OBJECTIVES: There are challenges to assess the current situation of healthcare organizations’ waste management by the level and to formulate methods for further improvement. Thus, purpose of this assessment study was to formulate reference about methods to improve current situation of healthcare organizations’ waste management. METHODS: Study was done by the descriptive method among 39 healthcare organizations using study forms, as questionnaires, checklist and tests RESULTS: In Ulaanbaatar waste disposal company is 100% responsible for hazardous waste of health care organizations, but 50% of domestic waste are taken care by hospitals themselves. However, in rural areas 48.7- 64% of hospitals and 57.1% of healthcare centers are responsible for both their domestic and hazardous waste. 50% of hospitals drain the liquid waste into main sewage and liquid waste from laboratory are drained into central sewage after disinfection. Waste management team works in 66.7% of hospitals, and nurses and dry-nurses are responsible in collecting of waste in 97.4% of hospitals. The team consists of 1-3 people in 50% of hospitals, 4-6 people in 39.5% of hospitals but more people in tertiary level hospitals.   CONCLUSIONS:

1. Legal documents about waste management of healthcare organizations are approved; most secondary and tertiary level healthcare organizations have workers responsible for waste. They have developed plans to improve the “Waste management” and installed waste registration system.
2. Despite setting up the temporary storages at hospitals and healthcare centers, they still need improvement.
3. Although any equipment with mercury has been prohibited to use in healthcare organizations, 50% of hospitals are still using and it has been difficult to collect, transport and dispose mercury containing waste.