DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20202998

Awareness and practices of biomedical waste management in government health care facilities in Kamrup District, Assam

Jutika Ojah, Rakesh Sharma

Abstract


Background: Biomedical waste (BMW) is waste generated in the course of healthcare activities. It is a matter of serious concern to health and environment agencies. Objectives of the study was to assess awareness and practice of healthcare personnels regarding biomedical waste management (BMWM) in government healthcare facilities (HCF) in Kamrup district and to assess training given to healthcare workers involved in BMWM.

Methods: The present study was undertaken in 109 HCF in Kamrup District, Assam. The study duration was for one year and the study population included were healthcare workers (HCW) with the help of a pretested interview schedule to elicit the knowledge of BMW management. An observatory checklist was also used to find out the practices.

Results: About one-fourth of 218 respondents belonged to age group 26-30 years. Half of the respondents were nurses, 17.9% were doctors, 12.8% were pharmacists and 8.3% were waste handlers. Majority (78.4%) were aware of BMWM rules. Awareness on  hazardness of healthcare waste, segregation of waste, maximum storage time of hospital waste, awareness about availability of  training on healthcare waste management were found to be more among the doctors (84.6%, 79.4%, 56.4%, 82.1% respectively) and less among waste handlers (44.4%, 33.3%, 38.9%, 44.4% respectively). Only 40.8% were trained. The practice of disposing BMW in specified colour coded containers were done by 56.4% HCW. Out of 18 waste handlers, only 16.7% had the practice of wearing all the personal protective equipments (PPE) while handling BMW. All total 59.6% HCW had been vaccinated against Hepatitis B.Tetanus vaccination was taken by 77.5% HCW.

Conclusions: Sensitization and training in accredited centres for HCW should be done regularly to develop awareness and motivation. Continuous monitoring and inspection of HCF need to be done.


Keywords


Awareness, Biomedical waste, Healthcare workers, Practice

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References


CPCB guidelines for management of healthcare waste as per biomedical waste management rules, 2016. (As per Hon’ble National Green Tribunal’s Order dated 12.03.2018).

INCLEN Program Evaluation Network (IPEN) study group, New Delhi. Bio-medical waste management: situational analysis and predictors of performances in 25 districts across 20 Indian States, India. Indian J Med Res. 2014;139:141-53.

Sanjeev R, Kuruvilla S, Subramaniam R, Prashant PS, Gopalakrishnan M. Knowledge, attitude and practices about biomedical waste management among dental healthcare personnel in dental colleges in Kothamangalam: a cross-sectional study. Health Sci. 2014;13:1-12.

Narang RS, Manchanda A, Singh S, Verma N, Padda S. Awareness of biomedical waste management among dental professionals and auxiliary staff in Amritsar, India. Oral Health Dent Manag. 2012;11:162‑8.

Kishore J, Goel P, Sagar B, Joshi TK. Awareness about biomedical waste management and infection control among dentists of a teaching hospital in New Delhi. Indian J Dent Res. 2000;11:157-61.

Madhavi KV, Reddy BC, Ravikumar BP. Awareness regarding biomedical waste management among interns in a tertiary health care hospital, Khammam. J Evol Med Dental Sci. 2007;2:5360-5.

Basu M, Das P, Pal R. Assessment of future physician on biomedical waste management in a tertiary care hospital of West Bengal. J Nat Sci Biol Med. 2012;3:38-42.

Chudasama RK, Rangoonwala M, Sheth A, Misra SK, Kadri AM, Patel UV. Biomedical waste management: a study of knowledge, attitude and practice among health care personnel at tertiary care hospital in Rajkot. J Res Med Dent Sci. 2013;1:17-22.

Das SK, Biswas R. Awareness and practice of biomedical waste management among healthcare providers in a tertiary care hospital of West Bengal, India. Int J Med Public Health. 2016;6:19-25.

Nazir L, Rumisa K, Bhat GA. Scenario of biomedical waste management in major hospitals of Srinagar city. Int J Current Res Rev. 2012;4:16-22.

Madhukumar S, Ramesh G. Study about awareness and practices about health care wastes management among hospital staff in a medical college hospital, Bangalore. Int J Basic Med Sci. 2012;3:7-11.

Sharma S, Chauhan SV. Assessment of bio-medical waste management in three apex government hospitals of Agra. J Environ Biol. 2008;29(2):159-62.

Narendra M, Kousar H, Puttaiah ET, Thirumala S. Assessment of biomedical waste of various hospitals in Mysore City Karnataka, India. Int J Curr Microbiol App Sci. 2013;2(3):1-5.

Devi A, Khaiwal R. Evaluation of biomedical waste management practices in public and private sector of health care facilities in India. Environ Sci Pollut Res Int. 2019;26(25);26082-9.

Pandey A, Ahuja S. Biomedical waste managment in a Tertiary Care Hospital: an overview. J Clin Diag Res. 2016;10(11):1-3.

Irin SA. An analytical study on medical waste management in selected hospitals located in Chennai city. Environ Waste Manag Recyc. 2018;1(1):5-8.

Shah M, Mulla S. Assessment of knowledge, attitude, and practices regarding biomedical waste management amongst intern doctors in new civil hospital, Surat. Int J Biomed Res. 2017;8(3):125-7.

Charania ZK, Ingle NA. Awareness and practices of dental care waste management among dental practitioners in Chennai city. J Contemp Dent. 2011;1:15-21.

Sudhir KM. Awareness and practices about dental health care waste management among dentists of Davangere City, Karnataka. J Indian Assoc Public Health Dent. 2006;8:44-50.