Abstract of Dissertation

Recommendations Medical care is vital for our life and health, but the waste generated from medical activities represents a real problem of nature and human world. Improper management of waste generated in health care facilities causes a direct health impact on the community, the health care workers and on the environment. Every day, relatively large amount of potentially infectious and hazardous waste are generated in the health care hospitals and facilities around the world. Indiscriminate disposal of BMW or hospital waste and exposure to such waste possess serious threat to environment and to human health. BMW requires specific treatment and management prior to its final disposal. This report was made as a dissertation project conducted in the Civil Hospital, Ahwa, District Dang. The researcher was posted as the Assistant Hospital Administrator in the hospital. Many issues relating to the mismanagement of Bio medical waste were discovered in the hospital, like • Untimely collection • Improper segregation, (not done category-wise) • Lack of awareness among staff • Wrong disposal methods, etc. These issues were highlighted and brought into notice of the senior management. To acquire a deeper understanding of the current practice, a set of questionnaires was prepared. These questionnaires were targeted to the doctors, nurses and housekeeping staff. The first questionnaire judged the level of understanding of the staff about the correct biomedical waste management. A questionnaire was designed, to assess the basic understanding of the BMW knowledge of the staff. On the basis of the responses of this questionnaire, a graph was prepared to represent the level of understanding of BMW basics. The second questionnaire was prepared to assess the knowledge of segregation of biomedical waste, based on the government-approved color codes of the BMW bins. Following this, a training was conducted and again the staff was given the same questionnaire. The results of this second questionnaire showed positive improvement in the staff ’s awareness about segregation of BMW. This result was depicted with the help of a graph. A lot of time was spent to discover the gaps in the present system of BMW management. These findings were presented to the senior 69 management of the hospital, along with some proposed solutions. Many of these solutions were implemented with an immediate effect. After a week of implementations of the new solutions, observations were made again, and the new practices seemed to have an improved result on the overall management of BMW.