A study on problems of management of medical solid wastes in Dar es Salaam and their remedial measures

Mato, R.R.A.M.; Kassenga, Gabriel

doi:10.1016/s0921-3449(97)00010-4

Cited by 63 publications

(43 citation statements)

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“…and sometimes location of the facility, i.e., rural or urban settings [4] [13]- [16]. Studies have been done on medical waste generation in Dar es Salaam, Tanzania [13]. The medical waste generation rates in the surveyed hospitals were obtained by actual measurements and through assessment of the storage facilities emptying frequencies and degree of filling of the waste receptacles [4].…”

Section: Literature Reviewmentioning

confidence: 99%

“…The hospitals with better medical facilities were reported have higher waste generation rates [6] [15]. Moreover, the average waste generation rate is estimated to be 0.66 kg/patient/day with a range of 0.03 -2.0 kg/patient/day [13] [17]. Comparing hospitals in rural and urban settings in Tanzania, generation rates of 1.8 and 2.0 kg/patient/day for Amana and Ligula hospitals, respectively, has been reported [16].…”

Section: Literature Reviewmentioning

confidence: 99%

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Analysis of Health Workers’ Perceptions on Medical Waste Management in Tanzanian Hospitals

Kagonji¹,

Manyele²

2016

ENG

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This paper presents the perceptions of health workers (HWs) on medical waste management (MWM) issues in Tanzanian hospitals. The perceived total waste generation rates were lower than the actual measurements. Administrators perceived lower rates than implementers. The results indicated three categories of medical waste which are given due attention, that is, sharps waste, pathological and infectious waste. Other wastes like radioactive, chemical, pharmaceutical, pressurized containers receive very little attention. Container colour coding and labelling was negligible, while improvised containers are still in use. Medical waste is transported within hospitals manually, with little efforts on mechanized transportation. Poor waste storage was observed, while the prominent medical waste treatment technologies are medium temperature incinerators. Off-site transportation of medical waste is practiced, where the waste is finally dumped or buried. The hospitals are currently utilizing public-private partnership schemes for MWM in only one aspect of off-site transportation. Three main problems which require high attention include: Weaknesses in hospital management, poor MWM infrastructure, and lack of skills and knowledge on MWM among HWs. Knowledge and awareness among HWs on health hazards associated with poor MWM is low (with exception of cholera, HIV and typhoid). Few PPE types are supplied and used in the hospitals, leading to poor diseases prevention. There is also low knowledge among HWs on administrative issues related to MWM in Tanzanian hospitals.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Analysis of Health Workers’ Perceptions on Medical Waste Management in Tanzanian Hospitals

Kagonji¹,

Manyele²

2016

ENG

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“…In 1999, Mato and Kaseva in their paper on "Critical review of industrial and medical waste practices in Dar es Salaam City" focused that there is a serious inadequacy in handling medical solid wastes in Dar es Salaam of Tanzania and improper waste deposition is increasingly becoming a potential public health risk and an environmental burden in Tanzania [8].…”

Section: Introductionmentioning

confidence: 99%

Study of Clinical Waste Management at Rajshahi Medical College Hospital (RMCH) in Bangladesh

Razib¹

2017

IJEPP

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Abstract:The management of clinical waste is of great importance due to its infectious and hazardous nature that can cause risks on environment and public health. The study is conducted to evaluate clinical waste management practices and to determine the amount of waste generated at Rajshahi Medical College Hospital (RMCH) in Bangladesh. A survey is driven to collect information about the practices related to waste segregation, collection procedures, type of temporary storage containers, on-site transport and primary dumping point, treatment of wastes, off-site transport, and final disposal options. This study indicates that the quantity of medical waste generated by RMCH is 156 kg/day. Almost half of the waste was similar to domestic waste and 20% of the waste is considered to be hazardous waste. The survey result shows that segregation of all wastes is not conducted according to consistent rules and standards where some quantity of medical waste is disposed of with domestic wastes. The most frequently used treatment method for solid medical waste is incineration which is not done regularly at RMCH and the position of the incinerator is not acceptable. Clinical wastes pose a significant impact on health and environment. From this study it can be said that there is an urgent need for raising awareness and education on medical waste issues. For further study, it is needed to collect more information on impacts, disposal and management to draw a clear conclusion. Need to collect information and examples from developed country or the country which has sound medical waste management system.

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“…Clinical solid waste is a particular challenge in most health-care facilities of the developing world. Poor handling practices and inappropriate disposal of hospital waste is an increasing health hazard in these countries [5][6][7]. For example, hazardous and medical wastes may be handled and disposed of together with domestic wastes, thus creating a health risk to municipal workers,the general public and the environment [8].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Medical Waste Management in Port Sudan Teaching Hospital, Sudan

2016

IJSR

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This study was conducted in Port Sudan teaching hospital Red sea state, Sudan, in the period from March 2014 to March 2015 as a case study to express the reality of medical solid waste management in the state , where the hospital represent the largest hospitals in the state. The main objective is to assess To assess the management of medical waste in the hospital in terms of the collection, storage, transportation and final disposal and to know the amount and components of medical waste management and to find out the amount of waste produced, the quality and the problems caused by them and finally to propose recommendations to improve the situation. The data were collected by observation check lists to write notes during the field work, interview with the medical staff and structure questionnaire with cleaners to assess their awareness about hazard of medical waste. Quantitative technique also was used. Six field observers have been trained on the various field operations before the field work. The field work implemented in all departments was in all departments of the hospital throughout the twenty-four hours, for four months, where daily work is divided into three shifts in each section. The field work confine in the first phase on observations and taking notes only. The second phase based on control of separation of medical waste from other waste, to identify the amount of medical waste from various sections. The study shows that there is lack of a suitable system for management of the medical waste in hospitals, as well as the lack of knowledge about hazard from medical waste among worker and the lack of proper separation of medical waste from other waste, and there is no infrastructure for that, no pretreatment for the medical waste in the hospital and it disposed in random landfill there is no restricted disposal methods for medical waste. The study recommended that hospital with collaborate with ministry of health should develop clear plans and policies for the proper management and disposal of wastes.

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A study on problems of management of medical solid wastes in Dar es Salaam and their remedial measures

Cited by 63 publications

References 1 publication

Analysis of Health Workers’ Perceptions on Medical Waste Management in Tanzanian Hospitals

Analysis of Health Workers’ Perceptions on Medical Waste Management in Tanzanian Hospitals

Study of Clinical Waste Management at Rajshahi Medical College Hospital (RMCH) in Bangladesh

Assessment of Medical Waste Management in Port Sudan Teaching Hospital, Sudan

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