EVALUATION on SOLID MEDICAL WASTE MANAGEMENT IN THE DISTRICT HOSPITAL OF BANGIl PASURUAN 2014

Medical waste denoted solid waste products that proved to be hazardous to hospitals and maycause health problems if not managed properly. An initial survey has been conducted in Bangil districthospital in Pasuruan. Outside components. that proved to have met the requirements, several problemswere discovered such as a practice of mixing medical waste and non - medical solid wastes, wastemedical bins were found to have different shape, size and color and there were no labels, the temperaturereached by incenerator combustion chamber was only :t: 800°C and it was not equipped with gas cleaningmechanism, and no special handling of the resulted ashes. This study was aimed to evaluate themanagement of solid medical waste in Bangil Pasuruanhospital.With regard to the research method, this was .a descriptive research. This research wasconducted in March - May 2014, the collected data were subjected to descriptive type of analysis/ resultswere discussed in reference to Minister of Health decree No. 1204/Menkes/SK/X/2004 on EnvironmentalHealth Requirementsfor Hospital.Solid medical waste generated in Bangil Pasuruan hospital were derived from health careactivities, ERand other facilities that included infectious materials and sharps. The largest generation ofsolid medical wastes was on Saturdays at 214.7 kg, while the smallest production was Wednesdaysthatamounted to 118.8 kg. Evaluation of solid medical waste management resulted in a value of 64, 1 % andcategorized as poor. The smallest percentage was obtained. at the generation phase by 25 % and thehighest percentage related to storage 90 %.This study concluded that the management of solid medical waste in Bangil Pasuruan hospital didnot meet the designated requirements. As a suggestion, Bangil Pasuruan hospital needs to reform themanagement of solid medical wastes, to complete insfrastructures and job descriptions should be madeavailable in writing, all requirements should be tailored to Minister of Health Decree No.1204/Menkes/SK/X/2004 on Environmental Health Requirementsfor Hospital.

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

10.21203/rs.3.rs-46040/v1 ◽

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.

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Knowledge and Practice for Bio-Medical Waste Management among Healthcare Personnel at Kabgayi District Hospital, Rwanda

Journal of Public Health International ◽

10.14302/issn.2641-4538.jphi-19-3005 ◽

2019 ◽

Vol 1 (4) ◽

pp. 36-44

Author(s):

Erigene Rutayisire ◽

Jean Aime Nsabimana ◽

Michael Habtu

Keyword(s):

Waste Management ◽

Management Practices ◽

District Hospital ◽

Descriptive Analysis ◽

Good Practice ◽

Medical Waste ◽

Healthcare Personnel ◽

Cross Sectional ◽

Knowledge And Practice ◽

Medical Waste Management

Background Globally, about 10 to 25% of the volume of bio-medical waste from hospitals and healthcare institutions presents a serious health risks to patients, healthcare personnel, and anybody who comes in contact with it. The waste management practices in Rwanda healthcare facilities are poor and need improvement. Objectives To assess the knowledge and practices regarding bio-medical waste management among healthcare personnel at Kabgayi district hospital in Southern Province of Rwanda. Materials and Methods A cross-sectional study design was conducted. A total of 200 healthcare personnel were selected randomly out of 400 target population including doctors, nurses, social workers, and cleaners. Structured questionnaire was used to collect data. Descriptive analysis using frequency and proportions were used. Chi-Square test was used to determine the association between the variables and level of significance was set at p ≤ 0.05. Results The study found that about half (49.0%) of healthcare personnel had good knowledge about waste management. We found that the majority of healthcare personel 133(66.5%) had poor practices towards bio-medical waste management. The factors associated with good practice were better knowledge on bio-medical waste management (p=0.013) and older age group (p=0.001). Conclusion/Recommendations The level of in both knowledge and practice towards bio-medical waste management among healthcare personnel was low. Continuing education and training programmes and short courses on bio-medical waste management should be carried out to improve the knowledge and practices towards bio-medical waste management among healthcare personnel.

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PENGELOLAAN SAMPAH MEDIS DI RSUD Dr.H. SLAMET MARTODIRDJO PAMEKASAN TAHUN 2012

GEMA LINGKUNGAN KESEHATAN ◽

10.36568/kesling.v11i1.173 ◽

2013 ◽

Vol 11 (1) ◽

Author(s):

Rahmi Megarina Istighfarin ◽

M Muchson ◽

Darjati .

Keyword(s):

Waste Management ◽

Garbage Collection ◽

Medical Waste ◽

Primary Data ◽

Long Distance ◽

Record Keeping ◽

Management Personnel ◽

Medical Waste Management ◽

Waste Incinerators ◽

Medical Wastes

Dr.H.Slamet Martodirjo hospital in Pamekasan is classified as a Type B Non-educational hospital. Problemsdiscovered at the hospital involve infrastructural items such as special trolley bins, delayed supply of fuel formedical waste incinerators, long distance to be covered from wards to the incinerator, accumulating medicalwastes in wards, temporary holding sites for wastes not available, lack of awareness among workers inhandling medical and non-medical wastes, medical waste management personnel seldom wear personalprotective devices. This hospital needs to address these problems in order for it to become better and moreadvanced hospital.This is a descriptive study, primary data were obtained through observation and interviews, while secondarydata were retrieved from records kept by the hospital.Based on the findings, the average amount of medical waste generated by this hospital every day was 34.5Kg. At the waste generation stage all aspects seemed to meet the requirements since there is a sufficientcapacity to accommodate the wastes, the same applies to the garbage collection phase since wastes areseparated between medical and non-medical wastes. In performing their garbage collection tasks, workersseldom wear their personal protective devices and such practice could put themselves in dangerous situation.Support to medical waste management is quite adequate, this includes aspects of organizing, financing,workforce, equipment / supplies, record keeping and evaluation.The study concluded that management of medical waste at the Dr.l-l.Slamet Martodirjo hospital have met thedesignated requirements. The study recommended that medical waste workers wear their personal protectivedevices, provided with proper tools and infrastructures especially proper trolleys for transporting wastes.Keywords: medical waste

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Assessment of Medical Waste Management in Private Hospitals

FUOYE Journal of Engineering and Technology ◽

10.46792/fuoyejet.v1i1.21 ◽

2016 ◽

Vol 1 (1) ◽

Author(s):

O E Omofunmi ◽

H C Agwagu ◽

A L Atuche

Keyword(s):

Waste Management ◽

Medical Waste ◽

Current Status ◽

Private Hospitals ◽

Temporary Storage ◽

Lagos State ◽

Medical Waste Management ◽

And Training ◽

Generation Information ◽

Medical Wastes

Recent happening globally especially in the developing country such as Nigeria has shown that there is need to conduct a survey on medical waste management due to direct or indirect adverse effect on the environment and human health. The medical waste management in private hospitals in Lagos State was assessed. Information on hospitals was collected from Lagos State Ministry of Health, Aluasa. Nine hospitals were visited and questionnaires and schedules were administered on the current status of medical waste management such as hospital generation information, waste amount, separation, collection, temporary storage and training.Data collected were analysed using descriptive statistics. The results showed that the total medical wastes were 207.16 Kg/day. Of the total medical wastes produced in studied area in one day, 119.07 Kg consisted of hazardous-infectious wastes, 85.91 Kg municipal wastes and 2.18 Kg sharp wastes. The average generation rate of total medical waste was 1.14 ± 0.2 Kg/bed-day. However, these rates were 0.72 ± 0.01 Kg/bed-day, 0.47 ± 0.01 Kg/bed-day and 0.01 ± 0.002 Kg/bed-day for hazardous-infectious, municipal and sharp wastes respectively. The percentages of hazardous-infectious wastes, municipal wastes and sharp wastes were 60.00%, 39.10% and 0.83% respectively. The hospitals waste management was evaluated poor in terms of separation, collection, transportation, temporary storage and training aspects and good in the treatment aspect.

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Medical Waste Management: A Case Study on Rajshahi City Corporation in Bangladesh

Journal of Environmental Science and Natural Resources ◽

10.3329/jesnr.v6i1.22062 ◽

2015 ◽

Vol 6 (1) ◽

pp. 173-178 ◽

Cited By ~ 4

Author(s):

MZ Alam ◽

MS Islam ◽

MR Islam

Keyword(s):

Waste Management ◽

Medical Waste ◽

Generation Rate ◽

Waste Generation ◽

Different Types ◽

Medical Waste Management ◽

Waste Generation Rate ◽

Rajshahi City ◽

Medical Wastes

The management of medical waste (MW) is of great importance due to its impact on human health and environment. The present practices of improper management of generated medical wastes in different Healthcare Establishment (HCEs) in Rajshahi City Corporation (RCC) is playing a contributing role to create vulnerable condition in spreading out the Diarrhea, Hepatitis and various skin related diseases. The objectives of the study are to identify different types of wastes, its generation rate and assess the existing waste management in various HCEs. The study was carried out in 14 different HCEs that generated much portion of MW of total generated MW in RCC. The methodology of this project was descriptive and consisted of the use of field survey and interviews with the relevant authorities and personnel involved in the management of MW. It was found that the surveyed HCEs generate a total of 1495 kg/day of MW; of which about 1328.6 kg/day (88.87%) are non-infectious and about 166.4 kg/day (11.13%) are infectious. The average waste generation rate for surveyed HCEs is 1.54 kg/bed/day or 0.30 kg/patient/day. It was found from the survey that there is no proper and systematic management of medical wastes. The study reveals that lack of awareness; financial support and willingness are responsible for improper management of MW. So the RCC and HCEs authorities should adopt appropriate policy regarding this issue and provide training program on relevant personnel who are engaged in medical waste management.DOI: http://dx.doi.org/10.3329/jesnr.v6i1.22062 J. Environ. Sci. & Natural Resources, 6(1): 173-178 2013

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The Characteristics and Factors Associated with Medical Waste Management Behaviour in Private Dental Health Services in Pekanbaru City, Indonesia

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.039 ◽

2019 ◽

Vol 7 (1) ◽

pp. 157-161

Author(s):

Oktavia Dewi ◽

Yusni Ikhwan ◽

Elda Nazriati ◽

Sukendi Sukendi

Keyword(s):

Health Services ◽

Waste Management ◽

Associated Factors ◽

Dental Health ◽

Medical Waste ◽

Dental Health Services ◽

Management Behaviour ◽

Medical Waste Management ◽

Chi Square Analysis ◽

Medical Wastes

BACKGROUND: Medical waste is a problem when its amount is accumulated as well as the way the private dental healthcare still manages improperly. AIM: This study aims to define types and the number of medical wastes, also to analyse behaviour toward waste management and its associated factors. MATERIAL AND METHODS: The research used a quantitative analytic approach and cross-sectional design with 149 private dental practice populations in total. There were 60 dentists obtained using systematic random sampling in Pekanbaru. Data processed by conducting summation medical waste and counting the percentage of behaviour’s variables. Data collected within 20 days were processed with dental waste laboratory tests and chi-square analysis. RESULTS: The result showed that dental, medical wastes average was 0.3 ± 0.07 kg/day which is 69% infectious, 27% toxic, and 4% radioactive. Overall results showed associated factors related to waste management behaviour were knowledge, training attainment, availability of facilities, and the use of personal protective equipment. CONCLUSION: The numbers of medical waste from dental health services in Pekanbaru were still low. More than half the Dentist had poor behaviour in dental, medical waste management. It is recommended to the dental profession organisation to cooperate with City Health Office to hold management training on medical waste in dental health care to educate and raise dentists’ awareness to be able to manage the waste of dental health services properly and by the regulations.

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

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2016.1.13 ◽

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.

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A Review of Medical Waste Management in South Africa

Open Environmental Sciences ◽

10.2174/1876325101810010034 ◽

2018 ◽

Vol 10 (1) ◽

pp. 34-45 ◽

Cited By ~ 1

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.

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