Question

observation on waste management in hospitals​

Answer 1

Explanation:

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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

Answer 2

Answer:

They do not use separate colour code bags for anatomical and other non- sharp infectious waste which creates segregation problems. Most of the hospitals do not use puncture proof containers for keeping sharp infectious waste. ... It was also observed, that needles and syringes are yet not burnt or cut in all the hospitals.