scholarly journals SOLID MEDICAL WASTE MANAGEMENT COSTS BETWEEN OUTSOURCING AND SELF-MANAGED SYSTEM AT HOSPITAL DURING THE COVID-19 PANDEMIC

2021 ◽  
Vol 10 (2) ◽  
pp. 99-104
Author(s):  
Billy Zia Napoleon Bayusunuputro ◽  
Chriswardani Suryawati ◽  
Nurjazuli Nurjazuli
Keyword(s):  
Public Health ◽  
Health Service ◽  
Waste Management ◽  
Medical Waste ◽  
Maintenance Cost ◽  
Cost Calculation ◽  
Service Programs ◽  
Study Results ◽  
Medical Waste Management ◽  
Document Review

Health service programs aim to improve the level of society’s health. On one side, it will give benefit public health, and on the other side, it will have a bad impact if the process is not managed appropriately. Health service activities produces wastes, one of which is solid waste. It is important to know the problem related to the process and cost of the solid medical waste management, which is part of the B3 wastes (hazardous and toxic wastes). The B3 waste management is under the supervision of public health facilities which have the security and cost responsibilities. The costs include investment cost, maintenance cost, cooperation cost or cost of the third-hand management, and consumable cost. This study compares solid medical waste cost between outsourcing systems and self-management systems in the X hospital during the Covid-19 pandemic. This study uses descriptive research in a qualitative approach through observation, document review, and cost calculation for data collection. The study results show that the process of solid medical waste management has been running well. In addition, self-managed solid medical waste management is cheaper than outsourcing management.

scholarly journals ANALISIS PENGELOLAAN LIMBAH MEDIS PADAT DI PUSKESMAS KOTA PEKANBARU

2020 ◽  
Vol 14 (2) ◽  
pp. 164
Author(s):  
Anggi Pramana ◽  
Agrina Agrina ◽  
Ridwan Manda Putra
Keyword(s):  
Public Health ◽  
Health Service ◽  
Waste Management ◽  
Social Factors ◽  
Public Health Service ◽  
Economic Factor ◽  
Medical Waste ◽  
Limiting Factor ◽  
Ecological Economic ◽  
Medical Waste Management

The purpose of this study is to analyze the effect of ecological, economic and social factors simultaneously and partially on the solid medical waste management of public health service in Pekanbaru by observation. These are the main variables that need to be considered in the management of solid medical waste. The study concludes that ecological, economic and social factors simultaneously influence the solid medical waste management of in public health service in Pekanbaru City. The influence of ecological, economic and social variables on the management of solid medical waste is 96.3% while the remaining 3.7% is influenced by other variables not included in this research model. The study concluded that the economic factor had the greatest effect on the solid medical waste management at public health service in Pekanbaru City. This proves that the budget is the main limiting factor in waste management. This study concludes that the condition of ecological, economic and social factors in public health service is not optimal so that the solid medical waste management was not in accordance with established standards

scholarly journals EVALUATION OF SOLID MEDICAL WASTE MANAGEMENT SYSTEM OF PUSKESMAS IN CIANJUR DISTRICT

2020 ◽  
Vol 2 (2) ◽  
pp. 20-32
Author(s):  
Edo Muhammad ◽  
Tri Joko ◽  
Nurjazuli Nurjazuli
Keyword(s):  
Public Health ◽  
Waste Management ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Community Health Center ◽  
Medical Waste ◽  
Health Centers ◽  
Public Health Center ◽  
Medical Waste Management

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.

scholarly journals Medical Waste Management: An Assessment at District-Level Public Health Facilities in Bangladesh

2020 ◽  
Author(s):  
Hasnat Sujon ◽  
Taposh Kumar Biswas ◽  
Aklima Chowdhury ◽  
Mahbub Elahi Chowdhury
Keyword(s):  
Public Health ◽  
Waste Management ◽  
Medical Waste ◽  
Health Facilities ◽  
Healthcare Personnel ◽  
Public Health Facilities ◽  
Mother And Child ◽  
Storage Area ◽  
Medical Waste Management ◽  
Medical Wastes

Abstract Background Due to the heavy patient-load and various types of services, the public health facilities produce a bulk of medical wastes (MW) in Bangladesh. Improper disposal of MW increases the risk of infection among the healthcare service personnel, patients, and attendants. The current study aimed to assess the practices of MW management and quantify those to find out the gaps in the specific steps of waste management.Methods As part of a larger intervention study, a facility assessment was conducted during November 2015 to March 2016 at a District Hospital (DH) and a Mother and Child Welfare Centre (MCWC) both being located in the same district, Non-participatory observation of MW management was done using a checklist developed following the Guideline for Medical Waste Management of Bangladesh. Scoring was applied for various activities of MW management performed in the study facilities.Results The overall scores in bin management, segregation, and collection of wastes were 64.5%, 58.1%, and 62.0% in the DH and 53.1%, 41.5%, and 48.0% in the MCWC respectively. The performance of operation theatre in MCWC was the lowest among different corners (16.7–36.0%). Re-usable waste was segregated poorly (32% in DH and 0% in MCWC), and almost none was shredded (4% in DH and 0% in MCWC). The wastes were transported from in-house to out-house temporary storage area in open-bin without any trolley or specific route. Storage area was accessible to unauthorized persons, e.g. waste-picker in DH. While DH segregated 84% of its infectious wastes at source, they eventually got mixed-up with other wastes in the storage area and delivered to municipality for dumping. MCWC could segregate only 40% of its infectious wastes at source and disposed those, using pit method. Both the facilities disposed sharp medical wastes by open-air burning and liquid wastes through sewerage without any treatment.Conclusions The performance of MW management was poor in both the study facilities. Advocacy to the healthcare personnel and refresher training, along with supportive supervision and monitoring, may improve the situation. Moreover, larger study is needed to find out the reasons behind such poor MW management.

scholarly journals Hubungan Pengetahuan, Sikap dan Ketersediaan Sarana Prasarana dengan Perilaku Pengolahan Limbah Medis oleh Petugas Kebersihan

2021 ◽  
Vol 1 (01) ◽  
pp. 40-47
Author(s):  
Galih Tri Puji Laksono ◽  
Agustina Sari
Keyword(s):  
Health Service ◽  
Waste Management ◽  
General Hospital ◽  
Environmental Sustainability ◽  
Medical Waste ◽  
Primary Data ◽  
P Value ◽  
Cross Sectional ◽  
Medical Waste Management ◽  
The Relationship

Introduction: The development of health service facilities is currently growing rapidly, but on the other hand, the waste produced is a threat in itself to environmental sustainability. Therefore, the health service unit has the obligation and responsibility to manage the waste produced, including in the hospital. Objectives: The research objective was to determine the relationship between knowledge, attitudes and infrastructure towards the behavior of medical waste treatment by cleaners in the Thousand Islands Regional Hospital in 2020. Method: The quantitative research method used a cross sectional design. The population of this study were all employees of the Seribu Kepuluan Regional General Hospital. The sampling technique used was purposive sampling with a total sample size of 106 people. The data used are primary data through distributing questionnaires and secondary data from books and literature. Data analysis was performed by univariate and bivariate with the chi- square test. Result: The results showed the relationship between knowledge with (p-value = 0,000 and OR = 43,333), attitude with (p-value = 0,000 and OR = 12,692), and infrastructure (p-value = 0,000 and OR = 25,143) on waste management behavior. medical by janitor. There is a relationship between knowledge, attitudes, and facilities and the behavior of medical waste management by cleaning workers. Conclution: It is hoped that the Seribu Islands Regional General Hospital will provide training, and provide complete facilities and infrastructure in medical waste management in order to increase the knowledge of hospital staff and maximize medical waste management.

scholarly journals Application of Multi-Criteria Decision Approach in the Assessment of Medical Waste Management Systems in Nigeria

2021 ◽  
Vol 13 (19) ◽  
pp. 10914
Author(s):  
Mmemek-Abasi Etim ◽  
Sunday Academe ◽  
PraiseGod Emenike ◽  
David Omole
Keyword(s):  
Public Health ◽  
Waste Management ◽  
Analytical Hierarchy Process ◽  
Medical Waste ◽  
Evaluation Framework ◽  
Waste Materials ◽  
Organizational Policies ◽  
Waste Segregation ◽  
Medical Waste Management ◽  
Hierarchy Process

Globally, the pandemic of COVID-19 has penetrated all spheres of human endeavors, and noteworthy is the tremendous increase in the volume of healthcare wastes generated in Nigeria. There has been an increase in medical waste materials produced as a result of the extensive use of both disposable personal protective equipment (PPE), such as face shields and nose and face masks, and highly infectious waste materials, such as contaminated syringes, needles, and soiled bandages from diagnosed positive cases. Despite the huge volume in waste generation, a standardized evaluation framework is currently lacking in the management of medical wastes in Nigeria. This study has developed a novel assessment framework for managing medical wastes, which is curated from the technical guidelines of the World Health Organization (WHO). The applicability of the framework was examined on seven designated public and private-owned hospitals in Ota. The fuzzy analytical hierarchy process (FAHP) and analytical hierarchy process (AHP) approaches of multi-criteria decision analysis were utilized in modelling an evaluation framework for the objective of medical waste management. Carefully designed interview questionnaires, observations, and site visits were carried out to obtain data from healthcare professionals in Ota. Results show that waste segregation was practiced more decisively in private hospitals than public hospitals. Waste segregation is established as a key determinant in implementing an effective waste management system in any healthcare facility. The success of waste segregation in healthcare institutions is highly dependent on good hospital management, organizational policies, efficient budget planning for waste management, and the operational running cost. Disposal methods investigated were mostly open burning and incessant dumping for most public health care centers. Deficient waste management practices were observed in waste disposal, waste transportation, storage, and organizational policies. While the awareness and capacity building on occupational safety practices and environmental public health is widely known by health workers and waste handlers, compliance and enforcement are critical challenges. The validation of results using fuzzy TOPSIS and a sensitivity analysis shows a high degree of the consistency, stability, and robustness of the model. Findings from the present study can aid decision making, as this will benefit policy makers and key stakeholders in developing more comprehensive and effective medical waste management guidelines in Nigeria. In addition, future decision-making studies could augment the results from the current research by assessing the impact of the pandemic preparedness and response on medical waste management.

scholarly journals The Effectivity of Solid Medical Waste Management in Pandemic Era

2021 ◽  
Vol 4 (3) ◽  
pp. 98-107
Author(s):  
Hilda Nur Abidah ◽  
Hashifah Azatil Ismah ◽  
Selvi Irmayanti ◽  
Globila Nurika ◽  
Edza Aria Wikurendra
Keyword(s):  
Health Service ◽  
Health Services ◽  
Waste Management ◽  
Health Problem ◽  
Medical Equipment ◽  
Health Workers ◽  
Medical Waste ◽  
Management Process ◽  
Pyrolysis Process ◽  
Medical Waste Management

Introduction: The increasing of confirmed positive case of SARS-Cov-2 Virus impacts to the need for improvement of health services, especially to the health workers and medical equipment. Along with the importance of regarding need of health service, it causes the rise number of medical waste that leads to health problem crisis. Therefore, this article presents common insight of the effectivity and challenge of medical waste management in Covid-19 pandemic.Methods: The notion is gained by finding out the source database from Pubmed, ScienceDirect, Google scholar, Researchgate that classified based on the research purpose. The keywords used were: (1) Covid-19 and medical waste; (2) pandemic solid waste; (3) waste and Covid-19; (4) management and pandemics.Results: An effective method to be applied is sterilizer technology, such as VH2O2 dan Stryker STERIZONE VP4, and the development of late waste respirator with the pyrolysis process. The method and the management process is considered, either nationally or internationally, as effective, but still we found challenge to implement the method, as lack of socialisation and support from the functionary.  Conclusion: the method management can be implemented in the various countries, based on the needs and capability.  

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

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.

A Review of Medical Waste Management in South Africa

2018 ◽  
Vol 10 (1) ◽  
pp. 34-45 ◽  
Author(s):  
Olaniyi FC ◽  
Ogola JS ◽  
Tshitangano TG
Keyword(s):  
South Africa ◽  
Waste Management ◽  
South African ◽  
Management Practice ◽  
National Policy ◽  
Medical Waste ◽  
African Government ◽  
The Past ◽  
Government Documents ◽  
Medical Waste Management

Background:Poor medical waste management has been implicated in an increase in the number of epidemics and waste-related diseases in the past years. South Africa is resource-constrained in the management of medical waste.Objectives:A review of studies regarding medical waste management in South Africa in the past decade was undertaken to explore the practices of medical waste management and the challenges being faced by stakeholders.Method:Published articles, South African government documents, reports of hospital surveys, unpublished theses and dissertations were consulted, analysed and synthesised. The studies employed quantitative, qualitative and mixed research methods and documented comparable results from all provinces.Results:The absence of a national policy to guide the medical waste management practice in the provinces was identified as the principal problem. Poor practices were reported across the country from the point of medical waste generation to disposal, as well as non-enforcement of guidelines in the provinces where they exit. The authorized disposal sites nationally are currently unable to cope with the enormous amount of the medical waste being generated and illegal dumping of the waste in unapproved sites have been reported. The challenges range from lack of adequate facilities for temporary storage of waste to final disposal.Conclusion:These challenges must be addressed and the practices corrected to forestall the adverse effects of poorly managed medical waste on the country. There is a need to develop a medical waste policy to assist in the management of such waste.

Sign in / Sign up

Export Citation Format

Share Document