Healthcare waste management is a growing environmental and economic challenge due to increasing waste volumes, hazardous materials, and continued reliance on linear disposal methods such as incineration and landfilling. This review aims to examine how circular economy and zero-waste approaches can be applied to healthcare waste management to improve sustainability, resource efficiency, and system performance. A structured narrative review was conducted using peer-reviewed literature obtained from prominent scientific databases, concentrating on circular strategies, zero-waste initiatives, digital technologies, and policy frameworks relevant to healthcare waste systems. The reviewed studies indicate that practices such as improved waste segregation, recycling and material recovery, reusable product design, digital waste tracking, and Extended Producer Responsibility can significantly reduce waste generation, lower environmental impacts, and achieve cost savings, while maintaining infection control and patient safety. However, the review also identifies key barriers to implementation, including regulatory complexity, limited infrastructure, financial constraints, and weak coordination among stakeholders. The novelty of this review lies in its integrated analysis of circular economy and zero-waste strategies through the lens of digital enablement, offering a systems-based framework for transforming healthcare waste management beyond incremental improvements. The findings highlight that successful circular healthcare waste management requires strong institutional leadership, supportive policies, and the integration of digital technologies to enable monitoring, traceability, and decision-making. This review enhances the comprehension of how circular economy principles can facilitate the transition from linear to sustainable healthcare waste systems and provides guidance for policymakers, healthcare managers, and researchers. Future research should focus on evaluating real-world implementation, advancing recyclable and reusable medical materials, and developing standardised indicators to measure circular performance in healthcare settings.
Zikhathile et al. (2026) studied this question.