Abstract: Healthcare waste (HCW) is one of the major concerns in environmental issues due to its infectious and hazardous nature that is requires specific treatment and systematic management prior to final disposal. This study aimed to assess HCW management system in Dhaka City (DC), Bangladesh, by investigating the present practices implemented by the city. In this study, five different healthcare establishments were selected in DC. Field visits and interviews with health personnel and staff who are concerned with the waste management were conducted. The information was gathered through questionnaire focus on the different aspect of HCW management like, waste segregation and collection, storage and transport, awareness as well. The results showed that a total of 7,215 kg/day (7.2 ton/day) of waste were generated, of which 79.36% (5.6 ton/day) was non-hazardous waste and 20.6% (1.5 ton/day) was hazardous waste. The rate of waste generation in these healthcare establishments (HCEs) was 2.6 kg/bed/day. There was no appropriate and systematic management of HCWs except at few private HCEs that segregate their hazardous waste. All the surveyed HCEs dumped their HCW together with the municipal waste, and some staff members were also found to be engaged in improper handling of the generated waste. Furthermore, the used sharp instruments, saline bags, blood bags and test tubes were collected for resale or reuse. Nevertheless, the lack of awareness, appropriate policy, regulation and willingness to act, were responsible for the improper management of HCW in DC. There was lack of practical training of concerned healthcare to handle the waste properly, while the nurses and staff were found to be aware of the health impacts of HCW.
Abstract: Healthcare waste management continues to present an
array of challenges for developing countries, and Liberia is of no
exception. There is insufficient information available regarding the
generation, handling, and disposal of health care waste. This face
serves as an impediment to healthcare management schemes. The
specific objective of this study is to present an evaluation of the
current health care management practices in Liberia. It also presented
procedures, techniques used, methods of handling, transportation, and
disposal methods of wastes as well as the quantity and composition
of health care waste. This study was conducted as an investigative
case study, covering three different health care facilities; a hospital, a
health center, and a clinic in Monrovia, Montserrado County. The
average waste generation was found to be 0-7kg per day at the clinic
and health center and 8-15kg per/day at the hospital. The composition
of the waste includes hazardous and non-hazardous waste i.e. plastic,
papers, sharps, and pathological elements etc. Nevertheless, the
investigation showed that the healthcare waste generated by the
surveyed healthcare facilities were not properly handled because of
insufficient guidelines for separate collection, and classification, and
adequate methods for storage and proper disposal of generated
wastes. This therefore indicates that there is a need for improvement
within the healthcare waste management system to improve the
existing situation.