This study is one of the first systematic attempts to examine the possibility of a common treatment facility (CTF) to treat infectious healthcare waste (HCW) in Nepal. First, the survey was conducted in 14 healthcare facilities (HFs) ranging from health posts to large hospitals selected from 120 total HFs in Nepalgunj sub-metropolitan city (SMC), a rapidly urbanising city of Nepal to investigate the current practices of HCW management (HCWM) and to estimate the waste generation and characteristics in the different HFs. The result shows that the average unit waste generation rate for health posts, clinics, urban health centres, and hospitals was estimated at 1.397 kg day⁻¹, 1.608 kg day⁻¹, 0.178 kg day⁻¹ and 1.818 kg bed⁻¹ day⁻¹, respectively. Of the total 1242 kg day⁻¹ HCW generated in Nepalgunj SMC, 73% is infected in the current situation, but if fully sorted at source, only 32% of the waste will be infected. Based on these HCW generation data and fraction of infectious waste, including waste management practices, three different scenarios are proposed for the capacity assessment and designing implementation modality of the CTF to treat infectious waste from all HFs of Nepalgunj SMC as a case study where an integrated solid waste management facility including material recovery facility and sanitary landfill site for municipal solid waste management is already in operation. The different implementation analyses are discussed, and the best implementation arrangement has been recommended for the sustainability of the project. This approach can be replicated in other cities alone or regions with many neighbouring cities of Nepal and explores a workable solution for HCWM in the rapidly urbanising cities of developing countries to help them improve their condition.

这项研究是检查尼泊尔普通治疗设施（CTF）治疗传染性医疗废物（HCW）的可能性的系统尝试之一。首先，调查是在尼泊尔古吉亚都会城市（SMC）的14个医疗机构（HF）中进行的，从卫生站到大型医院，这些医院从120个总HF中选择，尼泊尔是一个快速城市化的城市，旨在调查HCW管理的当前做法（ HCWM），并估算不同HF中的废物产生和特征。结果表明，卫生站，诊所，城市卫生服务中心和医院的平均单位废弃物产生率估计为1.397千克天^-1，1.608千克天^-1，0.178千克天^-1和1.818公斤床^-1 天^-1。在总共1242公斤的天^-1Nepalgunj SMC中产生的HCW在目前的情况下被感染了73％，但是如果从源头上进行充分分类，则只有32％的废物会被感染。根据这些HCW产生数据和传染废物（包括废物管理实践）的比例，提出了三种不同的方案，用于评估CTF的能力评估和设计实施模式，以处理来自尼泊尔古尼SMC的所有HF的传染性废物，作为一个案例研究，固体废物管理设施（包括材料回收设施和用于城市固体废物管理的卫生垃圾填埋场）已经投入运营。讨论了不同的实施分析，并为项目的可持续性推荐了最佳实施安排。