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A Gap Analysis in Selected Asian Countries, 3R Knowledge Hub ...

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In the national level, Science, Technology and<br />

Environment Agency is responsible for waste<br />

management <strong>in</strong> Laos, whereas, urban waste<br />

management is under the jurisdiction of the<br />

M<strong>in</strong>istry of Communication, Transport, Port<br />

and Construction.<br />

Waste management <strong>in</strong> Laos is shared by<br />

national and prov<strong>in</strong>cial government, although<br />

primarily implemented through local<br />

authorities. Progress <strong>in</strong> waste management has<br />

depended on donor support <strong>in</strong>clud<strong>in</strong>g that of<br />

NGO and private sector participation.<br />

The Lao Garbage Society (LGS) founded <strong>in</strong><br />

1994 offers residential and commercial pickup<br />

and transportation to the dumpsite. In 1997,<br />

the Japanese International Corporation Agency<br />

(JICA) founded the Urban Cleans<strong>in</strong>g Service<br />

(UCS). JICA donated USD 2.7 million <strong>in</strong><br />

construct<strong>in</strong>g a build<strong>in</strong>g for UCS, upgrad<strong>in</strong>g the<br />

dumpsite, purchas<strong>in</strong>g vehicles and large metal<br />

solid waste b<strong>in</strong>s. UCS currently contributes to<br />

90% of the solid waste collection <strong>in</strong> Vientiane<br />

and LGS contributes to the rema<strong>in</strong><strong>in</strong>g 10%. A<br />

local NGO, the Participatory Development<br />

Tra<strong>in</strong><strong>in</strong>g Centre, setup a company that buys<br />

recyclable materials and ships them to<br />

Thailand. This has led to the promotion of<br />

recyclable banks buy<strong>in</strong>g recyclable materials<br />

from <strong>in</strong>dividuals and members of the <strong>in</strong>formal<br />

sectors such as the rag pickers and <strong>in</strong>formal<br />

collectors.<br />

Similarly, Waste-Econ Program conducted a<br />

research funded by CIDA from 2000-2005<br />

<strong>in</strong>volv<strong>in</strong>g partnerships with a number of<br />

government <strong>in</strong>stitutions, universities and<br />

NGOs <strong>in</strong> Vietnam, Cambodia and Laos. The<br />

program aimed to explore methods for<br />

recycl<strong>in</strong>g, exchang<strong>in</strong>g and reduc<strong>in</strong>g <strong>in</strong> ways<br />

that will be beneficial to the economies of the<br />

partner countries, to people work<strong>in</strong>g <strong>in</strong> the<br />

waste sector and to the environment as a<br />

whole. In Laos, the University of Toronto has<br />

partnered with the National Science Council at<br />

the Prime M<strong>in</strong>ister’s Office <strong>in</strong> Vientiane. Pilot<br />

projects such as feasibility studies of<br />

compost<strong>in</strong>g organic wastes from markets <strong>in</strong><br />

Vientiane have been carried-out.<br />

In 2001, community based recycl<strong>in</strong>g was<br />

<strong>in</strong>itiated <strong>in</strong> three villages and three schools <strong>in</strong><br />

the central districts of Vientiane. The objective<br />

of the project was to educate people to separate<br />

their waste <strong>in</strong> order to reduce the amount of<br />

material that goes to the landfill. The project<br />

was funded by the Royal Netherlands Embassy<br />

<strong>in</strong> Bangkok and UNDP.<br />

HEALTHCARE WASTE<br />

In Laos, the amount of healthcare waste is<br />

<strong>in</strong>creas<strong>in</strong>g with the improvement <strong>in</strong> health-care<br />

activities s<strong>in</strong>ce 1990 when the country opened<br />

its doors to people from other countries and<br />

various health organizations started their<br />

activities. It has been observed that the amount<br />

of sources of potential healthcare wastes, such<br />

as equipment (for laboratory tests, medical<br />

treatments, and immunization), medic<strong>in</strong>es and<br />

vacc<strong>in</strong>es has been <strong>in</strong>creas<strong>in</strong>g beyond the<br />

capacity for its disposal by the exist<strong>in</strong>g<br />

management systems, especially <strong>in</strong> rural areas<br />

(Kuroiwa et al. 2004). In response to these<br />

concerns, <strong>in</strong>c<strong>in</strong>erators were <strong>in</strong>stalled <strong>in</strong> all 18<br />

municipality/prov<strong>in</strong>ces due to the efforts of the<br />

WHO and UNICEF. In some rural areas,<br />

untreated healthcare waste <strong>in</strong>clud<strong>in</strong>g<br />

hazardous <strong>in</strong>fectious waste is dumped <strong>in</strong><br />

uncontrolled sites (e.g., the backyards of<br />

healthcare facilities) that are accessible to the<br />

general public. Healthcare waste segregation<br />

has been implemented s<strong>in</strong>ce 1999 through a<br />

healthy city program under the auspices of the<br />

M<strong>in</strong>istry of Health, however, the program is<br />

not yet widespread (Kuroiwa et al. 2004).<br />

A study by Phengxay et al (2005) discusses<br />

deeply the current situation of healthcare waste<br />

management <strong>in</strong> Lao PDR. The study <strong>in</strong>dicates<br />

that the MOH allocated a budget for healthcare<br />

waste management only to the national<br />

hospital level. Three prov<strong>in</strong>cial hospitals were<br />

supported by a NGO and the others,<br />

particularly at health centre level did not have<br />

any fund for healthcare waste activities.<br />

The study also <strong>in</strong>dicates that sharp waste<br />

segregation was done at all healthcare facilities.<br />

With regard to <strong>in</strong>fectious waste segregation,<br />

color-coded bags were used only at the<br />

national hospital and <strong>in</strong> some prov<strong>in</strong>cial<br />

hospitals. Labels were used at some prov<strong>in</strong>cial<br />

hospitals. For f<strong>in</strong>al disposal of healthcare<br />

waste, Vientiane Municipality and four<br />

Chapter 3: Country <strong>Analysis</strong><br />

83

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