Assessing knowledge, attitudes, and practices of healthcare workers regarding medical waste management at a tertiary hospital in Botswana: A cross-sectional quantitative study

Mugabi, Brian; Hattingh, Susan; Chima, Sylvester C.

doi:10.4103/njcp.njcp_270_17

Cited by 23 publications

(6 citation statements)

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“…86% of respondents agreed that medical waste segregation is crucial in waste management. This was in line with the findings of other studies (Mane et al, 2016;Mugabi et al, 2018). 64.9% of respondents strongly agreed that infection control education may help healthcare staff manage waste better.…”

Section: Discussionsupporting

confidence: 88%

“…This study aimed to evaluate the medical waste management knowledge, attitudes, and practices of three groups of healthcare workers: (Asadullah et al, 2013;Mugabi et al, 2018). Moreover, 269 (72.7%) respondents indicated they were aware of the risks to one's health that result from insufficient MWM.…”

Section: Discussionmentioning

confidence: 99%

“…The medical community and the general public are concerned about medical waste management (MWM). A sufficient understanding of healthcare waste management is a crucial precondition for healthcare workers (HCWs) to develop acceptable attitudes and behaviors for managing and disposing of medical waste (Mugabi et al, 2018). An estimated 7-10 billion tons of garbage are produced annually worldwide; only 2 billion tons are classified as municipal solid waste, with medical waste making up a minor portion of this total (Singh et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

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Assessing Knowledge, Attitude, and Practice of Healthcare Workers Regarding Medical Waste Management at District Jamshoro, Sindh

BHACHO,

CHANNAR,

AKHTAR

et al. 2024

Biol Clin Sci Res J

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This study aimed to evaluate the waste management knowledge, attitudes, and practices of three groups of healthcare workers: doctors, nurses, and paramedical staff. A cross-sectional study involved doctors, nurses, and technicians at the National Institute of Cardiovascular Disease (NICVD) and the Syed Abdullah Shah Institute of Medical and Health Science (SASIMS) in Shahwan Sharif, District Jamshoro, Sindh. A convenient non-probability sampling technique was used to select the study participants. A total of 370 healthcare workers consented to be part of the study. The data was obtained through the administration of questionnaires. Data were collected and compiled using Microsoft Excel and analyzed using SPSS version 22.0. This study had 39 (63.2%) males and 34 (36.8 %%) females. The median age of participants was 30.5 years, with a mean of 33.12 ± 8.2 years. The majority of the participants were paramedics (42.7%). They were followed by doctors (34.3%) and nurses (23%). The knowledge of healthcare workers indicated that there was a significant association between the waste categories (p = 0.02), type of waste (p = 0.00), color coding differentiation (p = 0.01), hospital policies (p = 0.00), infection control department (p = 0.03), risk toward healthcare workers (p = 0.00), human anatomical waste (p = 0.01), color-coding container used for wasted sharps and infectious solid waste (p = 0.00), and type of color-coding container (p = 0.00) This study highlights the discrepancies and inadequacies of knowledge and practice of proper healthcare waste management among healthcare workers. Healthcare workers with adequate knowledge were paramedics, doctors, and nurses. All healthcare personnel should have medical waste management guidelines ready and easily accessible.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessing Knowledge, Attitude, and Practice of Healthcare Workers Regarding Medical Waste Management at District Jamshoro, Sindh

BHACHO,

CHANNAR,

AKHTAR

et al. 2024

Biol Clin Sci Res J

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“…Due to inappropriate handling and disposal procedures, diseases may spread and the environment may get contaminated. To increase awareness and encourage safe handling and disposal methods, it is, therefore, necessary to implement effective communication and teaching programs [46,47]. c. The complexity and diversity of medical waste streams present another difficulty.…”

Section: Discussionmentioning

confidence: 99%

Environmental Biotechnology for Medical Waste Management: A Review of Current Practices and Future Directions

Yadav

2023

AABSc

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The increasing environmental and human health concerns associated with medical waste have led to the development of environmental biotechnology as a means of mitigating its negative effects. This review paper discusses the various types of medical waste generated in healthcare facilities, as well as the potential environmental and health impacts of improper handling and disposal. It also provides an overview of the different environmental biotechnologies that have been developed to treat medical waste, including bioreactor systems, microbial treatment, and composting. The benefits and drawbacks of these technologies are also discussed. Bioremediation is a promising environmental biotechnology that can be used to treat medical waste contaminated with hazardous chemicals. Case studies from around the world demonstrate the successful application of environmental biotechnologies to medical waste management. These case studies highlight the challenges encountered, the methods used, and the results obtained. The findings of this review paper highlight the need for a comprehensive strategy for managing medical waste that includes environmental biotechnologies. Further research and development are needed to improve the effectiveness, efficiency, and sustainability of medical waste management.

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“…Shinn and colleagues 5 studied the type and amount of OR waste produced in a Korean hospital and noted that items discarded were recyclable. In a cross-sectional, quantitative study of 703 health care workers, Mugabi et al 6 highlight that improper waste segregation can also intensify the threat of dual infection with HIV and HBV to natives of Botswana.…”

mentioning

confidence: 99%

Improving Waste Segregation in the Operating Room to Decrease Overhead Cost

Plezia,

Sabol,

Nelson

et al. 2023

Quality Management in Health Care

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Background and Objectives: Operating rooms (ORs) disproportionally contribute 20% to 33% of hospital waste nationwide and therefore have a major impact on hospital waste management. Seventy percent of general OR waste is incorrectly eliminated as clinical waste, which compounds unnecessary financial burden and produces negative environmental impact. The primary purpose of this quality improvement (QI) project was to evaluate the effectiveness of waste segregation education for OR anesthesia staff on improving waste segregation compliance in the OR. Methods: A waste segregation QI project was implemented at a 19-OR hospital. Sharps bins in each OR were monitored for weight in pounds and 6 ORs were monitored for percent compliance both pre-and post-institution of a waste segregation education. In addition, a waste segregation knowledge assessment, waste segregation barriers assessment, and a demographic survey were administered to anesthesia staff. Twenty-two certified registered nurse anesthetists (CRNAs), 13 anesthesiologists, and 4 anesthesia technicians responded to the initial surveys and assessments while 30 of these original 39 participants (77%) responded following the educational intervention. A cost analysis was calculated pre-and post-implementation by multiplying total weight of the sharps bins by the price per pound of sharps. Results: Twenty-three percent of participants reported having formal waste segregation training. Survey responses revealed that the greatest barrier to waste segregation involved bin location (56.4%), followed by lack of time to segregate (25.6%), lack of knowledge of what content goes in the bin (25.6%), and lack of incentive (25.6%). A waste segregation knowledge assessment showed improvement from pre-(M = 9.18, SD = 1.66) to post-implementation (M = 9.90, SD = 1.64). Pre-implementation sharps bin compliance was 50.70% while postimplementation bin compliance improved to 58.44%. A 27.64% decrease in sharps disposal cost occurred following implementation, which is estimated to produce a $2964 cost savings per year. Conclusions: Waste segregation education for anesthesia staff increased their waste management knowledge, improved sharps waste bin compliance, and produced an overall cost savings.

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Assessing knowledge, attitudes, and practices of healthcare workers regarding medical waste management at a tertiary hospital in Botswana: A cross-sectional quantitative study

Cited by 23 publications

References 0 publications

Assessing Knowledge, Attitude, and Practice of Healthcare Workers Regarding Medical Waste Management at District Jamshoro, Sindh

Assessing Knowledge, Attitude, and Practice of Healthcare Workers Regarding Medical Waste Management at District Jamshoro, Sindh

Environmental Biotechnology for Medical Waste Management: A Review of Current Practices and Future Directions

Improving Waste Segregation in the Operating Room to Decrease Overhead Cost

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