PC-I

ESTABLISHMENT OF WASTE
MANAGEMENT AT PEOPLES MEDICAL
COLLEGE HOSPITAL NAWABSHAH,
SHAHEED BENAZIR ABAD

(Estimated Cost Rs. Million)

 PC-1 FORM
(SOCIAL SECTORS)

1. Name of the Project ESTABLISHMENT OF WASTE MANAGEMENT

2. Location
 Name of District/Province PEOPLES MEDICAL COLLEGE HOSPITAL
 Indicate project location NAWABSHAH SHAHEED BENAZIR ABAD

3. Authority responsible for:

i) Sponsoring

ii) Execution Health Department Government of Sindh

iii) Operation and maintenance Medical Superintendent of concerned Hospital

iv) Concerned Department PEOPLES MEDICAL COLLEGE HOSPITAL

NAWABSHAH SHAHEED BENAZIR ABAD
1. Plan Provision

a) Plan provision

 If the project is included in the medium Not included.

term / five year plan, specify actual
allocation.

 If not included in the current plan,

what warrants its inclusion and how is
it now proposed to be accommodated.

 If the project is proposed to be N.A.

financed out of block provision,
indicate:

Total bloc provision Amount already Amount proposed for/ this Balance available
committed project

--

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5. Project objectives and its relationship
with sectoral objectives:
The objectives of the sector / sub sector as
indicated in the medium term / five year plan
be reproduced Indicate objectives of the
project and develop a linkage between the
proposed project and sectoral objectives.
\ involved in hospital waste management like residual
To examine & determine detailed and comprehensive
Hospital Waste Management Program including
collection storage, segregation, transportation and
disposal by utilizing advance and environmental
friendly technology.
To assess the extent & hazardous nature of medical
risk waste, special lab analysis/test may be conducted
i.e. chemical, bacteriological and Radiological
Analysis.
Examine & determine the environmental risks
of incinerators & develop ways / methods to reduce
and dispose them.
 To improve Health care waste management in
Health care facilities.
 To avoid generating waste and thus minimize
the quantity entering the waste steam.
 To reduce the risk of infection of hospitals,
HIV and other health Hazards.
 To adopt proper hospitals waste management
activities in the Hospital.
 Where practicable and safe, those waste items
that can be recovered for secondary use in the
next most preferable method.
 Waste that cannot be recovered must then be
dealt with by the least harmful options.
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6. Description, justification and technical
Parameters :
 Describe the project and indicate
Existing facilities in the area and justify
The establishment of the project.
 Provide technical parameters and
discuss technology aspect of the
Project.
DESCRIPTION OF THE PROJECT
Procurement of new high tech equipment and the
replacement of the old one is imperative for quality
management of hospital infectious waste. Induction of
trained, operational and maintenance staff for efficient
and competent use of equipment also cannot be over
looked.
JUSTIFICATION
As the world population grows, and cities turn into
mega cities, infectious disease control becomes
critical.
If Hospital waste is not managed properly it proves to
be harmful to the environment. It not only poses a
threat to the employees working in the hospital, but
also to the people surrounding that area. Infectious
waste can cause diseases like Hepatitis A & B, AIDS,
Typhoid, Boils, etc.
A common practice in Pakistan is the reuse of
disposable syringes. People pick up used syringes from
the hospital waste and sell them. Many drug addicts
also reuse the syringes that can cause AIDS and other
dangerous and contagious diseases. If a Syringe,
previously used by an AIDS patient, is reused it can
affect the person using it. When waste containing
plastics are burnt, Dioxin is produced, which can cause
Cancer, birth defects, decreased psychomotor ability,
hearing defects, cognitive defects and behavioral
alternations in infants.
 The existing hospital waste management
system (Human and Material Sources) is not up to the
required standards and even not capable to cope with
work load.
 The available equipment’s are obsolete,
nonfunctional and needs immediate replacement.
 The number, range of the make of available
equipment’s do not commensurate with the
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environmental (Health) safety standards resulting in
professional handicaps. Hence new high tech
equipment is mandatory for safe collection and
disposal of the health waste.
 There is acute shortage of staff for efficient
collection and preparation of hospital waste. Further,
mere procurement & installation of high tech
equipment will not suffice without properly trained
staff. Dedicated hospital waste management staff is
required for proper collection /segregation/disposal of
hospital waste & operation / maintenance of the
equipment’s.

Hospital waste Treatment system should be the most

advance and most efficient medical-waste-treatment
technology in the world. It should be the most valid
alternative currently available to traditional disposing
methods like incineration.

The technology must be designed to handle

infectious/biohazard hospital wastes by high level of
sterilization, including wet waste, metals, liquids and
sharps, perform automatic operation, and not
dependent on operator skill for sterility, no infectious
or harmful emissions, Mechanical destruction of the
waste and safe for land fill.

Economically low operating cost with low energy

consumption, low maintenance costs, no costly bags,
filters or chemicals in the process, very large weight
and volume reduction of the waste.

The equipment treatment should be based on

friction/chafing and grinding of the waste in a moist
environment. The treatment process should takes place
inside a single chamber by means of a high-speed
rotor. The temperature rises to 150°C and should held
for the time necessary to achieve sterilization. When
all the liquid contained in the waste has evaporated, it
is brought to dry, superheated conditions. The residue
will be dry and unrecognizable product with reduced
volume error.

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Cost estimates:

a. Date of estimation of project cost:

b. Basis of determining of capital cost

(market survey / previous work done /
schedule rates)

The works would be carried out in accordance with the

c. Year wise estimation of the physical
activity:
approved schedule rates.
A ‘Supervisory Committee’ would also constituted to
periodically review the project physically to ensure
quality and timely completion.
The revenue component is prepared according to the
prevailing market rates.

Demand and supply analysis:

Existing capacity of services and its supply:

 Provide details of Civil works, Peoples Medical College Hospital Nawabshah

equipment, machinery and other Shaheed Benazir Abad getting liquid oxygen
physical facilities required for the through local vendors.
project.

 Indicate governance issues of the

sector relevant to the project and
strategy to resolve. No.

 Indicate whether the proposed

facilities are preventive or curative. Preventive and curative.

 Bifurcate the facilities between indoor,

outdoor and department-wise. N/A

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10. Financial Plan and mode of financing:
Health Department, Government of Sindh
Sources of financing

 Sponsors own resources

 Provide year-wise estimates of

Physical activities by main
components as per following:

Year-wise Financial Phasing

1. Peoples Medical College Hospital Nawabshah Shaheed Benazir Abad
Year-
Item Year-I Rs Total Rs
II
1 Cost of Civil Work __ N/A __

2 Cost of Equipment (Oxygen Rs. 49.2 Million N/A Rs. 49.2 Million
Generation Plant.

Sub-Total Rs. 49.2 Million N/A Rs. 49.2 Million

Total Rs. 49.2 Million

Advertisement Charges
* 1% TPM charges. Rs. 49.2 Million
Year-wise/ Component-wise Financial Phasing
Year-I Year-II
Item F Total
Total Local FEC Total Local E
C
1 Capital - - -
2 Revenue Rs. 49.2 Million - - - Rs. 49.2 Million
Sub-Total Rs. 49.2 Million Rs. 49.2 Million

Total Capital
Total Revenue Rs. 49.2 Million
Grand Total Rs. 49.2 Million
b) In case of revised Projects,
Provide:

 Projects approval history. N/A

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  Justification for revision N/A
of PC-I and variation in
scope of the project if
applicable.

 Item-wise comparison of N/A

revised cost with the
approved cost and give
reasons for variation.

7. Annual operating and Total recurring cost for five years after completion of project is
maintenance cost after details at annexure-
completion of the Project
Operational and maintenance cost of the hospital after completion
of the project
11. Project benefits and
analysis:
----------------
i) Financial  To eliminate the need for hazardous storage.
ii) Social benefits with  Hospitals solely independent with continuous duty/24 hour-
indicators per-day operation
 By reducing moving parts to an absolute minimum and by
applying high quality components, maintenance costs will
stay at low levels during the entire generator’s lifetime.

Employment opportunities shall be generated through this project.

iii) Employment generation
(direct and indirect)

There will be no negative environmental impact of this project.

iv) Environmental impact

If the project is delayed, the cost on capital as well as revenue

component will be increased.
v) Impact of delays on
project cost
and viability

12. Implementation schedule: Completion period of the scheme is designed for one year it shall
 Indicate starting and be completed in all respects by the end of financial year 2019-
completion date 2020.
of the project Implementation plan is depicted below:

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IMPLEMENTATION PLAN:
Time line
S.N Budgeting
# Scope of Work July-Sep Oct-Dec Jan-Mar April-Jun Requirement
2019-20 2019-20 2020-21 2020-21
CIVIL WORKS:

 Advertisement

 Tender Receipt

 Bids Evaluation
N/A.
1  Work order

 Renovation & Repair

Works/ Construction
Works

 Payment to Contractor

REVENUE COMPONENT:

 Advertisement

 Tender Receipt

 Bids Evaluation

2  Order

 Purchase of Equipment

 Payment to Contractor

13. Management structure and manpower

requirements including Specialized skills
during execution and operational phases:

 Administrative arrangements for Subsequent to completion of the implementation

Implementation of the project. process, Medical Superintendent of concerned
Hospital will supervise all the physical activities.

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 If required so far, skill of existing manpower
shall be utilized till the SNE is sanctioned by the
 Manpower requirements during execution finance Department.
and operation of the project be provided
by skills / profession.

This would be prescribed by Health Department,

Government of Sindh in accordance with the
 Job description, qualification, experience, age specification of the services proposed to be
and salary of each job is provided. established.

Sr.# Name of item Quantity Unit cost Total

1 Supply and Installation of

On-Site Oxygen Generating 01 Rs. 49.2 Million Rs. 49.2 Million
system.

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