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Implementation of Swasth Bharat Abhiyan in Health Sector


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      Implementation of Swasth Bharat Abhiyan in Health Sector

IMA plans to have hospitals free of bio-medical wastes through a common facility

Situation analysis

  • Per bed bio medical wastes: 250 grams per day
  • Total Bed strength in the country: 28.89 Lakhs (Central Bureau of Health Intelligence)
  • Total bio medical waste generated per day in country: 7.22 Laks Kilograms
  • Existing facilities for managing BMWs in a professional manner:
    • Only a few states have proper bio medical waste management systems, even those states total beds are not covered, for example in Delhi only about 50% of the beds are covered properly.

Why and How?

To reduce hospital acquired infection, for clean hospital environment and prevention of multi drug resistant organisms, scientific bio medical waste disposal is essential

The process begins at the bed side of the patient where the waste has to be categorised and segregated in different containers at nursing station. Here the needles are burnt and mutilated. These are send to common collection point of the Health Care Institution. From there it is transferred for final disposal at the plant.

All these process goes a long way in universal precautions against infectious diseases and hospital acquired infections.

Drug resistance

Newer antibiotic molecules are not invented in last 30 years, only modifications of the existing molecules have been tried out. Multi drug resistant microbials is a real threat. Recent New Delhi Metabolase strain is a stark example

So the need for scientific biomedical waste disposal needs no further emphasis

IMA Kerala state has pioneered a centralised bio medical disposal concept and is effectively carrying this out, covering the total bed strength of the state- both private as well as government for the last 12 years.

The operational part

Free land has to be acquired from government for this purpose

Bio medical waste management unit should be declared tax free

Components of the plant

For 15,000 beds, the bio medical waste production= 250gm per bed * 15,000 beds= 3750 kg

  • Autoclave
    • At 200 kg per autoclave per cycle of 90 minutes(including preparation and rest period), 2 autoclaves and one stand-by is required
  • Incinerator
    • One Incinerator can autoclave 250kg per hour; at this rate (10 hrs per day working)- two incinerators plus one stand-by is required
  • Effluent treatment plant- One
  • Shredding unit- One
  • Hydraulic compressor- One
  • Recycling Unit/sell for recycling
  • Needle pits

Land requirement

Minimum 5 Acres of land

Financial requirements

  • Minimum 3 Crores investment apart from land
  • Loan facility will be available

    Financial feasibility

  • At INR 10 per day, for 15,000 beds, for one month, 45 lakhs is the expected revenue
  • Running cost: INR 6 per bed
    • Vehicle
    • Electricity
    • Water
    • Diesel
    • Man power
    • Financial cost
  • Profit: 18 lakhs per month
  • Income from sale of scrap: 500,000 per month, for 15,000 beds, approx
  • If the running is outsourced, 80% of the profit goes to the agency(except scrap, 20% to IMA; approximately 8.6 lakhs, amounting to 1 Cr profit per year
  • Headquarters share: 50%, amounting to 50 Lakhs per year