Success message
error message
warn message
Final Evaluation of Reducing UPOPs and Mercury Releases from the Health Sector in Africa project (Medical Waste Management)
Commissioning Unit: Zambia
Evaluation Plan: 2016-2022
Evaluation Type: Project
Completion Date: 12/2020
Unit Responsible for providing Management Response: Zambia
Documents Related to overall Management Response:  
1. Recommendation:

Before the completion of the project, the four project teams should engage in intensive consultations with relevant local authorities (such as district/regional environmental authorities, public health offices and district/local councils). In particular, they should arrange visits of the autoclave treatment facilities by the local authorities and share with them reports and other information on testing of performance of the HCW sterilization

Management Response: [Added: 2020/12/30] [Last Updated: 2020/12/30]

Fully accept agrees entirely with all the recommendation and will seek actions to achieve the recommendation.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Arrange visits to UTH and Chilenje autoclave treatment facilities and share information on testing of performance of the HCW sterilization
[Added: 2022/05/17]
MOH 2021/12 Completed Visits to autoclave treatment facilities were conducted by MOH
2. Recommendation:

Before the completion of the project, the UNDP COs in the four countries in cooperation with the national PIUs should establish institutional mechanisms for a post-project monitoring of performance of the autoclaves and periodic collection of information about amounts of HCW treated. The monitoring, led by the national health authorities, should start immediately upon closure of the project with monthly periodicity

Management Response: [Added: 2020/12/30]

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Establish institutional mechanisms for a post-project monitoring of performance of the autoclaves and periodic collection of information about amounts of HCW treated
[Added: 2022/05/17]
MOH 2021/12 Completed
Commence national health authority led Monitoring immediately upon closure of the project with monthly periodicity
[Added: 2022/05/29]
Ministry of health 2021/03 Completed This is part of routine mentoring at all levels
3. Recommendation:

As part of the post-project monitoring, the four countries should evaluate merits of the post-treatment on final disposal of autoclaved HCW and gather experience from operation and maintenance of the shredding and compacting devices. The lessons learned should be disseminated through relevant UNDP outreach channels

Management Response: [Added: 2020/12/30]

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Conduct learned learned on final disposal of autoclaved HCW
[Added: 2022/05/17]
MOH 2021/12 Completed
Evaluate merits of post treatment of final disposal of autoclaved HCW and gather experience from operations and maintenance of shredding and compacting devices
[Added: 2022/05/29]
MOH 2021/12 Completed This action has been completed.
4. Recommendation:

Relevant health authorities in the project countries should collect and disseminate experience from working cluster HCW treatment systems including formulas for calculation of tariffs for transportation of HCW and treatment at the autoclave cluster treatment centres

Management Response: [Added: 2020/12/30]

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Collect and disseminate experience from working cluster HWC treatment system including for calculating tariffs for transportation of HWC and treatment at the autoclave cluster treatment centers.
[Added: 2022/05/29]
MOH 2021/12 Completed Documentary was developed.
5. Recommendation:

In order to ensure continued after-warranty repair service of the installed autoclaves, the national health authorities and the project model HCFs in the four countries should establish national autoclave maintenance teams and/or contracting local external repair service companies. UNDP COs should be of assistance for identification of reliable local 

Management Response: [Added: 2020/12/30]

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Establish Autoclave maintenance team
[Added: 2022/05/29]
MOH 2021/12 Completed Taken on by medical maintenance team. History
6. Recommendation:

Relevant health authorities in the four countries should establish procedures for sound post-project management of the central storage of mercury HCW and cooperate with holders of mercury waste in other sectors in order to identify final disposal option in line with provisions of the Minamata Convention

Management Response: [Added: 2020/12/30]

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Establish procedures for sound post project management of central storage of mercury HWC and cooperate with holders of mercury waste in other sector in order to identify final disposal option in line with provision of the minimata convention
[Added: 2022/05/29]
MOH 2022/12 Initiated Zema to give guidance on the final disposal
7. Recommendation:

Relevant health authorities in the four countries should assist national health training institutions to secure financing for continuation of training and re-training courses with HCWM modules for health workers

Management Response: [Added: 2020/12/30]

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Secure financing for continuation of training and retraining courses with HWC modules for health workers
[Added: 2022/05/29]
MOH 2021/12 Completed Modules have been included in the Environmental health curriculum at the University of Zambia and levy Mwanawasa University

Latest Evaluations

Contact us

1 UN Plaza
DC1-20th Floor
New York, NY 10017
Tel. +1 646 781 4200
Fax. +1 646 781 4213
erc.support@undp.org