This article has analyzed the drug disposal form by the population of Distrito Federal (DF), reflecting about its possible health and environmental risks. For that, an exploratory cross-sectional study was conducted based on interviews with residents of all Territorial Planning Units in DF. Among the 393 interviewees, 73.8% had a stock of medicines at home, 78.9% had already discarded drugs, which were mostly done in the common waste (73,6%). Adequate discharge was strongly associated with greater schooling (p = 0,027), higher economic classification (p = 0,005), male sex (p = 0,006) and with receiving information about the subject (p <0,001). It is noted that the inappropriate disposal of drugs is common. It presents the need to incorporate the theme into specific policies and media.
Objetivo: apresentar um plano de avaliação de implementação do Núcleo de Gestão de Custos do Hospital Regional de Taguatinga (NGC-HRT), com base no Manual de Implantação de Gestão de Custos da Secretaria de Saúde do Distrito Federal (SES-DF), orientado pela Política Nacional de Gestão de Custos. O artigo apresenta uma proposta de modelização do NGC-HRT e mapeia os principais stakeholders vinculados à esta intervenção e ao processo de avaliação. Método: análise de documentos do Ministério da Saúde e da Secretária de Saúde do DF. Houve entrevistas aos servidores da área da Gestão de custos do HRT, de forma a haver maior veracidade do modelo desenhado. Desenvolvimento: foi elaborado o modelo da intervenção e de avaliação, a lista de stakeholders, desenho da avaliação, análise de dados e disseminação dos achados. Conclusão: este plano visa sensibilizar gestores e profissionais para o uso da avaliação e de suas recomendações para melhorar o processo de trabalho e aprimorar a gestão de custos, não somente do HRT como nos demais hospitais da SES-DF.
The risks caused by the disposal of healthcare waste have gained great importance for the scientific community, for when discarded inadequately the waste represent potential risks for both public health and the environment. In this context it is worth noting the risks conferred to the health of scavenging workers, public health and the environment. Studies show that disposal of medicine into the common garbage or the sewage contaminates the soil and water resources. The present work aims to analyze the risks of selective collection pickers to the residues of healthcare waste and the risks that these represent for public health and the environment. This is a cross-sectional descriptive study with a quantitative approach. Interviews were conducted through a questionnaire applied to 61 workers of the Pre-Cooperative Associations of Collectors of Solid Waste and Recycle Life. The collected data has been tabulated and analyzed in a descriptive form. The results of this study show a prevalence of 51.0% of women working in associations; 36.0% of respondents aged between 30 and 39, 42.6% have worked for over 10 years in the occupation of collector and 81.0% make use of personal protective equipment. Of the respondents, 23.0% had experienced some kind of accident with healthcare waste; 95.1% say they often find drugs in the workplace and 86.9% of these are medical waste. It concludes that workers are exposed to risks due to the improper disposal of waste from healthcare services. Therefore, it is necessary to strengthen strategies to raise awareness about the proper disposal of medicines and medical waste and incorporate existing laws into the management of such waste produced in households.
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