scholarly journals Medical Waste-Sorting and Management Practices in Five Hospitals in Ghana

2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Robert Ohene Adu ◽  
Samuel Fosu Gyasi ◽  
David Kofi Essumang ◽  
Kenneth Bentum Otabil
Keyword(s):  
Waste Management ◽  
Management Practices ◽  
Health Sector ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Health Facilities ◽  
Hospital Waste ◽  
Cross Sectional ◽  
Infectious Waste ◽  
Treatment And Disposal

Hospital waste management in Ghana faces the risk of cross-contamination from the lack of thorough sorting of the waste at the points of generation, codisposal of hazardous and nonhazardous waste types, and use of open-fire pits and substandard incinerators for burning infectious waste. This has increased the potential for the spread of infections and chemical pollutants. A cross-sectional study was conducted in five hospitals in Ghana to assess behavioral patterns on waste sorting and the effectiveness of hospital waste management in Ghana. A total of 250 questionnaires were distributed purposively to some staff of the five hospitals to assess workers’ perceptions on medical waste sorting and handling. Additionally, focused group discussions and transect walks were adopted to examine the current collection, storage, treatment, and disposal methods used in the health facilities. Chi-square analyses showed significant differences in waste-sorting behavior based only on occupation (p<0.0001, n=180) and not on gender, education, or experience in the health sector. Even though contaminated sharps were separated into brown safety boxes, color coding for other infectious waste containers was inconsistent across the health facilities. The study revealed that incineration is still the modal method of treatment in Ghanaian hospitals and therefore new approaches such as an engineering approach were required to minimize its environmental effects. It is recommended that periodic in-service training workshops be held for healthcare staff on the right source-segregation of medical waste, in order to facilitate the effective and safe handling, transport, treatment, and disposal of waste from health facilities.

scholarly journals Medical waste management practices in a selected secondary healthcare facility

2020 ◽  
Vol 38 (4) ◽  
pp. 160-165
Author(s):  
Mohammad Ferdous Rahman Sarker ◽  
Rupa Debnath ◽  
AFM Shahidur Rahman ◽  
Liton Bhushan Howlader ◽  
Zakia Jalal Sarker ◽  
...  
Keyword(s):  
Waste Management ◽  
Management Practices ◽  
Management Practice ◽  
Healthcare Facility ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Healthcare Personnel ◽  
Cross Sectional ◽  
Medical Waste Management ◽  
Waste Management Practice

Introduction: Living things and human activities produce huge waste every day. Globally medical waste is the second most hazardous waste after radiation waste. In this context, this study was a modest endeavor to examine the current situation of ‘Jamalpur 250 Bed General Hospital’s’ medical waste management practice. Methods : This cross sectional study was conducted among doctors, nurses, laboratory technicians and sanitary staffs at ‘Jamalpur 250 Bed General Hospital’. 185 healthcare personnel were purposively interviewed (face to face) to assess previous and existing knowledge and practices of medical waste management. Informed written consent was taken from the study subjects before taking interview. Data was collected by a pretested semi-structured questionnaire. Results : In our current study, out of 185 respondents, 10.0% were doctors and 43.0% were nurses. Five among six color coding segregation system, below 50.0% of the respondent answered correctly. Only 23.8% respondents revealed that the waste handler use PPE properly. 90.8% respondents were mentioned about the lack of storage place for medical waste at hospital premise. 55.7% respondents didn’t know about the in house disinfection process, 56.8% respondents didn’t know about the municipal vehicle support and 52.4% didn’t know about the availability of waste management equipment. Poor knowledge with favorable attitude and risky medical waste management practice of this hospital’s healthcare personnel were detected. Conclusion : This study were indicated that the majority of healthcare personnel did not apply the recommended medical waste management practice set by WHO. Moreover, the current medical waste management practice in selected district hospital was not managed properly and could pose a risk for human health and the environment. J Bangladesh Coll Phys Surg 2020; 38(4): 160-165

scholarly journals Study of knowledge, behaviour and practice of biomedical waste among health personnel

2018 ◽  
Vol 5 (8) ◽  
pp. 3330 ◽  
Author(s):  
Anjuman Chowdhary
Keyword(s):  
Waste Management ◽  
Management Practices ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
World Health ◽  
Healthcare Personnel ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Biomedical Waste ◽  
Health Organization

Background: Healthcare wastes are of great importance due to its hazardous nature. As World Health Organization (WHO) indicated, some of healthcare wastes are considered the most hazardous and potentially dangerous to human health and pollute the environment. With this background this study was undertaken to assess awareness, behavior and practices healthcare personnel about biomedical waste, its hazards and management.Methods: This one cross-sectional study was conducted at S.V.B.P. hospital associated with L.L.R.M. medical college, Meerut. A total of 291 healthcare personnel who consented for interview were interviewed biomedical waste management rules and observed for biomedical waste management practices by using redesigned and a pretested questionnaire. The data was analysed by using SPSS software.Results: Awareness regarding bio-medical waste management rules was 67% in doctors, 60% in nurses, 57% among lab technicians, but the sanitary staff was not aware about this. Awareness about category of BMW, number, colour coding, disposed content, labelling and cover of waste containers and segregation of waste were more among nurses and lab technicians in comparison to doctors but minimum among sanitary staff. All the respondents (100%) doctors, nurses and lab technicians knew that HIV and Hepatitis B transmitted through Bio medical waste but their awareness regarding Hepatitis C and other diseases was very low. 74% of sanitary Staff did not know that these diseases could be transmitted through bio medical waste.Conclusions: Healthcare facilities should get their healthcare personnel trained from accredited training centers.

scholarly journals Assessment of bio medical waste management practices of staff nurses according to newer guidelines in a teaching hospital of rural Vadodara, Gujarat

2017 ◽  
Vol 4 (10) ◽  
pp. 3922 ◽  
Author(s):  
Bhavesh R. Bariya ◽  
Grishma D. Chauhan ◽  
Aarti Jadeja ◽  
Meet Jain
Keyword(s):  
Waste Management ◽  
Teaching Hospital ◽  
Management Practices ◽  
Hospital Staff ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Staff Nurses ◽  
Cross Sectional ◽  
Medical Waste Management

Background: The healthcare services while providing curative, promotive or preventive services inevitably produce waste which may be hazardous to health of patients and hospital staff as well as to the environment. The bio medical waste (management and handling) rules were recently updated by Government of India notification 2016. The present study was carried out to observe and assess the BMW management Practices among staff nurses in a teaching hospital of Vadodara district.Methods: A cross sectional study was carried out to assess BMW management practices in the hospital using BMW Checklist. Observation was the predominant method for data collection.Results: Segregation of BMW at the site of generation was found in 72.73%. Sharp and non-sharp infectious waste was correctly segregated in 72.73% and 100% of areas respectively. Bio medical Waste was found covered in bins, but overfilled in 81.82%. In 6 out of 11, BMW was kept beyond 48 hours. IV set, bottles, syringes, latex gloves, catheters etc. were cut by scissors before disinfection in 45.45%. Staff nurses were using gloves while handling syringe and needles in 10 out of 11 places.Conclusions: Staff nurses were knowledgeable about segregation of BMW, but storage and pretreatment of BMW before its final disposal needs to be improved. An orientation programme about newer guidelines may improve the current practice. 

EVALUATE ON CURRENT STATUS OF MEDICAL WASTE MANAGEMENT IN THE DISTRICT HOSPITALS, DAK NONG PROVINCE

2015 ◽  
pp. 105-113
Author(s):  
Duy Tao Tran ◽  
Trong Si Hoang
Keyword(s):  
Waste Management ◽  
Solid Waste ◽  
Solid Waste Management ◽  
Health Workers ◽  
Medical Waste ◽  
Current Status ◽  
Hospital Waste ◽  
Cross Sectional ◽  
District Hospitals ◽  
Infectious Waste

Objectives: To Describe the status of medical waste, the management of solid waste in the infectious medical district hospitals of Dak Nong Province. Subjects and Methods: Designing cross-sectional descriptive study was implemented from June to July 2014 in all seven district hospitals of the province of Dak Nong. Perform observations of solid waste management infections in 29 medical faculties of 7 hospitals, interviewed 398 health workers, 14 samples tested infectious waste, 12 water samples of hospital waste, 12 samples incinerator emissions medical. Results: The amount of infectious medical waste generated in the 24-hour average of 0.25 kg/bed. In the composition of solid medical waste infection: Linen, cotton, gauze percentage of 37.68%. Nylon, plastic, rubber accounted for 20.27%. Glass accounted for 6.03%. Proportion of health workers know full treatment of solid waste is 2.27% infection. Proportion of faculties perform proper waste classification is 24.14%, with 20.69% of the ward for infectious wastes into ordinary waste, 58.62% of the faculty for each common waste into infectious waste. Only 2/7 the original hospital waste handling have a high risk of infection, 100% of hospital waste storage than the time prescribed. 100% of wastewater samples and incinerator emissions do not meet regulations. In 14 infectious waste samples taken at random at 7 hospitals contaminated samples 13/14 Total coliforms, Pseudomonas aeruginosa infections form 9/14, 2/14 samples infected with Staphylococcus aureus. Key words: Medical waste, solid waste

scholarly journals HOSPITAL WASTE MANAGEMENT;

2013 ◽  
Vol 20 (06) ◽  
pp. 988-994
Author(s):  
RAHEELAH AMIN ◽  
RUBINA GUL ◽  
AMINA MEHRAB
Keyword(s):  
Waste Management ◽  
Management Practices ◽  
Developed Countries ◽  
Management Plan ◽  
Cross Sectional Study ◽  
Waste Generation ◽  
Hospital Waste ◽  
Cross Sectional ◽  
Study Approach ◽  
Waste Management Practices

Introduction: Hospital waste is a special type of waste which carries high potential of infection and injury. Objectives: Thisstudy was conducted to examine Medical Waste Management Practices in different hospitals of Peshawar. Methodology: Simpleobservational, cross-sectional study. was conducted with a case study approach. Aug-Sep 2011, with selection of 15 hospitals. The datawas collected through a pre-designed questionnaire with a checklist. Results: The study showed that 80% of the hospital personnel knewhospital waste and its management. There was waste management plan present in 30% of hospitals. Although hospitals did not quantifiedwaste amounts but on average the amount of waste generated daily was 0.5-1 kg/bed/day. Segregation into risk and non risk waste wasdone in 93.3% of hospitals. For non risk waste, disposal through Municipal Corporation was conducted in 86.67% of the hospitals, whilein 13.3%, it was burnt. For risk waste, either it was buried or burnt. Proper incineration was carried out in only 33.3% of the hospitals.Discussion: Hospital waste generation, segregation, collection, transportation & disposal practices were not in accordance with standardguidelines. The average waste generation in most of the hospitals was almost equivalent to other under developed countries but less thanthat of developed countries. Conclusions: The hospital waste in the majority of hospitals of Peshawar was mismanaged. No properhospital waste management plan existed except at few hospitals.

scholarly journals Hepatitis B virus infection and its associated factors among medical waste collectors at public health facilities in eastern Ethiopia: a facility-based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Degu Abate Mengiste ◽  
Abebe Tolera Dirbsa ◽  
Behailu Hawulte Ayele ◽  
Tewodros Tesfa Hailegiyorgis
Keyword(s):  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
B Virus ◽  
History Of

Abstract Background The risk of hepatitis B virus infection among medical waste handlers who undergo collection, transportation, and disposal of medical wastes in the health institutions is higher due to frequent exposure to contaminated blood and other body fluids. There is limited evidence on the seroprevalence of hepatitis B among medical waste handlers in eastern Ethiopia. The study was aimed at studying the seroprevalence of Hepatitis B Virus and associated risk factors among medical waste collectors at health facilities of eastern Ethiopia. Methods A facility-based cross-sectional study was conducted among randomly selected medical waste collectors from public health facilities in eastern Ethiopia from March to June 2018. A pre-tested and well-structured questionnaire was used to collect data on socio-demographic characteristics and hepatitis B infection risk factors. A2.5ml venous blood was also collected, centrifuged and the serum was analyzed for hepatitis B surface antigen using the instant hepatitis B surface antigen kit. Descriptive summary measures were done. Chi-square and Fisher exact tests were used to assess the risk of association. Multivariate logistic regression was conducted with 95% CI and all value at P-value < 0.05 was declared statistically significant. Results From a total of 260 (97.38%) medical waste collectors participated, HBV was detected in 53 (20.4%) of the participants [95%CI; 15.8, 25.6]. No significant differences were observed in the detection rates of HBV with respect to socio-demographic characteristics. In both bivariate and multivariable logistic regression analysis, being unvaccinated (AOR = 6.35; 95%CI = [2.53–15.96], P = 0.001), history of blood transfusion (receiving) (AOR; 3.54; 95%CI; [1.02–12.24], P = 0.046), history of tattooing (AOR = 2.86; 95%CI = [1.12–7.27], p = 0.03), and history of multiple sexual partner (AOR = 10.28; 95%CI = [4.16–25.38], P = 0.001) remained statistically significantly associated with HBsAg positivity. Conclusion This cross-sectional study identified that HBV infection is high among medical waste collectors in eastern Ethiopia. Immunization and on job health promotion and disease prevention measures should be considered in order to control the risk of HBV infection among medical waste collectors in eastern Ethiopia.

scholarly journals Status of Household Solid Waste Management and Associated Factors in a Slum Community in Kampala, Uganda

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Charles Ssemugabo ◽  
Solomon Tsebeni Wafula ◽  
Grace Biyinzika Lubega ◽  
Rawlance Ndejjo ◽  
Jimmy Osuret ◽  
...  
Keyword(s):  
Waste Management ◽  
Solid Waste ◽  
Associated Factors ◽  
Management Practices ◽  
Solid Waste Management ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Household Solid Waste ◽  
Behavioural Aspects ◽  
Slum Community

Background. Only a third of the total waste generated in slum communities in Kampala is collected and disposed of to the landfill every month. This study assessed the status of household solid waste management and associated factors in a slum community in Kampala, Uganda. Methods. We conducted a community-based cross-sectional study involving 395 households using a semistructured questionnaire and an observational checklist. Proper solid waste management was determined based on possession of waste collection and storage receptacle; collection receptacle ability to minimise nuisances (covered); segregation of waste; presence of flies and other vectors; and collection receptacle fill status. Prevalence rate ratios and their 95% confidence intervals were used as a measure of association. Results. Only, 41.3% (163/395) of the households exhibited proper waste management practices. The majority of the households 85.8% (339/395) owned solid waste storage receptacles, most of which were sacs 61.7% (209/339) and would minimise nuisances 72.9% (245/339). The main type of waste collected was biodegradable materials 56.7% (224/395). The majority of the households 78.7% (311/395) did not segregate their waste. Solid waste was mainly transported to the collection point by pulling the collecting sac 54.4% (215/395). The city authority 73.9% (292/395) and private companies 12.9% (51/395) were the major entities collecting waste. Factors associated with proper waste management were collecting waste in plastic containers (adjusted PR = 1.27, 95% CI (1.04–1.55)), polythene bags (adjusted PR = 0.26, 95% CI (0.14–0.47)), and paper bags or metallic bins (adjusted PR = 0.13, 95% CI (0.03–0.44)) as well as awareness of solid waste management laws (adjusted PR = 1.49, 95% CI (1.20–1.85)) and the dangers of improper solid waste management (adjusted PR = 2.15, 95% CI (1.51–3.06)). Conclusion. Solid waste management was generally poor. As such, a cascade of interventions that address knowledge, physical, and behavioural aspects of solid waste management is required to improve its management in slum communities.

Awareness of Bio-medical Waste Management Among Dental College and Hospital Employees-A Panoramic View

2013 ◽  
Vol 7 (1) ◽  
pp. 1-7 ◽  
Author(s):  
S Bala ◽  
A Narwal
Keyword(s):  
Waste Management ◽  
Management Practices ◽  
Medical Waste ◽  
Human Beings ◽  
Panoramic View ◽  
Hospital Employees ◽  
Research Activities ◽  
Current Scenario ◽  
Medical Waste Management ◽  
Infectious Waste

ABSTRACT The Bio-medical waste (Management and handling) Rules 1988 lay down clear methods for disposal of bio-medical waste, defined as “any waste generated during the diagnosis, treatment or immunization of human beings or animals or in research activities used in the production or testing of biologicals.” The current scenario in the country reveals partial or no segregation at the time of generation, which at times is done by the contractors, or the rag pickers. However, the improper practice of segregation at the site of origin has been observed which causes mixing of infectious and non-infectious waste. A study was therefore, conducted to understand the awareness amongst the employees as regards to Bio-Medical Waste (BMW) Management practices, policies and to assess their attitude towards it, in a premier tertiary level research and referral Institute in Haryana (India).

scholarly journals Disposal of Waste from Tattoo and Beauty Parlors in Poland: A Survey-Based Analysis on Epidemiological Safety

2021 ◽  
Vol 18 (23) ◽  
pp. 12673
Author(s):  
Anita Gębska-Kuczerowska ◽  
Izabela Kucharska ◽  
Agnieszka Segiet-Święcicka ◽  
Marcin Kuczerowski ◽  
Robert Gajda
Keyword(s):  
Waste Management ◽  
Waste Disposal ◽  
Disease Transmission ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Sectional Study ◽  
Infectious Disease Transmission ◽  
Cross Sectional ◽  
Management Processes ◽  
Improve Health

Appropriate waste management is increasingly relevant due to environmental and infectious disease transmission concerns. An anonymous observational cross-sectional study was conducted from 2013–2017 of 262 tattooists and 824 beauticians throughout Poland. Knowledge, attitudes, behavior, and compliance with blood-borne infection controls and correct waste disposal were assessed. Tattooists correctly addressed hazardous waste significantly more often than did beauticians (83.3% vs. 44.8%). Medical waste was collected by a specialist company in 90.1% of tattoo parlors and 63.3%of beauty parlors. Tattooists correctly used and disposed of sharps more frequently than beauticians (93.1% vs. 68.9%); however, 46.4% of beauticians and 12.4% of tattooists discarded waste into municipal trash, including sharps (27.1% and 2.6%, respectively). Incorrect collection and labeling of biological waste present occupational risk to waste disposal personnel. Education and instructional controls could improve health safety in this industry. Biological waste management processes are restrictive for medical services and liberal for beauty services, an industry for which they should also be applied more comprehensively.

scholarly journals Knowledge, attitude and practice of bio-medical waste management among private practitioners in Poonamallee taluk, Chennai

2017 ◽  
Vol 4 (8) ◽  
pp. 2930
Author(s):  
Ruma Dutta ◽  
Prashanth R. ◽  
Gomathy Parasuraman ◽  
Timsi Jain ◽  
Dinesh Raja ◽  
...  
Keyword(s):  
Waste Management ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Community Based ◽  
Cross Sectional ◽  
Biomedical Waste ◽  
Private Practitioners ◽  
Adequate Knowledge ◽  
Source Level

Background: Inadequate and inappropriate knowledge regarding disposal of Bio-Medical Waste may have serious health consequences to those who handle it as well as can have a deleterious impact on the environment. The objective of the study was to assess the knowledge, attitude and practices about the various aspects of bio-medical waste (BMW) management among private practitioners of Poonamallee taluk, ChennaiMethods: A community based cross-sectional study was conducted to assess the Knowledge, Attitude and Practices about the various aspects of Bio-Medical Waste (BMW) management among private practitioners of Poonamallee taluk, Chennai. The sample size was calculated as 171. Data was collected using a structured interview schedule among all private practitioners including dentists. Data was entered and analyzed by using IBM SPSS software Version 21. Results: 78.3% private practitioners were found to have adequate knowledge about the biomedical waste management rules. 76% private practitioners had knowledge regarding segregation of waste at source. 56.7% of practitioners segregated the BMW into different categories at source level and disposed in specified color coded containers. Conclusions: The importance of training regarding biomedical waste management needs emphasis; lack of proper and complete knowledge about biomedical waste management impacts practices of appropriate waste disposal. 

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