Healthcare waste generation in hospitals per continent: a systematic review

Mol, Marcos Paulo Gomes; Zolnikov, Tara Rava; Neves, Arthur Couto; Santos, Giulia Roriz dos; Tolentino, Júlia; Barros, Raphael Tobias de Vasconcelos; Heller, Léo

doi:10.1007/s11356-022-19995-1

Cited by 20 publications

(7 citation statements)

References 41 publications

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“…1 16 17 Globally, safe waste management services for HCW are lacking, especially in the low-income countries. [18][19][20][21] Globally, one in three healthcare facilities do not safely manage HCW. 6 The management of HCWs has become one of the most critical concerns in developing because improper handling of medical waste has debilitating effects on the environment, public health, workplace safety, water quality and the large risk of spreading disease.…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

“…Globally, safe waste management services for HCW are lacking, especially in the low-income countries 18–21. Globally, one in three healthcare facilities do not safely manage HCW 6.…”

Section: Introductionmentioning

confidence: 99%

“…Even though HCW production is often lower in middle-income and low-income countries than it is in high-income countries,19 a study of 22 low-income nations raised concerns about the potential issues brought on by HCW when it was found that between 18% and 64% of healthcare institutions used ineffective waste disposal techniques 3 17 23 26 27. Despite the magnitude of the problem, practices, capacities and policies in many countries dealing with HCW disposal, especially in low-income nations, are inadequate and require intensification 15 28…”

Section: Introductionmentioning

confidence: 99%

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Healthcare waste management practice and its predictors among health workers in private health facilities in Ilu Aba Bor Zone, Oromia region, South West Ethiopia: a community-based cross-sectional study

Tilahun¹,

Donacho

Zewdie³

et al. 2023

BMJ Open

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ObjectivesA lack of safe healthcare waste management (HCWM) practice poses a risk to healthcare staff, patients and communities. In low-income countries like Ethiopia, studies on the level of safe HCWM practices in private healthcare facilities are limited. This study was designed to assess the level of good HCWM practice and associated factors among health workers in private health facilities.MethodsAn institution-based cross-sectional study was conducted in the Ilu Aba Bor zone, South West Ethiopia. A random sample of 282 health workers from 143 private health facilities was included in the study. Data were collected using a pretested structured questionnaire that included sociodemographic characteristics, healthcare factors, knowledge assessment and an observation checklist adapted from WHO guidelines. The collected data were entered into EpiData V.3.1 and analysed with SPSS V.25.0. Multivariable logistic regression analysis was used to identify factors associated with HCWM practice. Variables with a p value of <0.05 at 95% CI were declared significant.ResultsMore than half (58.7%) of private-sector health workers had good HCWM practice. The presence of the HCWM committee (adjusted OR (AOR)=9.6, 95% CI 4.5 to 20.6), designated healthcare waste storage site (AOR=3.0, 95% CI 1.5 to 6.5), reading the HCWM manual (AOR=4.4, 95% CI 2.2 to 9.0) and having good knowledge of HCWM (AOR=2.6, 95% CI 1.06 to 6.15) were factors associated with good HCWM practice.ConclusionAbout three out of five health workers in private healthcare facilities were practising good HCWM. The presence of an HCWM committee, waste management utilities, reading HCWM guidelines and knowledge of health workers were the identified factors. Health workers should read guidelines to improve their knowledge, and the presence of committees and waste management utilities in private clinics should be followed to ensure compliance with safe HCWM practice.

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Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

“…Globally, safe waste management services for HCW are lacking, especially in the low-income countries 18–21. Globally, one in three healthcare facilities do not safely manage HCW 6.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Healthcare waste management practice and its predictors among health workers in private health facilities in Ilu Aba Bor Zone, Oromia region, South West Ethiopia: a community-based cross-sectional study

Tilahun¹,

Donacho

Zewdie³

et al. 2023

BMJ Open

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“…Additionally, it helps inform decisions about how to allocate resources best to improve the existing system. As stated in the study by Mol et al (2022), advancements in medical waste separation and containment of the transmission of infections provide evidence that enhancements can guarantee more effective management and control of medical waste. Furthermore, improved medical waste treatment has decreased the release of hazardous substances into the environment.…”

Section: Literature Review Of Medical Waste In Neighboring Countriesmentioning

confidence: 95%

Strategies for Optimizing Medical Waste Management and Treatment Technologies in Jordanian Hospitals

Hendi,

Al-Hrinat,

Al-Ansi

et al. 2024

OCS

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Medical waste is recognized as a significant environmental and public health hazard due to its toxic and chemical constituents. In light of the varying standards for medical waste management within Jordan and comparisons with neighboring countries, this study aims to critically assess the existing management practices in Jordanian hospitals, utilizing a comprehensive database. The study further explores treatment technologies to enhance these practices. The effectiveness of Failure Mode and Effects Analysis (FMEA) in identifying and mitigating potential risks in the disposal process of infectious medical waste is also examined. Findings suggest that management procedures exhibit regional disparities influenced by factors such as the geographical location of the healthcare institution, its operational scale, and prevailing political circumstances. Moreover, the application of FMEA was found to significantly mitigate operational risks, as evidenced by reduced Risk Priority Number (RPN) values. Challenges identified include the need for increased resources, improved training, and enhanced systems for hazardous waste management. The study underscores the importance of public awareness in elevating medical waste management standards. These insights contribute to the broader discourse on environmental health and safety in medical waste management, advocating for systemic improvements in Jordanian healthcare facilities (HCFs).

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“…Дослідження Маркус Мол та співавторів [11], показало, що якісний склад небезпечних відходів суттєво не відрізняються за типом власності (приватні/державні ЗОЗ), проте кількісно рівень утворення НВ в приватних лікарнях є значно вищими, ніж у державних. Такі дані можуть свідчити про відмінності в системах управління в поєднанні з більшою кількістю фінансових ресурсів приватних лікарень.…”

Section: результати та їх обговоренняunclassified

Управління Впливами Основних Екологічних Факторів Закладів Охорони Здоров'я На Безпечність Навколишнього Середовища: Міжнародний Досвід

Туряниця¹,

Yurochko²,

Balashov³

et al. 2023

Investytsiyi: praktyka ta dosvid

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У статті здійснено аналіз міжнародного досвіду використання і управління екологічними ресурсами в закладах охорони, який дозволив визначити три основні екологічні компоненти закладів охорони здоров`я (повітря, вода та відходи), які мають вплив як на здоров'я залучених осіб, так і на навколишнє середовище поза лікарнею. Показано, що управління цими ресурсами та відходами -це комплекс заходів з участю різних зацікавлених осіб (пацієнти, медичний та немедичний персонал лікарні, відвідувачі), щодо мінімізації їхнього негативного впливу. Ці заходи включають низку інструментів: оцінку, планування, впровадження, моніторинг, реагування тощо; врахування особливостей будівель, специфіки діяльності, фінансових можливостей; навчання та мотивація персоналу, їхнє розуміння та зацікавлення. Отже, для країн, які розвиваються, в тому числі і України, управління екологічними ресурсами -це новий та перспективний напрямок в менеджменті. Незважаючи на гостроту та актуальність проблематики, що підтверджено аналізом міжнародних досліджень, існує низка невирішених питань: -бракує комплексних досліджень, навіть в розвинених країнах, які б висвітлювали функціонування та вплив кількох екологічних компонентів ЗОЗ одразу; -існує потреба в розробці алгоритмів та інструментів їх менеджменту. Вивчення міжнародного досвіду вкрай важливе для України, оскільки дана тематика лише починає розвиватись в нашій державі, особливо в світлі світових тенденцій відповідального використання ресурсів, в тому числі з економічної точки зору. Саме тому дуже важливо враховувати ці питання в сучасній програмі реформування охорони здоров'я.

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Healthcare waste generation in hospitals per continent: a systematic review

Cited by 20 publications

References 41 publications

Healthcare waste management practice and its predictors among health workers in private health facilities in Ilu Aba Bor Zone, Oromia region, South West Ethiopia: a community-based cross-sectional study

Healthcare waste management practice and its predictors among health workers in private health facilities in Ilu Aba Bor Zone, Oromia region, South West Ethiopia: a community-based cross-sectional study

Strategies for Optimizing Medical Waste Management and Treatment Technologies in Jordanian Hospitals

Управління Впливами Основних Екологічних Факторів Закладів Охорони Здоров'я На Безпечність Навколишнього Середовища: Міжнародний Досвід

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