Abstract of Dissertation

Keyword : Bio-medical Waste Management; Infection Control; Hospital Infection; Waste Management

Objective : The objective of this study is to assess the existing process of biomedical waste management in government District Hospital Pathankot and to determine the awareness and attitude of Healthcare staff regarding Bio-medical waste management and identify the gaps if any and give suggestions.

Background : Government of India ministry of environment, forest and climate change, have published in the Gazette of India, notification the BMW Management Rules, 2016. However, the availability of resources must be taken into consideration and HCPs education and awareness in the areas of difference needs to be highlighted before implementing the BMW rule.

Methodology : A Descriptive cross-sectional study was conducted in a government district hospital Pathankot, (Punjab) from 1st Feb to 30th April 2018 by taking 60 sample Health care personnel directly involved in generating and managing bio-medical waste are taken for study. Patients and Attendants are excluded. A checklist was prepared to collect data from the different bio-medical waste generating centers of the hospital. A structured questionnaire is used for assessing the awareness, attitude, and knowledge of the health care personnel. The questionnaire is prepared in English and regional language. The data is entered and tabulated in Microsoft Office Excel. The results are analyzed by using tables and graphs.

Findings : Most of the times when waste bins were opened to check the status of segregation it was found that there was mixing of general and infectious waste. It was seen that overloading of bins and spillage of waste inwards. At most of the places, the instructions for segregating the waste above the bins were missing and in case if the present were in English creating a kind of language barrier to the sanitary staff. There was no separate and well-defined route for waste collection from different departments by the waste handler and its transport to the storage center in the hospital. Daily records of quantum of waste generated in different bins were not recorded properly by the staff. Usage of personal protective equipment by the sanitary staff was unsatisfactory. Knowledge and awareness regarding BMW Management were found to be highest among doctors and nurses. Doctors and nurses were having a positive attitude with regards to their roles and responsibilities in the management of waste and also were enthusiastic about future participation. All the HCPs were having an opinion about waste management as teamwork while 20% of HCPs believed that it is only government responsibility.

Recommendations : The process of BMW management in Govt. civil hospital Pathankot follows the majority of rules as per new amended BMW Management rules, 2016. In order to improve the efficiency of the BMW management process, strict implementation of rules should be required. Periodic monitoring and evaluation of BMW management practices followed by the workforce in the department need to be checked by the appropriate authorities. There is need that each and every person involved with generating and managing BMW should be made accountable for any violation done from the rule and zero tolerance policy should be followed against any found guilty. For effective management of BMW conscious, coordinated and cooperative efforts among all the healthcare staff is required.