scholarly journals Assessment of health-care waste generation and its management strategy in the Gaza Strip, Palestine

Author(s):  
Reem Abukmeil ◽  
Ali Barhoum ◽  
Majdi Dher ◽  
Mitsuo Yoshida

AbstractThe situation of health-care waste in the Gaza Strip was threatening the environment and the public health due to the absence of appropriate health-care waste (HCW) handling, treatment, and disposal. In 2016, the total amount of HCW generated was estimated about 7199 kg day−1. Around 20% of the wastes was infectious, and the on-site segregation was done only for sharps in most health care facilities, while other infectious wastes were comingled with noninfectious normal wastes. In 2017, a new strategy for the health-care waste management (HCWM) was adopted. The strategy stated the necessity to segregate the HCW into three categories at the generation source to sharps, infectious wastes, and noninfectious wastes. The strategy was implemented over 40 clinics. The proper on-site segregation of the infectious and sharps showed that 2.4 kg day−1 and 0.7 kg day−1 of wastes is generated from UNRWA and Ministry of Health (MOH) clinics, respectively. This generation quantity accounts for a rate of 11 g per outpatient at UNRWA clinics and a ratio of 9.5 g per outpatient at MOH clinics. These quantities account for 33% and 54% of the total waste from UNRWA and governmental clinics in South and Middle Gaza.

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ngoako Solomon Marutha ◽  
Olefhile Mosweu

Purpose This study sought to investigate a framework for ensuring the confidentiality and security of information at the public health-care facilities to curb HIV/AIDS trauma among patients in Africa. In most instances, trauma to HIV/AIDS patients accelerate because of their personal information relating to the state of illness leaks to public people. Design/methodology/approach This qualitative study used literature to study confidentiality and security of information at the public health-care facilities to curb HIV/AIDS trauma among patients in Africa. Findings The study revealed that confidentiality and security of information has been neglected, in most instances, at the health-care facilities, and this has, to some extent, affected HIV/AIDS patients negatively, leading to trauma, stigma and skipping of treatment by patients resulting in accelerated mortality among chronic patients. The study recommends that patients’ information be always strictly controlled and kept confidential and secured at all the times, especially that of HIV/AIDS patients. Practical implications The proposed framework can be used by health-care facilities to guide the management and promotion of the confidentiality and security of information in the public health-care facilities to curb additional trauma to HIV/AIDS patients in the context of Africa, and even beyond. Originality/value The study provides a framework to ensure the confidentiality and security of information at the public health-care facilities to curb additional trauma to HIV/AIDS patients.


2018 ◽  
Vol 18 (3) ◽  
pp. 522
Author(s):  
Ratu Kusuma

Safe childbirth is childbirth that helped by health personnel in health care facilities. Coverage of childbirth in health care facilities in Jambi province did not reach strategic plan target yet (77.00%), achievement (63.03%), Jambi city (93.86%) and the public health center did not reach target province yet (90%) that is the public health center Talang Bakung (79.00%) and Pal Merah II (78.00%). This study aimed to determine the correlation of knowledge and postpartum mothers attitude about childbirth in health care facilities with a selection of helping in childbirth at the public health center Talang Bakung. This is an analytic descriptive research; with total populations were 32 postpartum mothers, it used total sampling technique. Instrument test was conducted at the public health center Pal Merah II toward 10 postpartum mothers; an instrument used demographic data instrument, knowledge instrument, attitude instrument, and selection of helping in childbirth instrument, with fisher exact test and contingency coefficient. The findings indicated that there is no significant correlation between knowledge and attitudes of childbirth in healthcare facilities with a selection of helping in childbirth with each score p is (p=0.444 p=1.000), contingency coefficient (p=0.399, p=1.000). It is concluded that knowledge and attitude of the postpartum mother about childbirth in healthcare facilities did not affect in a selection of childbirth place chosen by the mother. For the next researcher to research about childbirth in healthcare facilities with the different method.


Author(s):  
Carlos Corvalan ◽  
Elena Villalobos Prats ◽  
Aderita Sena ◽  
Diarmid Campbell-Lendrum ◽  
Josh Karliner ◽  
...  

The aim of building climate resilient and environmentally sustainable health care facilities is: (a) to enhance their capacity to protect and improve the health of their target communities in an unstable and changing climate; and (b) to empower them to optimize the use of resources and minimize the release of pollutants and waste into the environment. Such health care facilities contribute to high quality of care and accessibility of services and, by helping reduce facility costs, also ensure better affordability. They are an important component of universal health coverage. Action is needed in at least four areas which are fundamental requirements for providing safe and quality care: having adequate numbers of skilled human resources, with decent working conditions, empowered and informed to respond to these environmental challenges; sustainable and safe management of water, sanitation and health care waste; sustainable energy services; and appropriate infrastructure and technologies, including all the operations that allow for the efficient functioning of a health care facility. Importantly, this work contributes to promoting actions to ensure that health care facilities are constantly and increasingly strengthened and continue to be efficient and responsive to improve health and contribute to reducing inequities and vulnerability within their local settings. To this end, we propose a framework to respond to these challenges.


2016 ◽  
Vol 70 (1) ◽  
pp. 1-7
Author(s):  
Biljana Shikoska ◽  
Cena Dimova ◽  
Gjorgji Schumanov ◽  
Vlado Vankovski

Abstract Medical waste is all waste material generated in health care facilities, such as hospitals, clinics, physician’s offices, dental practices, blood banks, and veterinary hospitals/ clinics, as well as medical research facilities and laboratories. Poor management of health care waste potentially exposes health care workers, waste handlers, patients and the community at large to infection, toxic effects and injuries, and risks polluting the environment. It is essential that all medical waste materials have to be segregated at the point of generation, appropriately treated and disposed of safety.


1994 ◽  
Vol 24 (3) ◽  
pp. 535-548 ◽  
Author(s):  
Sally Guttmacher

The single known instance of transmission of HIV from a health care provider to a patient raised issues concerning the responsibility of clinicians to their patients, and sparked debate over policies to prevent the spread of HIV in health care facilities. The intensity and politicization of the debate were reflected in revision of the Centers for Disease Control guidelines to control the spread of infection at health care facilities, and in legislation proposed in Congress. The guidelines and proposed legislation provoked responses by public health and medical organizations, several of which considered the measures to be unnecessarily restrictive and too costly in terms of potential benefits. This article describes the events and responses that took place during 1991–1992 after the public was made aware of the case involving transmission from provider to patient. The author examines the situation in the context of public health efforts to control the spread of HIV.


2012 ◽  
Vol 32 (7) ◽  
pp. 1434-1441 ◽  
Author(s):  
Dimitrios Komilis ◽  
Anastassia Fouki ◽  
Dimitrios Papadopoulos

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