Comparative analysis of cost of biomedical waste management across varying bed strengths in rural India

D’Souza, Brayal Carry; Mavaji, Arun; Chandrasekaran, Venkatesh; Kamath, Rajesh

doi:10.1080/20479700.2017.1289438

Cited by 13 publications

(12 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In some cases, subsidies for services contracted to government may underestimate the costs of service provision. This is likely with waste management, which was contracted to the government hospital at substantially lower cost than found in other settings (see, e.g., [39,40]). For water and sanitation, utilities in LMICs charge tariffs substantially below full cost recovery [41].…”

Section: Resultsmentioning

confidence: 99%

Development and Application of Tools to Cost Delivery of Environmental Health Services in Healthcare Facilities: A Financial Analysis in Urban Malawi

Anderson

Cronk

Pak

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Environmental health services (EHS) in healthcare facilities (HCFs) are critical for providing a safe, functional healthcare environment, but little is known about their costs. Poor understanding of costs impedes progress towards universal access of EHS in HCFs. We developed frameworks of essential expenses that provide EHS and conducted an ex-post financial analysis of EHS in a network of medical research and training facilities in Lilongwe, Malawi serving an estimated 42,000 patients annually. Methods We estimated the cost of providing the following EHS: water, sanitation, hygiene, personal protective equipment use at the point of care, waste management, cleaning, laundry, and vector control. We developed frameworks of essential outputs and inputs for each EHS through review of international guidelines and standards, which we used to identify required expenses for EHS delivery and evaluate the completeness of costs data in our case study. For costing, we use a mixed-methods approach, applying qualitative interviews to understand facility context and review of electronic records to determine costs. We calculated initial costs to establish services and annual operations and maintenance.Results Available records contained little information on the upfront, capital costs associated with establishing EHS. Annual operations and maintenance totaled USD 220,427 for all EHS, although costs of essential inputs were missing from records. Annual operations and maintenance costs were highest for cleaning (USD 69,372) and waste management (USD 46,752).Discussion Missing expenses suggests that documented costs are substantial underestimates. Costs to establish services were missing predominantly because purchases pre-dated electronic records systems. Annual operations and maintenance costs are incomplete primarily because administrative records did not record sufficient detail to disaggregate and attribute expenses. Conclusions Electronic health information systems have potential to support efficient data collection. However, we found that existing records systems were decentralized and poorly suited to identify EHS costs. Our research suggests a need to better code and disaggregate EHS expenses to properly leverage records for costing. Frameworks developed in this study are a potential tool to develop more accurate estimates of the cost of providing EHS in HCFs.

show abstract

Section: Resultsmentioning

confidence: 99%

Development and Application of Tools to Cost Delivery of Environmental Health Services in Healthcare Facilities: A Financial Analysis in Urban Malawi

Anderson

Cronk

Pak

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…EHS quantity is the number of EHS needed to meet the patient demand, such as liters of water needed per day for care delivery. EHS quantity is driven in large part by the number of patients and type of services they receive, although evidence suggests that the correlation between the EHS quantity demand and patient volume is not simply linear [39,[49][50][51]. EHS quality is the safety and adequacy of an EHS for safe care delivery, such as the microbial and chemical quality of water.…”

Section: Step 4: Collect Non-cost Contextual Datamentioning

confidence: 99%

“…This framework outlines the activities required for waste management and categorizes the resource inputs required for each activity into the cost categories outlined in Table 3. We developed this example framework through a review of studies captured by the systematic review that describe resources used in waste management activities [39,49,51,[57][58][59][60][61][62][63][64][65][66][67][68][69]. We categorized these resources into cost categories, and then cross-referenced selected guidelines for waste management [42,70] to fill gaps.…”

Section: Costing Frameworkmentioning

confidence: 99%

“…Costing-stakeholders should consider how well indicators are likely to correlate with the EHS demand, because the same indicators may not be appropriate across all EHS. For example, floor area is commonly used as an EHS quantity indicator, which correlates more directly with, and is more appropriate for measuring, the demand for surface cleaning [52] than for waste management, which correlates more with patient volume [39,[49][50][51]. Costing-stakeholders should select units which are appropriate for their costing purpose and target outcomes.…”

Section: Unit Costsmentioning

confidence: 99%

See 1 more Smart Citation

Budgeting for Environmental Health Services in Healthcare Facilities: A Ten-Step Model for Planning and Costing

Anderson

Cronk

Best

et al. 2020

IJERPH

View full text Add to dashboard Cite

Environmental health services (EHS) in healthcare facilities (HCFs) are critical for safe care provision, yet their availability in low- and middle-income countries is low. A poor understanding of costs hinders progress towards adequate provision. Methods are inconsistent and poorly documented in costing literature, suggesting opportunities to improve evidence. The goal of this research was to develop a model to guide budgeting for EHS in HCFs. Based on 47 studies selected through a systematic review, we identified discrete budgeting steps, developed codes to define each step, and ordered steps into a model. We identified good practices based on a review of additional selected guidelines for costing EHS and HCFs. Our model comprises ten steps in three phases: planning, data collection, and synthesis. Costing-stakeholders define the costing purpose, relevant EHS, and cost scope; assess the EHS delivery context; develop a costing plan; and identify data sources (planning). Stakeholders then execute their costing plan and evaluate the data quality (data collection). Finally, stakeholders calculate costs and disseminate findings (synthesis). We present three hypothetical costing examples and discuss good practices, including using costing frameworks, selecting appropriate indicators to measure the quantity and quality of EHS, and iterating planning and data collection to select appropriate costing approaches and identify data gaps.

show abstract

“…Municipal waste has a similar properties to that of municipal solid waste and therefore could be disposed of in municipal landfills after proper treatment. However, hazardous waste poses risks to public health, unless it is properly managed [1,2,3,4]. The quantity of waste generated from medical care and activities is a global matter of concern.…”

Section: Introductionmentioning

confidence: 99%

An optimization model for transport, treatment and disposal of medical waste: a case study of Podlaskie Province

Walery

Leszczyński

2018

E3S Web Conf.

View full text Add to dashboard Cite

Abstract. The article describes optimization studies aimed at analysing the impact of capital and current cost changes for combustion waste storage on the cost of its system management and structure. The study was conducted using the example of an analysis of the system of medical waste management in Podlaskie Province, in north-eastern Poland. The scope of operational research carried out under the optimization study was divided into two stages of optimization calculations with assumed technical and economic parameters of the system. In the first stage, the lowest cost of functioning of the analysed system was generated, whereas in the second one the influence of the input parameter of the system, i.e. capital and current costs of combustion waste storage process on the economic efficiency index (E) and the spatial structure of the system was determined. Optimization studies were conducted for the following cases: with a 25% increase in capital and current costs for the storage process, followed by 50%, 75% and 100% increase. As a result of the calculations, the highest cost for system operation was achieved at the level of 1655 PLN/Mg with the assumption ca. 100% increase in capital and current costs for the storage process. There was an increase in the economic efficiency index (E) by about 4% in relation to first course of optimization studies.

show abstract

Comparative analysis of cost of biomedical waste management across varying bed strengths in rural India

Cited by 13 publications

References 4 publications

Development and Application of Tools to Cost Delivery of Environmental Health Services in Healthcare Facilities: A Financial Analysis in Urban Malawi

Development and Application of Tools to Cost Delivery of Environmental Health Services in Healthcare Facilities: A Financial Analysis in Urban Malawi

Budgeting for Environmental Health Services in Healthcare Facilities: A Ten-Step Model for Planning and Costing

An optimization model for transport, treatment and disposal of medical waste: a case study of Podlaskie Province

Contact Info

Product

Resources

About