scholarly journals A cross sectional study on the knowledge, attitude and practices of medical and paramedical staff regarding the bio-medical waste management in a tertiary care institute in Lucknow

Author(s):  
Sandhya Mishra ◽  
Deepak Chopra ◽  
Nidhi Jauhari

<p class="abstract"><strong>Background:</strong> The bio-medical waste products create particularly serious problems for the municipalities and its safe disposal is becoming a serious environmental problem. The concern regarding medical wastes is mainly due to the presence of pathogenic organisms and organic substances in hospital solid wastes in significantly higher concentrations. About one fourth of biomedical waste is considered as hazardous and may affect the health of both medical personnel and general community. Aim and objectives of the research was to assess the knowledge, attitude and practice about the biomedical waste management among the staff (medical and paramedical) of a tertiary care medical institute.</p><p class="abstract"><strong>Methods:</strong> The design of the study was observational, descriptive and cross-sectional. It was conducted in a 500 bedded private sector tertiary care medical institute in Lucknow. The study unit consisted of medical and paramedical staff (doctors, staff nurses, and ward boys) and sample size was 241 who consented to be a part of the study. All the study units who had been in the job for atleast 6 months in IIMSR who consented for the study were included; purposive convenience sampling was implemented and study period was from January 2018 to March 2018.  </p><p class="abstract"><strong>Results:</strong> Majority across all the types of study participants were males, married, residing in urban areas and having not undergone any formal training. Our study found that though all the study participants in various groups were having the relevant level of knowledge but attitude and practices were variable.</p><p class="abstract"><strong>Conclusions:</strong> This study showed that knowledge may be higher but attitude and practices are variable and are not related to educational level.</p>

2021 ◽  
pp. 22-24
Author(s):  
Anitta Jose Ellenkil ◽  
Anila Varghese ◽  
Nitin Dutt Bharadwaj ◽  
U B Mishra

Health care workers have an important role in managing the bio medical waste and periodic studies should be carried out in order to identify the gaps with respect to knowledge and practices of healthcare workers. This cross-sectional study was undertaken in a government tertiary care teaching hospital in Lucknow between June 2019 and June 2020. Sample size was calculated to be 407 and population proportion sampling was used. Data collection was done using a pre-tested semi-structured questionnaire translated to Hindi which was administered by the researcher to assess knowledge and attitudes. An observational checklist was used to assess the practices of bio medical waste management. Majority (72%) of the study participants had received training in biomedical waste management. Mean score of knowledge about Biomedical waste management rule was highest for doctors, followed by staff nurses and housekeeping staffs and paramedical staffs. Positive attitude was more among the paramedical staffs followed by doctors and housekeeping staffs. With respect to practice, highest mean score was observed for staff nurses followed by housekeeping staffs. Periodic trainings and appreciation will go a long way in reinforcing the good practices.


Author(s):  
Ruma Dutta ◽  
Prashanth R. ◽  
Gomathy Parasuraman ◽  
Timsi Jain ◽  
Dinesh Raja ◽  
...  

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. 


Author(s):  
Ramakrishna Shenoi ◽  
JIGNESH RAJGURU ◽  
Anup Marar

Health care waste is a unique category of waste by the source of generation, the quality of its composition, its hazardous nature and the need for appropriate protection during handling, treatment and disposal. Little knowledge and inappropriate technique of handling of biomedical waste can lead to serious consequences on health of the individual handling the bio-medical waste, the community and environment. Biomedical waste management begins with sequential efforts from the early stage of waste generation, segregation at the source itself, storage at the site, disinfection and transfer to the terminal disposal site safely. A questionnaire study was conducted in a tertiary care hospital in Nagpur, India to assess the current knowledge, attitude and practices regarding Bio-medical waste management


Author(s):  
Anjuman Chowdhary

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.


2021 ◽  
Vol 12 (1) ◽  
pp. 734-741
Author(s):  
Aneena Suresh ◽  
Oorvashree S ◽  
Jayalakshmi T ◽  
Ramyaa R S ◽  
Ngawang Choedon

This study was conducted to ascertain the knowledge and practices related to biomedical waste management in secondary care hospitals in our region. The required information was obtained using a simple questionnaire which included 2 parts, namely, knowledge and practices with 16 and 20 questions respectively. Out of the 80 respondents, 75 % were females. Nurses constituted a major fraction of healthcare professionals (70%) in hospitals. About 47.5% of the respondents had a working experience of 0-5 years. Females had better knowledge and practices in the disposal of medical wastes (91.14% and 94.998%) as compared to males (88.125% and 89%). There was a significant association of age with the knowledge (p= 0.013) and insignificant regarding practice (p= 0.998) of healthcare professionals. The knowledge and practices of all healthcare professionals were overall good. There was a significant association between a professional category of healthcare professionals with knowledge (p= 0.00000181) and practices (p= 0.003129) of medical waste disposal. The results of the investigation uncovered that healthcare professionals had great learning about the disposal of biomedical waste. It was additionally discovered that healthcare professionals adhered to the strategies and the rules related to biomedical waste management.


2021 ◽  
Author(s):  
Aiman Perween Afsar ◽  
Lovenish Bains ◽  
Anurag Mishra ◽  
Aashima Dabaas ◽  
Akshit Mittal ◽  
...  

Abstract Background Nations have faced significant challenges with the COVID-19 related biomedical waste since its outbreak. Before the pandemic, Indian hospitals typically generated 500g of BMW per bed each day, which has now risen to about 2.5-4 kg per bed per day. Proper BMW aims to reduce waste generation, ensures efficient collection, handling and safe disposal that it controls infection and improves safety for the medical professionals. Hence, the present study was conducted to assess the level of knowledge among medical professionals regarding biomedical waste segregation , transport and treatment and thereafter provide constructive suggestions to reduce mismanagement practices. Methodology An e-survey was done to assess the knowledge and awareness of management of Biomedical Waste generated due to Covid-19 among Medical Professionals (students, residents and consultants) of tertiary care hospital of North India. Result The average knowledge score about BMW waste generated due to Covid-19 was found to be: for segregation - 27.46%, 59.615%, and 49.8%; transport of waste from site of generation to the site of disposal- 63.66%, 89.1% and 95.2% ; disposal of waste generated- 29%, 71.96%, and 68.24% in students, residents, and consultants respectively. Overall, the knowledge score was 41.4%, 67.98%, and 61.34% among the students, residents and consultants respectively. We found that participants with greater years of experience (residents and consultants) had better knowledge compared to that of the students(p<0.05). Discussion Our study found that the mean score was 56.9% which is comparably more than the knowledge score of few Low and Middle Income Countries but less than the knowledge score of some European countries. Studies have found that the chances of infection directly correlates with the low level of knowledge. This underlines that training aspects of health-care waste management should be strengthened, not only for the practising medical professionals but also of the students so that the current, existing, and future regulations are practiced diligently and uniformly. Hence, it is important that we strengthen the training aspect of medical professionals. Periodic evaluation and assessment should become routine to enforce adherence to waste management.


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