Healthcare Waste Management

Sophie De Fries

As the global healthcare system expands, including the increasing success of immunization efforts, this inevitably leads to a growing amount of healthcare waste (HCW). Certain types of HCW can pose significant environmental and public health risks due to its toxic, infectious, and other hazardous properties. It is important to recognize that immunization activities are part of the overall health system, and healthcare waste management (HCWM) must be coordinated across many entities, different departments, and, often, even the private sector.

Looking at various countries around the world, one finds that there are many different types of health systems, thus many different types of waste management systems as well. Thus, HCWM is a system that must be planned and coordinated across multiple stakeholders and programs. Immunization leaders must closely coordinate with the government entities responsible for waste management to best link resources and technologies in ensuring best practices for managing healthcare waste.

This page provides a list of resources related to healthcare waste management, as well as materials developed by local governments, multinational organizations, and the private sector. The aim is to inform and guide constituents in the public and private sector. Additionally, this page sponsors a constructive dialogue on everything from what it takes to design an HCWM plan, to applying best practices between existing HCWM models among countries in different contexts.

Apropos of the multifaceted nature of HCWM, this page’s resources have been organized according to the following categories:

Webinar Series: Country HCWM Roadmaps

TitleAuthorYearTypeLanguage
Joint HCWM Webinar Series 2025 (Gavi, The Global Fund, UNICEF) - Webinar 1Gavi, the Vaccine Alliance, UNICEF, The Global Fund2025WebinarEnglish
Joint HCWM Webinar Series 2025 (Gavi, The Global Fund, UNICEF) - Webinar 2Gavi, the Vaccine Alliance, UNICEF, The Global Fund2025WebinarEnglish
Joint HCWM Webinar Series 2025 (Gavi, The Global Fund, UNICEF) - Webinar 3Gavi, the Vaccine Alliance, UNICEF, The Global Fund, Mott Macdonald2025WebinarEnglish
Joint HCWM Webinar Series 2025 (Gavi, The Global Fund, UNICEF) - Webinar 4Gavi, the Vaccine Alliance, UNICEF, The Global Fund2025WebinarEnglish

Technical Webinar Series: Planning, Technology, and Capacity Strengthening

TitleAuthorYearTypeLanguage
National strategies to improve Health Care Waste Management (HCWM) - presentationIsabelle Cantin, Ranjit Dhiman, Patricia Darikwa, Mwenge Mwanamwenge2023PresentationEnglish
Green & safe technologies for health care waste treatment: From selection & procurement to implementation - presentation Bertin Technologies, Ecosteryl, Newster, Tesalys2024PresentationEnglish
Facility-level activities: Managing health care waste - presentationMwenge Mwanamwenge, Ieva Petrikaite, Andrew Cantillo, Aurélien Bataille, Benjamin Lobbe, Loubna Essabouri, Ledina Hyseni2024PresentationEnglish
Green & safe technologies for health care waste treatment: From selection & procurement to implementationBertin Technologies, Ecosteryl, Newster, Tesalys2024WebinarEnglish
Facility-level activities: Managing health care wasteMwenge Mwanamwenge, Ieva Petrikaite, Andrew Cantillo, Aurélien Bataille, Benjamin Lobbe, Loubna Essabouri, Ledina Hyseni2024WebinarEnglish
National strategies to improve Health Care Waste Management (HCWM)Isabelle Cantin, Ranjit Dhiman, Patricia Darikwa, Mwenge Mwanamwenge2023WebinarEnglish

Assessments & Planning Tools 

This is a set of resources that supports training and capacity building for health workers involved in HCWM.

Policy and guidance 

TitleAuthorYearTypeLanguage
Management of solid health-care waste at primary health-care centresWorld Health Organization (WHO)2005GuidanceEnglish, French
Planning and Implementing High-Quality Supplementary Immunization Activities for Injectable VaccinesWorld Health Organization (WHO)2016GuidanceEnglish
Preparation of National Healthcare Waste Management Plans in Sub-Saharan Countries - Guidance ManualUnited Nations Development Program (UNDP), World Health Organization (WHO)2016GuidanceEnglish, French
Safe management of wastes from health-care activities: a summaryWorld Health Organization (WHO)2017GuidanceEnglish
Unit 5 - Safe injections and Waste DisposalIndia Ministry of Health and Family Welfare2017GuidanceEnglish
Hospital Service Management (2nd revised; 2015) GuidelinesGovernment of Bangladesh2015ReportEnglish
Safe Management of Wastes from Health-Care ActivitiesWorld Health Organization (WHO)2014ToolEnglish
Training for mid-level managers (MLM) - Module 3: Immunization SafetyWorld Health Organization (WHO)2020ToolEnglish, Russian
Facility Health Care Waste Management Plan - GuidanceHealth Care Without HarmToolEnglish
UNICEF EAPRO Technical Training on Climate Smart Health SystemsUNICEF, UNICEF Regional Office for East Asia and the Pacific (EAPRO)2025TrainingEnglish

Technology

This is a set of resources that describes the different technologies currently employed in HCWM.

TitleAuthorYearTypeLanguage
Improving Healthcare Waste Management (across Africa projects) Fact SheetGlobal Environment Facility (GEF), United Nations Development Program (UNDP), World Health Organization (WHO)PresentationEnglish
Compendium of Technologies for Treatment/Destruction of Healthcare WasteUNEP2012ReportEnglish
Decision Maker’s Guides for Solid Waste Management TechnologiesWorld Bank2018GuidanceEnglish
Non-Incineration Medical Waste Treatment TechnologiesHealth Care Without Harm2001GuidanceEnglish
Overview of technologies for the treatment of infectious and sharp waste from health care facilitiesWorld Health Organization (WHO)2019GuidanceEnglish, French
Potential Benefits and Risks Associated with Bundled Service ContractsRAND Corporation2001GuidanceEnglish
How to Organize the Maintenance of Your Healthcare Technology - Management Procedures for Health Facilities and District AuthoritiesWorld Health Organization (WHO)2005GuidanceEnglish

Case Studies & Country Features

TitleAuthorYearTypeLanguage
Coordinate Waste Contracts to Maximize Waste Program PerformanceSustainability Roadmap for Hospitals2015Case studyEnglish
GEF Project Case Study - Cooperation with the Private Sector ZoomPak - Central Treatment Facility in AccraHealth Care Without Harm, United Nations Development Program (UNDP), World Health Organization (WHO)2020Case studyEnglish
Go Green - NYP Queens has reduced Carbon Emission Reduction by 38%NewYork-Presbyterian2019Case studyEnglish
Healthcare Waste Management in the Kyrgyz RepublicSwiss Red Cross2014Case studyEnglish
Policy Brief No.4 Health Facility Committees: The Governance Issue Best Practices in Community-Based Health InitiativesAKHS Kenya2000Case studyEnglish
Situation Analysis of Infection and Prevention Control in Bishkek and Osh, KyrgyzstanAIDSTAR-One (USAID)2008Case studyEnglish
Status of health-care waste management in selected countries of the Western Pacific Region (2015)World Health Organization (WHO)2015Case studyEnglish
Strengthening immunization waste management systems in MyanmarPATH2019Case studyEnglish
Survey on Quantitative and qualitative assessment of medical waste generation and management in Dhaka North City Corporation And Dhaka South City CorporationPRISM2013Case studyEnglish
Zoompak inaugurates new Achimota Transfer StationZoomPak2017Case studyEnglish
Health Care Waste Management Standard Operating Procedures (First Edition)Kenya Ministry of Health2016GuidanceEnglish
Kenya Healthcare Waste Management Strategic Plan 2015-2020Kenya Ministry of Health2015GuidanceEnglish
National Healthcare Waste Management PolicyRepublic of Nigeria: Ministries of Health and the Environment2013GuidanceEnglish
Закон об отходах производства и потребленияПравительство Кыргызской Республики2001GuidanceRussian
Санитарно-эпидемиологические правила и нормативыПравительство Кыргызской Республики2016GuidanceRussian
Healthcare waste management in Nigeria: A case studyStephen Obekpa Abah, Elijah Ige Ohimain2011Case studyEnglish