Student Dissertation

Agency : Biomedical Waste Management, KAP, Hospital Waste Management

Objective : To evaluate the existing process of biomedical waste management in a District Hospital. To estimate knowledge, attitude and practices of the healthcare staff about biomedical waste management.

Background : In the course of curing health problems the health care sector produce huge amount of bio-medical waste which may be hazardous to all those who come in contact with this waste. Indiscriminate disposal of infected and hazardous waste from hospitals, 94 nursing homes and pathological laboratories can lead to significant degradation of the environment, leading to spread of diseases and putting the people to great risk from certain highly contagious and transmission prone disease vectors. To avoid the hazards caused due to indiscriminate bio-medical waste management, discriminate waste management system should be implemented in hospital infrastructure. The health care waste management is a process that helps to ensure proper hospital hygiene and safety of health care workers and communities. The present study was carried out to assess the bio-medical waste management of a District Hospital.

Methodology : The study was conducted at Civil Hospital, a 120 bedded facility located in a district of Punjab, Mohali. A cross sectional approach was adopted to conduct the study. The study population was divided into strata of doctors, nurses, lab technicians and sanitation staff. The data collection technique was based on observation of the biomedical waste management in the hospital, using the checklist and distribution of the questionnaire prepared to assess knowledge, attitude and practice, to the healthcare staff i.e. doctors, nurses, lab technicians and sanitation staff.

Findings : It was observed with the help of the checklist that the hospital had the necessary requirements for the segregation, disinfection, transportation and storage of bio-medical waste. The management of bio-medical waste in Civil Hospital, Mohali was done in accordance with the Bio-medical Waste (Management and Handling) Rules, 1998. Segregation of bio-medical waste in color coded bins was done in accordance with the rules of Punjab Pollution Control Board. The KAP survey revealed that majority of the respondent doctors, nurses and lab technicians have knowledge, positive attitude and good practice with respect to management of bio-medical waste. The sanitation staff has good knowledge of bio-medical waste segregation but poor knowledge regarding disinfection of waste, hazards associated with healthcare waste and personal protective equipment. They have positive attitude and practice of bio-medical waste segregation and disinfection but negative attitude towards training programmes and feel that bio-medical waste management is a burden on hospital. It was observed that in all categories of the staff, non-reporting of injuries caused due to bio-medical waste was seen and they did not practice wearing personal protective equipment while handling bio-medical waste, which can be linked to non-availability of special forms for injury reporting and personal protective equipment in the hospital.

Recommendations : The study concludes that knowledge and attitude of majority of respondent doctors, nurses and lab technicians regarding bio-medical waste management is more as compared to sanitation staff. Majority of the respondent staff has good practice of segregating, disinfecting and transporting the bio-medical waste except in case of injury reporting and personal protective equipment while handling bio-medical waste, which can be linked to non-availability of specials forms for injury reporting and personal protective gear in the hospital


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