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Medical waste disposal in developing countries

Health care waste disposal is a complex problem, especially in health systems with lack of resources. Through a new project in collaboration with Médecins Sans Frontières, Design for the World wants to address a small part of it: the safe disposal of contaminated sharps in small health structures in Africa, Asia and Latin America.


The safe and environmentally sound disposal of health care waste materials is a major challenge, and in rich countries a complex and resource-intensive infrastructure is set up to deal with this.

One category of waste materials are the so-called 'medical sharps', such as needles, broken glass vials and laboratory slides etc., which pose clear risks of contamination not only for health staff, but also for patients and cleaning staff within the health centres, and for all persons who are exposed to the medical waste once it leaves the health centre.

Health structures in poorer countries do not have access to the methods and infrastructure used in richer countries; and the fact that many people try to survive by recuperating any seemingly useful object (without due conscience of the risks involved) greatly exacerbates the risk of accidental exposure to a contaminated sharp in those countries.

A global approach is needed: avoiding as much as possible the creation of 'contaminated sharps' in the first place (so-called 'primary prevention'), finding safe disposal systems for those sharps that still have to be used, and educating people about the risks they pose. The approach would also have to do something about the reasons why people have to scavenge potentially dangerous waste to make a living - even when they are conscious of the risks this entails.

But such an approach will take time. In the meantime, Design for the World invites you to participate in finding a practical solution to a problem faced by small health structures all over the world: how to temporarily store the used sharps within the health structure, and how to transport them to a place where they can be safely disposed of.

Many health structures, and the organisations that support them, face this problem. We worked together with Médecins Sans Frontières to define a design brief outlining the problem and the solutions that are available now.

We invite you to read the document, and to send us your ideas and designs for better solutions. Your work will be evaluated together with experts from Médecins Sans Frontières, and those ideas that we think may help solve the problem will be published, and perhaps form the basis for further development.

The aim of the project is to provide solutions for health structures that now lack adequate resources to tackle the problem. Ideas and designs will be put in the public domain, for free use by any person or institution.
 
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