Student Dissertation

Agency : Knowledge Attitude and Practices; KAP; Bio Medical Waste; Waste management; Medical Waste Management

Objective : ï‚· To assess the current practices of BMW management among medical and housekeeping staff. ï‚· To identify the existing lacunae and problems in management of Biomedical Waste.

Background : In the persuasion of the aim of reducing health problems, eliminating potential risks, and treating sick people, healthcare services inevitably create which itself may be hazardous to health. The waste produced in the course of healthcare activities carries a higher potential for infection and injury than any other type of waste. Inadequate and inappropriate knowledge of handling of healthcare waste may have serious health consequences and a significant impact on the environment as well. It is estimated that annually about 0.33 million tons of hospital waste is generated in India and the waste generation rate ranges from 0.5 to 2.0 kg per bed per day. Wherever, generated, a safe and reliable method for handling of biomedical waste is essential. Effective management of biomedical waste is not only a legal necessity but also a social responsibility.

Methodology : Study Setting: Aster Medcity, Kochi. Study Design: Descriptive and Analytical Study Duration: 1st March 2016 – 15th May 2016 Sampling Size: ï‚· 25 Housekeeping staff, 46 nursing staff and 20 doctors feedback was taken through Questionnaire and interview (Kochi). Sampling Technique: Convenience sampling (non-probability sampling) Tools: Structured Questionnaire, One to one interviews, Comparative analysis and Statistical analysis.

Findings : ï‚· Regarding the current practices of bio-medical waste management that 92.7% of staff got training for biomedical waste management but only 80% are interested in attending the training sessions again. ï‚· 97.33% of the staff is aware about the risks associated with bio-medical waste. ï‚· As far as the plan for BMW is concerned 100% staff are aware about it; but only 44.6% of the staff knows about the proper segregation of the bio-medical waste. ï‚· In general, about 86% staff is aware about the legislature associated with BMW but only 23.3% of the environment pollution law. ï‚· Only 51% of the staff were aware about the different categories of waste. ï‚· The best part is that more than 97.66% staff of the staff is aware about the storage of the biomedical waste but only 35.4% are aware about the end treatment of the waste. ï‚· According to 68.33% of the staff safe management is not issue at all and 81.66% of the staff thinks safety of waste handlers is a must. ï‚· When asked that is handling the waste an extra burden to work only 11.6% felt so and rest consider it as daily routine practice that should be followed. ï‚· 100% of the staff is aware about the registers and color codes maintained for the daily biomedical waste entry and disposal. ï‚· 54% staff is aware about the equipment used for destroying needles after use. ï‚· 100% of staff are aware about the biohazard symbol labelled on bags. On the other hand, about 86% knows about the discarding of the waste in color coded bags. ï‚· Regarding the categories only 69.4% gave right answer that means the whole staff are not aware about different categories of BMW management. ï‚· Only 71.7% of the staff believe that by immunization they can be protected against the bio-medical hazard.

Recommendations : ï‚· High visibility could be achieved through hoardings near the biomedical waste disposable bins. ï‚· A regular audit should be done on how feedback calls are answered and recorded. ï‚· It should be made compulsory for healthcare facilities to get their healthcare personnel trained from accredited training centres, these training sessions should not become merely a one-day activity but should be a continuous process depending upon the patient input in different healthcare facilities. ï‚· Training for attitude for housekeeping staff should be specially emphasized as they carry the biomedical waste. It should be ensured that the injuries happening to the healthcare personnel are reported to the person in charge of biomedical waste management or to the biomedical waste management committee, and they report it in the prescribed format to the pollution control board.