| Lagos State Government | Healthcare facility |
Budget | Fiscal incentives for performing hospitals are the best ways to encourage HCWM at a low cost. Encourage centralized treatment facilities under Build, Operate, Transfer/Build, Own, Operate, Transfer Adopt clustering of healthcare facilities to share costs | Choose a low-cost waste management plan and implement it. Institutionalize a recycling system and use the proceeds to fund the overall healthcare waste management system recursively |
Policy and Legislation | Law or regulation should not be a precondition for healthcare waste management; it should come from the duty of care. Formulate healthcare waste policy and legislation considering other countries' experiences and local needs | A healthcare facility-level policy on HCWM should be the correct start. Cooperate with the national government through proactive, rather than hindering, inputs Clear assignment of waste management Responsibilities to personnel |
Technology and knowledge management | Build capacity of relevant department staff on technical and management topics for HCWM Implementation of HCWM plans Monitoring of HCWM plans Safe and sustainable HCWM technology selection Management of HCWM technologies | Raise awareness of staff in handling, safety, and exposure to HCW Conduct periodic induction training for new staff and updates for existing staff Monitor and evaluate waste management activities and their impact Track the progress of HCWM, report the successes, and reward staff |