Mid Term Evaluation Management of E-Waste and Medical Wastes

Report Cover Image
Evaluation Plan:
2018-2022, Egypt
Evaluation Type:
Mid Term Project
Planned End Date:
12/2018
Completion Date:
12/2018
Status:
Completed
Management Response:
Yes
Evaluation Budget(US $):
20,000

Share

Document Type Language Size Status Downloads
Download document TOR MTR.docx tor English 84.54 KB Posted 27
Download document MTR Final.pdf report English 1098.17 KB Posted 24
Title Mid Term Evaluation Management of E-Waste and Medical Wastes
Atlas Project Number: 83771
Evaluation Plan: 2018-2022, Egypt
Evaluation Type: Mid Term Project
Status: Completed
Completion Date: 12/2018
Planned End Date: 12/2018
Management Response: Yes
Corporate Outcome and Output (UNDP Strategic Plan 2018-2021)
  • 1. Output 2.1.1 Low emission and climate resilient objectives addressed in national, sub-national and sectoral development plans and policies to promote economic diversification and green growth
Evaluation Budget(US $): 20,000
Source of Funding: GEF, UNDP
Evaluation Expenditure(US $): 20,000
Joint Programme: No
Mandatory Evaluation: No
Joint Evaluation: No
Evaluation Team members:
Name Title Email Nationality
GEF Evaluation: Yes
GEF Project Title: Management of E-Waste and Medical Wastes
Evaluation Type: Mid-term Review
Focal Area: Persistent Organic Pollutants
Project Type: FSP
GEF Phase: GEF-5
GEF Project ID: 4392
PIMS Number: 4567
Key Stakeholders: Ministry of Environment
Countries: EGYPT
Lessons
Findings
Recommendations
1

Exit Strategy: A clear exit strategy needs to be developed so that the mechanisms and structures are created during the project implementation to guarantee the end of funding sustainability.

2

Evaluation Recommendation or Issue 2:

Project extension: Based on time delay of the project, the remaining budget and questionable sustainability of the project results, it is recommended that the project is extended without additional budget until September 2022 to have sufficient time frame for substantive testing of pilot centers and for communication of the results and lessons.

Given the long-term efforts needed towards awareness raising and also the need to augment the economic and social aspects of recyclers the project may need to have a second phase. However, such a call can be made during the terminal evaluations.

3

Evaluation Recommendation or Issue 3:

Legal framework: Electronic waste (management and Handling) Rules and Policies to be developed for a comprehensive management of E-Waste in Egypt. The enhancement of HCWM legal framework need to be accelerated to the national level in close collaboration with the line ministries.

4

Evaluation Recommendation or Issue 4:

Capacity building: Insert HCWM training modules into the institutional training of medical staff (nursing schools and medical universities). Further training of inspectors and sanitarians is needed.

5

Evaluation Recommendation or Issue 5:

BEP: The project should play an active role in increasing BEP with focus on the proper segregation of waste – not only in the project hospitals but at least in all HCF of the two target governorates and CUH.

The project results of non-incineration technology in comparison to the environmental risks of the incinerators established by the MoHP should be used to advocate investing in alternative environmentally friendly technologies in future.

6

Evaluation Recommendation or Issue 6:

Asset Management: Develop a systematic process for the central treatment centers of deploying, operating, maintaining and upgrading their assets like waste equipment, infrastructure and transport vehicles.

7

Evaluation Recommendation or Issue 7:

Access to project documents: The evaluators recommend reorganizing the webpage to provide an easier access to project information and to upload useful project materials, such as training materials, specifications of equipment and infrastructure and facility-based healthcare waste management plans in Arabic and English language.

8

Evaluation Recommendation or Issue 8:

Social media and networks: Good project keepsake by share experiences and information with stakeholder, the public and other by frequent use of social networks like facebook and twitter, updating and enhancing of the project webpage (or merge web page with other UNDP GEF project with the similar content) and providing of project video with BEP and BAT in the HCW and E-waste sector.

9

Evaluation Recommendation or Issue 9:

Organizational Structure: Ensuring that the responsible person for HCWM (HWO) is part of the Infection Control Committee. A clear job description of the HWO (tasks and duties) need to be elaborated and the HWO should be certified as such by an independent certification unit. HCWM training modules to be inserted into the curriculum of medical universities and nursing schools.

E-waste management protocol should be included in standard industrial process catalogue and also the material on awareness towards sustainable practice of E-waste management should be included in curriculum of Civil Engineering and other professional courses related to waste management.

10

Evaluation Recommendation or Issue 10:

Certification of HWOs: HWOs need to be trained and certified for their job. Therefore, an independent certification unit / agency needs to be established, which is educating the HWO on basics and updates.

11

Evaluation Recommendation or Issue 11:

Awareness raising: Awareness campaigns on HCWM and E-waste to be conducted in cooperation with Swiss projects, to increase knowledge and sensitize the public on the risks of unsafe waste management.

12

Evaluation Recommendation or Issue 12:

Governmental monitoring: It is important to establishing an independent monitoring authority including monitoring processes and tools / checklists on which the inspectors / sanitarians are trained.

13

Evaluation Recommendation or Issue 13:

Lessons learnt: Capture lessons-learned and project results. The project results will be highly beneficial not only for the replication of this project’s results within the country, but also for other countries in the Region.

1. Recommendation:

Exit Strategy: A clear exit strategy needs to be developed so that the mechanisms and structures are created during the project implementation to guarantee the end of funding sustainability.

Management Response: [Added: 2018/12/27]

1.1. Hold a series of round table discussions meetings and workshops with relevant governmental officials and stake holders to emphasize ownership

1.2 Contract a consultant to develop the required structure and calculate the cost to sustain the waste management system for the line ministries

1.3 Hold a ministerial meeting to approve, endorse and allocate the required human and financial resources.

Key Actions:

2. Recommendation:

Evaluation Recommendation or Issue 2:

Project extension: Based on time delay of the project, the remaining budget and questionable sustainability of the project results, it is recommended that the project is extended without additional budget until September 2022 to have sufficient time frame for substantive testing of pilot centers and for communication of the results and lessons.

Given the long-term efforts needed towards awareness raising and also the need to augment the economic and social aspects of recyclers the project may need to have a second phase. However, such a call can be made during the terminal evaluations.

Management Response: [Added: 2018/12/27]

2.1 Seek that project is extended without additional budget until September 2022

Key Actions:

3. Recommendation:

Evaluation Recommendation or Issue 3:

Legal framework: Electronic waste (management and Handling) Rules and Policies to be developed for a comprehensive management of E-Waste in Egypt. The enhancement of HCWM legal framework need to be accelerated to the national level in close collaboration with the line ministries.

Management Response: [Added: 2018/12/27]

E-Waste

3.1 Contract a consultant to propose rules and policies for the management of e-waste and assist in the preparation of the executive regulations for the new waste management law, based on the outcomes of the consultation meetings.

3.2 Hold a series of consultation meetings and workshops with relevant governmental officials, private sector, NGOs and stakeholders to strengthen the communication and coordination between all parties and unify the visions regarding the management of e-waste

3.3 Hold a high level specialized meeting with officials of the Ministry of Industry to advocate for the ministry of Industry to take the leading role in the e-waste management and to Include the E-waste management protocol in standard industrial process catalogue (See section 9)

Health care waste

3.4 Hold a series of  consultation meetings and workshops with relevant governmental officials, private sector, and stakeholders to strengthen the communication and coordination between all parties     

3.5 Hold a high level specialized meeting with officials of the MoHP to advocate for the MoHP to implement the project developed guidelines and polices nationwide, emphasize the reinforcement of the exciting regulation and policies, encourage the involvement of the private sector in the HCW management system and activate the monitoring and inspection mechanism (See section 12)

3.6 Contract a consultant to identify the gaps in the HCWM legal framework and suggest articles to be included in the executive regulations for the new waste management law and include chemical management 

Key Actions:

4. Recommendation:

Evaluation Recommendation or Issue 4:

Capacity building: Insert HCWM training modules into the institutional training of medical staff (nursing schools and medical universities). Further training of inspectors and sanitarians is needed.

Management Response: [Added: 2018/12/27]

4.1 Contract a consultant to  review the Medical and nursing schools curricula to explore the availability of relevant courses.

4.2 Approach the Supreme Council of Universities to explore the possibility of introducing such courses in the curricula for the undergraduate level in the Medical and nursing schools

4.3 Regarding training of inspectors and sanitarians, (see section 10).

4.4 Same approach will be followed with the Engineering schools regarding e-waste management (see section 9)

Key Actions:

5. Recommendation:

Evaluation Recommendation or Issue 5:

BEP: The project should play an active role in increasing BEP with focus on the proper segregation of waste – not only in the project hospitals but at least in all HCF of the two target governorates and CUH.

The project results of non-incineration technology in comparison to the environmental risks of the incinerators established by the MoHP should be used to advocate investing in alternative environmentally friendly technologies in future.

Management Response: [Added: 2018/12/27]

5.1 Contract an International accredited consultant to measure emissions (Dioxin & Furan) of sample from the incinerators newly installed by MoHP and private sector owned facilities to compare the measures with the Stockholm Convention limits and conduct measurement cross check with results from local labs.

5.3 Contract an International accredited consultant to provide technical assistance to support accreditation of the MoHP labs for emissions measurements of Dixon and Furans.

5.4 Communicate with the Swiss project to obtain the specifications and the cost of the state of the art incinerators to identify appropriate prevailing conditions for choosing between investing in incineration and and alternative environmentally friendly technologies in future

5.5 Hold a ministerial meeting with officials of the MoHP to encourage the MoHP to implement the project developed guidelines and polices nationwide, emphasize the reinforcement of the exciting regulation and policies, encourage the involvement of the private sector in the HCW management system and activate the monitoring and inspection mechanism (See section 12)

Key Actions:

6. Recommendation:

Evaluation Recommendation or Issue 6:

Asset Management: Develop a systematic process for the central treatment centers of deploying, operating, maintaining and upgrading their assets like waste equipment, infrastructure and transport vehicles.

Management Response: [Added: 2018/12/27]

6.1 Develop organizational structure, staff job description and standard operational procedures by the project International consultant

6.2 Assist the MoHP to assign the staff who will take charge of the asset by the project International consultant.

6.3 Provide technical guidance by the project International consultant to maintain the developed structure and calculate the cost to maintain the sustainability of the asset operation and implementation of a sustainable operation mechanism

6.4 Hold a ministerial meeting to approve endorse and allocate the required human and financial resources.

And explore the possibility of outsourcing the management of the asset to the private sector and establish the framework for such a service.

Key Actions:

7. Recommendation:

Evaluation Recommendation or Issue 7:

Access to project documents: The evaluators recommend reorganizing the webpage to provide an easier access to project information and to upload useful project materials, such as training materials, specifications of equipment and infrastructure and facility-based healthcare waste management plans in Arabic and English language.

Management Response: [Added: 2018/12/27]

7.1 Upload the project outputs.

7.2 Encrypt official classified documents with passwords to limit access to the relevant stake holders

7.3 Produce new project outputs in dual language (English and Arabic).

7.4 Coordinate with MoE to periodically submit all the project documents to the ministry information center.

Key Actions:

8. Recommendation:

Evaluation Recommendation or Issue 8:

Social media and networks: Good project keepsake by share experiences and information with stakeholder, the public and other by frequent use of social networks like facebook and twitter, updating and enhancing of the project webpage (or merge web page with other UNDP GEF project with the similar content) and providing of project video with BEP and BAT in the HCW and E-waste sector.

Management Response: [Added: 2018/12/27]

8.1 Merge the project website with MoE and WAMRA websites

8.2 Widen the usage of the project social portals by the relevant stake holders by inviting them to use them.

8.3 Disseminate the activities, the news  and the awareness raising materials of the project on the project social portals on a regular basis

8.4 Include the project social portals in the awareness campaigns (see section 11)

Key Actions:

9. Recommendation:

Evaluation Recommendation or Issue 9:

Organizational Structure: Ensuring that the responsible person for HCWM (HWO) is part of the Infection Control Committee. A clear job description of the HWO (tasks and duties) need to be elaborated and the HWO should be certified as such by an independent certification unit. HCWM training modules to be inserted into the curriculum of medical universities and nursing schools.

E-waste management protocol should be included in standard industrial process catalogue and also the material on awareness towards sustainable practice of E-waste management should be included in curriculum of Civil Engineering and other professional courses related to waste management.

Management Response: [Added: 2018/12/27]

9.1 Develop a job description for the HWO including the qualifications and certifications (see Section 10)

9.2 Hold a ministerial meeting to Include in the policy / legal framework to assign a person from the infection control committee to be in charge of the HW management as a HWO

9.3 For introducing the HCWM and e-waste material in the universities curricula, same approach as mentioned in section 4 will be followed

9.4 Regarding including the E-waste management protocol in standard industrial process catalogue, it will be included in the legal framework process as explained in section 3

Key Actions:

10. Recommendation:

Evaluation Recommendation or Issue 10:

Certification of HWOs: HWOs need to be trained and certified for their job. Therefore, an independent certification unit / agency needs to be established, which is educating the HWO on basics and updates.

Management Response: [Added: 2018/12/27]

10.1 Hold a series of meetings with the MoHP Training institute officials to design a nationwide training programme and include such courses in their training programs, after coordinating with MoHP Central Department of Environment.

10.2 Provide technical and financial support for the training courses

10.3 Utilize the skilled trained staff from TOT training Program held in 2018  to conduct the required training programs.

10.4 Coordination with the Swiss funded project to support the same training in the governorates covered by their project

10.5 Coordinate with the line ministries to update the mandate of the higher committee of HCW that exists and includes a number of experts representing relevant governmental entities to include the certification and monitoring task.

Key Actions:

11. Recommendation:

Evaluation Recommendation or Issue 11:

Awareness raising: Awareness campaigns on HCWM and E-waste to be conducted in cooperation with Swiss projects, to increase knowledge and sensitize the public on the risks of unsafe waste management.

Management Response: [Added: 2018/12/27]

11.1 Contract a professional company to design an awareness campaign for the project activities and develop long-term plans (beyond its project period)

11.2 Contract a professional company to develop awareness raising material on HCWM

11.3 Coordinate with the HCW Swiss project to promote the awareness campaign

Key Actions:

12. Recommendation:

Evaluation Recommendation or Issue 12:

Governmental monitoring: It is important to establishing an independent monitoring authority including monitoring processes and tools / checklists on which the inspectors / sanitarians are trained.

Management Response: [Added: 2018/12/27]

12.1 Hold a ministerial meeting to update the mandate of the higher committee of HCW that exists and includes a number of experts representing relevant governmental entities to include the certification and monitoring task.

12.2 Coordinate with the committee to develop a plan for periodical inspection and monitoring.

12.3 Unify and approve a list for the monitoring processes and tools / checklists.

12.4 Assign qualified teams for applying the monitoring processes and tools / checklists in the HCFs. The teams will be managed by the committee.

Key Actions:

13. Recommendation:

Evaluation Recommendation or Issue 13:

Lessons learnt: Capture lessons-learned and project results. The project results will be highly beneficial not only for the replication of this project’s results within the country, but also for other countries in the Region.

Management Response: [Added: 2018/12/27]

13.1 Document the success stories

13.2 Extract the lessons learnt  from the project activities reports

13.3 Announce the developed documents on the project website

Key Actions:

Latest Evaluations

Contact us

220 East 42nd Street
20th Floor
New York, NY 10017
Tel. +1 646 781 4200
Fax. +1 646 781 4213
erc.support@undp.org