Medical Waste Management: A Case Study of the Souss-Massa-Dr&amp;#226;a Region, Morocco

Mbarki, Adnane; Kabbachi, Belkacem; Ezaidi, Abdelkrim; Benssaou, Mohammed

doi:10.4236/jep.2013.49105

Cited by 40 publications

(32 citation statements)

References 16 publications

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“…The findings in this study corroborate some rates recorded in Souss-Massa-Draa, where an average rate of 0.53 kg/bed/day was recorded [1]. Furthermore, a study carried out in 2008 by Abdulla et al, showed that waste weighted average was 0.83 kg/bed/day in northern Jordan and 1.22 kg/bed/day was reported by Ruoyan et al, in 2010 as weighted average rate in Binzhou Distrinct in China [27, 28].…”

Section: Discussionsupporting

confidence: 91%

“…Waste generation source, categorization, quantity and quality are the key issues to decide an effective medical waste management practice [1]. The medical staff in the surveyed hospitals had adequate knowledge of the various categories of the wastes generated.…”

Section: Discussionmentioning

confidence: 99%

“…Medical waste management (MWM) has become a critical issue as it poses potential health risks and damage to the environment [1, 2]. It is also of greater importance due to its potential environmental hazards and public health risks with high propensity to result into epidemics [3].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of medical waste management in seven hospitals in Lagos, Nigeria

Adewoye²,

2016

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BackgroundMedical waste (MW) can be generated in hospitals, clinics and places where diagnosis and treatment are conducted. The management of these wastes is an issue of great concern and importance in view of potential public health risks associated with such wastes. The study assessed the medical waste management practices in selected hospitals and also determined the impact of Lagos Waste Management Authority (LAWMA) intervention programs. A descriptive cross-sectional survey method was used.MethodsData were collected using three instrument (questionnaire, site visitation and in –depth interview). Two public (hospital A, B) and five private (hospital C, D, E, F and G) which provide services for low, middle and high income earners were used. Data analysis was done with SPSS version 20. Chi-squared test was used to determine level of significance at p < 0.05.ResultsThe majority 56 (53.3 %) of the respondents were females with mean age of 35.46 (±1.66) years. The hospital surveyed, except hospital D, disposes both general and medical waste separately. All the facilities have the same process of managing their waste which is segregation, collection/on-site transportation, on-site storage and off–site transportation. Staff responsible for collecting medical waste uses mainly hand gloves as personal protective equipment. The intervention programs helped to ensure compliance and safety of the processes; all the hospitals employ the services of LAWMA for final waste disposal and treatment. Only hospital B offered on-site treatment of its waste (sharps only) with an incinerator while LAWMA uses hydroclave to treat its wastes. There are no policies or guidelines in all investigated hospitals for managing waste.ConclusionsAn awareness of proper waste management amongst health workers has been created in most hospitals through the initiative of LAWMA. However, hospital D still mixes municipal and hazardous wastes. The treatment of waste is generally done by LAWMA using hydroclave, to prevent environmental hazards except hospital B that treats its sharp with an incinerator. In order to enhance uniform and appropriate waste management practices in the entire State, there is need for capacity building at all levels and also policies and guidelines formulations.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Assessment of medical waste management in seven hospitals in Lagos, Nigeria

Adewoye²,

2016

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“…Oh and Lee [44] applied the Meta-frontier method to the global reference M index and decomposed Meta-M. Following existing studies, the decomposition process of the META-GML used in this study is shown in formula (5): (5) where, EC refers to the change of technical efficiency TE within each group from period t to period t+1; BPG (Best Practice Gap) refers to the gap between the current frontier of each group and the global frontier of each group ① ; BPC (Best Practice Change)…”

Section: Meta-frontier-global-malmquist-luenberger Indexmentioning

confidence: 99%

Measuring productivity of healthcare services under environmental constraints: Evidence from China

Liu

Zhang

et al. 2020

Preprint

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Background: Despite the growing literature on the efficiency and productivity of the Chinese healthcare system, less attention has been given to examining the undesirable outputs linked to healthcare services, including environmental pollution. Taking the atmospheric environmental pollution resulting from the incineration of medical waste as an undesirable output of the healthcare system, this study analyzed the growth and decomposition of Total Factor Productivity (TFP) of healthcare services across 31 Chinese provinces during the period 2005-2016. Methods: The Meta-frontier undesirable super-efficiency slack-based measure (SBM) model and the Global Malmquist-Luenberger (GML) Index were employed to analyze the growth and decomposition of TFP using the Max DEA software. Results: The results revealed that the years 2009 and 2015 marked significant changes in TFP of healthcare services in Chinese provinces. During the study period, the rate of technological change (TC) slowly declined, whereas the rate of efficiency change (EC) steadily increased. With the national average being the benchmark, the results indicated that: the TFP of 17 provinces and cities exceeded the average, the EC changes of 16 provinces and cities exceeded the average, the TC changes of 9 provinces and cities exceeded the average, and the in the Technology Gap Ratio (TGR) changes of 13 provinces and cities were above the national average. Conclusions: (1) The TFP of the healthcare services across China continued to decline slowly during the study period. (2) The effect of technical catch-up in the eastern, central, and western regions of China was significant across the three regions, whereas the effect of technical innovation was negative. (3) The TFP varied considerably among the Chinese provinces. These findings suggest that, under existing environmental constraints, relevant government departments should improve technical innovation in the supply of healthcare services and medical waste treatment, increase technical efficiency in the factor of healthcare production, strengthen regional health planning, and balance the development of regional healthcare.

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“…Mbarki et al [22] analysed clinical waste management practices in Morocco. The results of their survey on the separation of medical waste revealed that the knowledge of the staff on waste segregation was low.…”

Section: Current Status Of Clinical Waste Segregation and Relatedmentioning

confidence: 99%