Healthcare waste generation and management practice in government health centers of Addis Ababa, Ethiopia

Tadesse, Menelik Legesse; Kumie, Abera

doi:10.1186/1471-2458-14-1221

Cited by 56 publications

(61 citation statements)

References 2 publications

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“…While protocols on handling medical waste exist in many settings, their implementation varies from one place to another depending on how stringently prevention of infection protocols are implemented and observed. Indeed many health care personnel and medical waste handlers do not use personal protective gear [14, 35, 61, 62]. …”

Section: Health Impacts Of Exposure To Solid Wastementioning

confidence: 99%

A review and framework for understanding the potential impact of poor solid waste management on health in developing countries

2016

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BackgroundThe increase in solid waste generated per capita in Africa has not been accompanied by a commensurate growth in the capacity and funding to manage it. It is reported that less than 30% of urban waste in developing countries is collected and disposed appropriately. The implications of poorly managed waste on health are numerous and depend on the nature of the waste, individuals exposed, duration of exposure and availability of interventions for those exposed.ObjectiveTo present a framework for understanding the linkages between poor solid waste management, exposure and associated adverse health outcomes. The framework will aid understanding of the relationships, interlinkages and identification of the potential points for intervention.MethodsDevelopment of the framework was informed by a review of literature on solid waste management policies, practices and its impact on health in developing countries. A configurative synthesis of literature was applied to develop the framework. Several iterations of the framework were reviewed by experts in the field. Each linkage and outcomes are described in detail as outputs of this study.ResultThe resulting framework identifies groups of people at a heightened risk of exposure and the potential health consequences. Using the iceberg metaphor, the framework illustrates the pathways and potential burden of ill-health related to solid waste that is hidden but rapidly unfolding with our inaction. The existing evidence on the linkage between poor solid waste management and adverse health outcomes calls to action by all stakeholders in understanding, prioritizing, and addressing the issue of solid waste in our midst to ensure that our environment and health are preserved.ConclusionA resulting framework developed in this study presents a clearer picture of the linkages between poor solid waste management and could guide research, policy and action.

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Section: Health Impacts Of Exposure To Solid Wastementioning

confidence: 99%

A review and framework for understanding the potential impact of poor solid waste management on health in developing countries

2016

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“…Sharps and needle stick injuries are the commonest form of HIV, Hepatitis B Virus and Hepatitis Virus C exposure in health institutions especially for healthcare workers and waste handlers. Ministry of Health of Ethiopia has prepared healthcare waste management guidelines in 2007 for the safe handling and disposal of health care wastes also the promotion of occupational health and the protection of the environment from healthcare waste [18]. But six out of ten studied health centers, Standard Operational Procedures, as well as any applicable local or regional guidelines about healthcare waste management were not found.…”

Section: Descriptionmentioning

confidence: 99%

Healthcare waste generation and management practice in government health centers of Addis Ababa, Ethiopia

Tadesse¹,

Kumie

2014

BMC Public Health

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Background: Healthcare wastes are hazardous organic and inorganic wastes. The waste disposal management in Addis Ababa city is seen unscientific manner. The waste management practice in the health facilities are poor and need improvement. This study will help different organizations, stakeholders and policy makers to correct and improve the existing situation of healthcare waste legislation and enforcement and training of staff in the healthcare facilities in Addis Ababa. The study aimed to assess the existing generation and management practice of healthcare waste in selected government health centers of Addis Ababa. Methods: The cross-sectional study was conducted to quantify waste generation rate and evaluate its management system. The study area was Addis Ababa. The sample size was determined by simple random sampling technique, the sampling procedure involved 10 sub-cities of Addis Ababa. Data were collected using both waste collecting and measuring equipment and check list. The Data was entered by EPI INFO version 6.04d and analyzed by and SPSS for WINDOW version15. Results: The mean (±SD) healthcare waste generation rate was 9.61 ± 3.28 kg/day of which (38%) 3.64 ± 1.45 kg/day was general or non-hazardous waste and (62%) 5.97 ± 2.31 kg/day was hazardous. The mean healthcare waste generation rate between health centers was a significant different with Kurskal-Wallis test (χ 2 = 21.83, p-value = 0.009). All health centers used safety boxes for collection of sharp wastes and all health centers used plastic buckets without lid for collection and transportation of healthcare waste. Pre treatment of infectious wastes was not practiced by any of the health centers. All health centers used incinerators and had placenta pit for disposal of pathological waste however only seven out of ten pits had proper covering material.

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“…Many developing countries do not have any legislation on medical wastes, and even if they do, they are not properly implemented [4]. Due to lack of financial support and interest from the government, it is extremely difficult for those countries to introduce new technologies such as environmentally friendly incinerators and safely manage SMW [12][13][14][15][16]. Therefore, safe transportation, treatment and disposal of SMW in developing countries have received much attention of international communities in recent years.…”

Section: Introductionmentioning

confidence: 99%

Current treatment and disposal practices for medical wastes in Bujumbura, Burundi

Niyongabo

Jang

Kang

et al. 2018

Environmental Engineering Research

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Since improper management practices of solid medical waste (SMW) could potentially result in serious health risks and environmental problems, it is very important to properly treat and dispose of the medical wastes. In this study, current practices of SMW management from storage to final disposal stage in 12 health care facilities (HCFs) of Burundi were investigated using the official government reports. The results showed that 75% and 92% of HCFs used uncovered wheelbarrows and trucks for on-site or off-site SMW transportation, respectively, indicating that most transportation equipment and waste workers are not safely protected. The results also showed that 92.8% of SMW (15,736.4 ton) from all 12 HCFs were inappropriately disposed of through uncontrolled land disposal and incineration. If pharmaceutical wastes and discarded medical plastics (29.5% of SMW) can be separated and treated properly, the treatment costs can be reduced and resource savings can be achieved. Raising awareness of healthcare workers and general public about potential health effects arising from improper SMW management, sufficient financial and human resources for the treatment facilities (especially incinerators), and effective regulations and guidelines for transportation and treatment of SWM are some of the major tasks for safe and sustainable medical waste management in Burundi.

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Healthcare waste generation and management practice in government health centers of Addis Ababa, Ethiopia

Cited by 56 publications

References 2 publications

A review and framework for understanding the potential impact of poor solid waste management on health in developing countries

A review and framework for understanding the potential impact of poor solid waste management on health in developing countries

Healthcare waste generation and management practice in government health centers of Addis Ababa, Ethiopia

Current treatment and disposal practices for medical wastes in Bujumbura, Burundi

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