Health Care Waste Management Practice in Health Care Institutions of Nepal

Joshi, H D; Acharya, Trishna; Ayer, Rakesh; Dhakal, Purushottam; Karki, Kshitij; Dhimal, Meghnath

doi:10.3126/jnhrc.v15i1.18006

Cited by 23 publications

(33 citation statements)

References 7 publications

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“…Moreover, around 83% of the selected health care facilities in Ghana did not segregate their medical waste. A study done by Joshi (2013) indicated that in Nepal, around 1.7 kg bed −1 day −1 waste was produced. Of which, 0.48 kg bed −1 day −1 generated waste was found to pose health risks (Table 3).…”

Section: Hospital Waste Management Systems In Different Developing Comentioning

confidence: 99%

Determining the Hazardous Medical Waste Generation Rates of Private Health Care Facilities-Case Study from Dhaka City of Bangladesh

Rumi¹,

Karim²

2018

American Journal of Environmental Sciences

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Many developing countries are lagging behind the developed countries to properly manage their hazardous healthcare waste. These waste pose a significant epidemiological risks to the general people. To estimate the epidemiological risks and to establish parameters of any waste management plan, quantitative estimation of healthcare waste generation is essential. Most researches on quantitative estimation of healthcare wastes to date, have not addressed the differences in waste generation trends between the government and private healthcare sectors. This study was carried out to estimate the hazardous healthcare waste generation from private healthcare sector of Bangladesh; with a future aim do the same for government healthcare sector. A total of 50 privates healthcare facilities of different categories from Dhaka North City Corporation (DNCC) and Dhaka South City Corporation (DSCC) were selected for this study following a random sampling technique. Secondary data was obtained from PRISM Bangladesh (PRISM Bangladesh Foundation is a non-profit voluntary development organization established in 1989. In the context of environmental management, PRISM Bangladesh operates in different areas of Bangladesh with the assistance and support of UN organizations such as UNDP, UNICEF, UNDRO and UNCDF.) for these 50 healthcare facilities and personal visits to waste treatment sites were made. The estimated the hazardous healthcare waste generation rate for the private healthcare sector was found to be 0.17 kg bed −1 day −1 on per patient per day basis and an overall of 6796 kg daily. The estimated waste quantity and the proportion of hazardous healthcare waste to total healthcare waste was found to vary significantly due to different parameters related to the type and size of healthcare facility, seasonal variation etc. Based on the findings of this research, more accurate strategic planning of waste management systems for developing countries can be established by governments and municipal authorities to reduce the epidemiological risks.

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Section: Hospital Waste Management Systems In Different Developing Comentioning

confidence: 99%

Determining the Hazardous Medical Waste Generation Rates of Private Health Care Facilities-Case Study from Dhaka City of Bangladesh

Rumi¹,

Karim²

2018

American Journal of Environmental Sciences

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“…Nepal has an IPC reference manual that serves more as a resource for training purposes than for the actual development of IPC programmes. 11 There are some IPC-specific materials available for both HIV and waste management in the country 12 ; however, comprehensive national guidelines on IPC, reflecting performance indicators, do not currently exist. As a result, over two-thirds of the healthcare workers in Nepal are deficient in specific training in IPC.…”

Section: Nepalmentioning

confidence: 99%

The 17th International Congress on Infectious Diseases workshop on developing infection prevention and control resources for low- and middle-income countries

Sastry

Masroor

Bearman

et al. 2017

International Journal of Infectious Diseases

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Hospital-acquired infections (HAIs) are a major concern to healthcare systems around the world. They are associated with significant morbidity and mortality, in addition to increased hospitalization costs. Recent outbreaks, including those caused by the Middle East respiratory syndrome coronavirus and Ebola virus, have highlighted the importance of infection control. Moreover, HAIs, especially those caused by multidrug-resistant Gram-negative rods, have become a top global priority. Although adequate approaches and guidelines have been in existence for many years and have often proven effective in some countries, the implementation of such approaches in low- and middle-income countries (LMICs) is often restricted due to limited resources and underdeveloped infrastructure. While evidence-based infection prevention and control (IPC) principles and practices are universal, studies are needed to evaluate simplified approaches that can be better adapted to LMIC needs, in order to guide IPC in practice. A group of experts from around the world attended a workshop held at the 17th International Congress on Infectious Diseases in Hyderabad, India in March 2016, to discuss the existing IPC practices in LMICs, and how best these can be improved within the local context.

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“…Health care waste management would be challenge for developing countries. There is relation between health care facilities and health waste generation [5]. Medical waste generated in department of surgery is highest on daily bases (3-4 times).…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Hospital Waste Management Practices at Different Health Care Units in District Faisalabad for the Development of Improvement Strategies

Azeem¹,

Arslan²,

Rashid³

et al. 2018

Earth sci. Pak.

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In the world, healthcare waste comprises on different groups of waste due to the possibility of infectious importance. In develop and under developed countries, hospital and health care waste management was recognised discipline and in the management of health care economy it engrosses carping position. The reduction of toxic and infectious effect of health care waste on environment and all living stuffs present in environment by the disposal of waste in proper and economic way was the main responsibility of hospital management. The present research was aimed to conduct the comparative analysis of hospital waste management in three main hospital at Faisalabad city for the development of improvement strategies. In this study, at Allied, District Headquarter and Govt. General hospital Samanabad waste management at each step was observed and evaluated. Cardiac care unit, immune care unit, children ward, gynae ward, outdoors department, laboratory and theatre were the main portion at which management was assessed. The comparison between management of hospital was made to point out best working conditions of management at current situations. Questionnaire was conducted in each hospital and result are shown by employing Microsoft Excel. The absence of management practices was observed at different points. The status of incinerator was observed. Gas emission control devices was not attached to the incinerator unit. In all hospitals, incineration come to know as final disposal method. Finally, for additional sequence of achievement, the developments approaches and solid recommendations were adapted. So that transmission of hospital waste toxic and infectious effect toward environment may reduce by such improvements and development approaches.

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Health Care Waste Management Practice in Health Care Institutions of Nepal

Abstract: INTRODUCTION

Cited by 23 publications

References 7 publications

Determining the Hazardous Medical Waste Generation Rates of Private Health Care Facilities-Case Study from Dhaka City of Bangladesh

Determining the Hazardous Medical Waste Generation Rates of Private Health Care Facilities-Case Study from Dhaka City of Bangladesh

The 17th International Congress on Infectious Diseases workshop on developing infection prevention and control resources for low- and middle-income countries

Comparative Study of Hospital Waste Management Practices at Different Health Care Units in District Faisalabad for the Development of Improvement Strategies

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