Healthcare Waste Management Policy Assessment in China

Healthcare waste management represents a challenge in China due to insufficient legislation and financial investment, lack of awareness and effective regulations, lack of trained clinical staffs in the waste management framework etc. This study considered the issues of existing healthcare waste management practice and put forward the policy suggestions.

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Role of National Policy in Improving Health Care Waste Management in Nigeria

Journal of Health and Pollution ◽

10.5696/2156-9614-8.19.180913 ◽

2018 ◽

Vol 8 (19) ◽

Author(s):

Idoteyin Ezirim ◽

Francis Agbo

Keyword(s):

Health Care ◽

Waste Management ◽

National Health ◽

National Policy ◽

Health Facilities ◽

Management Policy ◽

Healthcare Waste ◽

Waste Management Policy ◽

Healthcare Waste Management ◽

Health Care Waste

Background. As Nigeria strives to improve health services nationwide, there is a corresponding increase in laboratory testing, care and treatment activities, producing more healthcare waste that must be safely managed. In the past, Nigeria lacked an enabling environment for healthcare waste management, as it did not have a national health care waste management policy. However, in 2013 a policy and strategic plan for healthcare waste management was developed to address this problem. Objectives. The present study performed an environmental safeguard audit to determine the level of implementation of the 2013 national policy in the 36 states and Federal Capital Territory in Nigeria. We also sought to determine whether the 2013 national policy has had an impact on healthcare waste management. Methods. The present study was conducted in 1921 health facilities, selected using the probability proportional to size sampling method. Results. The present study found that 44.8% of health facilities surveyed had healthcare waste management work plans adapted from the 2013 national policy. In addition, 89.2% of health facilities segregated waste. This is an important improvement, as previous studies reported that there was little to no waste segregation at health facilities. Furthermore, 41.4% of health facilities had designated persons or units handling healthcare waste, in contrast to previous studies which found no designated person or unit responsible for healthcare waste. However, the quality of healthcare waste management varied across states and health facilities. Discussion. Following the introduction of healthcare waste management policy, health facilities in Nigeria have improved waste management practices. However, training, availability of required tools and functional governance structures are essential to the implementation of an effective healthcare waste management policy. Conclusions. The study findings show that safe healthcare waste management can be implemented if the government leads by providing policy and required resources, while health facilities put standard operating procedures in place to guide day to day healthcare waste management operations. Participant Consent. Obtained Ethical Approval. The protocol was approved by the National Health Research Ethics Committee of Nigeria. Competing Interests. The authors declare no competing financial interests.

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Development and implementation of healthcare waste management policy at Civil Service Hospital, Nepal

Journal of Pharmacy Practice and Research ◽

10.1002/jppr.1054 ◽

2015 ◽

Vol 45 (1) ◽

pp. 57-63

Author(s):

Binaya Sapkota ◽

Gopal Kumar Gupta ◽

Dhiraj Mainali ◽

Nirmal Shrestha ◽

Keyword(s):

Waste Management ◽

Civil Service ◽

Management Policy ◽

Healthcare Waste ◽

Waste Management Policy ◽

Healthcare Waste Management

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Healthcare Waste Management Practice and Associated Factors among Private and Public Hospitals of Bahir Dar City Administration

Journal of Environmental and Public Health ◽

10.1155/2020/7837564 ◽

2020 ◽

Vol 2020 ◽

pp. 1-10

Author(s):

Dereje Mesfin Assemu ◽

Tadese Ejigu Tafere ◽

Yared Mulu Gelaw ◽

Getasew Mulat Bantie

Keyword(s):

Waste Management ◽

Healthcare Workers ◽

Management Practice ◽

Public Hospitals ◽

Private Hospitals ◽

Management Committee ◽

Healthcare Waste ◽

Private And Public ◽

Healthcare Waste Management ◽

Waste Management Practice

Background. Lack of an appropriate management practice of healthcare waste is a potential threat to the healthcare workers, patients, and nearby communities of the health institutions. Objective. The study aimed to assess the healthcare waste management practices (HCWMP) and associated factors among healthcare workers of private and public hospitals of Bahir Dar city administration, Ethiopia. Methods. A facility-based comparative cross-sectional study was conducted from January 2016 to April 2017. The systematic random sampling technique was employed to recruit 460 healthcare workers. The collected data entered into the EpiData software (version 3.1). The analysis was done by using SPSS software (version 20). Descriptive statistics were computed; logistic regression model was run. The model fitness was checked using Hosmer and Lemeshow goodness of fit p > 0.05 . A p value of < 0 . 2 at univariate analysis was included in the multivariable logistic regression analysis. Variables with a p value of <0.05 were statistically associated with healthcare waste management practice at 95% CI (AOR). Results. A total of 418 healthcare workers who participated in the study yielded a response of 90.9%. About 65% (95% CI: 61, 70) of the total respondents had good practice of healthcare waste management. More private hospitals, 79.2% (95% CI: 73, 85), had good healthcare waste management practice compared to public hospitals, 53.5% (95% CI: 47, 60). Male healthcare workers (AOR = 6. 43, 95% CI: 1.82, 22.77) and having a functional healthcare waste management committee (AOR = 6. 47, 95%CI: 1.93, 21.76) were significantly associated with HCWMP at private hospitals. For public hospitals, having a healthcare waste management committee (AOR = 1. 80, 95% CI: 1.03, 3.15) and a manual/guideline on HCWMP (AOR = 2. 43, 95% CI: 1.20, 4.91) was significantly associated with HCWMP. Conclusions. This study revealed there is a great discrepancy in HCWMP between private and public hospitals. Male healthcare workers and having a functional healthcare waste management committee and a manual/guideline were the identified factors of HCWMP.

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Assessment of Healthcare Waste Management Practice in Facilities with Previous Capacity Building on Healthcare Waste Management (HCWM) in Nigeria

TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH ◽

10.21522/tijph.2013.04.02.art008 ◽

2016 ◽

Vol 4 (2) ◽

pp. 55-67

Author(s):

Ugbena, Eneojo Richard

Keyword(s):

Waste Management ◽

Capacity Building ◽

Management Practice ◽

Healthcare Waste ◽

Healthcare Waste Management ◽

Waste Management Practice

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Healthcare Waste Management: The Current Issue in Menellik II Referral Hospital, Ethiopia

Current World Environment ◽

10.12944/cwe.12.1.06 ◽

2017 ◽

Vol 12 (1) ◽

pp. 42-52 ◽

Cited By ~ 3

Author(s):

Desta Debalkie ◽

Abera Kumie

Keyword(s):

Public Health ◽

Waste Management ◽

Management System ◽

Management Practice ◽

Cost Effective ◽

Convincing Evidence ◽

Primary Data ◽

Healthcare Waste ◽

Waste Management System ◽

Healthcare Waste Management

Healthcare wastes generated in Hospitals from medical activities have not given sufficient attention. In developing countries, healthcare wastes are still handled and disposed indiscriminately creating an immense threat to the public health and the environment. This situation is much worse in Ethiopia where there is paucity of convincing evidence about healthcare waste generation rate and management system. A crossectional study was conducted in Menellik II hospital to evaluate the healthcare waste management system. Primary data on the healthcare waste management system was collected using observational checklist. Key informant interview guide was also employed on 11 selected informants to assess waste management practice and analyzed by thematic framework. The results revealed that there was no segregation of healthcare waste by type at the point of generation and disinfection of infectious waste before disposal. The main HCW treatment and disposal mechanism was incineration using low temperature, single chamber incinerator; open burning; burring in to amputation pit and open dumping on municipal dumping site as well as on the hospital back yard. Furthermore, there was negligence, attitudinal problem and low level of awareness about safe healthcare waste management. To diminish the risk of healthcare waste on public health and environment, a cost effective interventions include providing better medical waste management facilities, adherence to national regulatory and rising awareness of all concerned need to adopt in the hospital.

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Healthcare waste management in Greece. The example of Health Region of Western Greece, Peloponnese, Epirus and Ionian Islands

Global NEST Journal ◽

10.30955/gnj.002338 ◽

2017 ◽

Vol 20 (1) ◽

pp. 96-102

Keyword(s):

Waste Management ◽

Management Practices ◽

Management Policy ◽

Wastewater Management ◽

Minor Importance ◽

Ionian Islands ◽

Healthcare Waste ◽

Healthcare Waste Management ◽

Infectious Waste ◽

Waste Management Practices

The aim of the present study is a) to examine the healthcare waste management practices in W. Greece, Peloponnese, Epirus and Ionian islands b) to investigate the implementation of the institutional frame and c) to make suggestions in order to achieve a proper Hospital Healthcare Waste Management utilizing best practices. A questionnaire was prepared and distributed to selected people in 29 hospitals. The survey was conducted in the period 2015-2016. The results showed that more hospitals have an established Hazardous Medical Waste Management System, based on internal regulation of infectious waste management. The quantities of infectious wastes produced by the studied hospitals, expressed per day and bed (kg bed -1 day -1) were within the range illustrated both in Greek and International literature. In relation to waste management policy, the replies to the questionnaire show that most attention is given to the management of hazardous medical wastes, while the necessary importance is not given in the appropriate management of urban wastes (separation, recycling and reuse). In addition, according to the findings of the present study, the wastewater management in hospitals is considered of minor importance. Thus, more investigation is required to evaluate the best operation wastewater treatment scheme to achieve the protection of human health and ecosystems. The hospitals studied have not tried to adopt an Ecological Management and Audit Scheme (EMAS) a fact that reinforces our observation that none of them had made a commitment to minimize the environmental impact related to their function.

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Situation, Challenges, and Solutions of Policy Implementation on Municipal Waste Management in Vietnam toward Sustainability

Sustainability ◽

10.3390/su13063517 ◽

2021 ◽

Vol 13 (6) ◽

pp. 3517

Author(s):

Lien Thi Kim Trinh ◽

Allen H. Hu ◽

Song Toan Pham Phu

Keyword(s):

Waste Management ◽

Policy Implementation ◽

Municipal Solid Waste ◽

Solid Waste ◽

Solid Waste Management ◽

Municipal Waste ◽

Management Policy ◽

Municipal Solid Waste Management ◽

Municipal Waste Management ◽

Waste Management Policy

Municipal solid waste management is an environmental issue that has received considerable attention from researchers and environmental managers for decades. Supporting the management programs entail policies and regulations related to municipal solid waste. In developed countries, the implementation of environmental policies plays an important role and has a substantial impact on the effectiveness of solid waste management. However, in many developing countries such as Vietnam, the situation and effectiveness of the policy implementation have not been studied extensively. This investigation is conducted to ascertain the situation, limitations, and challenges in implementing solid waste management policy in Vietnam. Then, solutions for the problems and improvements for implementation efficiency are presented. This work used online questionnaires to survey environmental managers in different localities and applied qualitative research method to analyze data. The results show that not all national policies on solid waste management are implemented in all localities. Waste separation is also the foremost concern in municipal waste management in most localities of Vietnam. Most of the localities claimed that the unrealistic nature and difficult implementation of the policies and the lack of needed resources are the main limitations and challenges in Vietnam. Survey results also revealed that different localities in Vietnam have different solutions to increase policy implementation efficiency. Besides, the study also found similarities in the implementation of policies in solid waste management between Vietnam and some other countries and also gathered some valuable lessons for the improvement strategy. Finally, the implementation of an effective domestic solid waste management policy is an important platform for improving environmental quality and ensuring the sustainable development of the nation and mankind.

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Impact of an Educational Training on Behavioral Intention for Healthcare Waste Management: Application of Health Action Model

International Quarterly of Community Health Education ◽

10.1177/0272684x20982595 ◽

2021 ◽

pp. 0272684X2098259

Author(s):

Davoud Sarpooshi Robat ◽

Seyedeh Belin Tavakoly Sany ◽

Hadi Alizadeh Siuki ◽

Nooshin Peyman ◽

Gordon Ferns

Keyword(s):

Waste Management ◽

Behavioral Intention ◽

Hospital Staff ◽

Training Intervention ◽

Control Group ◽

Behavioral Intent ◽

Healthcare Waste ◽

Action Model ◽

Health Action ◽

Healthcare Waste Management

Inappropriate healthcare waste management (HCWM) may lead to health hazards through the release of toxic and infectious agents into the environment. This study aimed to assess the appropriateness of a Health Action Model (HAM) operationalized in a training intervention to promote behavioral intent towards HCWM practice among hospital staff. This was a quasi-experimental intervention study of 128 hospital staff attending a training intervention in Sabzevar Hospital, Iran. Four training intervention was carried out using potential constructs of the HAM model to compare the quality of HCWM process and behavioral intent of hospital staff before and after a training session. A questionnaire based on HAM and multiple statistical analyses were used to assess the effectiveness of the training intervention. The average age of the eligible participants was 35.05 ± 9.4 years. A majority of the participant was married (88%), nursing staff (54%) and possessed a bachelor’s degree (66%) or diploma (18%). After the intervention, a significant change (p < 0.05) was observed in the intervention group compared to the control group in staff knowledge, attitude, self-efficacy, belief, and motivation. Further, our result showed a significant improvement from 53.6 ± 24.3 to 83.6 ± 11.5 in the behavioral intention toward HCWM practice. This work provides evidence of the effectiveness of the HAM as a guide in which the potential determinates that influence an individual’s behavioral intention toward medical waste practice were identified and described. This model help promote behavioral intention at a variety of target audiences and setting in waste management practice.

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