scholarly journals Assessment of Medical Waste Management in Private Hospitals

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
O E Omofunmi ◽  
H C Agwagu ◽  
A L Atuche

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.

2018 ◽  
Vol 29 (1) ◽  
pp. 6-10
Author(s):  
Marzena Furtak-Niczyporuk

Abstract The production of clinical waste is an inevitable consequence of rendering health services, including hazardous infectious clinical waste containing live pathogenic microorganisms, which can be the potential source of infections and infectious diseases. For this reason, the management of waste collected during rendering health services most of all requires responsibility for the security of both patients and staff on the part of the managers of healthcare-institutions. The results of hospital inspections in the field of clinical-waste management conducted by the Voivodeship Sanitary Inspection in Lublin, which were made available for the purpose of this paper, have shown numerous irregularities concerning the management of hazardous clinical waste. Most of the irregularities involved the condition of premises and the temporary storage of clinical waste.


2020 ◽  
Vol 7 (1) ◽  
pp. 43
Author(s):  
Emy Leonita ◽  
Nopriadi Nopriadi ◽  
Putri N Sari ◽  
Pratiwi Herman

A hospital can apply Green Hospital concept in order to reduce even hospital environment and global environment pollution. The amount of patients at Dr. M. Djamil Padang hospital is 250.000-350.000 every year which make hospital generates medical waste ±400 kg/day on giving health service. Therefore, Dr. M. Djamil Padang hospital should have integrated and sustainable solid medical waste management. Objective of this research is to analyze the management of solid medical waste management at Dr. M. Djamil Hospital on creating Green Hospital concept. Study of this research is qualitative study. This research was done on March-June 2018. There are 9 informants which determined by purposive sampling technique. Data is collected with in-depth interview, observation, and document reviewing. Data is analyzed by data reduction, presentation of data, and conclusion. Data validity used source triangulation and method triangulation.Input component: hospital has writtern procedure in solid medical waste management, cost and staff regarding solid medical waste management is sufficient, all facilities is appropriate except for temporary storage for medical waste. Process component: waste segregation is done based on its character. Waste transportation to temporary storage uses trolly but doesn’t use special lane. Hospital cooperates with third party on exterminating medical waste with incinerator. Output component: overall, implementation of solid medical waste management at Dr. M. Djamil Hospital Padang has been in accordance with the Indonesian health regulation No. 1204/2004 and hospital has done the efforts towards green hospital by doing appropriate solid medical waste management. Based on the Indonesian health regulation No. 1204/2004, solid medical waste management at Dr. M. Djamil hospital is done properly. But there are still problems found, such as temporary storage is not in accordance with the standard. To achieve Green Hospital, hospital can fix broken facilities and apply waste reduction program.


2014 ◽  
Vol 12 (3) ◽  
Author(s):  
Dian Hasanah ◽  
Waluyo Jati ◽  
Nur Haidah

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.


2020 ◽  
Author(s):  
Hasnat Sujon ◽  
Taposh Kumar Biswas ◽  
Aklima Chowdhury ◽  
Mahbub Elahi Chowdhury

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.


2020 ◽  
Vol 5 (2) ◽  
pp. 157-163
Author(s):  
Mahdi Sadeghi ◽  
Abdolmajid Fadaei ◽  
M. Ataee

The hospital wastes could threaten the surface waters, ground waters, soil, air environment and humans’ health. This study was intended to investigate the management of medical waste generated in hospitals of Charharmahal and Bakhtiari province, located in south west of Iran. The samples came from all 9 province’s hospitals with 1156 beds. The data forms and questionnaires were completed. The questionnaire contained questions about the generation of waste and practices related to separation, collection, storage, transport, treatment and final disposal, and training and awareness. The highest generation rate on a bed basis of 3.22±0.4 kg/bed/day was found in Shohada hospital, and the lowest rate was 1.37±0.2 kg/bed/day for Sina hospital. There was significant variation (P<0.05). The average general waste production rate was 2.12±0.37 kg/bed/day at all the surveyed hospitals. The highest percentage (63%) of total medical wastes were general, 36.05% were infectious wastes. About 44.44% of the hospitals have used autoclave to disinfect their infectious medical waste prior to disposal, while incineration is used in 33.33% of the hospitals. All hospitals (100%) indicated their needs and willingness to participate in future specialized training programs in medical waste management. It has been suggested that enhancing the education, awareness and promoting programs about medical waste management for cleaning workers, doctors, nurses, and technicians.


2014 ◽  
Vol 6 (3) ◽  
pp. 261
Author(s):  
Jasem M. Alhumoud ◽  
Nora Al Mashaan ◽  
Hani M. Alhumoud

2013 ◽  
Vol 11 (1) ◽  
Author(s):  
Rahmi Megarina Istighfarin ◽  
M Muchson ◽  
Darjati .

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


Author(s):  
İlknur Sayan

The increase in the number of health institutions, developments in technology, and the use of devices and materials utilized in diagnosis and treatments have increased the types and amount of medical waste. Therefore, it has become a necessity to reduce the health problems, remove the risks that may arise for human health, and protect the environment by effectively managing the medical wastes that are the results of the activities of health institutions. Hazardous medical wastes that harm humans and environmental health are a risk factor for the whole society. For this reason, removal, collection, temporary storage, recycling, transportation, and disposal of medical wastes without harming people and the environment includes technical, administrative, and legal processes. This study summarizes the current literature for sustainable waste management, its relationship to environmental and human health, and international legislation on waste management.


2015 ◽  
Vol 6 (1) ◽  
pp. 173-178 ◽  
Author(s):  
MZ Alam ◽  
MS Islam ◽  
MR Islam

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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