Healthcare waste management in Uganda: management and generation rates in public and private hospitals in Kampala

2011 ◽  
Vol 20 (3) ◽  
pp. 245-251 ◽  
Author(s):  
Richard Kibirango Mugambe ◽  
John C. Ssempebwa ◽  
Nazarius Mbona Tumwesigye ◽  
Bas van Vliet ◽  
Adebola Adedimeji
2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Dereje Mesfin Assemu ◽  
Tadese Ejigu Tafere ◽  
Yared Mulu Gelaw ◽  
Getasew Mulat Bantie

Background. Lack of an appropriate management practice of healthcare waste is a potential threat to the healthcare workers, patients, and nearby communities of the health institutions. Objective. The study aimed to assess the healthcare waste management practices (HCWMP) and associated factors among healthcare workers of private and public hospitals of Bahir Dar city administration, Ethiopia. Methods. A facility-based comparative cross-sectional study was conducted from January 2016 to April 2017. The systematic random sampling technique was employed to recruit 460 healthcare workers. The collected data entered into the EpiData software (version 3.1). The analysis was done by using SPSS software (version 20). Descriptive statistics were computed; logistic regression model was run. The model fitness was checked using Hosmer and Lemeshow goodness of fit p > 0.05 . A p value of < 0 . 2 at univariate analysis was included in the multivariable logistic regression analysis. Variables with a p value of <0.05 were statistically associated with healthcare waste management practice at 95% CI (AOR). Results. A total of 418 healthcare workers who participated in the study yielded a response of 90.9%. About 65% (95% CI: 61, 70) of the total respondents had good practice of healthcare waste management. More private hospitals, 79.2% (95% CI: 73, 85), had good healthcare waste management practice compared to public hospitals, 53.5% (95% CI: 47, 60). Male healthcare workers (AOR = 6. 43, 95% CI: 1.82, 22.77) and having a functional healthcare waste management committee (AOR = 6. 47, 95%CI: 1.93, 21.76) were significantly associated with HCWMP at private hospitals. For public hospitals, having a healthcare waste management committee (AOR = 1. 80, 95% CI: 1.03, 3.15) and a manual/guideline on HCWMP (AOR = 2. 43, 95% CI: 1.20, 4.91) was significantly associated with HCWMP. Conclusions. This study revealed there is a great discrepancy in HCWMP between private and public hospitals. Male healthcare workers and having a functional healthcare waste management committee and a manual/guideline were the identified factors of HCWMP.


2016 ◽  
Vol 6 (1) ◽  
pp. 84-89 ◽  
Author(s):  
Angus Nnamdi Oli ◽  
Callistus Chibuike Ekejindu ◽  
David Ufuoma Adje ◽  
Ifeanyi Ezeobi ◽  
Obiora Shedrack Ejiofor ◽  
...  

Author(s):  
Shweta Rajpal ◽  
Sunil Kumar Garg ◽  
Tanveer Bano ◽  
Ganesh Singh

Background: For proper disposal of bio-medical waste, introduction of laws only is not sufficient enough but the development of healthcare system that creates awareness and promote effective enforcement of existing BMW management guidelines among all healthcare personnel assumes primary importance. This study was planned to assess the biomedical waste management awareness among paramedical and auxiliary personnel in public and private hospitals in Meerut city.Methods: A cross sectional observational study was carried out in 384 paramedical and sanitary staff of three government and three private hospitals of Meerut from November 2015 to October 2016. Information was collected on predesigned and pretested semi structured questionnaire. Scoring was done on the basis of response to each of the question awarding 1 mark to correct response and zero mark to wrong response. Score obtained between 0-5, 6-10 and 11-15 were labelled as poor, average and good knowledge respectively.Results: In the present study 68.7% (264) of studied paramedical and auxiliary staff was untrained in both public and private hospitals. However, the higher percentage of untrained staff was observed in public hospitals as compared to private hospitals for any category of staff. In public hospitals 28.1% nurses, 25.0% technicians, 15.0% ward boys/aaya, 29.7% sweepers had gone through training for Bio medical waste disposal as compared to 37.5%, 41.7%, 30.0% and 39.1% respectively in private hospitals.Conclusions: The overall awareness was found maximum among nurses as compared to technicians, ward boys/aaya and sweepers. On comparing the percentage of correct responses and scoring in public and private hospital workers, the paramedical and auxiliary staff of private hospitals had higher percentage of correct responses for most of questions. Intensive training programme at regular time interval should be done repeatedly to train and retrain all the staff, which may include question raising and problem solving approach.


Author(s):  
Davoud Sarpooshi Robat ◽  
Seyedeh Belin Tavakoly Sany ◽  
Hadi Alizadeh Siuki ◽  
Nooshin Peyman ◽  
Gordon Ferns

Inappropriate healthcare waste management (HCWM) may lead to health hazards through the release of toxic and infectious agents into the environment. This study aimed to assess the appropriateness of a Health Action Model (HAM) operationalized in a training intervention to promote behavioral intent towards HCWM practice among hospital staff. This was a quasi-experimental intervention study of 128 hospital staff attending a training intervention in Sabzevar Hospital, Iran. Four training intervention was carried out using potential constructs of the HAM model to compare the quality of HCWM process and behavioral intent of hospital staff before and after a training session. A questionnaire based on HAM and multiple statistical analyses were used to assess the effectiveness of the training intervention. The average age of the eligible participants was 35.05 ± 9.4 years. A majority of the participant was married (88%), nursing staff (54%) and possessed a bachelor’s degree (66%) or diploma (18%). After the intervention, a significant change (p < 0.05) was observed in the intervention group compared to the control group in staff knowledge, attitude, self-efficacy, belief, and motivation. Further, our result showed a significant improvement from 53.6 ± 24.3 to 83.6 ± 11.5 in the behavioral intention toward HCWM practice. This work provides evidence of the effectiveness of the HAM as a guide in which the potential determinates that influence an individual’s behavioral intention toward medical waste practice were identified and described. This model help promote behavioral intention at a variety of target audiences and setting in waste management practice.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abel Demerew Hailu ◽  
Birhanu Demeke Workneh ◽  
Mesfin Haile Kahissay

Abstract Background Prescription drugs constitute the primary source of revenue for the pharmaceutical industry. Most pharmaceutical companies commit a great deal of time and money to market in hopes of convincing physicians about their products. The objective of this study is to assess perceived influence of pharmaceutical marketing mix strategies on physicians’ prescribing behaviors in hospitals, Dessie, Ethiopia. Methods Mixed methods sequential explanatory design was employed in two public and three private hospitals. A cross-sectional study design was employed by including (136) physicians working in public and private hospitals. Percentage, mean, standard deviation, and multiple linear regressions were computed using Statistical Package for Social Science. In the second phase, the phenomenological design was employed to fully explore in-depth information. Purposive sampling was used to select key informants and 14 in-depth interviews were conducted by the principal investigator. Content analysis was performed using Nvivo 11 plus and interpretation by narrative strategies. Results The overall perceived influence of pharmaceutical marketing mix strategies in physicians’ prescribing behavior was 55.9%. The influence of promotion, product, place and price strategy perceived by physicians in their prescribing behavior was 83 (61%), 71(52.2%), 71 (52.2%), 80 (58.8%) respectively. There was a statistically significant difference among marketing mix strategies (β = 0.08, p = < 0.001). Determinants on the influence of physicians’ prescribing behavior were specialty (p = 0.01) and working areas (p = 0.04). The qualitative design also generates additional insights into the influence of pharmaceutical marketing mix strategies on physician prescribing behavior. Conclusions More than half of physicians perceived that pharmaceutical marketing mix strategies influence their prescribing behavior. The qualitative design also revealed that pharmaceutical marketing mix strategies influenced physicians prescribing behavior. Strengthening the regulation and maintaining ethical practice would help to rationalize the physicians’ prescribing practice.


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