Published: 2022-09-28

Biomedical waste management: assessment in health facility of a tertiary care teaching hospital in Jammu, union territory of Jammu and Kashmir, India

Rakesh K. Sharma, Rajiv K. Gupta, Harleen Kour, Richa Mahajan, Sakshi Manhas, Sumaira ., Imran Zaffer, Zahid Ul Hassan


Background: Biomedical waste (BMW) management has, of late, emerged as an important health as well as environmental concern. It is imperative upon all the health facilities, irrespective of their size and number of patients catered, to ensure appropriate BMW management at all levels starting from its generation to its final disposal. The study intended to assess the management of BMW generated in one health facility of a tertiary care teaching hospital.

Methods: The present cross-sectional study was conducted w.e.f. 1st January 2020 to 30th June 2020. The BMW generated in the Shri Maharaja Gulab Singh (SMGS) hospital-a health facility of government medical college (GMC) Jammu was collected at a designated place after its segregation. Then it was weighed before its transportation and final disposal. The BMW was weighed to generate monthly rates which were then converted to daily rates. Finally, BMW generation per bed per day was calculated.

Results: It was found that BMW generated per bed per day was 0.197 kg. Infectious waste comprised 15% of the total whereas non-infectious component was 85%. The color-coded bags collection rate per day was 48.8 kg, 28.4 kg, 17.02 kg and 7.75 kg for yellow, red, blue and white containers, respectively.

Conclusions: The authors found that the health facility was adhering to guidelines of BMW management. The need for continuous education and awareness promotion about BMW management among sanitation workers, nurses, technicians and doctors cannot be underestimated.



BMW management, Assessment, Health facility, Jammu

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Tenglikar PV, Kumar AG, Kapate R. Knowledge, Attitude and Practices of Health Care Waste Management amongst Staff of Nursing Homes of Gulbarga City. J Pharmaceu Biomed Sci. 2012;19(19):1-3.

Singh Z, Bhalwar R, Jayaram J, Tilak VW, VSM. An Introduction to Essentials of Bio-Medical Waste Management. Med J Armed Forces India. 2001;57(2):144-7.

Joshi DC, Joshi Mamta. Hospital Administration; First Edition. 2009;10;375-85.

Datta P, Mohi GK, Chander J. Biomedical waste management in India: Critical appraisal. J Lab Physicians. 2018;10(1):6-14.

Salih HM. Hospital Generated Waste: A Plan for Its Proper Management. J Family Community Med. 2002;9(2):61-5.

Pandey A, Ahuja S, Madan M, Asthana AK. Bio-Medical Waste Managment in a Tertiary Care Hospital: An Overview. J Clin Diagn Res. 2016;10(11):DC01-3.

Abdulla F, Qdais HA, Rabi A. Site investigation on medical waste management practices in northern Jordan. Waste Management. 2008;28:450-8.

Ruoyan G, Lingzhong X, Huijuan L, Chengcha Z, Jiangjiang H, Yoshihisa S, Wei T, Chushi K. Investigation of health care waste management in Binzhou District, China. Waste Management 2010;30: 246-250.

Khan BA, Cheng L, Khan AA, Ahmed H. Healthcare waste management in Asian developing countries: A mini review. Waste Man Res. 2019;37:863-75.

Sadeghi M, Fadaei A, Ataee M. Assessment of hospitals medical waste management in Chaharmahal and Bakhtiari Province in Iran. Arch Agriculture Env Sci. 2020;5(2):157-163.

Giusti L. A review of waste management practices and their impact on human health. Waste management. 2009;29:2227-39.

Özkan A. Evaluation of healthcare waste treatment/disposal alternatives by using multi-criteria decision-making techniques. Waste Manag Res. 2013;31:141-9.

Ali M, Wang W, Chaudhry N. Application of life cycle assessment for hospital solid waste management: A case study. J Air Waste Management Asso. 2016;66:1012-8.

Mbarki A, Kabbachi B, Ezaidi A, Benssaou M. Medical waste management: A case study of the souss-massa-draa region, morocco. J Environ Protect. 2013;4(9):6.

Patwary MA, O’Hare WT, Street G, Elahi KM, Hossain SS, Sarker MH. Quantitative assessment of medical waste generation in the capital city of Bangladesh. Waste Management. 2009;29:2392-7.

Dehghani M, Azam K, Changani F, Fard ED. Assessment of medical waste management in educational hospitals of Tehran university medical sciences. J Environ Health Sci Engineering. 2008;5:131-6.

Sapkota B, Gupta GK, Mainali D. Impact of intervention on healthcare waste management practices in a tertiary care governmental hospital of Nepal. BMC Public Health. 2014;14:1005