scholarly journals Feckless practices of bio medical waste management: a conundrum for developing countries

2019 ◽  
Vol 7 (1) ◽  
pp. 235
Author(s):  
Anand Yadav ◽  
Rituja Kaushal

Background: Biomedical waste poses hazard due to two principal reasons: infectivity and toxicity. 75-90% of waste produced by health care facilities is generally non risky but remaining 10-25% is regarded as hazardous with the potential for creating a variety of health problems. Biomedical waste management is an integral part of infection control practices. Virtuoso biomedical waste handling leads to a better environment for medical as well as surgical care patients.Methods: It is a descriptive forward moving study conducted to empower first year MBBS students about biomedical waste management and handling skills to enhance their expertise for future as a competent physician or surgeon and to assess their knowledge gain.Results: Out of 150 students, 131 were present. 68 were males and 63 were females. Mean age was 21.33 with standard deviation of 3.745. Mean marks obtained were 3.09±1.15 (out of 5). ANOVA statistics revealed insignificant p value denoting unambiguous pattern of knowledge gain by all the participants.Conclusions: Empowering medical undergraduates with basic medical skills at an early stage will make them more efficient for future endeavors.

2021 ◽  
Vol 16 (3) ◽  
pp. 154-164
Author(s):  
Ms Krithiga ◽  
Sudharsana V ◽  
Sribalaji R ◽  
Snega C

Coronavirus, which was started provincially at Wuhan of China, has become a worldwide pandemic by affecting individuals of almost all the world. The developing pandemic of COVID-19 disease requires social distancing and individual cleanliness measures to secure general wellbeing. The aim of the present study is to evaluate the knowledge, attitude, practice and awareness of biomedical waste management in this pandemic situation among healthcare workers and medical students across Tamil Nadu. A cross sectional questionnaire survey was prepared to evaluate the knowledge regarding waste management and waste handling techniques. The survey found that most of the hospitals (50%) are using plastic containers for waste collection. Almost 79.7% of the respondents said they follow colour coding while disposing waste. When asked about exact category only few gave correct answers. Nearly 72.8% answered that they collect the Covid patient’s wastes separately. As coronavirus is a contagious disease, each healthcare worker should be trained in safe handling of wastes. From this survey, it is clear that training about safe handling of waste is needed among workers. This survey will help government and healthcare providers to handle this Covid pandemic successfully and more effectively.


Author(s):  
Vivek Chhabra ◽  
Durga Shankar Meena ◽  
Gopal Krishana Bohra ◽  
Naresh Midha ◽  
Bharat Maheshwari ◽  
...  

Background: India as a developing country is facing a lot of health care problems, with the increase in health care facilities, there is a growing concern of hazards of biomedical waste. Since the nursing staff is at the centre of biomedical waste handling, their knowledge of adequate disposal of biomedical waste is of utmost importance. So, we conducted a study regarding knowledge, attitude and practice of nursing staff working in a premier institute of western Rajasthan with respect to biomedical waste and its management.Methods: This was a hospital-based descriptive, observational study conducted in our institute in the month of October and November of 2018. Written consent was taken and pre-defined questionnaire was prepared based on a review of literature on the subject. Scrutiny was done for the data for any logical inconsistencies, skip patterns and missing values. Coding of the data was done and entered into a Microsoft Excel. Descriptive and inferential statistics were applied for data analysis.Results: 150 participants took part in the questionnaire based study. The study showed that majority of participants have adequate knowledge, attitude and practice toward biomedical waste management but still, there were gaps in the knowledge and practice in essentially quite a lot of participants which should not be there.Conclusions: There is a need for strict implementation of biomedical rules at all the tiers of healthcare. There should be regular orientation programs for nursing staff and other health personnel working in the institutes. 


Author(s):  
Priyanka Sriramula ◽  
Rajashekar Neelakanti ◽  
P. S. Supriya

Background: Every day, relatively large amount of potentially infectious and hazardous wastes is generated in the health-care hospitals and facilities around the world. Indiscriminate disposal and improper management of waste generated in health care facilities causes serious threat to environment and to human health that requires specific treatment and management prior to its final disposal.Methods: Cross-sectional study was conducted among 241 health care personnel working at Mahatma Gandhi Memorial hospital, Warangal. Data was collected and pre and post analysis was done using a pre-validated self-administered questionnaire. Data was entered in MS Excel and analysed using SPSS 17 software.Results: Among 241 respondents, 33.2% were sanitary staff, 35.3% are nursing staff and 31.5% are nursing students. Only 35.7% of participants has knowledge regarding the colour of the bag into which expired antibiotics are discarded and 45.2% of participants were aware of the colour of the bag in which IV bottles, gloves were discarded. Scoring for 10 was done in both pre and post-test and post test scores were found to be higher and there is significant increase in level of knowledge of biomedical waste management rules in study population in post-test analysis (p<0.001).Conclusions: Training program on the waste management in the health sector has significant effect in increasing knowledge of the healthcare personnel. 


Author(s):  
Venkatesh Gonibeedu ◽  
M. Sundar ◽  
H. C. Santhosh ◽  
D. Mallikarjuna Swamy

Introduction Inadequate biomedical waste management not only poses significant risk of infection due to pathogens such as HIV and Hepatitis B and C virus but also carries the risk of water, air, and soil pollution thereby adversely affecting the environment and community at large. Therefore, the Ministry of Health and Family Welfare commissioned implementation of an Infection Management and Environment Plan (IMEP) in health-care facilities. Hence, this study is undertaken to assess the knowledge, attitude, practice, and gaps in implementing the biomedical waste management practices at the primary health-care facilities. Methodology: A cross-sectional study was conducted among the Primary Health Centers of Hassan District. Details of knowledge, attitude, and practice of biomedical waste management were collected through observation, staff interview, and record review on the predesigned questionnaire. A score of 0, 1, and 2 was given for noncompliant (0), partially compliant (1), and fully compliant (2), respectively, based on the compliance. A scoring system was devised to evaluate the effectiveness of training as good, average, and poor. A score of >70 was considered as good, 50 to 70 as average, and <50 as poor. Results The mean efficacy score was 63; knowledge was good with a score of 74, attitude was average with a score of 63, and practice was also average with a score of 54. Conclusion There is a need for retraining of all the staff and strict supportive supervision by the district health authorities to ease the implementation requirements.


Author(s):  
Aneri Tank ◽  
Dimpal Khambhati

Biomedical waste management is a major concern in current scenario. Increase in hospital and health care facilities also generates high amount of biomedical waste. Therefore, segregation, handling and disposing of waste is crucial step to be taken. Waste segregation is to be done according to the color-coded dustbins as per the rules formed by the "The ministry of environment, forest and climate change". Segregation into color coded dustbin is done on the basis of type of category of waste. If proper segregation of biomedical waste is not done, then the further process of handling and disposing of it becomes laborious. As different kind of waste is treated (reused, recycled and reduce) in distinct way. Not only this but the waste discarded improperly can be harmful to the environment and toxic to the people coming into contact with them invariably while disposing or treating the medical waste. Thus, we are developing an instrument which segregates biomedical waste effectively and dispose it having minimum human exposure with the it while and after disposal. We start with a matrix constructed using switches and LED lights of different colors which indicate the respective color code of the dustbins. The rows and columns describe the different properties of the waste material. Each of the dustbins has an ultrasonic distance sensor attached in front of them followed by a microcontroller and servo motor. The distance sensor circuit controls the lid of the dustbin when person goes near/away from the dustbin. This is how hospital waste segregation is done fruitful and disposal of it in such a way that chances of spreading infection through medical waste decreases. Later, it can be discarded in bigger bins for storing and transporting it to waste management companies.


2021 ◽  
Vol 21 (1) ◽  
pp. 457-69
Author(s):  
John Oluwatosin Makanjuola ◽  
Uyi Idah Ekowmenhenhen ◽  
Lillian Lami Enone ◽  
Donna Chioma Umesi ◽  
Oladunni Mojirayo Ogundana ◽  
...  

Background: Indiscriminate disposal of hospital wastes including mercury/amalgam wastes pose a serious threat to life and environment. There is a growing concern about biomedical waste (BMW) management among health care workers, however there are limited reports on BMW management by dental personnel in developing countries. Objectives: This study investigated the level of knowledge of BMW, observance of proper mercury hygiene and BMW management practice among public dental personnel in Lagos State, Nigeria. Methods: A cross-sectional study regarding BMW management across public hospitals in Lagos State, Nigeria was con- ducted following institutional ethics committee approval. A self-administered questionnaire was utilized to obtain data from different facilities selected by purposive and simple random sampling techniques as applicable. The questionnaires were dis- tributed among 437 respondents by convenience sampling. The resulting data were statistically tested using Chi-square and G-test with p-value < 0.05 indicating significant level. Results: Amongst 437 respondents, majority were females (62.5%) and the highest proportion fell within the age range of 25–34 years (44.4%). Only 17.2% of the respondents had good knowledge of BMW management/legislation and 4.1% had good BMW practice. Less than half (49.4%) of respondents disposed mercury-contaminated materials inside the trash and majority (92.2%) did not observe proper mercury hygiene. Significantly better mercury hygiene practices were observed in secondary facilities (p=0.040). Conclusion: A minor proportion of public dental personnel had good knowledge and practice of proper mercury hygiene and BMW management. This shows there is an urgent need for training of health personnel on proper BMW handling and disposal in developing countries like Nigeria. Keywords: Biomedical waste management; mercury hygiene; dental personnel; Nigeria.


Author(s):  
Jutika Ojah ◽  
Rakesh Sharma

Background: Biomedical waste (BMW) is waste generated in the course of healthcare activities. It is a matter of serious concern to health and environment agencies. Objectives of the study was to assess awareness and practice of healthcare personnels regarding biomedical waste management (BMWM) in government healthcare facilities (HCF) in Kamrup district and to assess training given to healthcare workers involved in BMWM.Methods: The present study was undertaken in 109 HCF in Kamrup District, Assam. The study duration was for one year and the study population included were healthcare workers (HCW) with the help of a pretested interview schedule to elicit the knowledge of BMW management. An observatory checklist was also used to find out the practices.Results: About one-fourth of 218 respondents belonged to age group 26-30 years. Half of the respondents were nurses, 17.9% were doctors, 12.8% were pharmacists and 8.3% were waste handlers. Majority (78.4%) were aware of BMWM rules. Awareness on  hazardness of healthcare waste, segregation of waste, maximum storage time of hospital waste, awareness about availability of  training on healthcare waste management were found to be more among the doctors (84.6%, 79.4%, 56.4%, 82.1% respectively) and less among waste handlers (44.4%, 33.3%, 38.9%, 44.4% respectively). Only 40.8% were trained. The practice of disposing BMW in specified colour coded containers were done by 56.4% HCW. Out of 18 waste handlers, only 16.7% had the practice of wearing all the personal protective equipments (PPE) while handling BMW. All total 59.6% HCW had been vaccinated against Hepatitis B.Tetanus vaccination was taken by 77.5% HCW.Conclusions: Sensitization and training in accredited centres for HCW should be done regularly to develop awareness and motivation. Continuous monitoring and inspection of HCF need to be done.


2020 ◽  
Vol 3 (1) ◽  
pp. 51-56
Author(s):  
Darmanto Ginting ◽  
Rio Ferdi Yuandra ◽  
Cerya Maya Sari Surbakti

Waste is something that is, not used, disliked, or something that is disposed of that originates from human activities and does not happen by itself. The purpose of this study  to find out what factors influence the people of LantasanBaruVillage so that they dispose of any trash. The type of research used is descriptive research with a cross sectional approach, namely an analytic (survey) researcher. The sample of this researcher was 64 respondents using total sampling. The Data Analysis Conducted univariate and bivariate with chi square test between knowledge shows p value of 0.027 which means there is a relationship between knowledge and waste management. Based on the attitude of p value of 0.025 which means there is a relationship between attitude and handling of waste. Based on the action of p value of 0.049 which means there is a relationship between action and handling of waste. Based on education p value is 1,000 which means there is no relationship between education and waste management.Based on the work p value of 0.305 which means there is no relationship between work and waste handling. Based on participation p value of 0.031, which means that there is a relationship between participation and waste management. Based on the trash facility p value is 0.23 which means there is a relationship between the trash facility and waste handling. Handling household waste in order to prevent the occurrence of variouskinds of diseases from improper garbage handling, separating organic and inorganic household waste, adding self support and participation and providing garbage facilities in handling waste.


Sign in / Sign up

Export Citation Format

Share Document