scholarly journals Evaluation of implementation about Covid-19 medical waste management policies in health care facilities

2021 ◽  
Vol 905 (1) ◽  
pp. 012124
Author(s):  
F F Al-Fikri ◽  
R A Nugroho ◽  
Sudarmo
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Health Workers ◽  
Medical Waste ◽  
Health Care Facilities ◽  
Literature Study ◽  
Care Facilities ◽  
Management Policies ◽  
Medical Waste Management ◽  
The Impact

Abstract This paper evaluates policy implementation that discusses the management of medical waste in health care facilities. The government establishes a waste management policy with the Decree of the Minister of Health concerning Guidelines for the Management of Medical Waste for Health Service Facilities and Waste from Isolation Activities or Independent Quarantine in the Community in Handling (Covid-19) to prevent transmission and controlling the spread of Covid-19 and protecting health workers, non-health workers, and the public from the impact of waste in handling Covid-19. Although regulations related to the management of Covid-19 waste have been set, there are still problems in some areas in their implementation. The literature study was conducted to evaluate the implementation of medical waste management policies in health care facilities. Evaluation is seen based on socialization, implementation, and policy results. Based on the results of the literature study, it was found that the socialization of the policy had done well, evidenced by the implementation of socialization about medical waste in health care facilities. The implementation encountered several obstacles, such as limited shelters, shortage of waste destruction equipment, and medical waste transportation and processing services that had not yet reached all areas in Indonesia.

scholarly journals ASPEK HUKUM PENGELOLAAN LIMBAH MEDIS PADA FASILITAS PELAYANAN KESEHATAN DAN PERLINDUNGAN TERHADAP KESEHATAN LINGKUNGAN

2021 ◽  
Vol 6 (1) ◽  
pp. 98-115
Author(s):  
Endang Wahyati Yustina
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Environmental Health ◽  
Medical Waste ◽  
Health Care Facilities ◽  
Toxic Waste ◽  
Research Approach ◽  
Toxic Materials ◽  
Care Facilities ◽  
Medical Waste Management

          Hazardous and Toxic Waste/ (Hazardous and Toxic Materials) is the residue of a business and/or activity containing hazardous and toxic materials (B3). One of the B3 wastes is medical waste, which is an infectious waste generated from activities at health care facilities, in the form of solid or liquid waste. These medical wastes are generated from activities such as hospitals, community health centres, independent practice places, clinics, etc. Amenities. Medical waste is an infectious object or item that must be properly managed, starting from the time of collection, transportation, to the destruction process. Therefore, it is necessary to have legally binding regulations related to waste and its management.             This research is descriptive in nature which will produce a regulatory description of B3 waste management, particularly medical waste with the protection of environmental health rights. The research approach used normative legal approach. The data collected is in the form of secondary data, while the method of analysis used is qualitative analysis methods.             The results showed that the more human activity increased, the more waste was generated. Medical waste is one of the B3 wastes. Medical waste is waste that is directly generated from the diagnosis and medical treatment of patients in health care facilities, such as in polyclinic, nursing, surgical, obstetrics, autopsy and laboratory rooms. To avoid environmental risks, medical waste management must be carried out properly. Various laws and regulations for the management of B3 waste have been enacted, including Government Regulation No. 19/1994 (PP 19/1994) concerning Management of Hazardous and Toxic Wastes up to PP 101/2014. The provisions regarding B3 waste management are based on Law Number 32 the Year 2009 concerning Environmental Protection and Management (UUPLH). However, related to medical waste, it still needs to be synchronized with the regulations in Law Number 36 of 2009 concerning Health. Regulations on medical waste management aim to protect environmental health. Medical waste management can prevent environmental pollution and prevent disease transmission (infection) and prevent waste misuse.      

scholarly journals Knowledge, Attitude and Practice of Health Care Workers in Sulaimani Health Facilities in Relation to Medical Waste Management

2017 ◽  
Vol 2 (2) ◽  
pp. 143-150
Author(s):  
Sarko Masood Mohammed ◽  
Nasih Othman ◽  
Ali Hattem Hussein ◽  
Kamal Jalal Rashid
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Health Care Professionals ◽  
Management Practices ◽  
Knowledge Score ◽  
Medical Waste ◽  
Health Care Facilities ◽  
Coding System ◽  
Total Knowledge Score ◽  
Medical Waste Management

Medical waste management is of crucial importance in health care facilities (HCF). In the present study, we assessed the knowledge, attitude and practices of medical waste management in an HCF of Sulaimani city, Kurdistan Region of Iraq. Using a self-administered questionnaire, we collected information on waste management practices from health care professionals (HCP) in 14 public and private hospitals and 10 primary health care centers of the city. Based on answers, total knowledge score on a 10-point scale was established. A total of 406 HCPs (of those, 261 women), average age 37.3 (SD ± 9.4) years participated. Just 20.3% have been trained on medical waste management. The total knowledge score ranged from 0 to 9 with a mean of 4.7 (SD ± 1.8).  Factors which were significantly associated with the better knowledge score was male gender, having a high educational degree, being trained in waste management and has been in service for more than 5 years. 68% of HCPs followed the color coding system, 91% always/frequently disposed used sharps/needles to safety boxes, 79% always or frequently recapped needles, 49% reported experiencing at least one needle prick injury during their work but only 37% of them had reported the injury to a supervisor and only 4% of those injured had filled an injury form. There is a low average level of knowledge and the unsafe risky practices are quite prevalent in HCFs. Provision of appropriate training on dealing with medical waste is essential to promote safe practices among HCFs.

scholarly journals Review: Medical Waste Management for Covid19

2020 ◽  
Vol 12 (1si) ◽  
pp. 104
Author(s):  
Hendri Sutrisno ◽  
Fitriana Meilasari
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Medical Waste ◽  
Health Care Facilities ◽  
Toxic Waste ◽  
Waste Generation ◽  
Chemical Waste ◽  
Pharmaceutical Waste ◽  
Medical Waste Management ◽  
Infectious Waste

Introduction: Medical waste generation during the Covid19 pandemic increased by around 30%. Sources of medical waste generation are health care activities. If medical waste is not appropriately managed, it can pollute the environment and disturb health. The purpose of the review is to identify the potential of medical waste in health-care facilities in Indonesia when the Covid19 pandemic and to review medical waste management in Indonesia. The analysis uses a systematic literature review. Discussion: The potential of medical waste during the Covid19 epidemic is infectious waste (PPE wastes), sharps waste (syringes), chemical waste (expired medicines), and pharmaceutical waste (the used alcohol bottles when rapid tests). The hazardous waste management system refers to Government Regulation No. 101 year 2014 about Management of Hazardous and Toxic Waste and and Regulation of Minister of Environment and Forestry of Republic Indonesia No. P.56/MenlhkSetjen/2015 about Procedures and Technical Requirements for Waste Management Hazardous and Toxic From the Health Service Facilities. Infectious waste, sharps waste, chemical waste, and pharmaceutical waste are destroyed with incinerators. Syringe residues were damaged with a needle shredder. Residue and incineration ashes are processed using solidification. If the heavy metal content under the quality standards, then the waste can be landfill. Conclusion: The potential of medical waste during the Covid19 pandemic is infectious waste, sharps waste, chemical waste, and pharmaceutical waste. Medical waste generated must be appropriately managed. Proper medical waste management can prevent environmental pollution and the spread of disease. One of the processing of potential medical waste is incineration. The incineration system produces residue and ash waste that must further be handled so that it does not pollute the environment and disturb health.

scholarly journals The Design of Medical Waste Treatment in Public Health Center (MWT-P) for Reducing Total Bacteria Count in Banjarbaru

2020 ◽  
Vol 12 (4) ◽  
pp. 254
Author(s):  
M. Irfa'i ◽  
Arifin Arifin ◽  
Ferry Kriswandana ◽  
Imam Thohari
Keyword(s):  
Public Health ◽  
Health Care ◽  
Waste Management ◽  
Health Center ◽  
Waste Treatment ◽  
Medical Waste ◽  
Health Care Facilities ◽  
Management Tool ◽  
Public Health Center ◽  
Care Facilities

Introduction: The increase in medical waste in health service facilities in Indonesia is linearly consistent. The quantity of medical waste that causes a complex problem is a high cost of processing clinical waste. Legislation requires medical or clinical waste to be processed not to cause nosocomial and other environmental pollution. Medical or clinical waste treatment requires excessive technology and very high processing expenses. Processing medical waste requires innovation in processing medical waste to be applied easily in health care facilities (Public Health Center). Method: This research was conducted by simulating variations in the stages of processing medical waste used to be the Experiment Pre and Post Test only without Control Group design. Simulation variations used include contact time Chlorine (5 minutes, 10 minutes) and Chlorine Dose Variation (25 ppm, 50 ppm). This research was conducted in the Public Health Center of the City of Banjarbaru in 2018. Result and Discussion: The content of bacteriological numbers in medical waste before processing is, on average, 1,973 MPN / 100 ml; after being treated with MWT-P, the bacteria is reduced to 4 MPN/100 ml. The content of the liquid waste bacterial number of the final processing decreases to 0 MPN/100 ml. Conclusion: The study results concluded that the use of MWT-P decreases the quantity of medic or clinical waste microorganisms or bacteria. The final waste processing with MWT-P resulted in the number of medical waste bacteria in the treatment reaching zero. MWT-P is a low cost and easy to perform medical or clinical waste management tool. MWT-P is a stage of the B3 waste management framework, especially medical waste, in health care facilities.

scholarly journals Motivation management model and practical realization within the health care institutions

2021 ◽  
Vol 2 (2) ◽  
pp. 23-30
Author(s):  
Alla Mamay ◽  
Iuliia Myroshnychenko ◽  
Henryk Dzwigol
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Care Quality ◽  
Health Care Facilities ◽  
Special Role ◽  
Management Models ◽  
Health Care Institutions ◽  
Depth Analysis ◽  
Care Facilities ◽  
The Impact

The motivation of medical workers is essential to society since the quality of their work affects the individual and public health. The authors highlighted the special role of state and municipal authorities in motivating medical professionals. The study aims to identify the main directions and elaborate the recommendations to build motivational management models in health care facilities. The study reveals the essence and objectives of personnel policy management in health care facilities. The main methods of motivating health workers were analyzed. The authors evaluated the impact of health reforms on health workers’ motivation. The study proposed several ways to improve the motivational management models. The authors conducted an in-depth analysis of economic and non-economic motivation in health care facilities. The methodological basis of the study is comparative analysis, the method of scientific abstraction, induction and deduction analysis, and synthesis. The practical implementation involved the online services Google Ngram Viewer and SciVal. The findings proved the need to develop the health care quality performances and their approval at the local level. The authors concluded that it is necessary to elaborate on a local program of employees’ motivation of utility non-profit enterprises to implement qualitative indicators. This program may include the mayor’s award, awards free internship programs, invitations to cultural events, symbolic gifts, etc. The obtained results showed that the health reform didn’t cover all activity areas of the health care institutions while the funding for medical care per one patient was insufficient. Therefore, the study emphasized the urgency to solve the above strategic problem in state and municipal management in Ukraine. The findings could be useful for the state and the municipal government of Ukraine in elaborating on motivation programs for health workers and their maintenance.

scholarly journals Medical waste and health workers in Gaza governorates

2001 ◽  
Vol 7 (06) ◽  
pp. 1017-1024
Author(s):  
H. T. Massrouje
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Health Workers ◽  
Medical Waste ◽  
Decision Makers ◽  
Safety Measures ◽  
National Programme ◽  
Health Care Clinics ◽  
Care Workers ◽  
Medical Waste Management

The study was conducted among health workers in Gaza to identify and highlight the problem of medical waste management. Data were collected through a questionnaire [given to 400 health workers], a checklist and interviews [with 16 decision-makers]. Results show that there is no system for medical waste management in Gaza. Segregation is done only for sharps and there are no colour-coded bags. Medical waste is stored and disposed of with domestic waste in primary health care clinics and is incinerated in hospitals, but there are no emission control or safety measures. There are some gaps in knowledge of health care workers, and current practices are inadequate. However there is generally a positive attitude to improving medical waste management among those surveyed and interviewed. A national programme for medical waste management is essential in Palestine.

Assessing the Preparedness of Healthcare Facilities for Disasters and Emergencies in Damghan, Iran

2021 ◽  
pp. 1-7
Author(s):  
Behrad Pourmohammadi ◽  
Ahad Heydari ◽  
Farin Fatemi ◽  
Ali Modarresi
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Mitigation Measures ◽  
Health Staff ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Wide Range ◽  
Care Facilities ◽  
The Impact

Abstract Objectives: Iran is exposed to a wide range of natural and man-made hazards. Health-care facilities can play a significant role in providing life-saving measures in the minutes and hours immediately following the impact or exposure. The aim of this study was to determine the preparedness of health-care facilities in disasters and emergencies. Methods: This cross-sectional study was conducted in Damghan, Semnan Province, in 2019. The samples consisted of all the 11 health-care facilities located in Damghan County. A developed checklist was used to collect the data, including 272 questions in 4 sections: understanding threatening hazards, functional, structural, and nonstructural vulnerability of health-care facilities. The data were analyzed using SPSS 21. Results: The results revealed that the health-care facilities were exposed to 22 different natural and man-made hazards throughout the county. The total level of preparedness of the health-care centers under assessment was 45.8%. The average functional, structural, and nonstructural vulnerability was assessed at 49.3%, 31.6%, and 56.4%, respectively. Conclusions: Conducting mitigation measures is necessary for promoting the functional and structural preparedness. Disaster educational programs and exercises are recommended among the health staff in health-care facilities.

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