KNOWLEDGE, ATTITUDE AND PRACTICES RELATED TO BIOMEDICAL WASTE MANAGEMENT AMONG STAFF OF A TERTIARY CARE GOVERNMENT TEACHING HOSPITAL IN LUCKNOW

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):  
Bhavesh R. Bariya ◽  
Grishma D. Chauhan ◽  
Aarti Jadeja ◽  
Meet Jain

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. 


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>


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):  
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.


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.


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