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REQUEST FOR PROPOSAL (RFP) RFP-005_2023-2024 YR Gaitonde Medical, Educational & Research Foundation (YRGCARE) 58, “Alsa Gardens”, Harrington Road, Chetput, Chennai 600031. Email: rfp@yrgcare.org Date: 27 June 2023 RFP for Selection of Bio Medical Waste Management Facility for One Stop Centre (OSC) Schedule to the Invitation of RFP Issue date : 27 June 2023 Submission of queries for clarification: 03 July 2023 Posting of FAQ on web site: 06 July 2023 Deadline for submission of Proposals : 17 July 2023 16:00 hrs Contact E-Mail for queries & Proposals: rfp@yrgcare.org Validity of Proposal : 16 August 2023 Introduction Biomedical Waste (management & handling) Rules (BMW Rules 1998) were notified by the Government of India on 20th July 1998. During the course of implementation of these rules, valuable insight and operational experience were gained, and a need was felt for amending the rules in order to make them more practical, user-friendly and also for inclusion of newer technology. The rules have been amended in year 2000 & 2003 and recently these rules have been amended in the year 2016 and notified on 28th March 2016. There is a major strategic shift in management of Biomedical Waste on few counts, such as (a) Enabling framework for engaging Common Biomedical Waste Treatment Facility (CBMWTF), (b) Enlarging scope of applicability of BMW Rules by including many other generators of Biomedical Waste (c) Amendments in Waste Categorisation and colour coded collection System (d) Requirement of mandatory training of the personnel involved in Bio Medical Waste Management (e) Monitoring of Emissions (f) Reporting format & periodicity (g) Fixing timelines for phasing-out of chlorinated bags and introducing bar-coded tracking system, etc. YRGCARE intends to outsource the management of Bio Medical Waste generated at 71 (seventy one) One Stop Centres across 67 (sixty seven) Districts in 25 (twenty five) ttates in India. Technical and Financial proposals (together termed as bid) are invited from Common Bio Medical Waste Treatment Facility Operators (CBMWTF) possess ing valid authorization by designated authority for collection, transportation and treatment of Bio-medical Waste generated at the 71 (seventy one) One Stop Centres. Background India is committed to 'Ending the AIDS' epidemic as a public health threat by 2030 in line with Sustainable Development Goals (SDG). The country has adopted the 90- 90-90 global targets along with the Fast Track target of 95-95-95, i.e., 95% of people living with HIV (PLHIV) are aware of their status, of those 95% are on ART and of those, 95% are virally suppressed, as outlined in the National Strategic Plan for HIV/AIDS and STI. National AIDS Control Programme (NACP) Phase-V is a Central Sector Scheme, fully funded by the Government of India, which aims to reduce annual new HIV infections and AIDS-related mortalities by 80% by 2025-26. One Stop Centre is a unique initiative under NACP – V, through a GFATM grant with PLAN India, as Principal Recipient and YRGCARE as Sub-Recipient to accelerate the national response towards achieving the fast-track 95-95-95 targets among Key Populations. One Stop Centre is designed as person-centered and resource-effective approach to deliver an integrated HIV prevention- care cascade services in settings with low-level and concentrated HIV epidemics. The centres are designed to as a single umbrella approach to attract key and bridge populations that are beyond reach of traditional HIV programmes, thereby increase footfall at One Stop Centre by serving a diverse range of needs at one site, eliminate facility navigation bottlenecks and contribute towards improved individual as well as community level health outcomes. The One Stop Centres are envisaged to offer prevention and care services to high-risk populations especially Transgender persons, People Who Inject Drugs and Bridge Populations (including client of sex workers, truckers and allied population) within communities. The OSCs provide them with the information, means and skills they need to minimize HIV transmission and improving their access to care, support and treatment services. In order to perform the above tasks, One Stop Centres will generate hazardous and non- hazardous waste. Healthcare waste has always been considered hazardous because of its inherent potential to cause injuries and spread infections in the community. It also poses a threat of contamination of soil, air, water bodies and underground water table. Under the recently notified Biomedical Waste Rules 2016, its scope has been widened to include the healthcare waste generated in first-aid rooms in schools & colleges, waste from outreach sessions like immunisation and screening services, etc. Unscientific management of Bio Medical Waste poses following hazards – Nosocomial Infections in patients Infections and hazards to all category of hospital staff with particular risk to waste handlers Transmission of infections from health facilities to community Risk to rag-pickers Risk associated with hazardous chemicals Re-circulation of syringes & other Disposables & drugs Air, water and soil contamination Offensive to aesthetics & sensitivities of the community. Generally, 70% - 80% of the waste generated in a Health facility is harmless and akin to household/ municipal waste. It does not require any treatment and specialised method for disposal. Other types of waste have the potential to harm living beings and environment, hence it needs to be treated to make it safe before disposing by an environment friendly technology. Context Bio Medical was |