Performance Evaluation of Waste Management Practices at DHQ Hospital Sheikhupura

Adnan Ul Qamar; Tallat Anwar  Faridi; Muhammad  Moazzam; Wafa  Fatima; Syed Bilal  Hassan; Muhammad Azam  Khan; Syed Amir  Gilani

doi:10.54393/pbmj.v4i2.146

Authors

Adnan Ul Qamar University Institute of Public Health, University of Lahore, Pakistan.
Tallat Anwar Faridi University Institute of Public Health, University of Lahore, Pakistan.
Muhammad Moazzam University Institute of Public Health, University of Lahore, Pakistan.
Wafa Fatima University Institute of Public Health, University of Lahore, Pakistan.
Syed Bilal Hassan University Institute of Public Health, University of Lahore, Pakistan.
Muhammad Azam Khan Department of Health Professional Technologies,The university of Lahore,Pakistan.
Syed Amir Gilani Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan.

DOI:

https://doi.org/10.54393/pbmj.v4i2.146

Abstract

Hospital waste management (HWM) is extremely important and it is very different kind of waste that has high potential of spreading infection and diseases. There should be proper management of this waste, otherwise it can be hazardous Objective: The objective of the study is to evaluate the waste management practices at DHQ Hospital, Sheikhupura Methods: It was cross-sectional hospital-based study. The study was carried out at DHQ Hospital Sheikhupura. The sample size of the study was 169 including 94 waste handlers, 45 nurses and 30 doctors were included. Data was collected through questionnaire using non-probability convenient sampling technique, which was entered and statistically analyzed using SPSS 20.0. Results: Among 94 waste handlers, 30.8% were 21-30 years old, 64.9% males and 45.7% had up to 5 years’ work experience. 67.0% had been vaccinated, 87.2% confirmed that waste is segregated at source and100.0% waste handlers were provided with color bags for various types of hospital wastes. 92.6% stated that pre-treatment procedure is carried out before hospital waste disposal and 75.5% waste handlers were provided with protective gears. Among 45 nurses, 55.6% were 31-40 years old and 64.4% had up to five years’ work experience. 100.0% nurses ensured internal collection of waste bags & containers and their transportation to the central storage facility of hospital on the daily basis. 82.2% coordinated and monitored all the operations related to waste management and for this purpose regularly met with hospital waste management committee. 100.0% nurses recorded the waste quantities generated by the department on weekly basis. Among 30 doctors, 73.3% organized training activities for HWM staff on safe waste management procedures.

References

Janagi R, Shah J, Maheshwari D. Scenario of management of medical waste in US and UK: a review. 2015; 6(1): 2328-39. https://www.jgtps.com/admin/uploads/ERmDV8.pdf

Hussain M, Mushtaq MM. Awareness about hospital wastes and its effects on the health of patients in District D. G. Khan. Asian j. app. science and engineering. 2014; 3: 301-8. doi.org/10.15590/ajase/2014/v3i8/54483

Kwikiriza S, Stewart AG, Mutahunga B, Dobson AE, Wilkinson E. A whole systems approach to hospital waste management in rural Uganda. Frontier pub. hlth. 2019; 7: 136.

doi.org/10.3389/fpubh.2019.00136

Khan BA, Cheng L, Khan AA, Ahmed H. Healthcare waste management in Asian developing countries: a mini review. Waste management & research. 2019; 37(9): 863-75.

doi.org/10.1177/0734242X19857470

Yves Chartier J, Pieper U, Prüss AEA. Safe management of wastes from health care activities. Geneva: World Health Organization; 2015. https://apps.who.int/iris/bitstream/handle/10665/85349/9789241548564_eng.pdf;jsessionid=C53E24B7DD2AC090BA705CB1E554FA1C?sequence=1

Chauhan A, Singh A, Jharkharia S. Healthcare waste management practices' identification and evaluation to rank hospitals. Int. j. operational res. 2015; 1-20. doi:10.1504/IJOR.2018.10016678

Campion N, Thiel CL, Woods NC, Swanzy L, Landis AE, Bilec MM. Sustainable healthcare and environmental life-cycle impacts of disposable supplies: a focus on disposable custom packs. J. cleaner prod. 2015; 94: 46-55. doi.org/10.1016/j.jclepro.2015.01.076

Krisiunas E, Seto HW, Ching P, Law R, Salkin IF. Hong Kong hospital authority clinical waste management program: a model for success. In: Poon CS, Seto HW, Ching P, Law R, Salkin IF (editors), Waste management: the challenge for Asian cities - search for a sustainable future: proceedings of ISWA international symposium and exhibition on waste management in Asian cities, Hong Kong. 2000; 1: 84-9.

Patil AD, Shekdar AV. Health-care waste management in India. J. env. mgmnt. 2001; 63(2): 211-20. doi.org/10.1006/jema.2001.0453

Yong Z, Gang X, Guanxing W, Tao Z, Dawei J. Medical waste management in China: a case study of Nanjing. Waste management. 2009; 29(4): 1376-82.

doi.org/10.1016/j.wasman.2008.10.023

Lee BK, Ellenbecker MJ, Moure-Ersaso R. Alternatives for treatment and disposal cost reduction of regulated medical wastes. Waste management. 2004; 24(2): 143-51.

doi.org/10.1016/j.wasman.2003.10.008

Qadir M, Murad R, Faraz N. Hospital waste management; tertiary care hospitals. Professional med. J. 2016; 23(7): 802-6. doi.org/10.29309/TPMJ/2016.23.07.1642

Meleko A, Tesfaye T, Henok A. Assessment of healthcare waste generation rate and its management system in health centers of Bench Maji Zone. Ethiopian j. hlth. Sci. 2018; 28(2): 125-34. doi.org/10.4314/ejhs.v28i2.4

Mwesigye P. Integrated assessment of present status of environmentally -sound management of wastes in Africa. Addis Ababa, Ethiopia: Economic Commission for Africa; 2009.

Mesfin K, Kassahun A, Andamlak G, Trifa ZM. Assessment of the health care waste generation rates and its management system in hospitals of Addis Ababa, Ethiopia, 2011. BMC public health. 2013; 13: 28. doi.org/10.1186/1471-2458-13-28

Ullah JH, Ahmed R, Malik JI, Khan MA. Outcome of 7-S TQM technique for health care waste management. J. coll. Phy. Surg. Pak. 2011; 21:731-4. https://jcpsp.pk/archive/2011/Dec2011/04.pdf

Zeeshan MF, Al Ibad A, Aziz A, Subhani A, Shah A, Khan T, et al. Practice and enforcement of national hospital waste management 2005 rules in Pakistan. Eastern Mediterranean hlth. J. 2018; 24(5): 443-50. doi.org/10.26719/2018.24.5.443

Mukhtar S, Khan H, Kiani Z, Nawaz S, Zulfiqar S, Tabassum N. Hospital waste management: Execution in Pakistan and environmental concerns - a review. Environmental contaminants reviews, 2018; 1(1): 18-23. doi.org/10.26480/ecr.01.2018.18.23

Mathew J, Abitha J, Farah FM, Agnes AA. A study on the need for bio-medical waste management-available treatment techniques and suggestions. Int. j. adv. Microb. Microb. Res. 2017; 2: 1. https://doi.org/10.18831/djmicro.org/2017011002

Ali S, Mahmood U, Malik AU, Aziz F, Naghman RB, Ahmed I. Current hospital waste management practices in Pakistan: case study and curative measures. Pub. Hlth. Prev. med. 2015; 1(3): 125-9. https://www.semanticscholar.org/paper/Current-Hospital-Waste-Management-Practices-in-%3A-Ali-Mahmood/ccebc2cac0703ce1af95c0f1ad2de8c8dbb6dcca

Khattak FH. Hospital waste management in Pakistan. Pakistan j. med. Res. 2009; 48(1):19-3.

Kumar R, Khan EA, Ahmed J, Khan Z, Magan M, Nousheen, et al. Healthcare waste management (HCWM) in Pakistan: current situation and training options. J. Ayub med. Coll. Abbottabad. 2010; 22(4): 102-6. https://pubmed.ncbi.nlm.nih.gov/22455273/

Rasheed S, Iqbal S, Baig LA, Mufti K. Hospital waste management in the teaching hospitals of Karachi. J. Pakistan med. Assoc. 2005; 55: 192. https://pubmed.ncbi.nlm.nih.gov/15960283/

Sultana, Habibullah; Salahuddin, Afsar., et al. Waste disposal of government health-care facilities in urban area of Karachi-a KAP survey. Pakistan j. med. Res. 2007; 46(1): 5-10. https://pesquisa.bvsalud.org/portal/resource/pt/emr-163877

Anwar O, Malik N, Asim M. Evaluation of hospital waste management in public and private sector hospitals of Faisalabad city, Pakistan. Academic journal of interdisciplinary studies. 2013; 2(2): 161-6. doi.org/10.5901/ajis.2013.v2n2p161

Umar AB, Yahaya MN. Hospital waste management practices: a case study of primary health care centers, in Fagge Local Government Area, Kano State. J. nursing hlth. Sci. 2014; 3(6): 26-33. doi.org/10.9790/1959-03622633

Amin R, Gul R, Mehrab A. Hospital waste management: Practices in different hospitals of Distt. Peshawar. Professional med. J. 2013; 20(6): 988-94.

https://doi.org/10.29309/TPMJ/2013.20.06.1684

Arab M, Baghbani RA, Tajvar M, Pourreza A, Tajvar M, Omrani Q, et al. The assessment of hospital waste management: a case study in Tehran. Waste mgmnt. & res. 2008; 26: 1-5. https://doi.org/10.1177/0734242X08093598

Farooq MT, Omar N, Shahid F, Khizar S, Khan A, Ashfaq N, et al. Assessment of hospital waste management protocols in tertiary care hospitals of Lahore. Biomedica. 2017; 33(2): 136-42. http://thebiomedicapk.com/articles/542.pdf

Al Emad AA. Assessment of medical waste management in the main hospitals in Yemen. Eastern Mediterranean hlth. j. 2011; 17(‎10)‎: 730-7. doi.org/10.26719/2011.17.10.730