Session 14: EMMP Development XYZ District Hospital Field Visit Photos. USAID Staff Environmental Training Pretoria May 2009
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1 Session 14: EMMP Development XYZ District Hospital Field Visit Photos USAID Staff Environmental Training Pretoria May 2009
2 Built beds. Prior to MCRH interventions, no significant rehabilitation/ expansion. Blocks rehabilitated under MCRH EMMP Development Field Visit. visit 2
3 Built beds. Prior to MCRH interventions, no significant rehabilitation/ expansion. Blocks rehabilitated under MCRH EMMP Development Field Visit. visit 3
4 Latrines By the conclusion of component, supported District Hospitals must have kitchen and sanitary/hygiene facilities (i.e. toilet/latrines & showers) & management protocols for these facilities sufficient to minimize the possibility of patient-topatient & patient-to-staff transmission. Several unscreened simple pit blocks in use Not clean at time of observation No handwash stations EMMP Development Field Visit. visit 4
5 Kitchen By the conclusion of component, supported District Hospitals must have kitchen and sanitary/hygiene facilities (i.e. toilet/latrines & showers) & management protocols for these facilities sufficient to minimize the possibility of patient-topatient & patient-to-staff transmission. No clean storage. Floors/walls not scrubbable No hot water wash-up Unscreened <15m from incinerator & medical waste storage View from kitchen window to open burn area and medwaste storage (under tree ~15m) EMMP Development Field Visit. visit 5
6 Medical waste management Medical waste handling. By the conclusion of component, supported District Hospitals must have adequate procedures and capacities in place to properly handle, label, treat, store, transport and dispose of blood, bio-hazards and other medical waste.. Waste segregation in rehabilitated block New De Montfort incinerator Segregation at source OK New incinerator installed However... Old incinerator EMMP Development Field Visit. visit 6
7 Medical waste management Medical waste handling. By the conclusion of component, supported District Hospitals must have adequate procedures and capacities in place to properly handle, label, treat, store, transport and dispose of blood, bio-hazards and other medical waste.. Outdoor opencage and openpail storage of infectious waste Open storage of waste to be burned. Evidence of mice/rats. Infrequent incinerator operation Open disposal of incinerator residue & non-burnable waste EMMP Development Field Visit. visit 7
8 Brown and Grey Water By the conclusion of component, supported district hospitals must have Brown and gray wastewater systems must be sufficient to prevent contamination of surface or groundwater with infectious pathogens. Blocked gray-water sumps Open discharge from bathing stalls Blocked graywater sump EMMP Development Field Visit. visit 8
9 Brown and Grey Water By the conclusion of component, supported district hospitals must have Brown and gray wastewater systems must be sufficient to prevent contamination of surface or groundwater with infectious pathogens. Overfull central wastewater tanks (overdue for pumpout). Septic liquid pooling on ground Open and missing tank covers EMMP Development Field Visit. visit 9
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