Medical Waste Management in Community Health Centers: Different Experience From East Azerbaijan Province, Iran

2019 ◽  
Vol 40 (2) ◽  
pp. 159-160
Author(s):  
Mohammad Saadati ◽  
Saber Azami-Aghdash ◽  
Ramin Rezapour

We provide commentary on the article “Medical Waste Management in Community Health Centers” to extend our results and highlight private community performance. We also present a new approach to medical waste management in PHCs through using various forms of Public–Private Partnership models.

Author(s):  
Jafar Sadegh Tabrizi ◽  
Mohammad Saadati ◽  
Mahdieh Heydari ◽  
Ramin Rezapour ◽  
Roghaie Zamanpour

Abstract Aim To improve the medical waste management (MWM) standards in Tabriz community health centers (CHCs) through clinical audit process. Background Management of medical waste is not only a legally necessity but also a social responsibility in health systems. Owing to the potential risks for human health and environmental impacts, MWM is a global concern. Methods This was an interventional research designed using clinical audit cycle that was implemented in Tabriz CHCs in 2016. MWM was assessed through observation, as well as reviewing relevant documents and interviews with waste workers in CHCs and completion of a researcher-made checklist. Intervention plans were developed and implemented based on the assessment results. To analyze the data, Excel 2016 software was used and information was reported as descriptive statistics through comparison of standards adherence before and after the interventions. Results Generally, 30% improvements in MWM standards adherence were experienced (45.8–75.1%) in the CHCs, after the interventions. The greatest improvement was observed in the dimensions of management and education, and separation and collection of medical waste, up to 30 and 28.5%, respectively. Conclusions As the results demonstrated, standards of MWM processes were improved in Tabriz CHCs, due to the intervention. Moreover, it was experienced that using systematic method, stakeholders’ participation and evidence-based planning would lead to process improvement. MWM was an ignored issue in primary care that must be more in attention.


2020 ◽  
Vol 202 ◽  
pp. 06017
Author(s):  
Arifah Wulansari ◽  
Sudarno ◽  
Fuad Muhammad

Total of medical waste generation from health care activities increased every year. Medical waste must be treated seriously because the hazardous substances have potentially to transmit disease and pollute the environment. According to data in 2018, the ministry of environment and forestry estimates that there are around 8,000 tons of untreated medical waste in Indonesia. This is because the current capacity of medical waste management in Indonesia is smaller compared to the growth of medical waste. Several research results indicate that the conditions for the management of medical waste in community health centers still encounter various obstacles. This paper aims to conduct a literature review on matters relating to the medical waste management in community health center and influencing variables. The results of the study are in the form of a framework for conducting a more comprehensive study in order to overcome the problem of managing medical waste at community health centers.


2020 ◽  
Vol 2 (2) ◽  
pp. 20-32
Author(s):  
Edo Muhammad ◽  
Tri Joko ◽  
Nurjazuli Nurjazuli

Some of the waste produced by community health centers is hazardous waste and can pose a number of health and environmental risks if management is not in accordance with the requirements. This study aims to evaluate the conditions for managing solid medical waste in the Cianjur Regency community health center. This type of research is a qualitative descriptive study. The results of the study show that the public health center with the HR condition is quite 90% and less 10%. Public health center with budget conditions in good category 73.3%, and quite 26.7%. Community health center with a condition of facilities and infrastructure of less than 50% category, and quite 50%. Community health centers with SOP conditions in the category of both 90%, and less than 10%. Public health center with conditions for sorting and storing good categories of 46.7%, and enough of 53.3%. all community health centers have sufficient conditions for collecting medical waste. Community health center with conditions for transporting medical categories of waste both 60%, enough 26.7%, and less 13.3%. Community health center with temporary storage conditions medical waste is quite 83.3%, and less 16.7%. a public health center whose medical waste management officers had experienced an accident of 13.3%, whose officers had never had an accident of 86.7%. The conclusion of this study is that most public health center medical waste management is in accordance with the requirements, which are not yet appropriate are aspects of HR, facilities and infrastructure, sorting, use of PPE and Temporary Storage Places.


2019 ◽  
Vol 4 (8) ◽  
pp. 453
Author(s):  
Amrullah Aam Amrullah

The amount of medical waste originating from health facilities are expected progressively increasing. Waste generated from medical efforts such as health centers, polyclinics and hospitals are the type of waste which are included in the category of biohazard waste is very dangerous type of environment, where many exiles viruses, bacteria and other harmful substances. This study was conducted to analyze the management of solid medical waste in the public health centers in Kecamatan Penajam Kabupaten Penajam Paser Utara Provinsi Kalimantan Timur. This research is a qualitative descriptive. The object of research is the implementation of medical waste management in health centers and community health centers target sanitarians and janitor. The research variables include the characteristics of medical waste, stage management, medical waste management officers, facilities, SOP and the perceived health impact of medical waste management officers. The results showed solid medical waste management of health centers is not in accordance with the applicable provisions of the color of plastic bags are used not appropriate, storage locations are not eligible, and there are medical waste that is not destroyed by incineration. Medical waste management facilities not adequate ie no conveyance and no incinerators. Medical waste management is done not in accordance with the SOP and SOP is not in accordance with regulations. Medical waste management officers not using PPE. It is advisable to do a lug medical waste with a plastic bag, label and symbol in accordance with existing regulations. Medical waste storage location is advisable to be in a secure area and symbols and labels. Waste disposal is done in the health center in order to keep attention to the existing guidelines to minimize the risk. The need for training on medical waste management and use of PPE.


2017 ◽  
Vol 33 (12) ◽  
pp. 587
Author(s):  
Riang Lala Manila ◽  
Sarto Sarto

Evaluation of community health center's medical waste management system in Bantul RegencyPurposeThis study aimed to evaluate the Primary health centers medical waste management systems.MethodsThis research was a qualitative study using a case study design in five Puskesmas of Bantul Dis­trict.ResultsThe manage­ment of medical waste in Bantul Regency is a new model using private party as a user (health cooperative) to hire services to the private transporter (CV. Jogya Prima Per­kasa) to carry out the transportation and destruction of medical waste generated by health facilities of Puskesmas, Pustu, Polindes and private health facilities. Con­sideration of Health Cooperation is a private institution belonging to Dinas Kesehatan and has a legal entity con­sidered more flexible to bail out the initially issued funds to pay the financing of transport and extermination services to the transporter.ConclusionPrimary health care medical waste man­agement has followed the regulations. Health center has conducted medical waste management starting from the sorting, collection, pack­aging, storage, and transport. There should be improvements in some aspects, especially the creation of TPS for Puskesmas that do not have them yet, while Puskesmas who already have TPS need to make im­provements ac­cording to the conditions specified. 


2020 ◽  
Vol 148 ◽  
pp. 01006
Author(s):  
Wilujeng A Susi ◽  
Damanhuri Enri ◽  
Mochammad Chaerul

This research objective is to obtain information on solid waste generated by clinics, community health centers and hospitals in Surabaya and its treatment. The waste generation information in each health facilities is acquired by 5 day-sampling, while survey by questionnaire was performed to know how they manage their waste as well as to get information on the number of beds and patients. The solid waste consists of medical and non-medical/general waste. The medical waste generation is 163,9 tons/month where 97,1% of it (158 tons/month) comes from hospitals. Community health centers and clinics contribute 1,1 tons/month and 3,5 tons/month, respectively. Only 29,6% of hospitals medical waste was treated with onsite incinerators. As much as 66% of hospitals medical waste was not had incinerators, community health centers and clinics 0,7% and 0,6% of the waste is treated with incinerator by third parties. Hospitals medical waste from used packaging (1%) can be reused, while the treatment of 1,5% medical waste from clinics is unknown. Non-medical waste generation is 431 tona/month, where 99,2% of it 427,5 tons/month comes from hospitals. Community health centers and clinics generate 1,4 ton/month and 2,1 ton/month non-medical waste, respectively.


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