The culprits should be served notices. Waste Manag Res , 27 4: FGDs were chosen to get the benefit of interaction between different members of a group. Understanding and changing human behaviourâ€”antibiotic mainstreaming as an approach to facilitate modification of provider and consumer behaviour. Graneheim UH, Lundman B. Some participants were in favour of forceful implementation of the framed rules whereas others preferred self-discipline cultivated through awareness drives:.
FGDs were chosen to get the benefit of interaction between different members of a group. This study is part of a project funded by the Swedish Research Council. Health care or biomedical waste, if not managed properly, can be of high risk to the hospital staff, the patients, the community, public health and the environment, especially in low and middle income settings where proper disposal norms are often not followed. To our knowledge, this is the first FGD based qualitative study from India on health care waste management in which several professional categories of the hospital staff including the cleaning staff participated. In high income countries, a combination of stringent application of legal provisions with other inputs has been effective in mitigating the menace of health-care waste [ 4 ]. Medical waste management in China: This study provides an insight into what the hospital staff perceives about HCWM and their current practices, how do they act and react, what are their training and other needs, what is immediately possible and acceptable and what is not.
Author Contributions Conceived and designed the experiments: Participants generally agreed that enhancing awareness will be preferable to enforcement:. Some participants were in favour of forceful implementation of the framed rules whereas others preferred self-discipline cultivated through awareness drives: Assessment of bio-medical waste management in three apex Goverment hospitals of Agra.
Participants, especially nursing and cleaning-staff particularly, discussed various issues related to the protection from accidental needle-stick injuries, proper disposal of sharps, absence of needle-cutters and the need of protocols for precautions before and after giving injections.
A gap between knowledge and actual practice regarding HCWM was highlighted in the perception of the hospital staff. Investigation of health care waste management in Binzhou District, China. The hospital staff generally connected health care waste with the a case study biomedical waste management practices at city hospital in himachal pradesh of HAIs. Since then the onus lies on the health care institutions to ensure proper HCWM [ 3 ].
According to a senior administrator shortage of staff is there, but besides attitude of the cleaning staff is also an impediment.
Healthcare waste management scenario: A case of Himachal Pradesh (India) – ScienceDirect
Assessment of medical waste management in the main hospitals in Yemen. For planning and administration of such interventions provision of separate healthcare-associated-infection-control-department and additional posts were suggested.
All participants agreed about the importance of timely removal of waste in such a manner that segregation can be maintained until the terminal point:. It is possible that some participants may not have expressed their views completely freely.
Indian J Med Res This study provides an insight into what the hospital staff perceives about HCWM and their current practices, how do they act and react, what are their training and other needs, what is immediately possible and acceptable and what is not.
Results highlight that private hospitals are generating more healthcare waste yellow and red category of healthcare waste as compared to public hospitals in the given context. September 2, ; Accepted: These included lack of facilities, which was further emphasized by the nurses, cleaning staff and medical students. A member of cleaning staff summarised it succinctly. At appropriate places a description of the current practice and how it deviates from what is considered good practice is also given and threaded in the flow of the text.
Hence it is better to practice the process of segregation at source. Waste Manag29 2: The issue of institutionalizing a powerful and accountable HICC bestowed with a mandate to apply rules and regulations stringently also came up during the discussions in the present study. The information generated is relevant not merely to the microsystem studied but to other institutions in similar settings. Biomedical waste management in five hospitals in Dakar, Senegal.
To our knowledge, this is the first FGD based qualitative study from India on health care waste management in which several professional categories of the hospital staff including the cleaning staff participated. Water[liquid] is kept in the red bucketâ€¦similar colour-code for each ward.
Illegal resale and reuse of HC-waste has also been reported in several studies[ 23637 ].
Participants stated that lack of facilities was the main problem in translating their willingness to comply with HCWM into actual practice. Biomedical solid waste management in an Indian hospital: Gupta S, Boojh R. By doing so it emerges that the interventions belonging to category III akin to regulatory push and financial and policy supports and category II akin to willingness are essential for implementation of those belonging to category I.
Awareness and training need of biomedical waste management among undergraduate students, Andhra Pradesh. The chances of developing diseases are high. Journal of Hospital Infection.
The Gazette of India. Rules and management of biomedical waste at Vivekananda Polyclinic. We go home in the infected clothing and our children get infected when they come to us. A protection motivation theory of fear appeals and attitude change. The participants perceived that at the organizational level, there were deficiencies in offering basic provisions and a lack of emphasis by the administration on improving the HCWM.