Preliminary Assessment of the Status of Hospital Incineration Facilities as a Health Care Waste Management Practice in Addis Ababa City, Ethiopia

Berihun, Dessalew; Solomon, Yonas

doi:10.4172/2475-7675.1000143

Cited by 2 publications

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Section: Introductionmentioning

confidence: 99%

“…9,10 However, a survey conducted on the status of hospital incinerators, found widespread deficiencies in their construction, siting and operation; most of the healthcare facilities (HCFs) (80%) use low-temperature technology that generates air pollution. 11 Thus, to minimize and control the risks associated with improper management of biomedical waste, it is imperative to plan and develop an evidence-based intervention strategy. 12 However, the quantity of biomedical solid waste generated as well as the existing waste management system practiced in Jimma Medical Center had not yet been examined.…”

Section: Introductionmentioning

confidence: 99%

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Biomedical Solid Waste Management System in Jimma Medical Center, Jimma Town, South Western Ethiopia

Lemma

Dadi

Deti

et al. 2021

RMHP

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Introduction Biomedical waste is a hazardous waste material that is generated during the diagnosis, treatment, or immunization of human beings. Hence, it needs special attention and appropriate management before disposal. Objective This study aimed to assess the biomedical solid waste management system in Jimma Medical Center, Jimma town, southwestern Ethiopia, 2020. Methods An institution-based cross-sectional study design was used to assess the biomedical solid waste management system from May 12 to 25, 2020. The quantity of biomedical solid waste generated was measured by using a calibrated weight balance. An observational checklist and a semi-structured interview guide were used to assess the current practice of biomedical solid waste management. In addition, during combustion, the concentration of pollutants emitted from the incinerator was measured at a different distance from the source. Analysis of variance was used to compare the mean waste generation rates among wards and the contribution of incinerator emissions at different distances was analyzed by regression. Result The average daily biomedical waste generation rate was determined to be 0.92kg/bed/day and/or 0.75kg/patient/day. There was limited segregation of biomedical waste by type at the point of generation. Mixed biomedical waste was collected and transported using substandard open plastic bins. Moreover, the incinerator was operated at a low temperature and high peak average concentrations of PM 2.5 (21.7–999.9 μg/m 3 ) and PM 10 (31–1999.9 μg/m 3 ), total VOC (736–4754mg/m 3 ), NO 2 (0.00–600 μg/m 3 ) and SO 2 (0.00–300 μg/m 3 ) were recorded at different distances downwind from the incinerator. Conclusion The average biomedical waste generation rate was above the threshold value set by the World Health Organization in low-income countries. Its management was also limited. The high concentrations of pollutants released from the incinerator affect the nearby air quality and hence interferes with the health of the local community.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Biomedical Solid Waste Management System in Jimma Medical Center, Jimma Town, South Western Ethiopia

Lemma

Dadi

Deti

et al. 2021

RMHP

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“…However, the Biomedical waste generation rates vary across different hospitals in Ethiopia where the generation rate ranges from (0.164–1.94) kg/bed/ day, and (0.396–0.866) kg/bed day (0.92kg/bed/day and/or 0.75kg/) patient/day hazardous waste [ 28 – 31 ]. Health facilities in Ethiopia have chosen incineration to treat BMW [ 32 , 33 ], but 80% of hospital incinerators used low-temperature technology that generates air pollutants [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

Biomedical waste management practices and associated factors among health care workers in the era of the covid-19 pandemic at metropolitan city private hospitals, Amhara region, Ethiopia, 2020

et al. 2022

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Background Biomedical waste management is an important precondition to safeguard the healthcare workers and community members, as well as the environment, from being contaminated with infectious substances. However, biomedical waste management practices during the pandemic era of COVID-19 were unknown. Objective This study was aimed to assess biomedical waste management practices and associated factors among health care workers during the COVID-19 pandemic era at metropolitan city private hospitals, Amhara Region, Ethiopia. Methods An institutional-based cross-sectional study was conducted at metropolitan city private hospitals in Amhara Region. Simple random sampling was used to select 431 study participants. Data were collected through a self-administered questionnaire and observational checklists. The data were cleaned, coded, and entered into the Epi-data version 4.6, and then exported to SPSS version 20. for analysis. Variables with a p-value less than 0.05 were considered as significant factors in multivariable logistic regression analysis and AOR with a 95% confidence level was used to measure the strength of association. Results The proportion of health care workers who had good practices in biomedical waste management was 49.4%. Participants who had MSc education level, [AOR = 4.20, 95% CI (1.01, 17.40)], Bachelor degree [AOR = 3.52, 95% CI (2.13, 5.82)], got training on biomedical waste management [AOR = 4.33, 95% CI (2.71, 6.93)], access to color-coded three bins in their working department [AOR = 6.24.95% CI (3.84, 10.13)] and those who had good attitude (AOR = 2.64, 95% CI (1.65, 4.22), were significantly associated with biomedical waste management practices in private hospitals. Conclusion The practice of biomedical waste management in the study area was low. Level of education, taking training on biomedical waste management, availability of color-coded three bins, and attitude of health care workers were significantly associated with biomedical waste management practices. Hence, in-service training is recommended to improve biomedical waste management practices.

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Preliminary Assessment of the Status of Hospital Incineration Facilities as a Health Care Waste Management Practice in Addis Ababa City, Ethiopia

Cited by 2 publications

References 0 publications

Biomedical Solid Waste Management System in Jimma Medical Center, Jimma Town, South Western Ethiopia

Biomedical Solid Waste Management System in Jimma Medical Center, Jimma Town, South Western Ethiopia

Biomedical waste management practices and associated factors among health care workers in the era of the covid-19 pandemic at metropolitan city private hospitals, Amhara region, Ethiopia, 2020

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