Observation for waste management in hospitals
Answers
Answer:
Background & objectives:
A legislative framework for bio-medical waste management (BMWM) was established in the country more than a decade ago. Though some studies have identified gaps at local levels, no systematic effort was done to collect data from different parts of the country. The objective of this nationwide study was to document existing resources, infrastructure and practices related to BMWM across the study districts.
Methods:
The study was conducted in 25 districts spread over 20 States of India including urban and rural areas. Primary (n=388), secondary (n=25) and tertiary care (n=24) health facilities from public (n=238) and private (n=199) sector were assessed and scored for the state of BMWM through 9 items representing system capacity, availability of resources and processes in place. Health facilities were assigned into one of the three categories (Red, Yellow and Green) based on the cumulative median scores.
Results:
Around 82 per cent of primary, 60 per cent of secondary and 54 per cent of tertiary care health facilities were in the ‘RED’ category. Multivariate analysis indicated that charts at the point of waste generation, availability of designated person, appropriate containers and bags, availability of functional needle destroyers, availability of personal protective gears, segregation of waste at point of generation and log book maintenance were independently (OR-between 1.2-1.55; P <0.03 or less) associated with better BMWM system in the health facilities. This was true for both rural-urban and public or private health facilities.
Interpretation & conclusions:
The study highlighted the urgent need for greater commitments at policy and programme levels for capacity building, and resource investments in BMWM.
Keywords: Bio-medical waste management system, BMWM Scoring System, Governance, Micro and macro level BMWM systems, Predictors of good BMW scores
Explanation:
Explanation:
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The present paper aims to study the Medical Waste Management assessment, the process of managing the medical waste: management of medical waste, segregation, storage, and disposal of medical wastes in public and private hospitals in Chennai City. A structured questionnaire was circulated among 140 health workers at hospitals in Chennai with 70 respondents from governmental hospital and 70 respondents from a private hospital respectively. Simple Random sampling method was used in this study. The results reveals that the, health care facilities in private and governmental hospitals still struggle with unsuitable biomedical wastes management which has not received enough concern. In the surveyed hospitals, there is lack in implementing training courses about healthcare waste management. Hence, the Ministry of Health and health care institution and hospitals should give more consideration towards policies for proper management and hospital wastes disposal in order to develop medical waste management in Chennai City. The study was concluded with recommendations for improvements on biomedical wastes handling and treatment in order to render proper and adequate waste disposal system in health institutions.
Keywords
Assessment, medical waste management, segregation, disposal, biomedical waste management