scholarly journals BIO-MEDICAL WASTE MANAGEMENT RULES 2016. ARE THE HEALTH CARE WORKERS AWARE? – EVALUATION OF AN INTERVENTION.

Author(s):  
Arthi M ◽  
Surendar R ◽  
Srikanth S ◽  
Latha S ◽  
Radhika .

Background: Biomedical waste has become a crucial health hazard in many countries including India. Careless and indiscriminate disposal of these wastes can contribute to the spread of serious diseases. The new guideline of Bio-Medical Waste Management Rules -2016 was released on March, 2016 and revised in 2018. In order to update the new rules periodically, the present study was carried out with the aim to assess the knowledge, attitude and practice on biomedical waste management among health care workers working in a tertiary hospital in Puducherry and to evaluate the effectiveness of sensitisation program regarding 2016 Bio-medical waste management rules. Methods: All staff nurses and nursing assistants working at SVMCH & RC, Puducherry were included. Study period was between August and October 2016. About 103 willing participants were included.The participants were assessed by pre-test and post-test with a semi-structured questionnaire. Dataanalysed using SPSS (version 23).Descriptive and inferential statistics were used to compare pre-test and post-test score. Chi-square and Fisher’s exact tests were applied to find the significant difference before and after intervention. Results:Among total participants (103), 83.5% of the participants were Staff Nurses, 10.7% Female Nursing Assistant and rest Auxiliary Nursing Mid-wife. About 68 % of them have reported that it is the sole responsibility of the Government in proper management of Bio-medical waste and 27.2% of them reported that procedures involved in Bio-Medical Waste Management (BMWM) are increasing the financial burden of their hospital.Regarding identification of the symbol of bio-hazard, there was a significant increase in knowledge in the post-test when compared to the pre-test. About 40.8% (42) of participants had poor knowledge about BMW in pre test. Regarding attitude and practice, in the pre-test, around 59% have said that they will report about any injury due to or during wrong disposal whereas in the post-test it has been increased to 78% which is statistically significant (p<0.05). About 89.3% of the participants reported that they are having the practice of wearing gloves while handling BMW in pre-test whereas in the post-test, 94.2% has reported. Overall mean and standard deviation of pre-test and post-test scores regarding BMW shows a statistically significant improvement in KAP score regarding biomedical waste management and new rules in the post-test after interventionthan the pre-test. Conclusions:The knowledge of the participants regarding management of bio-medical waste is still in its childhood stage.There was an evident increase after administration of sensitisation program.

2019 ◽  
Vol 11 (04) ◽  
pp. 292-296
Author(s):  
Annapurna Parida ◽  
Malini Rajinder Capoor ◽  
Kumar Tapas Bhowmik

Abstract INTRODUCTION: Biomedical waste poses physical, chemical, radiological, and microbiological risks to the public and health-care workers (HCWs) for current and future generations. AIM: The aim was to gauge the depth of understanding amongst HCWs on biomedical waste management (BMWM). MATERIALS AND METHODS: A predesigned questionnaire on knowledge, attitude, and practices on BMWM Rules, 2016 (Principle), and 2018 (Amendment), Solid Waste Rules, 2016, and health hazards in HCW was distributed to all participants. RESULTS: Only 68% of the participants knew that the most important step in waste management is waste segregation. Eighty-two percent of the HCWs working in this setup knew of the different color-coded bins used for segregation. However, awareness was lacking with respect to health hazards associated with improperly segregated and disposed off biomedical waste as only 49% answered the questions on the hazards of waste correctly. Laboratory waste handling was found to be the least understood area of the newer guidelines. CONCLUSIONS: Training aspects of health-care waste management should be strengthened so that the current, existing, and future regulations are practiced diligently and uniformly. Periodic evaluation and assessment should become routine to enforce adherence to waste management.


Author(s):  
Gajanan C. Soyam ◽  
Prabhakar A. Hiwarkar ◽  
Umesh G. Kawalkar ◽  
Vishal C. Soyam ◽  
Vimal K. Gupta

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.  


Author(s):  
Pavan P. Amin ◽  
Kishor M. Sochaliya ◽  
Girija P. Kartha

Background: Healthcare generates a large amount of healthcare waste, which is complex to manage because of its variety and potential to create health and safety hazards if improperly handled. Inadequate management of biomedical waste can be associated with risks to healthcare workers, patients, communities and their environment. The aims and objectives of the study were to assess the knowledge, attitude and practice of health care personnel in C. U. Shah Hospital, Surendranagar regarding Biomedical Waste Management (BMW).Methods: This hospital based cross-sectional study was conducted in C. U. Shah Medical College, Surendranagar from February 2017 to March 2017. The study consisted of 300 Health Care Workers as participants, which included 100 doctors, 100 resident doctors and 100 paramedical staff. The data was collected using a predesigned, semi structured questionnaire containing questions on KAP regarding bio-medical waste management.Results: The awareness regarding legislation and disposal of BMW as per color coded bags was found in 79% and 85% of the participants respectively. Only 54% of the respondents knew that BMW should not be stored beyond 48 hours and 91.7% participants are agreed that needle stick injury is a major concern. All the participants are following the practice of not recapping the used needle. 75% respondents disposed sharp materials in translucent bag.Conclusions: Knowledge regarding biomedical waste management among doctors is satisfactory as compared to other health care workers. This has led to the poor practice of biomedical waste handling and management, hence exposing themselves and the public in general to health and environment hazards.


2021 ◽  
pp. 1-3
Author(s):  
Shweta P. Kanekar ◽  
Jagadish A. Cacodcar ◽  
Manoj Kumar S. Kulkarni ◽  
Arulprakash S

Background: Correct knowledge and attitude are critical towards bringing about a favourable change in practice. Medical professionals in India have always turned a blind eye to scientific management of BMW. Objective: To assess knowledge, attitude and practices of health care workers regarding specific aspects of Bio Medical Waste Rules, 2016 and its amendments. Material & Methods: In this cross-sectional survey data was collected among 250 randomly selected doctors and nurses from an apex Government medical college hospital in Goa during the period September 2019 to December 2019 using a self-administered questionnaire. The results are expressed as percentages, and the significance of difference in percentages is expressed using chi-square test at 95% confidence level. Results: Overall, the knowledge regarding BMW Rules was poor, especially with regards to the segregation practices and the colour coded bins, with their practices being non-concurrent with the prevailing rules. An assessment of attitudes, however, revealed their positive inclination towards proper BMWM. Conclusion: The study emphasizes the need for periodic reorientation of these health care workers in elements of Bio Medical Waste Management, especially the segregation.


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