การบรรยาย รพ.ลดโลกร้อน (2)

GREEN and CLEAN Hospital Project in Thailand

MR.CHALERM SODSRI

Public Health Specialist

Situation and GHGs Emission Trend in Thailand (2009)

0

20000

40000

60000

80000

100000

120000

Energy Industry Agiculture Landuse Change

Wastes

Ton CO₂ eq.

Source

56.1%

5.4%

24.1%

6.6% 7.8%

and forestry

Source: Thailand Greenhouse Gas Management Organization.

GREEN and CLEAN Hospital Project

To promote collaboration among healthcare facilities under the Ministry of Public Health and to campaign for responding global warming with GREEN & CLEAN concept;

To enable healthcare facilities under the Ministry of Public Health to be project prototype;

To increase knowledge and understanding on health impact

related to global warming for public health personnel.

Project Objectives

2

3

GREEN CLEAN Health Sector

SuSan Strategy Setting

People

participation

in global warming

Village

health

voluntee

r

& Network

Communities

What we do?

How it works?

Where we do?

Good practice models Promoting for

general implementation

Conceptual Framework

Total Amount of Healthcare

facilities in Thailand (2012)

835

9,769

Total 10,644 unit

Hospital

Sub-district hospital

As of March 2012

As of March 2012

The Progress of

Implementation

- 3,442 healthcare facilities participated in the project;

- 13 of those healthcare facilities are success as

“ GREEN & CLEAN Hospital Models” (Completion of GREEN Activities and Carbon Footprint evaluation)

GREEN & CLEAN Hospital

The 17th Somdejphrasangkharaj Hospital, Suphanburi, Thailand

The 17th

Somdejphrasangkharaj

Hospital

• 250-bed-hospital

• Service 1,000

patients/day

- 800

Outpatients/day

- 200 Inpatients/day

GREEN & CLEAN Hospital

Project • Objective

- The problem of climate change & global

warming

- Reduce global warming under

supervised by department of health

• Methodology

- GREEN & CLEAN Management

GREEN & CLEAN Hospital

Project

Sustainable & Ecological sanitation

โรงพยาบาลลดโลกร้อน GREEN&CLEAN HOSPITAL

G

E

R E

N

GREEN & CLEAN Management

GREEN: Guidance

Activities

• G: Garbage

- 4Rs: Reuse, Reduce, Recycle & Repair

• R: Rest room

• E: Energy

• E: Environment

• N: Nutrition

GREEN: Guidance

Activities

• G: Garbage

- 4Rs: Reuse, Reduce,

Recycle & Repair

• R: Rest room

• E: Energy

• E: Environment

• N: Nutrition

Garbage: Reuse

Lung expansion device

Effective microorganism(EM) container

Plastic bottle

Garbage: Reduce

Canvas bag instead of plastic bag

Banana leaf as food carrier

Garbage: Recycle

- Categorize the

rubbish into paper,

can, glasses and

plastic

- Send to the factory as categorized

Recycle cleaned water

Garbage: Repair

Bicycling for plant watering

Innovation:Garbage: Repair Tricycle with solar energy

GREEN: Guidance

Activities • G: Garbage

- 4Rs: Reuse, Reduce, Recycle, Repair

• R: Rest room

• E: Energy

• E: Environment

• N: Nutrition

Rest room

• Principle of management

- Separate toilet facilities

- Treat sewage before disposal

- Use the appropriate management

technology

- Make the fertilizer from waste product

Rest Room Before

After

The Best Quality Toilet of Thailand Award 2009

Rest room

• HAS :Thailand public toilet standard

- H: health or hygienic condition

- A: accessibility

- S: Safety

GREEN: Guidance

Activities • G: Garbage

- 4Rs: Reuse, Reduce, Recycle, Repair

• R: Rest room

• E: Energy

• E: Environment

• N: Nutrition

Energy

Light system 23% Air conditioner 63%

Other 14%

Energy consumption in the hospital

Energy • Promote The Energy Saving campaign

- Cooperate by the personnel of the

hospital

- Reduce energy cost by 4,700,000 baht

Energy management system

Plan & Do

Evaluation

Review the results

Set Goal

Technical Evaluation

Set Policy & Public relation

Basic Evaluation

Set up team

GREEN: Guidance

Activities

• G: Garbage

- 4Rs: Reuse, Reduce, Recycle, Repair

• R: Rest room

• E: Energy

• E: Environment

• N: Nutrition

Environment • 2 strategy: Indoor & Outdoor

management

• Healthy work places

Environment

Indoor Activity

Outdoor Activity

Outdoor Management: Tree-planting Campaign

Outdoor Management Before

After

Effective Microorganisms

(EM) • Use EM to clean-up

water & environment

Indoor Management

Environment • 2 strategy: Indoor & Outdoor

management

• Healthy work places

Healthy Environment

Healthy

Environment Safety

GREEN: Guidance

Activities • G: Garbage

- 4Rs: Reuse, Reduce, Recycle, Repair

• R: Rest room

• E: Energy

• E: Environment

• N: Nutrition

Nutrition • Promote food safety

• Clean food good taste

• ↓ chemical substances

CLEAN : Main strategy

• C: Communication

• L: Leader

• E: Effectiveness

• A: Activity

• N: Networking

CLEAN : Communication

• Set up team public relations officers

• Publicize the knowledge to personnel of

the hospital & community

- Poster

- Internet

(www.somdej17.moph.go.th)

- Media: local newspaper

• Learning center

Public relations officers

Poster

Internet: hospital

websites

CLEAN: Leader

CLEAN: Effectiveness

Our activities can reduce greenhouse gases emissions

Reduction in emissions

of carbon dioxide 26.45

tons of carbon dioxide-equivalent (CO2e) in

2010.

- This is a 16.6 percent

reduction in CO2

emissions or similar to planting 2,939 trees

EFFECTIVENESS

CLEAN: Activity

• Cooperativeness

• Sustainable

CLEAN: Networking

• Set up community team

• Release the knowledge to other

organizations

- Public schools

- Government sectors

- Nearby hospitals

CLEAN: Networking

Outcomes of The Project

GREEN & CLEAN Hospital

Project

Greenhouse Gases

(Tons CO2e/year)

1400

1450

1500

1550

1600

1650

1700

1750

1800

1850

2010 2011 2012 2013 2014

ปีงบประมาณ

1553.74

1805.87

Greenhouse gases reduction 13.69 % and 10%, respectively

Greenhouse Gases (Tons CO2e/year)

Reduction in emissions

of carbon dioxide 252.13

tons of carbon dioxide-equivalent (CO2e) in

2011 or similar to planting 28,014 trees

13.69 percent

Our activities can reduce greenhouse gases emissions

Greenhouse Gases

(Percent)

0

20

40

60

80

100

Energy Waste

Management

Natural

resources

Environment

Hospital8.26

3.65

87.97

0.09

%

Greenhouse Gases

(Tons CO2e)

0

5

10

15

20

25

30

35

40

number of beds Patients Staffs sub-division offset

Hospital0.1 2.5

8.59

36.12

Greenhouse Gases (Tons CO2e)

20.87

Benefits of the project • Personnel aspect

- Save environment leads to good health

• Organizational aspect

- Budget cost

- Won the GREEN &CLEAN project Awards

Benefits of the project • People & Community aspect

- Implement knowledge to household

- Sustainable community environmental

health.

Benefits of the project • People & Community aspect

- Implement knowledge to household

- Sustainable community environmental

health.

Benefits of the project • People & Community aspect

- Implement knowledge to household

- Sustainable community environmental

health.

Outcomes from

“Green & Clean Hospital” projects

GREEN&CLEAN HOSPITAL

1) Efficiency: Budget saving (reducing costs / increasing income).

2) Effectiveness: Reduction of greenhouse gases emissions.

Role model in sharing and learning knowledge, Networking,

Innovating, Having reputations from various awards, Sustainability of GREEN & CLEAN HOSPITAL project

GREEN&CLEAN HOSPITAL

Efficiency in Budget

saving (reducing costs / increasing income).

Efficiency in solid waste management ๘

GREEN&CLEAN HOSPITAL

Saving costs of water about 40,000 baht / month.

๙ Water storage capacity of pond in health garden 32,000 M3

Benefits from wastewater treatment plant

Wastewater treatment in flushing system

of accommodation with 32 units can save costs up to 21,600 baht / year

Analyzing amount of chemical usages

comparing with costs of EM

0

20

40

60

80

100

Costs Amount

ChemicalusagesEM usages

94.3

44.7

5.7

55.3

Saving costs from chemical usages 6,450 baht/month Saving amount of chemicals 200-300 baht/month ๑๐

Targets and goals

Promoting and regulatory government buildings project

No Energy conservation measures

Saving Results

Electric Energy

(kWh)

Thermal Energy

(MJ)

CO2

(Mg CO2/year)

Saving costs

(baht)

1 Measures without costs 187,102.19 437,040 168.29 936,104.04

2 Measures with costs 1,081,964 1,411,790 849.80 4,294,501.60

Total 1,269,066.19 1,848,830 1,018.09 5,230,605.64

๑๑

Outcomes of the projects

Promoting and regulatory government buildings project

No Project efficiency

Average annual saving

Waste management

Water consumption

EM usages

Energy consumption

1 Saving costs of hospital - 501,600 77.400 789,396

2 Increasing incomes of hospital

300,000 - - -

รวม 300,000 501,600 77,400 789,396

Hospital can save money at average 1,668,396 baht/year

Summary:

Cost-saving of Hospital (baht/year)

0

10

20

30

40

50

Reducing costs Incresing incomes

Wastemanagement

Watermanagement

EM usage

Energyconsumption

30.06

47.31

4.64

17.98

Percent

GREEN&CLEAN HOSPITAL

2. Effectiveness: Reduction of

greenhouse gases emissions,

Role model in sharing and

learning knowledge, Networking,

Innovating, Having reputations

from various awards,

Sustainability of GREEN & CLEAN HOSPITAL project

GREEN&CLEAN HOSPITAL

Hospital

role

model

๑

๒

GREEN&CLEAN HOSPITAL

๓

GREEN&CLEAN HOSPITAL

๔

GREEN&CLEAN HOSPITAL

๕

77

Healthy Workplace รพ.สมเดจ็ฯ ๑๗

Healthy Workplace Program

“Somdej 17” Hospital standard

Healthy

Workplace

๖

78

Healthy Workplace รพ.สมเดจ็ฯ ๑๗

Healthy Workplace Program

“Somdej 17” Hospital standard

Health

promotion hospital

๗

Succeed awards

Thailand

Energy

Awards

2010

๘

Succeed awards

Asean

Energy

Awards

2010

๙

Received the shield of Honor on

GREEN&CLEAN hospital in 2011

๑๐

Received the shield of Honor on

GREEN&CLEAN hospital in 2011

26 Mar 2012,

Bangkok

Reducing GHG emissions At 13.69 percent in 2011

๑๑

Popular VOTE Award On Healthy Environment 4 July 2012 ๑๒

Public Communication

of GREEN&CLEAN hospital in Taiwan

๑๓

Outstanding performance Healthy Workplace

๑๔

Role Model on Health Promotion and Environmental management (8 July 2004)

Healthy Workplace

๑๕

Move forwards: GREEN&CLEAN HOSPITAL

Thank You

Thank You

Thank you all Partners