green and clean hospitals: a tool for climate mitigation ...€¦ · bed for bedsore patient made...
Post on 26-Apr-2020
0 Views
Preview:
TRANSCRIPT
GREEN and CLEAN Hospitals: A Tool for Climate Mitigation in Health Sector
Institute of Advanced Sustainable Studies, Potsdam Germany
12-13 November 2018
Workshop on Human health, global environmental change and transformative action:
The case for health co-benefits
Ms. Siriwan Chandanachulaka
Director, Bureau of Environmental Health
Department of Health, Ministry of Public Health Thailand
Outline
1. Backgrounds I nformation
2. Development & Concepts of GREEN and CLEAN Hospitals in Thailand
3. Key of Success
4. Opportunities & Challenges
5. The Way Forwards
6. Conclusion
1. Background I nformation
Location : Southeast Asia Area: 513,115 Square Kilometers 77 Provinces Population : 66.19 Millions (2017)
THAI LAND
Max. temp. Mean temp. Min. temp.
Reference :Atsamon,2016
Temperature Trends in Thailand
Observed Modeled
GFDL (B2)
MM5 (A2, A1B)
RegCM3(A1B)
PRECIS (A2)
2100
2.0
3.0
2050
4.0
Simulation of Thailand’s surface air temperature during 21st century
compared with past changes
Reference : Atsamon, 2015
Changes in Surface Air Temperature in Thailand: Past-Future
Annual max. temp. in the beginning, middle and end of 21st century simulated by PRECI S regional model under A2 scenario.
Source:: SEA START
Future changes in surface air temperature in Thailand
THAI LAND and Climate Change Policies
“Thailand intends to reduce GHGs Emission by 20%
from BAU level by 2030”
The level of contribution could increase up to 25% subject to adequate & enhanced access to technology development and transfer ,financial resources
and capacity building support through a balanced and ambitious global agreement under the
UNFCCC
H.E. Gen Prayut Chan-o-cha,
Prime Minister of Thailand
Climate Change Master Plan 2015 – 2050
Mitigation Adaptation
Capacity Building
Draft
Adaptation Plan on
Climate change
and Health 2018 - 2030
3 Keys approach 1. Flood & drought & water
management
2. Agriculture& Food
security
3. Tourism
4. Public health
5. Natural Resource
management
6. Human Settlement & security
National
Regional
Provincial
District
Sub-district
Community - Primary Health Care Center / Village Health Volunteers
- 9,763 Sub-district Health Promotion hospitals
- 983 District Public Health Offices
- 882 District Hospitals
-76 Provincial public health office
- 76 General hospitals+ XX Special Hospitals
-Regional public health office
- Regional hospital
MOPH /Departments
Plan /strategy
R&D
Surveillance
system
EH service
Early warning
& disaster response
Capacity
Building &
Raise awareness
GHG
mitigation
1 MOPH Hospitals 958
2 Other Hospitals 123
3 Private Hospitals 363
4 Sub-district Health
Promotion Hospitals 9,763
Total 11,209
Health Care Facilities
Health System related to Climate Change
• 100% Universal Coverage for
entire population achieved in 2002 (NHSO)
• 5 leading causes of deaths
1. Schemic heart disease
(13.7%)
2. Stroke (10.3%)
3. Lower respiratory
infections (9.4%)
4. Road injuries (5%) 5. COPD (4.7%)
(WHO ,2016)
2. Development and Concepts of GREEN & CLEAN Hospitals in Thailand
New Delhi Declaration on the I mpacts of Climate
Change on Human Health
WHO/ SEARO organized Health Ministerial Meeting
- Addressing the challenges posed by global
warming and climate change
- Recognizing the need for accelerating
actions to reduce the health impacts from
climate change
- Called for leadership role of health sector
2008 2010-2016
Reduce Global Warming through Sustainable and
Ecological Sanitation Project Minister’s policy
- All hospitals have to sign as one of Performance Agreement I ndicator
- I nnovation Competition in 2018
2017-2019
GREEN and CLEAN Hospitals Project
Development of GREEN and CLEAN Hospitals Project
DOH I nitiative - Health care facilities were encouraged to
join the project - Voluntary Basis - 814 hospitals, 3400 Sub-district Health
Promotion Hospitals involved - 190 model hospitals
GREEN Activities
14. Create network for GREEN Communities
1.Effective environmental management within hospitals
2.GREEN Health Sector 3.Expand to GREEN &
CLEAN Communities 4.Social benefits
C : Communication L : Leader E : Effectiveness A : Activities N : Network
GREEN & CLEAN Hospital Concept/ Results
13. I nnovation
CLEAN Strategies Results
Results
(2017-2018)
Targets
(2019)
Basic level 194 Hospitals (20.25%) 144 Hospitals (15%)
Good level 388 Hospitals (40.50%) 354 Hospitals (36.96%)
Best level 376 Hospitals (39.25%) 383 Hospitals (40%)
Best Plus - 77 Hospitals (8.04%)
1.
Garbage - Solid waste management
3R’s Principle – Reduce, Reuse, Recycle
Organic Waste
Recyclable Waste
“Recycling Waste Bank” with fully active participation
Composting fruit to make toilet detergent Growing Earthworm to compost organic waste
Reduce: Green Office, Green Meeting, Green
Procurement
Reuse
- Paper less - QR Code - No foam - No Plastic - Healthy Break
Use both sides of A4 paper
Restroom Improvement
Reduce chemicals consumption in restroom – detergent, refresher
Use herb – Kaffir lime, Pandan leaves Reduce electricity for lighting
Reduce tissue paper Using natural detergents
Energy Efficiency
1. Energy Reduction Campaign
3. Encourage using bicycles between building,
visiting communities
2. Promote walking up/ down stairs
4. Promote alternative energy use – Solar Cell, Biogas
Solar energy for oxidation in
waste water treatment
plant
Solar energy for water
heating
Biogas compost from
organic waste
Environmental design and landscape
Better environment with green space and increase CO2 absorption
Clean environment
Nutrition – Promote local food/products
GREEN Market in hospitals – promote local products &
food safety, increase income for local farmers, reduce
health expenditure
Purchase community products for I npatient food
Encourage hospital staff to grow vegetables in hospitals
I nnovations
Products from recycle used water
bottles
Solar energy for
clothes drying
Bed for bedsore patient made from used
cooling gel
Arm sleeve to protect intravenous fluid patient made
from used saline bottles
3. Key of Success
Clear policy message
Leadership and Teamwork
Easy to achieve result/ gain
benefits
4. Opportunities and Challenges
Opportunities
• Sufficiency Economy Philosophy of His Majesty the Late King Bhumibol Adulyadej
• National policies on solid waste management, food safety
• Trend of GREEN products and consumer protection
Challenges
• Continuity of policy
• How to measure direct/ indirect benefits
• Find new tactic/ strategy
5. The Way Forwards
Apply climate mitigation and
adaptation measures to improve health
services
Introduce new tactic or strategies
- Programme for Carbon Footprint
calculation
6. Conclusion
Thank you very much for your kind attention
Ms. Siriwan Chandanachulaka
Director, Bureau of Environmental Health
Department of Health, Ministry of Public Health Thailand
E-mail: siriwan9@gmail.com
Success Stories of GREEN and CLEAN Hospital Practice in Thailand
top related