Effectiveness of a multi-modal capacity-building initiative for upgrading biomedical waste management practices at healthcare facilities in Bangladesh: a 21st century challenge for developing countries

Ara, Lutfe; Billah, Waseq; Bashar, Farzana; Mahmud, Sakib; Amin, Md. Al; Iqbal, Riyasad; Rahman, Tarannum; Alam, Md. Nur; Sarker, Md. Shafiqul Alam

doi:10.1016/j.jhin.2021.11.009

Cited by 7 publications

(14 citation statements)

References 20 publications

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“…Training and education for staff on standard waste management procedures and government regulations may assist in narrowing the gap in healthcare waste management capabilities, such as observations in Turkey suggesting the success of the government program in reducing the amount of medical waste by sterilizing waste and prohibiting the dumping of medical waste to landfills (23). Training and education about the importance of waste management and the dangers of incompatible waste disposal, such as the emergence of diseases due to infection and the development of insects and animals as disease vectors, has been shown to improve staff understanding of safe medical waste management practices in Bangladesh health facilities (24). Among all WASH-FIT indicators, water service has the best condition, followed by hand hygiene and sanitation services.…”

Section: Comparison Of Rifaskes and Wash-fit Assessment Approachmentioning

confidence: 99%

Analysis of water, sanitation, and hygiene facilities using the WASH-FIT approach and its relation to patient satisfaction and maternal mortality at hospitals in Indonesia

Purwandari,

Daniel,

Hafidz

2024

Front. Public Health

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IntroductionThe provision of Water, Sanitation, and Hygiene (WASH) is critical to reducing infection and enhancing the quality of health care services. The study aims to assess WASH facilities in Indonesian hospitals using the Water, Sanitation, and Hygiene Facility Improvement Tool (WASH-FIT) approach and examine their association with customer satisfaction and maternal mortality owing to infection.MethodsWe utilized the national scale Health Facilities Research dataset in Indonesian hospitals in 2019. WASH status is determined using WASH-FIT indicators, i.e., water, sanitation, waste management, hand hygiene, environmental cleaning, and management services, and then divided into three levels: poor, adequate, and good categories.ResultsThe majority of hospitals in Indonesia had a good category, i.e., the range of hospitals with a good category was 79–97% nationally, in 6 aspects: water, sanitation, hand hygiene, environmental cleaning, and management services, except for waste management services (13%). Good WASH service facilities are more frequently found in government hospitals than in private and specialized hospitals, while lower-level hospitals tend to have poor levels of all WASH-FIT indicators. There are significant relationships between adequate sanitation services (β = 0.724), adequate and good categories of hand hygiene services (β = 0.712 and 0.866, respectively), environmental cleaning (β = −0.501 and –0.503, respectively), and management (β = −0.645 and 0.446, respectively), with the proportion of maternal mortality owing to infection. Furthermore, there was no relationship between WASH-FIT indicators and patient satisfaction, except for good hand hygiene services (β = 0.453).DiscussionDespite good conditions in almost all WASH-FIT indicators, the improvement of waste management is urgently needed to improve the WASH services in hospitals in Indonesia, as also found in other developing countries.

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Section: Comparison Of Rifaskes and Wash-fit Assessment Approachmentioning

confidence: 99%

Analysis of water, sanitation, and hygiene facilities using the WASH-FIT approach and its relation to patient satisfaction and maternal mortality at hospitals in Indonesia

Purwandari,

Daniel,

Hafidz

2024

Front. Public Health

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Section: Multi-component Educational Interventionsmentioning

confidence: 99%

“…Sixteen articles assessed the effectiveness of multi-component educational interventions [40,42,43,46,[51][52][53][54][55][56][57][58][59][60][61][62], which had durations ranging from 15 min to 1 year (Table 1). Experienced instructors, physicians, or nurses; the department of microbiology and infection control; and the company responsible for waste management delivered the interventions [43,46,55,57]. The effectiveness of multi-component educational interventions was evaluated immediately in four studies [51,57,60,61], in a period of less than two months in two studies [46,59], and after three months in four studies [40,43,52,56], while a long-term assessment (from four to 18 months) was reported in five articles [53,54,58,61,62].…”

Section: Multi-component Educational Interventionsmentioning

confidence: 99%

“…Two articles presented a combination of these educational components [43,58]. The lessons were provided using theoretical and video content developed on WHO recommendations, and they focused on the segregation, collection, and handling of different categories of waste [58].…”

Section: Lessons Training System Change and Remindersmentioning

confidence: 99%

“…The lessons were provided using theoretical and video content developed on WHO recommendations, and they focused on the segregation, collection, and handling of different categories of waste [58]. In addition, occupational safety and the use and disposal of protective personal equipment were included in the educational intervention [43]. Practical training was provided to hands-on HCWs after the theoretical lessons, whereas system changes such as replacements of existing bins with color-specific ones were implemented [43,58].…”

Section: Lessons Training System Change and Remindersmentioning

confidence: 99%

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The Effectiveness of Educational Interventions in Improving Waste Management Knowledge, Attitudes, and Practices among Healthcare Workers: A Systematic Review and Meta-Analysis

Conti,

Viottini,

Comoretto

et al. 2024

Sustainability

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The healthcare sector represents a major source of waste production, and healthcare workers (HCWs) are crucial in waste management. Educational interventions (EIs) can be delivered through a single component (mono-component) or by combining different components (multi-component); although they have a potential impact on the sustainability of healthcare, their effectiveness in waste management still needs to be identified. The aim of this systematic review and meta-analysis was to describe EIs to improve waste management knowledge, attitudes, and practices among HCWs and provide an estimate of their effectiveness. Six relevant databases were searched; 24 articles were included, and 19 were meta-analyzed. These were mainly from low-income countries and did not consider EIs for recycling, reducing, and reusing. Compared to the mono-component EIs, the multi-component Eis showed a higher statistically significant positive post-intervention effect on knowledge, with greater retention in the medium–long term, and on practices, particularly among non-hands-on HCWs. The effects of the EIs on attitudes were not significant. Our results suggest that multi-component EIs should be preferred to improve waste management standards in the healthcare sector. Given the heterogeneity found among EIs, the standardization of types, content, duration, and assessment methods should be considered. Finally, their harmonization at a global level could influence international and national policies on sustainability.

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Household Waste Management Woes in Dhaka City: Current Challenges and Policy Directions

Sohel,

Alam,

Adnan

et al. 2024

Int. Journal of Com. WB

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Effectiveness of a multi-modal capacity-building initiative for upgrading biomedical waste management practices at healthcare facilities in Bangladesh: a 21st century challenge for developing countries

Cited by 7 publications

References 20 publications

Analysis of water, sanitation, and hygiene facilities using the WASH-FIT approach and its relation to patient satisfaction and maternal mortality at hospitals in Indonesia

Analysis of water, sanitation, and hygiene facilities using the WASH-FIT approach and its relation to patient satisfaction and maternal mortality at hospitals in Indonesia

The Effectiveness of Educational Interventions in Improving Waste Management Knowledge, Attitudes, and Practices among Healthcare Workers: A Systematic Review and Meta-Analysis

Household Waste Management Woes in Dhaka City: Current Challenges and Policy Directions

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