Assessment of Bio-Medical Waste Management Practices
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
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 people’s 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 hospital’s
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
study was made to determine the awareness about biomedical waste management policy, practices and to assess attitude towards it