Project Outcome and Outputs:

The project is aimed at improving HWM process in its entire life cycle at the target medical centers. Major anticipated outputs of the project are;

? Improved hygiene and sanitary conditions at the 4 proposed hospitals of district Badin
? Reduction in scavenging and illegal use of syringes etc
Reduction in diseases such as Hep B & C by the way of limiting reuse of surgical instruments



Activities to be carried out under each output:

- Hiring of Project Staff
- Training Orientation of Project Staff on HWM
- Conducting situational analysis of proposed hospitals
- Conducting seminars to share the findings of situational analysis
- Designing and publishing visibility material (posters, website, stickers, etc.)
- Activating the HWM Team as per HWM Rules 2005 under EPA Act
- Capacity building of Medical and paramedical staff, sanitary workers, hospital administrative staff and concerned municipal staff
- Distribution of Hospital Waste Kits
- Providing final disposal solution to hospital waste in the shape of low-cost incinerators at each hospital.
- Carrying out formal and informal mobilization sessions with Hospital administration and Municipal Authorities of project site
- Updating District Health Department about progress
- Conducting regular monitoring visits to each hospital
- Conducting mid term evaluation on the completion of 2nd quarter
- Generating monthly and quarterly reports
- Generating and publishing Project Completion Report



Project stakeholders and beneficiaries: District health system of Badin, Proposed hospitals, EPA, Municipal Authorities of project site, UNDP GEF/SGP and Mashriq Foundation,Hyderabad
This project will bring significant improvement for human health as tons of waste mixed with infectious and hazardous waste is generated from targeted hospitals each year and find its way to the environment and society. Successful completion of the project will avert cost on the treatment of Hep B and C patients; however tangibility of this cost will not be easy to document.

Beside benefit to the human health and society, this project will help in reducing tangible environmental pollution in terms of garbage burring and land degradation etc.

HWM project will yield extra ordinary learning experience for the targeted hospitals and will serve as a replicable model.

Following are some risk and assumptions:

Assumptions:

- The targeted hospitals may feel insecure in sharing the waste management records.
- Any conflict may arise between District Health Department and implementing organization
- Inflation rate may hinder the activities cost
- Implementing organization may fail to carryout activities on time due to unforeseen seasonal hindrances
- Delay in the release of the budget from donor may cause delay in the proposed activities
Risks:

- Undue intervention of district government can cause serious injury to project implementation
? Unstable political conditions of country