Completed Projects: -
1 Air Mshl Lalji K Verma, AVSM (Retd) founding President of ISHWM was allotted a pilot project to lay down a system of BMW management in one of the defence hospitals by the WHO (India) during the biennium - 1999 to 2000. Air Force Hospital at Bangalore was selected for the project. Multi-option approach was applied, and the project was one of the forerunners of BMW management in the country. Report to the WHO was submitted in the year 2001.
2. Air Mshl Lalji K Verma, AVSM (Retd), Founding President, ISHWM was allotted a DRDO project to study mutagenic effects in the hospital waste. A study with was carried out at the Air Force Hospital B' lore with Wg Cdr Palat Menon (a renowned microbiologist). The study revealed possibility of mutation in the bacterial flora contained in the hospital waste. Further studies are required.
3. Vermicomposting of hospital waste was undertaken at the B'lore hospital as an internal project funded by Air Hq. The project was useful to bring out the fact that vermicomposting of infected bio degradable was possible without causing any adverse environmental effects such as producing spores etc. End product possibly has soil enriching quality, and could be used as manure. A scientific paper has been published (Journal of ISHAM, Vol 5 Issue 1 April 2006.
4. Dept of Health Govt of NCT of Delhi granted a project to ISHWM to carry out External Audit of BMW Mangament, system and technologies in 10 major Govt controlled hospitals in Delhi. The project initiated in September, 2008 and was completed in time. A report has been submiited vide ISHWM / PROJECT/07 dated March 26, 2009.
5. Multi-centric study: 2013-15
Current study was conducted by ISHWM President Prof. A K Agarwal as Principal Investigator and Dr K S Baghotia Secretary as Co-principal Investigator to assess Impacts of Sound Healthcare Waste Management on Hospital Associated Infections in Bowring & Lady Curzon Hospital, Bangalore and ESI Hospital, Okhla New Delhi. Bowring Hospital has 686 Beds with 70% bed occupancy whereas ESI Hospital Okhla has 109 functional beds. Once the study was started, the ESI hospital Okhla went under partial renovation/construction for 500 beds. However, the functional beds remained 109 during the study period. At the beginning of the study it was found that hospital administration was willing to improve the health care services. General cleanliness in OTs and ICUs was acceptable. Most of staff was in uniform. Posters illustrating hand hygiene, Bio-medical waste segregation etc. was displayed at some of locations. Knowledge and awareness of staff was not very good.
After intervention and the training of healthcare personnel there was significant improvement in Knowledge and skills of staff specially segregation, sharp management and blood and body fluids spill management. Hospital Infection control committee (HICC) was formed and meetings were being held. Hospital needs to document the HICC minutes. HAI surveillance was rudimentary and needed to be improved with involvement of consultants. The intervention improved the availability of color coded containers and liners. The hospitals started packaging and labeling. Health care waste was collected by a private entrepreneur namely Maridi Eco Industries Private limited from Bowring Hospital Bangalore and Synergy Waste Management Pvt. Ltd from ESI Hospital Okhla New Delhi. With direction of prescribed authority the effluent treatment plant was established in both hospitals.
At the end of intervention, the quantum of solid waste generated was 517 grams per bed per day whereas liquid waste generated is 437 litres per bed per day. It was informed by the hospital that there is shortage of water supply in the hospital. Therefore, liquid waste generation is low. With improvement of healthcare waste and infection control in the hospitals there was a decreasing trend in average length of stay. The intervention ensured appointment of Nodal officers in each department to monitor waste management practices regularly as per regulations; establishment of Hospital Infection Control/ Waste management Committee and regular meetings and sensitisation of BMW associated infectious disease; Provision of Incentives/certificates for best practices included; Conduct of regular training programmes to nodal officers/Committee members and ensure adequate supply of colour coded bins/liners. The study needs to be replicated in different states at multiple locations.