Assessment of hospital waste management practices in government and private tertiary hospitals in Dhaka, Bangladesh

Introduction Hospitals in Bangladesh grapple with inadequate waste disposal systems and a lack of effective waste management policies, posing substantial health and safety risks to patients and healthcare workers. This study aimed to assess the current state of hospital waste management practices, c...

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Main Authors: Md Anayet Karim Mazumder, Mohammad Tazrian Abid, Ammatul Fardousi, Md Mahmudul Haque, Zulfiquer Ahmed Amin, Md Sayedur Rahman, AKM Shafiqur Rahman, Abu Sayeed
Format: Article
Language:English
Published: European Publishing 2023-12-01
Series:Public Health and Toxicology
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Online Access:https://www.publichealthtoxicology.com/Assessment-of-hospital-waste-management-practices-nin-government-and-private-tertiary,177820,0,2.html
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author Md Anayet Karim Mazumder
Mohammad Tazrian Abid
Ammatul Fardousi
Md Mahmudul Haque
Zulfiquer Ahmed Amin
Md Sayedur Rahman
AKM Shafiqur Rahman
Abu Sayeed
author_facet Md Anayet Karim Mazumder
Mohammad Tazrian Abid
Ammatul Fardousi
Md Mahmudul Haque
Zulfiquer Ahmed Amin
Md Sayedur Rahman
AKM Shafiqur Rahman
Abu Sayeed
author_sort Md Anayet Karim Mazumder
collection DOAJ
description Introduction Hospitals in Bangladesh grapple with inadequate waste disposal systems and a lack of effective waste management policies, posing substantial health and safety risks to patients and healthcare workers. This study aimed to assess the current state of hospital waste management practices, covering waste generation, segregation, collection, transportation, storage, treatment, and disposal in both tertiary private and government hospitals in Dhaka. Methods A cross-sectional survey was conducted, in both a government institution, Shaheed Suhrwardy Medical College & Hospital (ShSMCH), and a private tertiary hospital, Bangladesh Medical College and Hospital (BMCH), located in Dhaka, Bangladesh. A total of 217 participants were chosen via convenience sampling. The study utilized a semi-structured questionnaire comprising sections on sociodemographic information, general institutional characteristics, waste management practices, and the implementation of UN-WHO HCWM (United Nations-World Health Organizations Health Care Waste Management) Rapid Assessment Tools. Results Our findings revealed that the majority of participants (96.4% in ShSMCH and 100% in BMCH) reported practicing waste segregation based on the waste category, with 97.4% mentioning the shredding of plastic syringes after use in both hospitals. Additionally, 82% of respondents in ShSMCH and 51.3% in BMCH indicated the maintenance of hospital waste records at their workplace. Most respondents (87.1%) across both hospitals were vaccinated against tetanus and hepatitis B. Training on Hospital Waste Management (HWM) was reported by 69.8% in ShSMCH and 29.5% in BMCH. The study further assessed the level of practice in waste management, revealing that 58.3% of respondents in ShSMCH and 89.7% in BMCH demonstrated a good level of practice. Significant associations were observed between the level of practice and age group (p=0.002) and professional status (p<0.001). Conclusions The study recommends forming trained waste management teams and infection control committees, along with clear guidelines to improve waste management practices. Effective management requires adequate supplies and equipment in all departments. Budgeting for HCWM should be part of both short- and long-term operational plans to ensure compliance and sufficient resources.
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spelling doaj-art-2276a2efd86246dbbf739b432079313f2025-08-20T02:49:47ZengEuropean PublishingPublic Health and Toxicology2732-89292023-12-01341910.18332/pht/177820177820Assessment of hospital waste management practices in government and private tertiary hospitals in Dhaka, BangladeshMd Anayet Karim Mazumder0Mohammad Tazrian Abid1https://orcid.org/0000-0003-1515-4689Ammatul Fardousi2Md Mahmudul Haque3Zulfiquer Ahmed Amin4Md Sayedur Rahman5AKM Shafiqur Rahman6Abu Sayeed7Armed Forces Medical Institute, Dhaka Cantonment, Dhaka, BangladeshFood Sciences, Department of Life Technologies, University of Turku, Turku, FinlandHealth Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Dhaka, BangladeshDepartment of Community Medicine, Khwaja Yunus Ali Medical College, Sirajgonj, BangladeshPresident's Office, Bangabhaban, Dhaka, BangladeshLevel II+ Hospital, United Nations Multidimensional Integrated Stabilization Mission in Central Africa, Bangui, Central African RepublicDNCC Dedicated COVID-19 Hospital, Dhaka, BangladeshDepartment of Post-Harvest Technology and Marketing, Patuakhali Science and Technology University, Patuakhali, BangladeshIntroduction Hospitals in Bangladesh grapple with inadequate waste disposal systems and a lack of effective waste management policies, posing substantial health and safety risks to patients and healthcare workers. This study aimed to assess the current state of hospital waste management practices, covering waste generation, segregation, collection, transportation, storage, treatment, and disposal in both tertiary private and government hospitals in Dhaka. Methods A cross-sectional survey was conducted, in both a government institution, Shaheed Suhrwardy Medical College & Hospital (ShSMCH), and a private tertiary hospital, Bangladesh Medical College and Hospital (BMCH), located in Dhaka, Bangladesh. A total of 217 participants were chosen via convenience sampling. The study utilized a semi-structured questionnaire comprising sections on sociodemographic information, general institutional characteristics, waste management practices, and the implementation of UN-WHO HCWM (United Nations-World Health Organizations Health Care Waste Management) Rapid Assessment Tools. Results Our findings revealed that the majority of participants (96.4% in ShSMCH and 100% in BMCH) reported practicing waste segregation based on the waste category, with 97.4% mentioning the shredding of plastic syringes after use in both hospitals. Additionally, 82% of respondents in ShSMCH and 51.3% in BMCH indicated the maintenance of hospital waste records at their workplace. Most respondents (87.1%) across both hospitals were vaccinated against tetanus and hepatitis B. Training on Hospital Waste Management (HWM) was reported by 69.8% in ShSMCH and 29.5% in BMCH. The study further assessed the level of practice in waste management, revealing that 58.3% of respondents in ShSMCH and 89.7% in BMCH demonstrated a good level of practice. Significant associations were observed between the level of practice and age group (p=0.002) and professional status (p<0.001). Conclusions The study recommends forming trained waste management teams and infection control committees, along with clear guidelines to improve waste management practices. Effective management requires adequate supplies and equipment in all departments. Budgeting for HCWM should be part of both short- and long-term operational plans to ensure compliance and sufficient resources.https://www.publichealthtoxicology.com/Assessment-of-hospital-waste-management-practices-nin-government-and-private-tertiary,177820,0,2.htmlhospital waste managementhealthcare workersbangladesh
spellingShingle Md Anayet Karim Mazumder
Mohammad Tazrian Abid
Ammatul Fardousi
Md Mahmudul Haque
Zulfiquer Ahmed Amin
Md Sayedur Rahman
AKM Shafiqur Rahman
Abu Sayeed
Assessment of hospital waste management practices in government and private tertiary hospitals in Dhaka, Bangladesh
Public Health and Toxicology
hospital waste management
healthcare workers
bangladesh
title Assessment of hospital waste management practices in government and private tertiary hospitals in Dhaka, Bangladesh
title_full Assessment of hospital waste management practices in government and private tertiary hospitals in Dhaka, Bangladesh
title_fullStr Assessment of hospital waste management practices in government and private tertiary hospitals in Dhaka, Bangladesh
title_full_unstemmed Assessment of hospital waste management practices in government and private tertiary hospitals in Dhaka, Bangladesh
title_short Assessment of hospital waste management practices in government and private tertiary hospitals in Dhaka, Bangladesh
title_sort assessment of hospital waste management practices in government and private tertiary hospitals in dhaka bangladesh
topic hospital waste management
healthcare workers
bangladesh
url https://www.publichealthtoxicology.com/Assessment-of-hospital-waste-management-practices-nin-government-and-private-tertiary,177820,0,2.html
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