Cost-Effectiveness of Decentralized Solid Waste Management Method as Compared to the Centralized Method Implemented Through Urban Local Government in Tirunelveli City, Tamil Nadu, India.

IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Indian Journal of Occupational and Environmental Medicine Pub Date : 2024-07-01 Epub Date: 2024-09-30 DOI:10.4103/ijoem.ijoem_185_23
Porchelvan Shanmugiah, Sendhilkumar Muthappan, Bhavani Shankara Bagepally, Manickam Ponnaiah
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Abstract

Objective: To compare the cost-effectiveness of a newly introduced decentralized method with the existing centralized solid waste management (SWM) method in 2019 in Tirunelveli City, Tamil Nadu, India.

Materials and methods: A cross-sectional study was undertaken to compare the costs for the two SWM methods using the bottom-up approach. We ascertained cost centers for the collection, transportation, and processing of solid waste for the two methods. We reviewed the records and collected data to estimate the costs and outputs (waste processed per capita) of the two SWM methods using data abstraction forms for each identified cost center. We calculated the cost and outcome of both methods and the incremental cost-effectiveness ratio (ICER).

Results: The total cost for the decentralized method was ₹121 million (USD 1.72 million), and that of the centralized method was ₹222 million (USD 3.15 million). The cost per capita of SWM in one year was lesser for the decentralized (₹526) as compared to the centralized method (₹612). The cost per metric tonne (MT) of SWM in decentralized and centralized methods was ₹5595 and ₹4683, respectively. The ICER lies in the right lower quadrant (ICER: 1.2375), indicating that the decentralized method was cost-effective.

Conclusion: Solid waste processing by the decentralized method is cost-effective as compared to the centralized processing method in terms of waste processed per capita. We recommend the civic bodies to adopt the decentralized method with sufficient allocation of resources for efficient SWM. Furthermore, this will not only reduce greenhouse gas emissions but also have a positive impact on climate change mitigation.

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印度泰米尔纳德邦Tirunelveli市城市地方政府实施的分散式固体废物管理方法与集中式管理方法的成本效益比较
目的:比较2019年印度泰米尔纳德邦蒂鲁内尔韦里市新引入的分散式方法与现有的集中式固体废物管理(SWM)方法的成本效益。材料和方法:采用自底向上的方法进行了一项横断面研究,比较了两种SWM方法的成本。我们确定了两种方法收集、运输和处理固体废物的成本中心。我们回顾了记录并收集了数据,使用每个确定的成本中心的数据抽象表格来估计两种SWM方法的成本和产出(人均废物处理量)。我们计算了两种方法的成本和结果以及增量成本-效果比(ICER)。结果:分散方法总成本为1.21亿卢比(172万美元),集中式方法总成本为2.22亿卢比(315万美元)。与集中式方法(612卢比)相比,分散式方法在一年内的人均SWM成本(526卢比)较低。分散式和集中式SWM每公吨(MT)的成本分别为5595卢比和4683卢比。ICER位于右下象限(ICER: 1.2375),表明分散式方法具有成本效益。结论:从人均垃圾处理量来看,分散式处理方式比集中式处理方式更具成本效益。我们建议民间机构采用权力下放的方法,为有效的社会福利管理分配足够的资源。此外,这不仅将减少温室气体排放,而且还将对减缓气候变化产生积极影响。
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来源期刊
Indian Journal of Occupational and Environmental Medicine
Indian Journal of Occupational and Environmental Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.60
自引率
0.00%
发文量
25
期刊介绍: The website of Indian Journal of Occupational and Environmental Medicine aims to make the printed version of the journal available to the scientific community on the web. The site is purely for educational purpose of the medical community. The site does not cater to the needs of individual patients and is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician.
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