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

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.

scholarly journals Stinging-cutting Accidents and Healthcare Waste Management’s Knowledge Among Healthcare Professionals in Public Hospitals in Catania (South Italy)

2018 ◽  
Vol 11 (1) ◽  
pp. 330-338
Author(s):  
Margherita Ferrante ◽  
Placido D’Agati ◽  
Sebastiano De Maria La Rosa ◽  
Santa A. Carini ◽  
Angela Trovato ◽  
...  
Keyword(s):  
Waste Management ◽  
Incidence Study ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Needle Stick ◽  
Healthcare Waste ◽  
South Italy ◽  
Healthcare Waste Management

Background: Stinging-cutting accidents (needle-stick and sharps accidents) continue to pose a considerable environmental and occupational health risk. In Italy and in the world, the number of stinging-cutting is still unknown, primarily due to under-reporting. The inappropriate management of healthcare waste may be the cause of accidents needle-stick and sharps. Objective: Our aims were to evaluate the frequency and the modality of stinging-cutting accidents and to assess healthcare waste management’s knowledge among nurse and auxiliary nurse of the departments where the accidents occurred. Method: Both a retrospective incidence study and a cross-sectional anonymous survey were conducted, during the 3-year period 2013-2015, in Catania (south Italy) public hospitals. The retrospective incidence study consisted of analysing needle-stick and sharps accidents officially reported in the records of the hospitals. Detailed information on the needle-stick and sharps accidents was analysed too. The survey consisted of assessing the knowledge of nurse and auxiliary nurses about healthcare waste management. The survey was proposed only to hospital staff in the operative units where the injuries occurred. A multiple-choice questionnaire was used for data collection regarding knowledge on healthcare waste management. Data were analysed using chi-square and Kruskal-Wallis tests, the effect size was quantified by Cramer’s V. Results: Retrospective incidence study: needles and scalpel-blades accidents occurred in 240 health professionals, during the 3-year period. Results show an injury rate of 1.4 per year (mean value), which decreased from 2013 to 2015 (1.8% vs 1.2% vs 1.1%). The accidents were experienced by health professionals (62.1% female) aged from 20 to 68 years, by nurses more than doctors (65.8% and 18.3%) and on Wednesday (22.9%) followed by Tuesday (17.9%), Thursday (17.1%), Friday (14.6%), Monday (12.5%), Saturday (8.8%) and Sunday (6.3%) (p= 0.000). Needle-stick accidents were more frequent than scalpels-blades accidents (91.2% vs 8.8%, p=0.000). The frequency of needles accidents was higher in nurses than in doctors (95.6% vs. 86.4%) while of scalpel-blades accidents, was higher among doctors compared to nurses (13.6% vs. 4.4%) (p=0.039, Cramer’s V 0.155). The most frequent site of the lesion was the left (15.8%) and right (16.3%) second finger. The most frequent cause of needle-stick accidents was needle puncture during medical procedure (67%) and the most frequent cause of sharps accidents was unattended scalpel-blades (33%). Surprisingly we have observed 4% of needle-stick accidents caused by recapping. Cross-sectional anonymous survey: 428 healthcare professionals completed the survey. The percentage of the correct answers to the knowledge questions for all the operative units combined (Internal Medicine, Orthopedics, Anesthesia, Surgery and Gynecology) was 70%. The right way to dispose of a diaper not contaminated by blood from a patient who does not have oral-fecal infectious diseases (56% wrong answers), the bag of urine, which does not contain traces of blood and properly emptied (64% wrong answers), sanitary napkins in blood (68% wrong answers), and a IV bottle partially filled with drug (85% wrong answers) were identified as the most important aspects for future interventions. Conclusion: The study showed an underestimation of needle-stick and sharps medical accidents and lack of knowledge about healthcare waste management procedures. Future approaches are needed for providing education and training of safe handling and disposal of sharp devices, to create awareness followed by which, legislative actions would be taken.

scholarly journals The Key Organizational Factors in Healthcare Waste Management Practices of Libyan Public Hospitals

2021 ◽  
Vol 13 (22) ◽  
pp. 12785
Author(s):  
Mohammed Khalifa Abdelsalam ◽  
Ibrahim Mohammed Massoud Egdair ◽  
Halima Begum ◽  
Diara Md. Jadi ◽  
Hussein-Elhakim Al Issa ◽  
...  
Keyword(s):  
Waste Management ◽  
Positive Relationship ◽  
Management Practices ◽  
Sampling Technique ◽  
Organizational Factors ◽  
Two Dimensions ◽  
Public Hospitals ◽  
Healthcare Waste ◽  
Healthcare Waste Management ◽  
Waste Management Practices

This study aims to investigate factors contributing to healthcare waste management practices among Libyan public hospitals. The organizational culture and structure are proposed to have their effect upon hospital organizational units in charge of healthcare waste production by a theoretical review to develop two main hypotheses. Hence, this study used the stratified random sampling technique to select respondents such as top management officials, heads of departments, and administrators who work in all the hospitals located in the south of Libya, from whom data was collected. The data for the study was gathered via a survey questionnaire from Libyan public hospitals in the country’s southern region. A total of 210 questionnaires were distributed and 171 usable responses were received, yielding a 70% response rate. Though the findings of the study show some inconsistency, the two dimensions of the culture examined in this study are found to have a positive relationship and significant influence on the management practices of health waste. Besides, it shows the positive relationship between organizational structure and healthcare waste management practices (HWMP). However, the findings of this study suggested that nurses and cleaners’ practices should critically consider structure dimensions such as formalization as well as moderating variables such as hospital location and type of services supplied on the interactions to improve the management of healthcare waste in Libya’s public hospitals.

scholarly journals Healthcare waste management in selected government and private hospitals in Southeast Nigeria

2016 ◽  
Vol 6 (1) ◽  
pp. 84-89 ◽  
Author(s):  
Angus Nnamdi Oli ◽  
Callistus Chibuike Ekejindu ◽  
David Ufuoma Adje ◽  
Ifeanyi Ezeobi ◽  
Obiora Shedrack Ejiofor ◽  
...  
Keyword(s):  
Waste Management ◽  
Private Hospitals ◽  
Healthcare Waste ◽  
Healthcare Waste Management

Healthcare Waste Management Policy Assessment in China

2014 ◽  
Vol 878 ◽  
pp. 594-599
Author(s):  
Xin Hua Zhang ◽  
Oladele A. Ogunseitan ◽  
Ming Jiang Xu ◽  
Meng Jun Chen
Keyword(s):  
Waste Management ◽  
Management Practice ◽  
Management Policy ◽  
Policy Assessment ◽  
Financial Investment ◽  
Management Framework ◽  
Healthcare Waste ◽  
Policy Suggestions ◽  
Waste Management Policy ◽  
Healthcare Waste Management

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.

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

2017 ◽  
Vol 12 (1) ◽  
pp. 42-52 ◽  
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.

scholarly journals Awareness and practices of biomedical waste management in government health care facilities in Kamrup District, Assam

2020 ◽  
Vol 7 (7) ◽  
pp. 2684
Author(s):  
Jutika Ojah ◽  
Rakesh Sharma
Keyword(s):  
Waste Management ◽  
Healthcare Workers ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Biomedical Waste ◽  
Healthcare Waste ◽  
Healthcare Waste Management ◽  
Waste Segregation ◽  
Study Population ◽  
One Year

Background: Biomedical waste (BMW) is waste generated in the course of healthcare activities. It is a matter of serious concern to health and environment agencies. Objectives of the study was to assess awareness and practice of healthcare personnels regarding biomedical waste management (BMWM) in government healthcare facilities (HCF) in Kamrup district and to assess training given to healthcare workers involved in BMWM.Methods: The present study was undertaken in 109 HCF in Kamrup District, Assam. The study duration was for one year and the study population included were healthcare workers (HCW) with the help of a pretested interview schedule to elicit the knowledge of BMW management. An observatory checklist was also used to find out the practices.Results: About one-fourth of 218 respondents belonged to age group 26-30 years. Half of the respondents were nurses, 17.9% were doctors, 12.8% were pharmacists and 8.3% were waste handlers. Majority (78.4%) were aware of BMWM rules. Awareness on  hazardness of healthcare waste, segregation of waste, maximum storage time of hospital waste, awareness about availability of  training on healthcare waste management were found to be more among the doctors (84.6%, 79.4%, 56.4%, 82.1% respectively) and less among waste handlers (44.4%, 33.3%, 38.9%, 44.4% respectively). Only 40.8% were trained. The practice of disposing BMW in specified colour coded containers were done by 56.4% HCW. Out of 18 waste handlers, only 16.7% had the practice of wearing all the personal protective equipments (PPE) while handling BMW. All total 59.6% HCW had been vaccinated against Hepatitis B.Tetanus vaccination was taken by 77.5% HCW.Conclusions: Sensitization and training in accredited centres for HCW should be done regularly to develop awareness and motivation. Continuous monitoring and inspection of HCF need to be done.

scholarly journals Assessment of Waste Management Services in Public and Private Facilities at the Three Levels of Healthcare Delivery, in Enugu State

2020 ◽  
pp. 68-84
Author(s):  
A. T. Chinawa ◽  
N. Onwasigwe Chikaodili ◽  
J. M. Chinawa ◽  
T. C. Asogwa ◽  
K. C. Uchegbu
Keyword(s):  
Waste Management ◽  
Healthcare Workers ◽  
Healthcare Delivery ◽  
Daily Basis ◽  
Public And Private ◽  
Healthcare Facilities ◽  
Healthcare Waste ◽  
Public Facilities ◽  
Private And Public ◽  
Enugu State

Background: Improper and uncoordinated healthcare waste management (HCWM) practice exposes the healthcare worker, patients and surrounding communities to several morbidities and mortality from nosocomial infections. Objectives: This study aims at assessing waste management services in public and private healthcare facilities at the three levels of healthcare delivery in Enugu State. Methods: A cross-sectional study using quantitative and qualitative data collection methods involving healthcare workers and healthcare facilities (public and private) at the three levels of care in Enugu state. The study comprised of a total of 23 health facilities and 362 health workers drawn from the three levels of healthcare for private and public facilities. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 16.0. Chi-square test was used to compare the proportion of healthcare workers with adequate knowledge of HCWM. A significance level of p < 0.05 was used for statistical calculations. Results: One hundred and eighty (47.5%) of the respondents knew the correct steps for HCWM. Most respondents 355(93.7%) admitted that there is associated risk in handling waste. About 147 (38.8%) sustained injury while they had contact with waste out of which 57(38.8%) have had this injury more than three times. The presence of written strategy was higher in public facilities compared to private facilities (x2 = 1.446; p = 0.485), The access to it was highest in the unit (x2 = 1.027; p = 0.311). The frequency of waste collection was highest on a daily basis in both private and public facilities. Waste measurement and segregation were also observed to be higher in public than private facilities (x2 = 1.434; p = 0.488 and x2 = 1.644; p = 0.440 respectively). More public facilities segregated their waste at source compared to private facilities and this was statistically significant (x2 = 13.875; p = 0.008). Conclusion: The frequency of waste collection was highest on a daily basis in both private and public facilities. However, waste measurement and segregation were observed to be higher in public than private facilities. More public facilities segregated their waste at source compared to private facilities. There seems to be a gap in communication among those involve in health management waste. The health personnel despite level of education and cadre, have poor knowledge of the risk associated with healthcare waste.

Healthcare waste management in Uganda: management and generation rates in public and private hospitals in Kampala

2011 ◽  
Vol 20 (3) ◽  
pp. 245-251 ◽  
Author(s):  
Richard Kibirango Mugambe ◽  
John C. Ssempebwa ◽  
Nazarius Mbona Tumwesigye ◽  
Bas van Vliet ◽  
Adebola Adedimeji
Keyword(s):  
Waste Management ◽  
Private Hospitals ◽  
Public And Private ◽  
Healthcare Waste ◽  
Healthcare Waste Management ◽  
Public And Private Hospitals
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