PROJECT

KIT –KALAIGNARKARUNANIDHI INSTITUTE OF
TECHNOLOGY
DEPARTMENT OF MANAGEMENT STUDIES
BA 5411 PROJECT WORK
TITLE: (SOLID WASTE MANAGEMENT ON SREEDHAREEYAM

AYURVEDIC EYE HOSPITAL AND RESEARCH CENTRE PVT LTD)
PRESENTED BY : VENKATESH PRASAD N
REG NO. : 711518631045
CLASS : II MBA
REVIEW NO. : I
DATE : 24.01.2020 (FRIDAY)
NAME OF THE GUIDE : DR.N.RAVI KUMAR

DESIGNATION : ASSISTANT PROFESSOR / MBA
DEPARTMENT : MANAGEMENT STUDIES / KIT
Introduction of the Project
. Waste means any useless, unwanted or discarded substance or
material, irrespective of whether or not such substance or material has any other or
future use. This includes any substance or material that is spilled, leaked, pumped,
poured, emitted, emptied or dumped onto the land or into the water or ambient air. Waste
generated by health care activities includes a broad range of materials, from used
needles and syringes to soiled dressings, body parts, diagnostic samples, blood,
chemicals, pharmaceuticals, medical devices and radioactive materials
Medical care is vital for our life and health, but the improper
management of biomedical waste causes a direct health impact and damages the
ecosystem including flora and fauna. Biomedical waste management is an integral part
of traditional and contemporary system of health care. Waste management involves all
the activities and actions required to manage waste from its inception to its final
disposal
Waste produced in the course of health care activities carries a higher potential
for infection and injury than any other type of waste. It is essential that all medical waste
materials are segregated at the point of generation, appropriately treated and disposed of
safely . A large proportion of healthcare personnel in Ayurvedic hospitals were
completely unaware regarding the proper management of biomedical waste. Considering
its impact on the environment and health, biomedical waste management requires
immediate academic attention by increasing the awareness during training courses. We
must also focus on cost effective and eco-friendly methods for its disposal.
Introduction of the company
Sreedhareeyam has successfully leveraged three centuries of
traditional Ayurvedic wisdom inherited from Nelliakkattu Mana, an illustrious
Namboothiri family known for Ayurvedic Netra Chikilsa. The vaidyans (physicians) of
the mana were renowned for expertize in Ayurveda in general and especially poison
remedies from more than 4 centuries ago. Over generations, the members of the mana
began to place more focus on Shalakya Tantra (branch of Ayurveda which deals with
ailments to the organs of the head and neck) and explored the depths of Ayurveda to
unearth the treasures in ayurvedic eyecare. As modern technological advancements began
to take shape with the evolvement of allopathic methods, the physicians of the mana
explored options to take professional training and also find ways to get introduced to the
technology revolution. Thus they excelled in the modern diagnostic methods and modern
disease descriptions, bringing the best of both worlds together for the benefit of
ophthalmology as a science.
•
The next generation of doctors took to professional training and also underwent
extensive clinical experience under the guidance of seniors. Dr Narayanan
Namboothiri, Chief Medical Officer of Sreedhareeyam obtained masters degree in
Ayurvedic Ophthalmology and then concentrated on ‘Dravya Guna Shastra’
(Ayurvedic Pharmacology), to maximize the knowledge about herbs and their
focussed clinical use. Dr. Sreekala N.P, Deputy Chief Medical Officer, has also
undergone professional training as well as rigorous clinical training under the
seniors to maximize the knowledge. She is spearheading the doctors’ training
division and ensures that all the doctors at Sreedhareeyam has excellent clinical
experience and knowledge before being eligible to conduct consultation. The use of
technology ensures that all the doctors are equally equipped to cater to the patients’
needs whereas traditional ayurveda is heavily dependent on the expertise of the
doctor in identifying disease conditions
Introduction of the industry
Sreedhareeyam Ayurvedic Eye Hospital and Research Centre (P) Ltd,
Koothatukulam is an Ayurvedic eye hospital and research facility based in Koothattukulam,
Ernakulam District, Kerala in India. It specializes in treating eye diseases and ailments through
Ayurveda. The 350-bed hospital is situated in a 55-acre (22 ha) campus. Late Dr N P P
Namboothiri founded the hospital along with his elder brother Narayanan Namboothiri. Over 400
years of traditional wisdom & extensive clinical experience, handed down through generations
was combined with modern diagnostic techniques to create the facility. Dr. Narayanan
Namboothiri, MD(Ayu) is the chief physician of Sreedhareeyam now.
The 350-bed hospital employs 55 doctors and 200 paramedical staff.

Sreedhareeyam attracts patients from India and abroad. Sreedhareeyam is now the world's biggest
Ayurvedic Eye care Hospital. It has an in-house research center, manufacturing units of state-of-
the-art machinery and precision technology, most advanced optometry lab, R&D divisions with
most modern quality control equipments like HPTLC & AAS, and a world class eyedrop
manufacturing facility.[2] The hospital complex spans around fifty five acres. It has nine
independent hospitals and 16 consulting centres all across India
Review of literature
WHO in a study on safe management of bio medical sharps in india

found that 25% of HIV and 40% hespatitis B and C virus among healthcare workers
are transmitted through exposure to injection needles
Das and Prasad conducted a study on a TOM approach to

implementation and handling of management of hospitals of TATA hospitals. It was
found that 23rd of waste generated was segregated properly and 45% of the staff
engaged in the job have awareness of proper disposal of this waste. A protocol for
effective management of biomedical waste developed by them.
Yadav , found that 85% of sharp injuries are caused during usage and
disposal 20% of stick injuries occur during handling.
Shan and Ganguli argued that the most vital component of the
waste management plans that have been formulated is to bring about a transformation
in the mindset and develop a system and culture, training and persistent motivation of
the health care staff. A concented efforts of several departments in a healthcare
establishment such as housekeeping, engineering, laundry, kitchen and security
hesides nursing, surgical, laboratory and administrative department is needed for
achieving this.
Kashyap found that the average quantity of hospital solid waste

produced ranged from 1.5 to 2.2 kg/day/bed. He estimated that 10% to 20% of the
hospital waste is infections. He stressed that education, training and persistent
motivation to health care staff is urgent in proper collection and disposal of waste
management.
Statement of the problem
Improper management of wastes generated in health care facilities

can have direct health impacts on the community, the personnel working in health-care
facilities, and on the environment. In addition, environment polluted by inadequate
treatment of waste can cause indirect health effects to the community.
Wastes produced in health facilities include sharps (syringes,

disposable scalpels, blades etc.), non-sharps (swabs, bandages, disposable medical
devices etc.), blood and anatomic waste (blood bags, diagnostic samples, body parts
etc.), chemicals (solvents, disinfectants etc.), pharmaceuticals, and may be infectious,
toxic, create injuries or radioactive.
ANALYSIS OF CAUSES
There are a number of reasons leading to improper exposure to health-care wastes.
Some of themost common reasons are listed below
 Lack of awareness about the inherent hazards caused by improper management of

health care wastes;
 Insufficient allocation of resources (financial and human) for the safe management
of the wastes;
 Improper control of the waste management system;
 Absence of a national policy for the management of health care wastes;
 Lack of or inadequate regulatory framework,
 Insufficient evidence on the negative impact of health-care wastes on certain

professional groups.
 Insufficient information on sound waste management and treatment options and

their benefits.
Objectives of the study
 Be proficient in obtaining clinical data by patient interview, physical examination, and
interpretation of laboratory data
 Be proficient in utilizing clinical data to prioritize problems and formulate differential diagnoses
 Formulate diagnostic and therapeutic plans demonstrating awareness of risks, benefits, costs,
patient preferences, and ethical and psychosocial issues
 Utilize excellent communication skills with patients, families and other members of the health
care team while demonstrating respect, compassion and integrity
 Demonstrate a commitment to ethical principles and to their professional responsibilities
 Read regularly, in texts and in the original literature, to achieve a broad knowledge base. They
will keep abreast of the current literature and be able to translate the pertinent literature to clinical
practice. Residents will be proficient in searching and critically analyzing the medical literature to
answer clinical questions
Scope of the study
 Data collection and analysis for accurate quantification and characterization of waste
 Waste quantification assement and prediction. Analyze the exiting waste management
situation. Assessing the institutional framework and resources available
 To ensure safe disposal of waste and treat the waste as per municipal Waste
management and handling rules 2000
 Reduce Air pollution due to bad oder of the waste
 To provide quality urban environment by the way of efficient solid waste

management
 To promote public and private partnership and involvement of local stakeholders to

successfully implement the management plan
THANK YOU

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KIT –KALAIGNARKARUNANIDHI INSTITUTE OF

BA 5411 PROJECT WORK

TITLE: (SOLID WASTE MANAGEMENT ON SREEDHAREEYAM

NAME OF THE GUIDE : DR.N.RAVI KUMAR

The 350-bed hospital employs 55 doctors and 200 paramedical staff.

WHO in a study on safe management of bio medical sharps in india

Das and Prasad conducted a study on a TOM approach to

Kashyap found that the average quantity of hospital solid waste

Improper management of wastes generated in health care facilities

Wastes produced in health facilities include sharps (syringes,

 Lack of awareness about the inherent hazards caused by improper management of

 Improper control of the waste management system;

 Absence of a national policy for the management of health care wastes;

 Lack of or inadequate regulatory framework,

 Insufficient evidence on the negative impact of health-care wastes on certain

 Insufficient information on sound waste management and treatment options and

 Demonstrate a commitment to ethical principles and to their professional responsibilities

 Reduce Air pollution due to bad oder of the waste

 To provide quality urban environment by the way of efficient solid waste

 To promote public and private partnership and involvement of local stakeholders to

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