Impact of waste management training intervention on knowledge, attitude and practices of teaching hospital workers in Pakistan

Kumar, Ramesh; Somrongthong, Ratana; Ahmed, Jamil

doi:10.12669/pjms.323.9903

Cited by 20 publications

(33 citation statements)

References 16 publications

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“…Most of the barriers (lack of training, low awareness, financial constraints, lack of or ineffective legislation) which led to improper HCWM have been documented in previous studies [91]. Interventional programmes based on education were found to work well in similar contexts [69,93]. For example, HCP at the main hospitals of the White Nile State in Sudan recorded a significant improvement in their knowledge and practice with regard to HCWM immediately after an educational intervention programme [69].…”

Section: Discussionmentioning

confidence: 83%

Healthcare Waste Management: A Case Study from Sudan

2018

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Healthcare waste (HCW) represents a major public health issue, especially in developing countries. Among HCW categories, sharps waste is one of the most hazardous. Exposure to needle-stick injuries can lead to blood-borne pathogens, therefore HCW should be managed in an effective manner. The main aims of this study were to assess the current management of used needles and to suggest suitable recommendations for an improved and safer system for needle management in Khartoum, Sudan. The study showed that the management of both healthcare and home-generated HCW in Sudan is inefficient, as all wastes are mixed together and disposed of improperly, especially used needles. The study attributes this to many reasons, including lack of waste segregation at the source, lack of policies, failure of planning, inadequate training, lack of awareness of the hazardous nature of such kinds of waste, weak infrastructure, and a lack of suitable treatment technologies. The estimated average generated rate of HCW ranged from 0.38 to 0.87 kg/bed/day in 2009 and 2012, respectively. Such ineffective healthcare waste management HCWM, especially used needles, can put public health as well as the environment at risk, particularly waste workers, thus urgent action needs to be taken by all involved parties and at all levels.

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Section: Discussionmentioning

confidence: 83%

Healthcare Waste Management: A Case Study from Sudan

2018

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“…A recent study by Kumar et al (2015) suggested an intensive healthcare waste management training as an effective intervention for improving knowledge, attitudes and practices among healthcare workers regarding healthcare waste management. Other studies (Kumar et al, 2016;Abah, 2011) have also indicated regular training of health care workers on waste management to have a great role on their practices on waste management.…”

Section: Discussionmentioning

confidence: 99%

Medical waste management and disposal practices of health facilities in Kumbo East and Kumbo West health districts

Dzekashu¹,

Akoachere²,

Mbacham³

2017

Int. J. Med. Med. Sci.

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The provision of healthcare generates waste which can be detrimental to health and the environment. Management of healthcare waste is still a challenge in developing countries as practices, capacities and policies on waste disposal are grossly inadequate and require intensification. With the growing trend of biomedical services in Kumbo Cameroon, the medical waste management practices in this area was investigated to generate data that could guide policy in planning for an effective and sustainable waste management program. A qualitative cross sectional study was conducted in 30 of the 52 health facilities in study area. Participating facilities were selected by convenience sampling and personnel by random sampling. Data was collected using questionnaires, interviews and direct field observations and results analyzed using SPSS V 17.0. P-values <0.05 were considered significant. Participants aware of the existence of a national policy guide on waste management were mostly administrators (66.7%). Only 2 (6.6%) health facilities had a copy of this document. None of the participating facilities kept records of their medical waste management practices. All participants were aware of the health risk of healthcare waste. Use of PPE varied among participants and was highest among employed waste handlers (EWH) (100%) and laboratory technicians (100%) while the lowest (69%) was among pharmacy attendants. Gloves were the most commonly used PPE. Most of the EWH (55.6%) used examination gloves which was inappropriate. Not all participants segregated or disinfected waste. Waste bins were not colour-coded and all facilities had appropriate safety boxes for sharps. In 86.7% of health facilities, waste disposal was by burning in pits located within 400 m away from the facility. These pits were not protected from scavengers. Only 4 facilities had incinerators and all did not meet the required standards, as none was equipped with a scrubber. Even after segregation at the point of generation, wastes were mixed at the point of final disposal. Waste management practices in study site did not meet standard practices. There is an urgent need for proper medical waste management in Kumbo East and Kumbo West to minimise threats to human health and the environment. Regular supervision and enforcement of policy on medical waste management is paramount.

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“…As much as about 12, 000 million injections were used every year and constitute about 1% of sharp waste globally. 3,4 Effective Biomedical Waste management is emerging as an issue of major concern because of the harmful effect on the health and the environment and constitute about 1 -2 % of the total municipal solid waste. 5,6 It is estimated that annually about 0.33 million tons of wastes are generated in India.…”

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confidence: 99%

Impact of Educational Intervention on Segregation for Effective Biomedical Waste Management Amongst Healthcare Professionals in Tertiary Care Hospital

Kaore¹,

Kaore²,

Vasnik³

et al. 2018

jemds

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BACKGROUND Biomedical Waste (BMW) includes all type of waste generated by the different healthcare establishments, laboratories and research facilities. Effective Biomedical Waste management is emerging as an issue of major concern because of the harmful effects on the health and the environment. Proper knowledge, attitude, practices and a clear understanding of their roles and responsibilities in handling BMW will help prevent the harmful effects. MATERIALS AND METHODS After due approval from Institutional Ethics Committee, a prospective analytical follow-up study was conducted at a tertiary care hospital. A total of 80 consenting health care professionals (HCP) were included in the study and were grouped as junior residents, staff nurses, technical staff and housekeeping staff. Each group was subjected to a pre-validated pretest questionnaire to assess the knowledge and attitude and their practices observed over a couple of days with checklist with the help of volunteers on the basis of observation checklist and key informant interview guide to collect data from all health personnel in health centers regarding waste management. All the groups were again subjected to post-test questionnaires. Data was managed in Microsoft Excel and was analysed using tests of proportions and paired t test with post hoc analysis using one-way ANOVA. RESULTS The difference in mean score of junior residents was found out to be 5.52 followed by 4.67 & 4.15 for nursing staff and technicians. The percentage rise in learning outcome was 32.59 %, 37.4 % and 36.72 % respectively which was highly significant. By post hoc analysis between the groups, junior residents were found to be better in pre-test as well as post-test with p-value of <0.001. 75 % and above participants perceived the interventional program and the methods involved to be similar to fun games, and they achieved better clinical orientation through them. CONCLUSION The knowledge and attitudes between the groups of healthcare personnel varied and was found to be satisfactory after the educational intervention was done. Training programs with periodical sensitization sessions on BMW management are recommended at all levels so that they are aware of serious health implications to the non-compliance to BMW practices.

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Impact of waste management training intervention on knowledge, attitude and practices of teaching hospital workers in Pakistan

Cited by 20 publications

References 16 publications

Healthcare Waste Management: A Case Study from Sudan

Healthcare Waste Management: A Case Study from Sudan

Medical waste management and disposal practices of health facilities in Kumbo East and Kumbo West health districts

Impact of Educational Intervention on Segregation for Effective Biomedical Waste Management Amongst Healthcare Professionals in Tertiary Care Hospital

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