agency (for medical waste MoH-RSS), shall adopt standard criteria for the classification of hazardous wastes including medical waste. It is further requested that the Ministry of Environment, in consultation with the Lead Agency, make regulations and issue guidelines for the management of medical waste. The further assessment of the existing documents showed that several draft requirements exist for carrying out environmental impact assessments for proposed projects that may affect the environment. Although in reality these requirements are not enforced, it is recommended that for projects with a possible environmental impact (e.g. larger, centrally operated hazardous waste treatment plants), these requirements should be more stringently imposed. Need for a medical waste policy and a medical waste guideline on the outcome of this study, the requirements of the MoH-RSS to develop a medical waste bill, the requirements from the strategic plan to draft medical waste guidelines and the requirements from the draft environmental bill to set up the medical waste guidelines, it was recommended by the consultant to draft these two documents within this project. Therefore, it was decided to draw up within the project a draft policy on medical waste and draft National Guidelines for . This decision was supported by all stakeholders to bolster the sustainability of the project. Nearly all stakeholders interviewed referred to the lack of a robust and implementable policy as a root cause of the myriad of medical waste management problems. Additionally, the donor community confirmed a high need for these documents. As these documents would form a legal basis for a medical waste management plan, it was decided to draft these documents as core result of the legal section of the project. The Medical Management Policy The policy document was derived from analyzing the current legal context within (including draft guidelines).The objective is to produce a document that complements, rather than replaces existing legislation. It sets out a broad framework within which the guidelines will provide more specific practical solutions. Its goal is to minimize the negative effects of medical waste management on human health and the environment. The policy also aims to promote the sustainable use of resources and the relative reduction of costs associated with medical waste management. The guiding principles listed in the policy underscore the importance of sustainability and adaptability within the South Sudanese context. The principles are based largely upon empowering healthcare workers to create an environment where workplace accidents are minimized and environmental hazards are avoided. In line with the World Health Organization policy paper on safe trial
be developed. Checklists shall follow a modular system and should be limited to about 50 questions. Step 4: 1st Risk Based Inspection round For the first risk based inspection round, only the results from the type based risk assessment are available as specific risk assessments have not been all carried out. Following the precautionary principle the individual risk of all healthcare facilities shall be rated as “high risk”. Based on the results of the first calculation of the inspection frequency, the first checklist based inspections shall be carried out. Step 5: Regular Risk Inspection round After the end of the first round, the collected experience shall be evaluated and the developed inspection tools shall be reviewed. Based on the results of the first risk based inspection round the individual inspection frequency for each facility shall be determined. Implementation - Cost No. Item Unit Price (US$) Total Price (US$) Part 1: Development of the Monitoring System 1 International consultant cost preparation of Medical Waste Inspection system (MM) 1 $17.500,00 $17.500,00 2 Int. Consult - travel cost, per diem, accommodation 1 $8.000,00 $8.000,00 3 Local Software expert – Database 0,5 $4.000,00 $2.000,00 4 Local expert – Data input 1 $3.000,00 $3.000,00 5 Computer Working station incl. Software + Furniture 1 $5.000,00 $5.000,00 6 Working Group Meetings / Stakeholder Meetings 2 $1.000,00 $2.000,00 7 Cost for printing, binding of inspection guideline, copies of checklist, etc. (200 pages) 30 $100,00 $3.000,00 8 Cost for inspection round (one week), incl. Transport + allowance for 2 RSS-MoH worker 1 $2.500,00 $2.500,00 9 Other and unforeseeable 1 $2.000,00 $2.000,00 SUM $45.000,00 Part 2: Annual operation cost of the monitoring system 1 National Inspectors 2 $15.000,00 $30.000,00 Traveling & Allowances for 2 Nat. Inspectors 1 $30.000,00 $30.000,00 2 Cost on State level 10 $2.000,00 $20.000,00