Evaluation of healthcare waste management among health functionaries of Gujarat

Authors

DOI:

https://doi.org/10.47203/IJCH.2023.v35i04.016

Keywords:

Biomedical Waste, Health Workers, COVID-19 pandemic, Food availability, Mental Health, Pregnant Women, Severe Acute Malnutrition, Gujarat

Abstract

Introduction: Health Care Waste (HCW) is generated by various activities in healthcare facilities like hospitals, clinical, research institutions, laboratories, blood banks, etc. HCW is both infectious and hazardous and, unless rendered noninfectious and safe, can prove to be hazardous to people coming in contact with it. Objectives: To assess the Knowledge and Practice regarding HCW Management among health functionaries of districts of Gujarat and its association between the designation and qualification with the Knowledge and Practice score. Methodology: It was an observational and cross-sectional study using pretested, reliable, and valid questionnaire. A sample size of 152 was calculated based on the findings of a pilot study. We have implemented our study in Gujarat, divided into four parts (Saurashtra, Central, South, and North Gujarat). Study sites were selected equally in all four areas. Results: A total of 163 healthcare participants were involved in the study, most respondents were from primary healthcare centers (31.7%), followed by medical college hospitals (14.5%). In our study, Bhavnagar district had the highest number of contributors (21.7%), followed by Morbi district (19.1%). The hospital administrator category had the highest knowledge score, while Infection Control or Waste Management Officer had the highest practice score. MBBS/AYUSH graduates had the highest knowledge and practice scores. It is also apparent that staff nurses had better knowledge and practice scores than ANM. Conclusion: The overall assessment score was good for all health workers. Doctors' better knowledge and practice scores signify qualification's role in BMW management.

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References

S. Gary, “Clinical waste & offensive waste disposal procedures 2016,” November 2018, https://www.ucl.ac.uk/estates/sites/estates/files/clinical-waste-procedures.pdf .

US EPA, “Medical waste,” November 2018. (Cited on 25 Dec 2023). Available from: https://www.epa.gov/rcra/medical-waste .

World Health Organization, “Health-care waste,” 8 February 2018. https://www.who.int/news-room/fact-sheets/detail/health-care-waste .

World Health Organization. Safe Management of wastes from Health Care Activities 2nd edition; 2013.

World Health Organization. (2021). WHO guideline on self-care interventions for health and well-being. (Cited on 25 Dec 2023) Available from: https://apps.who.int/iris/rest/bitstreams/1356501/retrieve

Nkonge Njagi A, Mayabi Oloo A, Kithinji J, Magambo Kithinji J. Knowledge, attitude and practice of health-care waste management and associated health risks in the two teaching and referral hospitals in Kenya. J Community Health 2012;37:1172-7.

Govender RD, Olaifa A, Ross AJ. Knowledge, attitudes and practices of healthcare workers about healthcare waste management at a district hospital in KwaZulu-Natal. South African Family Practice. 2018;60(5):137-145.

Yadavannavar M, Berad AS, Jagirdar P. Biomedical waste management: a study of knowledge, attitude, and practices in a tertiary health care institution in Bijapur. Indian J Community Med. 2010;35(1):170-1.

Pandit NB, Mehta HK, Kartha, GP, Choudhary SK. Management of bio-medical waste: Awareness and practices in a district of Gujarat. Indian J Public Health. 2005;49(4): 245-7.

Mathur V, Dwivedi S, Hassan M, Misra R. Knowledge, Attitude, and Practices about Biomedical Waste Management among Healthcare Personnel: A Cross-sectional Study. Indian J Community Med 2011;36(2):143-5.

Chudasama RK, Rangoonwala M, Sheth A, et al. Biomedical Waste Management: A study of knowledge, attitude and practice among health care personnel at tertiary care hospital in Rajkot. Journal of Research in Medical and Dental Science. 2013;1(1):17-22.

Akkajit P, Romin H, Assawadithalerd M. Assessment of Knowledge, Attitude, and Practice in respect of Medical Waste Management among Healthcare Workers in Clinics. J Environ Public Health 2020;2020:8745472.

Dalui A, Banerjee S, Roy R. Assessment of knowledge, attitude, and practice about biomedical waste management among healthcare workers during COVID-19 pandemic in a health district of West Bengal. Indian J Public Health 2021;65(4):345-51.

Rao D, Dhakshaini MR, Kurthukoti A, Doddawad VG. Biomedical waste management: A study on assessment of knowledge, attitude, and practices among health care professionals in a tertiary care teaching hospital. Biomed Pharmacol 2018;11(3):1737-43.

Parida A, Capoor MR, Bhowmik KT. Knowledge, attitude, and practices of Bio-medical Waste Management rules, 2016; Bio-medical Waste Management (amendment) rules, 2018; and Solid Waste Rules, 2016, among healthcare workers in a tertiary care setup. J Lab Physicians 2019;11(4):292-9.

Ashish Naik, Bhautik Modi, Bansal RK. Bio-Medical Waste Handling Practices in Urban Health Centres of Surat Municipal Corporation. National Journal of Community Medicine 2012;3(1):164-167

Gazette of India. GSR. 343(E) dated 28 March 2016, Biomedical Waste Management Rules, 2016. Ministry of Environment and Forests, Government of India, New Delhi, India. 2016,1-37. https://www.iwma.in/BMW%20Rules,%202016.pdf

Mehta TK, Shah PD, Tiwari KD. A Knowledge, Attitude and Practice Study of Biomedical Waste Management and Bio-safety among Healthcare Workers in a Tertiary Care Government Hospital in Western India. Natl J Community Med 2018;9(5):327-33.

Das SK, Biswas R. Awareness and practice of biomedical waste management among healthcare providers in a Tertiary Care Hospital of West Bengal, India. Int J Med Public Health. 2016;6:19-25.

Sanjeev R, Kuruvilla S, Subramaniam R, Prashant PS, Gopalakrishnan M. Knowledge, attitude, and practices about biomedical waste management among dental healthcare personnel in dental colleges in Kothamangalam: A cross-sectional study. Health Sci 2014;13:1-12.

Kulkarni VL, Rajhans VV, More SR, et al. A comparative study of knowledge, attitude, and practice regarding biomedical waste management before and after training among doctors. IOSR Journal of Dental and Medical Sciences 2016;15(4):50-4.

Thirunavukkarasu A, Al-Hazmi AH, Dar UF, et al. Knowledge, attitude, and practice towards bio-medical waste management among healthcare workers: a northern Saudi study. PeerJ. 2022;10:e13773.

Deress T, Jemal M, Girma M, Adane K. Knowledge, attitude, and practice of waste handlers about medical waste management in Debre Markos town healthcare facilities, northwest Ethiopia. BMC Res Notes 2019;12(1):146.

Reddy LKV, Al Shammari F. Evaluation of biomedical waste management in primary health care centres in Saudi Arabia: a knowledge, attitudes, and practices study. East Mediterr Health J 2017;23(9):637-41.

Woromogo SH, Djeukang GG, Yagata Moussa FE, et al. Assessing knowledge, attitudes, and practices of healthcare workers regarding biomedical waste management at biyem-assi district hospital, yaounde: a cross-sectional analytical study. Advances in public health 2020. Doi: 10.1155/2020/2874064.

Hakim SA, Mohsen A, Bakr I. Knowledge, attitudes and practices of health-care personnel towards waste disposal management at Ain Shams University Hospitals, Cairo. East Mediterr Health J 2014;20(5):347-54.

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Published

2023-12-31

How to Cite

1.
Kuba R, Joshi K, Kokare V, Singhal S. Evaluation of healthcare waste management among health functionaries of Gujarat. Indian J Community Health [Internet]. 2023 Dec. 31 [cited 2024 Jul. 24];35(4):494-501. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/2723

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