Assessing the Effectiveness of Hospital Waste Management Practices Among Tertiary Care Hospitals and Primary Health Centres in KPK: A Comparative Cross-Sectional Study
DOI:
https://doi.org/10.61919/jhrr.v4i3.1235Keywords:
Waste Management, Infection Control, Incineration, Tertiary Care Hospital, Primary Health CareAbstract
Background: Healthcare waste, both biologic and non-biologic, poses environmental and public health risks if improperly managed. Developing countries like Pakistan often lack effective waste management systems, leading to potential hazards.
Objective: This study assessed the effectiveness of hospital waste management practices in tertiary care hospitals and primary health centers in Khyber Pakhtunkhwa (KPK), Pakistan, identifying strengths and weaknesses.
Methods: A cross-sectional study was conducted from August to December 2023, with 384 participants involved in waste management from various healthcare roles. Data were collected via interviews, observations, and questionnaires on demographics, knowledge, training, PPE use, and disposal methods. Statistical analyses were performed using SPSS version 25.
Results: Of the 384 participants, 72.49% were male, with a mean age of 35-40 years. Awareness of waste management practices was high among doctors (96.9%) and paramedics (93.4%). However, PPE usage was low, with only 36.9% consistently using face masks, 31.8% using aprons, and 28.4% using gloves. Most facilities had designated central storage (93.2%) and staff for disposal (96.6%). Incineration was available in 89.6% of facilities but faced operational issues.
Conclusion: While awareness of waste management is high, gaps exist in PPE usage and reliance on incineration. Improving training, developing alternative waste treatment methods, and implementing a national policy are recommended to enhance waste management practices in Pakistan.
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References
Slutzman JE, Bockius H, Gordon IO, Greene HC, Hsu S, Huang Y, et al. Waste audits in healthcare: a systematic review and description of best practices. Waste Management & Research. 2023;41(1):3-17.
Millanzi WC, Herman PZ, Mtangi SA. Knowledge, attitude, and perceived practice of sanitary workers on healthcare waste management: A descriptive cross-sectional study in Dodoma region, Tanzania. SAGE Open Medicine. 2023; 11:20503121231174735.
Wilhemina A, Amedumey P, Raphael GBH. Solid waste management in hospitals: A comparative assessment in some selected hospitals in Obuasi Municipality of Ghana. Cleaner Waste Systems. 2022;3:100025.
Mondal R, Mishra S, Pillai JS, Sahoo MC. COVID 19 Pandemic and biomedical waste management practices in healthcare system. Journal of family medicine and primary care. 2022;11(2):439-46.
Mol MPG, Zolnikov TR, Neves AC, Dos Santos GR, Tolentino JLL, de Vasconcelos Barros RT, et al. Healthcare waste generation in hospitals per continent: a systematic review. Environmental Science and Pollution Research. 2022;29(28):42466-75.
Lee SM, Lee D. Effective medical waste management for sustainable green healthcare. International Journal of Environmental Research and Public Health. 2022;19(22):14820.
Endris S, Tamir Z, Sisay A. Medical laboratory waste generation rate, management practices and associated factors in Addis Ababa, Ethiopia. PLoS One. 2022;17(4):e0266888.
Omoleke SA, Usman N, Kanmodi KK, Ashiru MM. Medical waste management at the primary healthcare centres in a north western Nigerian State: Findings from a low-resource setting. Public Health in Practice. 2021;2:100092.
Oduro-Kwarteng S, Addai R, Essandoh HM. Healthcare waste characteristics and management in Kumasi, Ghana. Scientific African. 2021;12:e00784.
Khalid S, Haq N, Sabiha Z-u-A, Latif A, Khan MA, Iqbal J, et al. Current practices of waste management in teaching hospitals and presence of incinerators in densely populated areas. BMC Public Health. 2021;21:1-10.
Kenny C, Priyadarshini A, editors. Review of current healthcare waste management methods and their effect on global health. Healthcare; 2021: MDPI.
Gonibeedu V, Sundar M, Santhosh H, Mallikarjuna Swamy D. Outcome of biomedical waste management training among staff nurses of primary health centers of Hassan district. International Quarterly of Community Health Education. 2021;41(3):349-53.
Golandaj JA, Kallihal KG. Awareness, attitude and practises of biomedical waste management amongst public health-care staff in Karnataka, India. Journal of Humanities and Applied Social Sciences. 2021;3(1):49-63.
Deepak A, Kumar D, Sharma V. Developing an effectiveness index for biomedical waste management in Indian states using a composite indicators approach. Environmental Science and Pollution Research. 2021;28:64014-29.
Singh S, Dhillon BS, Shrivastava A, Kumar B, Bhattacharya S. Effectiveness of a training program about bio-medical waste management on the knowledge and practices of health-care professionals at a tertiary care teaching institute of North India. Journal of Education and Health Promotion. 2020;9(1):127.
Mugivhisa LL, Dlamini N, Olowoyo JO. Adherence to safety practices and risks associated with health care waste management at an academic hospital, Pretoria, South Africa. African Health Sciences. 2020;20(1):453-68.
Mannocci A, di Bella O, Barbato D, Castellani F, La Torre G, De Giusti M, et al. Assessing knowledge, attitude, and practice of healthcare personnel regarding biomedical waste management: a systematic review of available tools. Waste Management & Research. 2020;38(7):717-25.
Karki S, Niraula SR, Karki S. Perceived risk and associated factors of healthcare waste in selected hospitals of Kathmandu, Nepal. PLoS One. 2020;15(7):e0235982.
Ekenna A, Itanyi IU, Nwokoro U, Hirschhorn LR, Uzochukwu B. How ready is the system to deliver primary healthcare? Results of a primary health facility assessment in Enugu State, Nigeria. Health policy and planning. 2020;35(Supplement_1):i97-i106.
Akkajit P, Romin H, Assawadithalerd M. Assessment of knowledge, attitude, and practice in respect of medical waste management among healthcare workers in clinics. Journal of environmental and public health. 2020;2020(1):8745472.
Adu RO, Gyasi SF, Essumang DK, Otabil KB. Medical Waste‐Sorting and Management Practices in Five Hospitals in Ghana. Journal of environmental and public health. 2020;2020(1):2934296.
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Copyright (c) 2024 Tufail Ahmad, Umair Arshad, Abdullah Shahjehan, Muhammad Ishaq, Abdul Wajid
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