The Kidwai Memorial Institute of Oncology (KMIO), a state-run cancer hospital, has earned the ISO 14001:2015 certification for its Solid Waste Management (SWM) facility. This makes Kidwai one of few hospitals in India to meet these international environmental standards. The journey began in March 2020, when the institute decided to upgrade its waste handling. A modern SWM facility was built on 4,000 sq. ft of campus land under a 10-year Build–Own–Operate–Transfer (BOOT) model. It followed strict rules including the Solid Waste Management Rules, 2016 and BBMP by-laws. The facility’s infrastructure was ready by December 2020 and trial runs started in January 2021. The setup includes a one-tonne-per-day biogas plant that converts food and garden waste into purified biogas. The biogas powers a 10 kVA generator which runs the facility and charges electric vehicles on campus. Organic waste is composted and tested regularly. Dry waste is carefully segregated and sent to authorised recyclers or NGOs. The setup also uses solar lighting, revived a borewell, and monitors air quality. Staff training was a key part of the program, with employees learning effective waste segregation and hygiene. Between January 2021 and November 2025, the facility processed over 10.89 lakh kg of food waste, 2.80 lakh kg of garden waste, and 3.73 lakh kg of dry waste, keeping it out of landfills. The compost helps maintain over 8,000 trees and 800 plants on campus. Kidwai’s additional director Naveen T. said, “The near-zero organic waste to landfill status was the result of sustained monitoring and staff participation. Waste management in a large hospital requires both systems and people. Continuous training and strict segregation at source have been key to making the facility effective and compliant.” He added, “Achieving ISO 14001 certification reflects our commitment to integrating patient care with environmental responsibility. As a public-sector tertiary care hospital, we believe sustainable practices are essential for long-term resilience.”