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Assessment of Bio-Medical Waste Management Practices

  • Roshni Dilbagi
  • Agency : Biomedical Waste, Waste Management, District Hospital, Health Care Facilities
  • Objective : The attempt of the study was made to determine the awareness about biomedical waste management policy, practices and to assess attitude towards it.
  • Background : The need of the study came because of the fact that the biomedical waste management practices is started in the health care facilities of district hospital but although formal training has been given but there awareness level was very low. This has led to conduct a knowledge, attitude and practice study and assessment study among the staffs of district hospital.
  • Methodology : The sample size of the present study is 80. The technique of sampling is purposive sampling. The methodologies used in the study are mainly tools of questionnaire, interview and non participatory observation of the practices of the staffs. Questionnaire was prepared for the three groups of people i.e. Doctors, paramedical (including nurses, technicians etc) and housekeeping staffs. The data was coded on MS Excel and the same was analyzed
  • Findings : The findings showed that 82% of the wastes generated were non infectious and 18% were hazardous. Handling of those 18% was so much difficult that is causes major Hazard. The study finding revealed that on an average 124.8kg of the total waste was generated everyday and 32.9 kg of biomedical waste was generated. Most of the doctors were aware about the BMW management and they thought that it is peopleís responsibility. This is the group effort and not a single person can brought about any change. Regarding BMW handling rules, most of the paramedical heard for the first time. Half of them considered sharps as the dangerous waste product. Three fourth of them had knowledge that HIV was the most common disease spread by improper disposal of hazardous waste. Paramedical did not seem to be enthusiastic about having new training session for them. Housekeeping staff that were in direct involvement of BMW handling were not punctual. They were irregular to their work and their ignorance was reflected in their practice. Most of them wanted that there should be separate management unit for BMW, but they did not want to get involve themselves. They had less knowledge about harmful impacts of BMW as only 13.33% of people said it causes HIV/AIDS. Around 82% of them said that they themselves are at highest risk of getting infection. Their knowledge was very poor regarding BMW 66% of them had no idea about color coding. They did not use protective measures. They always complained that government had not provided anything to them, but whatever government had provided to them, they were not utilizing. They did not want to put extra effort in any additional work. The study analyses the various aspects of the BMW management and accordingly recommendations were made to bring required changes in the district hospitalís BMW management and other aspects associated with peoples KAP.
  • Recommendations : Study shows that there is an urgent need of audit system with this respect. Doctors agreed that there should be management team for waste management.
study was made to determine the awareness about biomedical waste management policy, practices and to assess attitude towards it