Assessment of Healthcare Solid Waste Composition, Generation and its Management: the case of Two Hospitals of Shashemene Town, Oromia Regional State, Ethiopia

Hazardous wastes from Hospitals could pose a threat to the health of healthcare workers, the general public, and the environment unless managed properly. The study aimed to appraise the healthcare waste (HCW) composition, generation rate and the prevailing management practices in two Hospitals (a P...

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Main Authors: Gudeta Elie, Daniel Fitamo, Semere Gebreaegawi
Format: Article
Language:English
Published: Hawassa University 2023-12-01
Series:East African Journal of Biophysical and Computational Sciences
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Online Access:https://www.Ajol.Info/index.php/eajbcs/article/view/261117
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author Gudeta Elie
Daniel Fitamo
Semere Gebreaegawi
author_facet Gudeta Elie
Daniel Fitamo
Semere Gebreaegawi
author_sort Gudeta Elie
collection DOAJ
description Hazardous wastes from Hospitals could pose a threat to the health of healthcare workers, the general public, and the environment unless managed properly. The study aimed to appraise the healthcare waste (HCW) composition, generation rate and the prevailing management practices in two Hospitals (a Private and a Government-owned) of Shashemene Town, Ethiopia. A cross-sectional study involving Direct Observation, Key Informant Interview, Questionnaire survey and Weighting Scale was conducted to evaluate the current HCW management practices and to quantify the HCW generation rate. Data was analyzed using SPSS version 20. The mean generation rates of HCW were 45.2 ± 5.8kg day–1 (0.20kgbed‒1day‒1) and 20 ± 2.4 kg day–1 (0.19kg bed‒1day‒1) from Government Hospital(GH) and Private Hospital (PH), respectively. Of the total solid waste generated, over half(GH: 53.3%; PH: 57.1%) constituted general waste (GW), and the remaining (GH: 46.7%; PH: 42.9%) comprised hazardous waste (HW), which exceeded the WHO threshold(10‒25%) intimates the lack of poor waste segregation. There were significant variations between the hospital wards regarding GW (GH: χ2 = 31; P < 0.001; PH:χ2 = 13; P <0.01), HW (GH: χ2 = 25; P < 0.001; PH: χ2 = 10; P < 0.01), and total HCW (GH: χ2 = 46; P < 0.01; PH: χ2 = 22; P < 0.01). Besides, significant differences were observed between the mean total HCW (χ2 = 9.016; P < 0.01), GW (χ2 = 9.8; P < 0.01), and the HW (χ2 =5.011, P < 0.05) of the hospitals. Segregation of wastes and pre-treatment of infectious wastes were not properly practiced, and single-chamber incinerators was the most utilized treatment method indicating poor management of the HCW. The study establishes that the little attention is given to medical waste management which primarily proceeds from a lack of due implementation of the national healthcare wastes management guideline/directive at the healthcare facility level. If the poor healthcare solid waste management is not properly addressed at the study hospitals, human (healthcare workers, waste handlers, patients, and nearby community) and environmental health risk will be within the bounds of possibility.
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spelling doaj-art-92b317e923974e6b94b47e80d6163ff32025-02-08T19:51:01ZengHawassa UniversityEast African Journal of Biophysical and Computational Sciences2789-360X2789-36182023-12-0142Assessment of Healthcare Solid Waste Composition, Generation and its Management: the case of Two Hospitals of Shashemene Town, Oromia Regional State, EthiopiaGudeta Elie0Daniel Fitamo1Semere Gebreaegawi2Department of Biology, Hawassa University, EthiopiaDepartment of Biology, Hawassa University, EthiopiaDepartment of Biology, Hawassa University, Ethiopia Hazardous wastes from Hospitals could pose a threat to the health of healthcare workers, the general public, and the environment unless managed properly. The study aimed to appraise the healthcare waste (HCW) composition, generation rate and the prevailing management practices in two Hospitals (a Private and a Government-owned) of Shashemene Town, Ethiopia. A cross-sectional study involving Direct Observation, Key Informant Interview, Questionnaire survey and Weighting Scale was conducted to evaluate the current HCW management practices and to quantify the HCW generation rate. Data was analyzed using SPSS version 20. The mean generation rates of HCW were 45.2 ± 5.8kg day–1 (0.20kgbed‒1day‒1) and 20 ± 2.4 kg day–1 (0.19kg bed‒1day‒1) from Government Hospital(GH) and Private Hospital (PH), respectively. Of the total solid waste generated, over half(GH: 53.3%; PH: 57.1%) constituted general waste (GW), and the remaining (GH: 46.7%; PH: 42.9%) comprised hazardous waste (HW), which exceeded the WHO threshold(10‒25%) intimates the lack of poor waste segregation. There were significant variations between the hospital wards regarding GW (GH: χ2 = 31; P < 0.001; PH:χ2 = 13; P <0.01), HW (GH: χ2 = 25; P < 0.001; PH: χ2 = 10; P < 0.01), and total HCW (GH: χ2 = 46; P < 0.01; PH: χ2 = 22; P < 0.01). Besides, significant differences were observed between the mean total HCW (χ2 = 9.016; P < 0.01), GW (χ2 = 9.8; P < 0.01), and the HW (χ2 =5.011, P < 0.05) of the hospitals. Segregation of wastes and pre-treatment of infectious wastes were not properly practiced, and single-chamber incinerators was the most utilized treatment method indicating poor management of the HCW. The study establishes that the little attention is given to medical waste management which primarily proceeds from a lack of due implementation of the national healthcare wastes management guideline/directive at the healthcare facility level. If the poor healthcare solid waste management is not properly addressed at the study hospitals, human (healthcare workers, waste handlers, patients, and nearby community) and environmental health risk will be within the bounds of possibility. https://www.Ajol.Info/index.php/eajbcs/article/view/261117Healthcare waste; General Waste; Hazardous Waste; HCW Management; Solid Waste Generation
spellingShingle Gudeta Elie
Daniel Fitamo
Semere Gebreaegawi
Assessment of Healthcare Solid Waste Composition, Generation and its Management: the case of Two Hospitals of Shashemene Town, Oromia Regional State, Ethiopia
East African Journal of Biophysical and Computational Sciences
Healthcare waste; General Waste; Hazardous Waste; HCW Management; Solid Waste Generation
title Assessment of Healthcare Solid Waste Composition, Generation and its Management: the case of Two Hospitals of Shashemene Town, Oromia Regional State, Ethiopia
title_full Assessment of Healthcare Solid Waste Composition, Generation and its Management: the case of Two Hospitals of Shashemene Town, Oromia Regional State, Ethiopia
title_fullStr Assessment of Healthcare Solid Waste Composition, Generation and its Management: the case of Two Hospitals of Shashemene Town, Oromia Regional State, Ethiopia
title_full_unstemmed Assessment of Healthcare Solid Waste Composition, Generation and its Management: the case of Two Hospitals of Shashemene Town, Oromia Regional State, Ethiopia
title_short Assessment of Healthcare Solid Waste Composition, Generation and its Management: the case of Two Hospitals of Shashemene Town, Oromia Regional State, Ethiopia
title_sort assessment of healthcare solid waste composition generation and its management the case of two hospitals of shashemene town oromia regional state ethiopia
topic Healthcare waste; General Waste; Hazardous Waste; HCW Management; Solid Waste Generation
url https://www.Ajol.Info/index.php/eajbcs/article/view/261117
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