NATIONAL HEALTH CARE WASTE MANAGEMENT FRAMEWORK FOR SA – ALIGNMENT OF INITIATIVES AND POTENTIAL HEALTH CARE WASTE MANAGEMENT CONFERENCE AUGUST 2003 ZAMA ZINCUME (NDOH)

NATIONAL HEALTH CARE WASTE MANAGEMENT Integrated Pollution and Waste Management (IP&WM) SABS Codes of Practice Minimum Requirements

ROLES AND RESPONSIBILITIES DEAT NDOH Provincial and Local Government Other Stakeholders

CURRENT INITIATIVES KZN (Kwa-Zulu Natal Imbizo) Western Cape GDACEL (DANCED) National HCW Management Imbizo

ALIGNMENT OF INITIATIVES Learning from models developed Rural and Urban bias Regional examples – Kenya and Tanzania Provinces with rural bias Study on rural HCW management

POTENTIAL CONFLICTS Self serving / health and well-being of SA citizens Responsible utilisation of lessons learnt Designing provincial HCW management National framework, guidelines, strategies in place

CONCLUSION Intersectorality Public Private Partnership Funding under resourced provinces