Health Care Waste ManagementIt’s a dirty job but somebody has to do it. And for good reason! Poor waste management practices in health facilities put health workers, patients, and communities at risk for injuries and also HIV, hepatitis, and other bloodborne diseases.
Since the 1990s, JSI has implemented global and regional health projects that have addressed HCWM in low-resource settings at global, national, and local levels. Our comprehensive and practical approaches to HCWM focus on building in-country capacity to properly segregate, handle, store, and dispose waste from healthcare programs. JSI provides technical support to countries through all stages of developing a system to address HCWM—from initial assessment to implementation and evaluation.
In Uganda, the JSI-led AIDSFree project provides healthcare waste management training for all U.S.-sponsored implementers that are scaling up HIV testing, voluntary medical male circumcision, and other programs that produce medical waste. In Nigeria, we work with local manufacturers to ensure the availability of safety boxes and other protective equipment at health facilities across the country and we are exploring innovative final disposal techniques for expired antiretroviral drugs. We have also supported a public-private partnership project in Madagascar with a U.S.-based recycling company to collect and recycle old long-lasting insecticide-treated bed nets into bio-composite wood boards.
Representing the first sizable effort devoted to injection safety outside of immunization programs, JSI has implemented injection safety projects in over 11 countries in Africa and the Caribbean. Our approach focuses primarily on preventing unsafe and medically unnecessary injections in the health care setting. We encourage supportive national policies that help sustain ongoing efforts to build the capacity of health workers to administer safe injections through training and behavior change communications.
INFECTION PREVENTION AND CONTROL
JSI works with local partners in several countries to incorporate safe injection and healthcare waste management practices into their infection prevention and control efforts. From supporting curriculum development in medical and nursing colleges to ensuring that essential medical supplies are included in a country’s procurement efforts, We combine deep experience in logistics, training, injection safety, and healthcare waste management to improve health systems.
Health systems function smoothly when they are supported by effective supply chains. JSI's USAID | DELIVER PROJECT designed, developed, strengthened, and operated reliable and sustainable public health supply chains in developing countries.
JSI is managing the Rwanda Injection Safety Project to ensure the safe disposal of used syringes and help prevent infections, especially among insulin-dependent diabetics.
AIDSTAR-One synthesized and disseminated scientific research and models of successful program implementation in all areas of HIV, and provided targeted technical assistance to build effective, sustainable programs.
A sanitarian improves safety and efficiency at the Batu Health Center in Ziway, Ethiopia after receiving training in injection safety and health care waste management from the AIDSTAR-One project.
JSI worked with national counterparts in 11 countries to establish an environment where patients, health care workers, and the community are better protected from the medical transmission of HIV and other bloodborne pathogens.
The AIDSTAR-One project assists Nigeria in safely disposing of 70 tons of expired pharmaceuticals
The Health Management and Quality project reorganizes and systematizes inventories to increase cost effectiveness and reduce waste at pharmacies in Chuquisaca, Bolivia.