DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20173094

Knowledge, attitude and practices of health care staff regarding hospital waste handling in tertiary care hospitals of Muzaffarabad, AJK, Pakistan

M. Junaid Khan, M. Asim Hamza, Bilal Zafar, Rashid Mehmod, Sharjeel Mushtaq

Abstract


Background: Hospital waste management means the management of waste produced in hospitals by using different techniques that will prevent the spread of diseases. Hospital is the place where infectious and non-infectious healthcare waste is being generated and this needs a special precaution for its proper disposal. However, its mismanagement has posed major environmental threats and is now being reported as a serious public health issue worldwide. In developing countries, knowledge, attitude and practices regarding hospital waste management in terms of its segregation, collection, storage, transportation and disposal is limited.

Methods: A cross sectional study using simple convenient sampling was conducted from January to May 2015 at tertiary care hospitals of Muzaffarabad, AJK. A self-designed pretested questionnaire was used. Sample size was 114.  

Results: Mean age of these participants was of 33 years (min 25-maz 41 years) and average work experience was 7 years. Among them, n67 (58%) were male and n47 (42%) were female. n13 (11.4%) were doctors, n68 (60%) were of paramedical staff and n33 (29%) were junior staff. The overall Satisfactory knowledge and attitude score (≥60% answers correct) of doctors was significantly higher than others. Knowledge about the color coding for specific wastes were insignificantly higher among doctors, rather only n4 (30.7%) doctors responded to this question. The overall Satisfactory practice score (≥60% answers correct) of junior staff was higher (94%).

Conclusions: Qualified medical professionals give little importance for hospital waste handling practices evident from lower practice score than the paramedical and lower staff. An important opportunity of possible oversight for hospital waste handling is missed in day to day hospital operation.


Keywords


Hospital waste management, Healthcare waste, Knowledge, Attitude and practices

Full Text:

PDF

References


Mahmood M, Shahab S, Malik R, Azim W. A study of waste generation, collection and disposal in a tertiary hospital. Pak J Med Res. 2001;40:13-7.

Jang YC, Lee C, Yoon OS, Kim H. Medical waste management in Korea. J Environ Manage. 2006;80(2):107–15.

Ather S. Hospital waste management. J Coll Physicians Surg Pak. 2004;14:645-6.

Hageman JP. Handling, storage, treatment and disposal of mixed wastes at medical facilities and academic institutions. Health Phys. 2002;82:566-76.

Patil AD, Shekdar AV. Health-care waste management in India. J Environ Manage. 2001;63:211-20.

Uysal F, Tinmaz E. Medical waste management in Trachea region of Turkey. Waste Manag Res. 2004;22:403-7.

Hashmi SK, Shahab S. Hospital and biomedical waste management. In: Iliyas M, Editor, Community medicine and public health. 4th ed. Karachi: Time Publishers; 2003: 426-437.

Giroult E, Rushbrook P. Safer management of wastes from health care activities. World Health Organization, Geneva; 1999: 230.

WHO. Healthcare waste management. World Health Organization. Available at: http://www.healthcare

waste.org. Accessed on 05 October 2015.

Ehrampoush MH, Baghiani Moghadam MH. Survey of Knowledge, Attitude and Practice of Yazd Universityof Medical Sciences Students about Solid Wastes Disposal and Recycling. Iranian J Environ Health Sci Eng. 2005;2(2):26.

Saini S, Nagarajan SS, Sharma RK. Knowledge, attitude and practices of biomedical waste management amongst staff of a tertiary level hospital in India. J Acad Hospital Admin. 2005;17:1-12.

Harhay MO, Halpern SD, Harhay JS, Olliaro PL. Health care waste management: a neglected and growing public health problem worldwide. Trop Med Int Health. 2009;14:1414–7.

Qaiser S. Survey of sharp waste disposal system in clinics of New Karachi. J Pak Med Assoc. 2012;62(2):163–4.

Hayashi Y. Proper disposal of medical wastes - infection prevention and waste management at Hiroshima city, Asa Hospital, Rinsho Byori. 2000;112:26-31.

Ahmed S. Hospital waste sickening public and environment" Daily Times; 2004: 7.

Hayward E. The ethical responsibility of the hospital to the environment. J Health Mater Manage. 1992;14:19-27.

Rasheed S, Iqbal S, Baig LA, Mufti K. Hospital Waste Management in the Teaching Hospitals of Karachi. JPMA. 2005;55:192.

Mathew SS, Benjamin AI, Sengupta P. Assessment of biomedical waste management practices in a tertiary care teaching hospital in Ludhiana. Healthline. 2011;2:28–30.

Madhukumar S, Ramesh G. Study about awareness and practices about health care waste management among hospital staff in a medical college hospital, Bangalore. Iranian J Basic Med Sci. 2012;3:7–11.

Mostafa GM, Shazly MM, Sherief WI. Development of a waste management protocol based on assessment of knowledge and practice of healthcare personnel in surgical departments. Waste Management. 2009;29:430–9.

Sachan R, Patel ML, Nischal A. Assessment of the knowledge, attitude and practices regarding biomedical waste management amongst the medical and paramedical staff in tertiary health care center. Int J Sci Res Publications. 2012;2(7):1–6.

Radha R. Assessment of existing knowledge, attitude and practices regarding biomedical waste management among the health care workers in a tertiary care rural hospital. Int J Health Services Res. 2012;2:14–19.

Halbachs H. Solid waste disposal in district health facilities. World Health Forum. 1994;15:263–376.

Shafee M, Kasturwar N, Nirupama N. Study of knowledge, attitude and practices regarding biomedical waste among paramedical workers. Indian J Community Med. 2010;35:369-70.

Hakim SA, Mohsen A., Bakr I. Knowledge, attitudes and practices of health-care personnel towards waste disposal management at Ain Shams University Hospitals, Cairo. EMHJ. 2014;20(5):347-54.