การบรรยาย รพ.ลดโลกร้อน (2)
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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