Abstract of Dissertation

Keyword : KAPs; Bio-medical Waste Management; Waste Management; healthcare activities carries; higher potential for infection and injury

Objective : • To assess the knowledge, attitude, and practices of bio-medical waste management among medical and housekeeping staff. • To identify the existing lacunae and problems in management in bio-medical waste.”

Background : 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. Whenever generated, the safe and reliable method for handling of biomedical waste is essential.

Methodology : Study setting - Guru Teg Bahadur Hospital, Delhi. Study design- descriptive and analytical study. Study duration- 13th February to 14th May 2018. Sampling size- 15 nursing staff, 5 non-medical staff, 19 doctors (5 senior residents, 14 junior residents). Sampling technique- convenience sampling” Tools- structured questionnaire, one to one interviews, comparative analysis, and statistical analysis.

Findings : • Regarding the current practices of bio-medical waste management, 96% of the staff got training for bio-medical waste management but only 75% of the staff is interested in attending training sessions again.” • 98% of the staff is aware of the risk associated with bio-medical waste. • As far as the plan for bio-medical waste is concerned 100% staffs is aware of it, but only 60% of the staff knows about the proper segregation bio-medical waste. • In general, 90% of the staff knows about the legislatures associated with bio-medical waste but only 35% of staff knows about the environmental pollution law. • Only 65% of the staff knows about the different categories of waste. • 98% of the staff is aware of the storage of the bio-medical waste but only 50% of the staff knows about the end treatment of the bio-medical waste. • According to 70% of the staff safe management is not an issue at all, and 85% of the staff thinks that the safety of waste handlers is a must. • When asked that is handling waste is an extra burden to work only 10% felt so, rest consider it as a daily or routine practice that needs to be followed. • 100% of the staff is aware of the registers and color codes maintained for the daily bio-medical waste entry and disposal. • 65% of the staff is aware of the equipment used for destroying the needles after use. • 100% of the staff is aware of the bio-hazard symbol labeled on bags, on the other hand about 92% knows about the discarding of waste in color-coded bags. • Regarding the categories, 75% gave the correct answer that means the whole staffs does not know about the different categories of bio-medical waste management. • Only 80% of the staff believes that by immunization they can be protected against the bio-medical hazard.

Recommendations : • Concluding from the results, the importance of training regarding biomedical waste management cannot be overemphasized; lack of proper and complete knowledge about biomedical waste management impacts practices of appropriate waste disposal. • More emphasis should be laid on attitude change of the staff depicting their concern for their co-staff which may lead to fatal infectious diseases and the record maintenance should be done as a part of duty, not as a burden.