement to
achieve the target.

A : activity creation with strengthened

cooperation.

N : networking for all hospitals to

share and learn among themselves.

5. Project Accomplishments
The guidelines and technical documents on the GREEN and CLEAN Hospitals Project have been developed and disseminated to the participating hospitals.

Project Accomplishments (cont.) 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 a tool for evaluating the effectiveness of the project.

Project Accomplishments (cont.)

The activity items to be calculated in the Carbon Footprint Programme.
Electricity energy Travel by plane Pipe water Gasoline LPG Fertilizer Chemical substance Waste disposal Garbage Wastewater treatment

Project Accomplishments (cont.)

The annual seminar has been organized 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.)

Number

16000 14000 12000 10000 8000 6000 4000 2000 0 9,785

36.51% 31.53 %
3,878 3,085 Participating
Hospitals Total hospitals

10,623

94.63 %
793 838
Regional &Provincial Hosp. ../ Sub-district Hosp. Total

September 2013

Project Accomplishments (cont.)

2013 Hospitals under MOPH participated in the programme Total = 3,878 hospitals (36.5%)

2013 Participated Hospitals that completed GREEN Activity Total = 425 hospitals

2013 The best practice model GREEN and CLEAN Hospitals Total = 106 hospitals

Projects targets in 2014

An increase in number of GREEN and CLEAN Hospitals that completed

GREEN activities
at least 30 % compared with those in 2013.

Project Accomplishments (cont.)

Leadership

Garbage Restroom Energy Environment Nutrition

Chemicals Pharmaceuticals Waste water Transportation Energy Building Purchasing Chemicals

Food

Comparison between GREEN & CLEAN Hospitals and the 10 Goals of GGHHN

5. Lesson learned The health-care sector is wellpositioned to lead by example.

Sustainable sanitation and climate
change can be linked by GREEN and CLEAN Hospital Approach.

5.Lesson learned (cont.)

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.

5.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.

6.The way forward

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 (cont.)

Create and strengthen the GREEN and CLEAN Hospital network both at national level. Promote innovation and appropriate technologies in managing sustainable sanitation in GREEN and CLEAN Hospital. Encourage the GREEN and CLEAN Hospitals to participate in the GGHHN.

Thank You For Your Attention