A cross sectional study amongst paramedical workers and nursing students regarding awareness of various aspects of biomedical waste (management and handling) rules

INTRODUCTIONDemand of healthcare need has increased drastically over the last few decades and simultaneously the number of healthcare facilities has increased in order to cater to the demands and needs of the people. There by increasing the quantum of hospital waste production. According to WHO, of the total amount of waste generated by healthcare activities, about 85% is general, non-hazardous waste and the remaining 15% is considered hazardous material that may be infectious, toxic or radioactive. Although, the quantity of the infectious waste produced is less as compared to the overall healthcare waste, the poor waste management practices by healthcare workers mix the infectious waste with non-infectious waste and thereby contaminate the whole waste. Healthcare facilities are like a double-edged sword, it caters for the healthcare needs and problems of the people by providing curative, promotive or preventive services but in the process it inevitably produces waste which in ABSTRACT Background: Healthcare facilities are like a double-edged sword, it caters to the healthcare needs and problems of the people by providing curative, promotive or preventive services but in the process it inevitably produces waste which in itself is hazardous to health if not managed properly. In order to improve biomedical waste management, it is important to understand and evaluate the current practices in biomedical waste management, to identify the gaps and to address them. The study was conducted to assess the practice of biomedical waste management among the healthcare personnel at a tertiary hospital. Methods: A hospital based cross sectional study was conducted among 314 healthcare personnel which comprised of 193 doctors, 85 staff nurses and 36 laboratory technicians. A pre-tested semi-structured questionnaire was used to collect the data. Results: A total of 78% healthcare personnel had received training on BMW management. Most of the doctors (76.2%), staff nurses (70.6%) and laboratory technicians (72.2%) had received hepatitis B vaccination. And as for injection TT, 76.2% doctors, 85.9% staff nurses and 69.4% laboratory technicians had received it. Multivariate logistic regression showed association between waste segregation practices and occupation status and training which was statistically significant. Conclusions: The study revealed satisfactory practices among the healthcare personnel. It also showed association between waste segregation practices and training on BMW management. The importance of training regarding biomedical waste management cannot be overemphasized, training and retraining on healthcare waste management should be given to healthcare personnel.

Section: Discussionmentioning

confidence: 99%

Study of biomedical waste management among healthcare personnel at a Tertiary hospital in Lucknow district

Imchen

Kumari

Singh

et al. 2017

“…[1][2][3][4][5] Not only do they need this knowledge to work efficiently in the field they also need that to protect themselves from a gamut of occupational diseases. Injuries due to needle-sticks and sharps have been tagged as the main occupational hazard for health care personnel.…”

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confidence: 99%

“…4,6,[14][15][16][17][18] On questions pertaining to Integrated Management of Neonatal and Childhood Illnesses (IMNCI), Infant and Young Child Nutrition (IYCN) and Oral rehydration solution (ORS), nearly 50% of both ANMs and LWs responded correctly in the pre-test and also showed significant improvement in their post-test scores. (Tables 1 and 2) Other researchers [20][21][22] have reported lack of awareness among paramedical staff on various aspects of neonatal and child care.…”

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confidence: 99%

Cross-sectional comparative study of the effect of refresher training on the knowledge, attitude and practices of urban primary health care providers

Malgaonkar

Kartikeyan

2016

INTRODUCTIONPrimary health care providers cater to the basic health needs of people in urban and rural areas and endeavour to provide critically needed outreach services in urban slums and remotest villages. For providing credible and good quality services to those in need, it is imperative that these primary health care providers have the basic knowledge and a positive conducive attitude regarding the services they deliver. Urban health posts (UHPs), launched under the Urban Revamping Scheme to provide primary health care in urban slums, are staffed by auxiliary nurse midwives (ANMs), also known as multipurpose health workers (female), who are trained paraprofessional health care providers and function as the first contact between the community and the formal health care system. Link workers (LWs) are primarily female volunteers from local communities, who identify high-risk groups and mobilise vulnerable and inaccessible sub-groups in the community. Various studies have emphasized the ABSTRACT Background: Primary health care providers, who cater to the basic health care needs in urban and rural areas, ought to have the basic knowledge and a positive attitude in relation to the services they deliver. This cross-sectional, complete-enumeration, before-and-after study was conducted to determine the outcome of refresher training on the knowledge, attitudes and practices of auxiliary nurse midwives (ANMs), and link workers (LWs) in an urban area in Western India. Methods: Each willing participant answered a structured pre-test questionnaire containing 25 questions in the local language (Marathi), following which, Government-approved refresher training (3 days for ANMs and 1 day for LWs) was conducted in the same language. The participants took the same questionnaire after the refresher training (posttest). The pre-and post-test scores were tabulated and statistically analysed. Results: In case of ANMs (n=60), the post-test scores (mean=20.7; SD=1.8) improved over the pre-test scores (mean=17.5; SD=2.76). The LWs (n=170) also bettered their post-test scores (mean=20.9; SD=2.52), over their pretest scores (mean=14.4; SD=4.41). The degree of improvement in scores varied from marginal to statistically significant. Conclusions: Though the post-test results were encouraging, sustained efforts would be required to bring about the desired attitudes and practices. As a consequence of the widespread use of mobile phones, it is possible to conduct periodic refresher training through mobile phones at a much lower cost.

“…Various studies have emphasized the need for induction training and re-training for ensuring adequate awareness and safe practices in health care settings. [4][5][6][7][8] The present study was conducted to study the effect of orientation trainings on the knowledge of public health officers about the common vector borne diseases like malaria and dengue.…”

Section: Introductionmentioning

confidence: 99%

A cross sectional study to assess the effectiveness of orientation and induction programme among public health officers of a municipal corporation in North India: pre-test and post-test analysis

Gupta

Taneja

2022

Background: Vector borne diseases like malaria & dengue are of public concern. Public Health Officers have the job to identify and investigate health issues among people. But there is a need for induction training and re-training for ensuring adequate awareness and safe practices in health care settings. The present study was conducted to study the effect of orientation trainings on the knowledge of public health officers about the common vector borne diseases like malaria and dengue.Methods: This was a cross-sectional study conducted among 22 public health officers of Municipal Corporation of North India. Pre-test and post-test questionnaire was asked related to topics such as vector borne diseases, their prevention, treatment and water related diseases. Posttest was asked after two days of induction and orientation training. The pre- and post-test scores were tabulated and statistically analyzed using statistical package for the social sciences (SPSS) version 21. Data was presented in descriptive form and statistical significance of difference (taken as p-value <0.05) was calculated using paired t test.Results: The present study reported that the orientation programme conducted was highly informative to the medical officers. Study showed that post-test response was higher as compared with pre-test response and this difference was found statistically significant (p<0.002).Conclusions: Informative trainings are helpful to increase knowledge and giving information about the recent changes in the health programme to public medical officer who are particularly working in the community setting.