Knowledge and Practice for Bio-Medical Waste Management among Healthcare Personnel at Kabgayi District Hospital, Rwanda

Background Globally, about 10 to 25% of the volume of bio-medical waste from hospitals and healthcare institutions presents a serious health risks to patients, healthcare personnel, and anybody who comes in contact with it. The waste management practices in Rwanda healthcare facilities are poor and need improvement. Objectives To assess the knowledge and practices regarding bio-medical waste management among healthcare personnel at Kabgayi district hospital in Southern Province of Rwanda. Materials and Methods A cross-sectional study design was conducted. A total of 200 healthcare personnel were selected randomly out of 400 target population including doctors, nurses, social workers, and cleaners. Structured questionnaire was used to collect data. Descriptive analysis using frequency and proportions were used. Chi-Square test was used to determine the association between the variables and level of significance was set at p ≤ 0.05. Results The study found that about half (49.0%) of healthcare personnel had good knowledge about waste management. We found that the majority of healthcare personel 133(66.5%) had poor practices towards bio-medical waste management. The factors associated with good practice were better knowledge on bio-medical waste management (p=0.013) and older age group (p=0.001). Conclusion/Recommendations The level of in both knowledge and practice towards bio-medical waste management among healthcare personnel was low. Continuing education and training programmes and short courses on bio-medical waste management should be carried out to improve the knowledge and practices towards bio-medical waste management among healthcare personnel.

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Medical waste management practices in a selected secondary healthcare facility

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v38i4.48975 ◽

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

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

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183056 ◽

2018 ◽

Vol 5 (8) ◽

pp. 3330 ◽

Cited By ~ 1

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.

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

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20174275 ◽

2017 ◽

Vol 4 (10) ◽

pp. 3922 ◽

Cited By ~ 1

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.

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Assessment of Knowledge, Attitude, and Practice in respect of Medical Waste Management among Healthcare Workers in Clinics

Journal of Environmental and Public Health ◽

10.1155/2020/8745472 ◽

2020 ◽

Vol 2020 ◽

pp. 1-12

Author(s):

Pensiri Akkajit ◽

Husna Romin ◽

Mongkolchai Assawadithalerd ◽

Issam A. Al-Khatib

Keyword(s):

Waste Management ◽

Environmental Pollution ◽

Healthcare Workers ◽

Medical Waste ◽

Healthcare Personnel ◽

Attitudes And Practices ◽

Attitude And Practice ◽

Knowledge And Practice ◽

Medical Waste Management ◽

Knowledge Attitude And Practice

Medical waste represents a significant health risk and an environmental pollution concern due to its hazardous characteristics. The knowledge and practice of healthcare personnel in respect of the disposal of medical waste is essential to perform effective medical waste management. Therefore, the aim of this study was to assess the knowledge, attitudes, and practices related to medical waste management among healthcare workers in clinics (medical and dental clinics, specialized medical, laboratory clinics, polyclinics, and midwifery clinics) in Phuket, Thailand. A cross-sectional study was designed with stratified-random sampling used to select the sample of 344 respondents from 172 clinics of which data were collected using face-to-face interviews. The results showed that the majority of respondents (87.2%) were female of whom 36.9% were aged (20–29), 52.0% had more than 5 years working experience, and 51.2% had participated in at least one training course regarding medical waste management. The overall scores for knowledge, attitude, and practice were at a high level (89.5%, 91.9%, and 92.2%, respectively). Significant and positive correlations were found between knowledge and attitude (r = 0.464), knowledge and practice (r = 0.396), and practice and attitude (r = 0.519). Statistical analysis using t tests and one-way analysis of variance showed that working experience and its duration were significant factors influencing good medical waste management practice. However, local authorities should implement a well-planned collection and transfer process for medical waste in order to reduce the risk of environmental pollution and the risk of infection or injury to healthcare workers and the general public.

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Medical Waste Management during Conflict: A Cross-sectional Study in Yemen

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/48532.15038 ◽

2021 ◽

Author(s):

Samira Hameed Hanash ◽

Lutfi A Al-Maktari ◽

Redhwan A Al-Naggar

Keyword(s):

Waste Management ◽

Arabic Language ◽

Cross Sectional Study ◽

Medical Waste ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Language Data ◽

Knowledge And Practice ◽

Medical Waste Management

Introduction: Proper handling and disposal of medical waste is an important issue. However, a lack of awareness on medical waste management is a dangerous hazard for humans and the environment. Aim: To determine the knowledge and practices of Health Care Workers (HCWs) about medical waste management in Yemen. Materials and Methods: A cross-sectional study was conducted among 337 HCWs in four main hospitals in Ibb city, Yemen, from November 2019 to May 2020. Knowledge and practice of medical waste disposal were assessed using a self-administered questionnaire to gather data from the respondents in Arabic language. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) v. 25.0. Mann-Whitney, Chi-square, and Spearman and correlation tests. Results: Most of the participants had a diploma (47.8%), occupation was nursing (41.2%), with less than five years experience (50.7%). The study showed that respondents demonstrated good knowledge and practice about medical waste management. There was a moderate positive correlation between knowledge and practice domains. Occupation significantly influenced knowledge (p=0.001) and practice (p=0.002) of the participants. Type of hospital showed a statistically significant relation to knowledge (p=0.001). Education significantly influenced the knowledge (p=0.030) of the study participants. conclusion: Occupation, type of hospital and education level are the factors which significantly influenced the knowledge of Yemeni nurses. Contentious education should be focused on medical waste management among HCWs.

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RESULTS OF ENVIRONMENTAL MONITORING IN 6 PROVINCIAL HOSPITALS HIGHLAND AREA 2011-2013

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2016.1.13 ◽

2016 ◽

pp. 101-108

Author(s):

Duy Tao Tran ◽

Trong Si Hoang

Keyword(s):

Waste Water ◽

Radioactive Waste ◽

Waste Management ◽

Environmental Monitoring ◽

Monitoring And Evaluation ◽

Medical Waste ◽

Contamination Rate ◽

Cross Sectional ◽

Medical Waste Management ◽

Central Highlands

Objective: Monitoring and evaluation of air environmental quality, waste water and medical waste management activities in some hospitals in the Central Highlands. Research Methodology: Cross-sectional descriptive survey was deployed in 6 provincial hospitals of the Central Highlands in 7th- 8th months every year for 3 years, 2011, 2012, 2013. Observing the process of waste management in hospitals, weighing the medical solid waste generated daily, sampling and environmental monitoring of air, water waste samples after treatment of hospitals. Findings: The percentage of substandard sample of radioactive 2011 was 5.88%, in 2012 was 5%, 2013 was 0.02%. Mainly in dose laboratories, rinse the nuclear medicine department, hatch covers radioactive waste storage. 100% of the air sample of wastewater treatment areas have NO2 target and 60% of SO2 target sample have not reached allowed regulations. The atmosphere at the garbage area hospitals in Kon Tum and Lam Dong provinces through 2 years of monitoring in 2012, 2013 exceeded SO2 target standards. Monitoring results incinerator emissions sample at 3 hospitals: Kontum, Gia Lai, Dak Nong in 3 years reached Regulations allow. The observation sample treated waste water of the hospital in 2013 with low contamination rate than in 2011 and 2012 in terms of physics and chemistry. Particularly criteria Total coliforms 3 years are from 40-50% of samples exceeded standards. Regarding waste management, the results of monitoring in 2013 showed that 60% of faculties have sharps instruments and 20% of the faculties have satisfactory utensils anatomical waste. 59.48% of the faculties have the guidelines for waste separation. Condition misclassified not many and occur in two hospitals Gia Lai, Dak Lak. Only Lam Dong hospitals have waste transportation vehicles secured closed during transport. The amount of waste / beds / 24 hours is 1.097kg. In particular infectious waste is 0.26kg. Only two hospitals in Daklak, Lam Dong has generated radioactive waste with a total of 0.9 kg/day. Key words: Medical waste, medical waste management.

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

Kurdistan Journal of Applied Research ◽

10.24017/science.2017.2.21 ◽

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.

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KAP study of bio-medical waste management among health care workers in Delhi

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20173840 ◽

2017 ◽

Vol 4 (9) ◽

pp. 3332 ◽

Cited By ~ 1

Author(s):

Gajanan C. Soyam ◽

Prabhakar A. Hiwarkar ◽

Umesh G. Kawalkar ◽

Vishal C. Soyam ◽

Vimal K. Gupta

Keyword(s):

Health Care ◽

Waste Management ◽

Nursing Staff ◽

Health Care Workers ◽

Medical Waste ◽

Rural Hospital ◽

Hospital Data ◽

Cross Sectional ◽

Care Workers ◽

Medical Waste Management

Background: Bio-medical waste management is vital issue not only to hospitals, but also to the environment, law enforcement agency, media and to the general public.The objectives of the study were to find out level of knowledge, attitude and practices of health care workers (HCWs) about bio-medical waste management in a rural hospital of Delhi. Methods: A cross sectional study was carried out in rural hospital, Delhi on 155 HCWs. Pre-designed, pretested, structured questionnaire were administered on 155 HCWs of hospital. Data collected and analyzed by using SPSS-17. Results: Total of 155 HCWs were selected. Majority of HCWs were in the age group of 30.3 years±5.6 (mean age±SD) Almost half (54.2%) of study population comprised of female. Most of them were nursing staff. Mean years of experience in service was 4.8±3.7 (mean age±SD). Majority HCWs in this study took education up to senior secondary and they possess respective professional qualification. Statistically significant numbers of HCWs vaccinated with HBV vaccine and received training of bio-medical waste management (p<0.05). Almost all (97.4%) HCWs aware of bio-medical waste management rules and have very positive attitude. Practice of HCWs regarding bio-medical waste management was relatively poor. Conclusions: Nursing staff have not only best knowledge and attitude but also good practices among all HCWs. Additional training have been required to Paramedics and group-D workers.

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