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The purpose of this paper is to determine the amount of different kinds of solid wastes produced, segregated, collected, stored, transported and disposed off in the governmental hospitals of Kuwait.

The research in this paper shows that all governmental hospitals were assessed in a period of six months (September, 2005 through December, 2005 and June, 2006 through July, 2006). The weight fraction of each component in the sorting sample was calculated by the weights of the components. The amount of non‐infectious and infectious waste generated in kg/day in each ward and various hospital blocks were determined and recorded.

The findings in this paper indicated that the waste generation rate is between 3.87 kg/bed/day and 7.44 kg/bed/day. Subsequently, this waste consists of 10,534.5 kg (71.44 percent) of domestic waste, 4,099.4 kg (27.8 percent) of hazardous/infectious waste, and 112.1 kg (0.76 percent) of sharps. Hospital waste makes up approximately 30 percent of all the hazardous waste generated in Kuwait. Segregation of the different types of wastes is practiced in nearly all of the hospitals. All infectious/medical wastes are finally disposed of through incineration.

The paper shows that the hospitals under study do not organize training courses on hospital waste management and the hazards associated with them. There is a need to establish a detailed database regarding the quantity and quality of the waste generated by the various hospitals.

This paper systematically assesses the obstacles in the existing hospital solid waste management system in all governmental hospitals in Kuwait. Subsequently, recommendations and improvements are suggested.

Help students understand Porter’s five forces framework. Explore and analyze possible growth strategies using the Ansoff matrix.

This case study integrates lessons in growth strategies, Porter’s five forces and the Ansoff matrix. Vijay Kothari, Founder of Wealth out of Waste (WOW) is in a fix. In spite of functioning in an environment of abundant demand and potential, he is unable to perform in his optimum capacity because of operational and manpower-related issues. WOW, which turned nine in 2019, is a sort of monopoly in the organized business of scheduled collection of recyclable trash. WOW is operating in a 2% market with 98% being captured by traditional “pastiwalas.” From the current waiting period of up to seven days, Kothari wants to service any area in the city of Ahmedabad, Gujarat, India within 2 h. To achieve this objective, how should Kothari overcome the growth challenge in the business.

Undergraduate and postgraduate.

Teaching Notes are available for educators only.

CSS 11: Strategy.

Management of hazardous waste is a big challenge to a common biomedical waste treatment facility (CBWTF) because of variations in the amount of different kinds of waste collected and treated from various health-care facilities (HCFs). Hence, prediction of health-care waste (HCW) will be very helpful for the CBWTF in allocation of resources, transportation, storage and disposal of medical waste (MW). This study aims to focus on the current MW handling and disposal practices at CBWTF in Uttarakhand, India. The study also models the seasonal variation in the HCW quantities collected and treated in CBWTF at Uttarakhand (India).

Data were collected for two years (2013 and 2014) from CBWTF, and polynomial regression models were used to represent the complex nonlinear relationship among the variables.

The fixed trends in the waste generated in two years represent the seasonal variations and illness patterns. The load of approximately 527 kg/day biomedical waste, including all the three categories (red, yellow and blue), was estimated at CBWTF at Uttarakhand, India. The composition of the total waste was calculated as: yellow category (327 kg/day, 62.23 per cent), red category (190 kg/day, 36.66 per cent) and blue category (10 kg/day, 1.44 per cent). CBWTF needs to run an incinerator for 3.30 h, autoclaving machine for 4 h and shredder for 20 min daily as per the calculated load.

This study is focused on only one CBWTF in Uttarakhand, so the model needs to be validated considering other facilities.

The model will help the CBWTF to plan its capacity and allocate resources.

Infectious waste coming out from HCFs can be managed in a proper way.

This study is the first of its kind conducted for CBWTF, Uttarakhand, India.

Providing public healthcare to people is a major challenge for governments. In this sector, public-funded systems are grossly inadequate in India, and excessive commercialization and exploitation by the private sector are a stark reality. The cooperative healthcare model is emerging as an alternate system in Kerala with its strong service objective to challenge the woes of private healthcare. The cooperative hospitals in the state worked round the clock to serve the poor and needy during the devastating COVID-19 pandemic. The pandemic has also badly exposed the weakness of our healthcare system in the wake of challenges posed by an increase in demand for health services, especially in rural areas. The resultant rise in the cost of treatment has put severe strains on the people at a time when even their day to day jobs were in peril. India has a strong cooperative movement and world-class institutions to serve as models in each sector. The Thrikkakara Municipal Co-operative Hospital, located at Cochin in the Kerala State of India on which this case study is written was established by the Hospital Society Ltd. in 1999, as a project under the People’s Planning Programme of the Government. Today, it has grown into a medium-sized healthcare establishment with the prime objective ‘Modern healthcare to all at affordable costs’ and cater to an average of 700 outpatients a day. This case study reveals the inception, development over years, facilities available, operations, management, public interface, and outlook for the hospital to become a modern healthcare institution to serve the people still better.

Hospital activities restore health and save lives; yet they produce infectious waste that might harm people and the environment if not handled carefully. The sudden increase in bio-medical waste (BMW) generation was caused due to the outbreak of Coronavirus disease (COVID-19) at the beginning of year 2020. There is a huge potential of businesses from BMW generated in the developing economies. The document destruction process would prove to be beneficial in determining the strategies and policies for the business from BMW. Therefore, the purpose of this study was to identify and evaluate the factors that influence the business prospects from BMW in developing economies.

The study focuses on identifying 18 factors based on an extensive literature review, questionnaire, theoretical foundations and interviews with experts in the context of developing economies. These factors are categorized into four groups namely “Culture, education and microeconomics”, “Infrastructure, social provision, and technology”, “Policy and institution” and “Integrated waste management system”. Consequently, these factors are prioritized to assist the decision-maker in comprehending the most critical aspects of accomplishing the best business practices. A framework based on the Best–Worst Method (BWM) is applied to evaluate and determine the significance of each identified factor.

The major contribution of this paper is to identify key factors that are responsible for successful implementation of the business practices from the generated BMW. The study also explains their nature, significance and inter-relationship among them using BWM. Current study applied a distinctive modeling approach to examine the contextual relationship among the key factors and to rank them as per their importance. The findings of the study suggest that “Setup for collection and segregation is the best alternative for business from BMW produced”.

The paper also presents strategies, which can be adopted as a guiding step by the decision-makers to formulate policies for the effective business practice from BMW. This research is expected to stimulate future applications of the BWM to facilitate long-term decision-making.

The subject area is operations management.

The case is to be used at master’s level, for example, MBA courses on operations management, operations research, logistics management and supply chain management.

It was the morning of 20 September 2012 and the three directors of Distromed Bioclean Pvt. Ltd. were in the office discussing the developments from past night’s meeting with the Rajkot Chapter of the Indian Medical Association. They are a bio-medical waste treatment facility involved in collection, treatment and disposal services and charge yearly subscription fees. On 13 September 2012, fuel prices had gone up consecutively for the second year. Last year, the doctors resisted the fee hike and seemed reluctant this year again. In response, management of the company was looking for ways to minimize the total distance travelled by its fleet to reduce the operating cost.

The paper enables illustration of concepts of routing/scheduling and generation of optimal solutions in a realistic setting; and developing the understanding regarding the travelling salesman problem, Chinese postman problem and the entire family of vehicle routing problems and vehicle scheduling problems.

Teaching notes are available for educators only. Please contact your library to gain login details or email support@emeraldinsight.com to request teaching notes.

CSS 9: Operations and Logistics.

Demand for Geopolymer concrete (GPC) has increased recently because of its many benefits, including being environmentally sustainable, extremely tolerant to high temperature and chemical attacks in more dangerous environments. Like standard concrete, GPC also has low tensile strength and deformation capacity. This paper aims to analyse the utilization of incinerated bio-medical waste ash (IBWA) combined with ground granulated blast furnace slag (GGBS) in reinforced GPC beams and columns. Medical waste was produced in the health-care industry, specifically in hospitals and diagnostic laboratories. GGBS is a form of industrial waste generated by steel factories. The best option to address global warming is to reduce the consumption of Portland cement production and promote other types of cement that were not a pollutant to the environment. Therefore, the replacement in ordinary Portland cement construction with GPC is a promising way of reducing carbon dioxide emissions. GPC was produced due to an alkali-activated polymeric reaction between alumina-silicate source materials and unreacted aggregates and other materials. Industrial pollutants such as fly ash and slag were used as raw materials.

Laboratory experiments were performed on three different proportions (reinforced cement concrete [RCC], 100% GGBS as an aluminosilicate source material in reinforced geopolymer concrete [GRGPC] and 30% replacement of IBWA as an aluminosilicate source material for GGBS in reinforced geopolymer concrete [IGRGPC]). The cubes and cylinders for these proportions were tested to find their compressive strength and split tensile strength. In addition, beams (deflection factor, ductility factor, flexural strength, degradation of stiffness and toughness index) and columns (load-carrying ability, stress-strain behaviour and load-deflection behaviours) of reinforced geopolymer concrete (RGPC) were studied.

As shown by the results, compared to Reinforced Cement Concrete (RCC) and 100% GGBS based Reinforced Geopolymer Concrete (GRGPC), 30% IBWA and 70% GGBS based Reinforced Geopolymer Concrete (IGRGPC) (30% IBWA–70% GGBS reinforced geo-polymer concrete) cubes, cylinders, beams and columns exhibit high compressive strength, tensile strength, flexural strength, load-carrying ability, ultimate strength, stiffness, ductility and deformation capacity.

All the results were based on the experiments done in this research. All the result values obtained in this research are higher than the theoretical values.

The purpose of this research is to assess the existing state of MSW in Kanpur city with the aim of identifying the main obstacles to its efficiency and the prospects for improvisation of the solid waste management system in the city.

The research has been conducted in three stages. The first stage involved collection of background information through various reports, publications of various organizations to understand the state of MSWM in the city, followed by interviews with various heads of the Municipal Corporation involved in SWM, municipal workers and residents of the city. Field studies were conducted in few wards of the city and official dump sites. The third stage involved conducting interviews with planning experts and representatives from NGOs to derive information on various SWM related problems and prospects for improvising the system.

The existing solid waste management system in the city appears to be highly inefficient. Only primary and secondary collection, transportation and open dumping are practiced, that too in a non‐technical manner.

There is a need to establish a detailed database regarding the quantity and quality of the waste generated by various generators category wise. There is a need to find the exact size of the informal waste recycling sector and the economics of waste recycling in the city to integrate it with the formal sector.

This paper systematically assesses the obstacles in the existing solid waste management system in Kanpur city and tries to assess the potentials for its improvisation.

The purpose of this paper is to explore the drivers of healthcare waste management from literature review and field survey and model these drivers for understanding the inter-relationships among the drivers to enhance healthcare waste management in the Indian context.

In view of the need of the study, the interpretive structural modelling (ISM) method has been applied to model the drivers. The ISM method helps in depicting the relationships among the drivers and filtration of drivers on the basis of their driving and dependence power.

The findings of the study reveal that the type of a healthcare facility and its management structure, size of a healthcare facility, human resource management of a healthcare facility, healthcare facility’s management monitoring and control, and the effective re-enforcement of government regulation and policy implementation in a healthcare facility play a vital role in the enhancement of HCWM.

The application of the findings of this study would enhance the hospital’s waste management by ultimately leading to a good ambience and satisfied patients and personnels. Additionally, the study would aid in the policy formulation by government and decision making of medical facilities, thereby strengthening HCWM scenario in the country.

The drivers filtered in this study would be useful for ranking the hospitals’ healthcare waste management in a region/country. This ranking may play a vital role in earmarking the hospitals which are managing their healthcare waste according to the guidelines of Central Pollution Control Board (CPCB) and Ministry of Environment and Forest (MoEF) of a country. With the help of this study, the problem of inadequate human resource can be effectively addressed for CPCB and MoEF, in India.

Healthcare waste management is a vital issue which needs attention from the management perspective in India. Therefore, an interpretive structural model, i.e. ISM digraph, has been developed which would help in the filtration of drivers and attaining the better healthcare waste management in an economically and timely manner.

Individuals generate plenty of waste that is affecting the life while consumption of air and water at the base. The increasing industrialization, population and waste generation without proper measures of waste management are leading to major challenges to environmental sustainability. Considering these challenges, the present study focuses on the types and sources of waste generation and waste reduction by encouraging the reduction, recycling and reuse of waste products. The study aims to provide a well-functioning sustainable waste management system, that incorporates feedback loops, focuses on processes, embodies adaptability and diverts waste from disposal.

The university under study is situated at the central location of Pune City in India. The university has diverse units like academic and admin buildings, canteens and mess, hostels, a clinic, workshops and gardens. To fulfil the objective of this study a qualitative case study approach of research was adopted. A total of thirty-three representatives and waste management personnel from various units of the university were interviewed. The interviews were semi-structured and the duration of it was around 25–55 min. The interview transcripts were coded, and qualitative analysis was conducted.

This study proposes a strategic sustainable waste management model for environmental sustainability that brings circularity by closing the loops and focusing on sustainable development goals.

The findings of this research can guide universities to manage the waste generated through various sources and attain sustainable development goals and environmental sustainability at large by closing the loops. The study provides insights into waste management and environmental sustainability. The universities can make their resources more circular by following the strategies of reducing, reusing and recycling (3R). This study recommends customization according to the needs of specific universities and institutions. Researchers can take this study further by testing and customizing it as per requirement. Also, an effort can be extended to implement the model in other related areas.

This research is a unique attempt to advance knowledge of waste management practices for sustainable development by exploring different techniques opted by for individual entities from the university campus to understand the environmental impact.