This case study reports on the development of a healthcare waste management system at Tribhuvan Teaching Hospital (TUTH) in Kathmandu Nepal produced in collaboration with HECAF360, Health Care Without Harm and WHO Nepal. This case study is supported by the United Nations Environment Programme – International Environmental Technology Centre (UNEP-IETC) with financial assistance from the Ministry of Environment Japan (MOEJ). The report describes factors at TUTH that acted – both for and against – making the necessary procedural changes toward safer healthcare waste management. By enhancing waste separation at source, distributing needle cutters throughout the hospital, installing a biodigester to treat organic waste and investing in autoclaves to treat infectious waste, levels of hygiene have risen and risk of exposure to infectious disease and injuries associated with waste handling have been reduced. What’s more, emission of air pollutants and greenhouse gases caused by incinerators has been minimised through non-burning treatment technology. By designing-out waste and pollution and by keeping products and materials in use as much as possible (recycling), this project is actively promoting the concept of “the circular economy” in Nepal. You can access the full case study here.