Tika Kumari Mahato of Madi Municipality-2, Naya Parsa, who had come to the government hospital in Bharatpur for treatment, was staying in the courtyard of the hospital premises. She had seen a lot of dirt when she visited the same hospital eight years ago, but this time she found it clean and tidy.

‘There is no garbage, it is better than before,’ she said. Yagya Kumari Magar of Gyanjyoti Tole, Bharatpur Metropolitan City-11 was also met there. She said that there is much less garbage in the hospital now than she saw two years ago.

Up to three thousand patients come to the very busy Bharatpur Hospital every day. There is a crowd of patients’ relatives and relatives. Even in the crowded conditions, the hospital looks clean. The face of the hospital has changed due to garbage management, said Dr. Krishna Prasad Poudel, Medical Superintendent of Bharatpur Hospital. ‘The garbage generated here is collected systematically. We process the collected garbage and sell it. We earn one lakh 71 thousand rupees per month,’ he said.

He said that this year, the income from the sale of garbage will be 2 million 59 thousand rupees. The income from the last year was 40 thousand rupees per month, but this year it has increased dramatically. ‘The income has increased not because of the increase in garbage, but because of the systematic collection and processing of garbage,’ said Poudel.

As soon as you enter the hospital, you will find dustbins placed everywhere. Which waste should be put in which container? There are dustbins painted accordingly. 'The hospital produces up to 700 kg of waste daily. Out of which, 150 kg of waste is hazardous,' said Dolraj Timalsina, the hospital's waste management focal person. He said that hazardous waste is also processed and purified to make it non-hazardous.

According to him, only about 200 kg of waste is left after processing to be sent to the landfill site. 'Water bottles, cartons, and saline bottles are produced. We have earned income by selling them. A biogas plant has been run from the rotting waste. The employees of the processing center cook in it and eat tea and snacks,' said Timalsina. Six employees work at the processing center.

Bharatpur Hospital has 32 wards. There are dustbins of different colors for storing waste within the wards. Before entering the ward, posters are placed in various places to inform which waste should be placed in which color dustbin. Overall, Timalsina said that waste has been classified into two categories: ordinary and hazardous, that is, those that do not pose a risk of infection and those that do.

‘The trolleys for managing ordinary waste and the trolleys for managing hazardous waste are different. The path to reach these trolleys to the waste treatment center is also different. The hazardous waste is placed in two large autoclave machines to disinfect it,’ he said. After the machines disinfect it, he said that the saleable items will be selected.