Knowledge, attitude and practice of health care workers on solid medical waste management in two urban hospitals of Bangladesh: a mixed-method study

Abstract Background Proper management of solid medical waste is a crucial component of an efficient healthcare system. The objective of the present study was to assess the knowledge, attitude, and practices of medical waste management among the healthcare workers of two selected hospitals of Dhaka c...

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Main Authors: Md Tauhidul Islam, Md Abdur Rafi, Mohammad Jahid Hasan
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Journal of Health, Population and Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s41043-025-00748-y
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author Md Tauhidul Islam
Md Abdur Rafi
Mohammad Jahid Hasan
author_facet Md Tauhidul Islam
Md Abdur Rafi
Mohammad Jahid Hasan
author_sort Md Tauhidul Islam
collection DOAJ
description Abstract Background Proper management of solid medical waste is a crucial component of an efficient healthcare system. The objective of the present study was to assess the knowledge, attitude, and practices of medical waste management among the healthcare workers of two selected hospitals of Dhaka city of Bangladesh. Methods This cross-sectional, mixed-method study was conducted in two tertiary care hospitals of Dhaka, Bangladesh–icddr, b Dhaka hospital (Private) and Dhaka Shishu hospital (Public) during November, 2011. A number of 138 healthcare professionals (29 doctors, 80 nurses and 29 cleaners) participated in the study. The study had three parts of data collection: (i) survey with health care workers to determine their knowledge, attitudes, and practices about medical waste management; (ii) in-depth interviews with health officials of infection control committee; and (iii) observation using a facility checklist to determine the current practice of medical waste management. Results Overall, participants from IDH had better knowledge, and practice regarding solid medical waste management compared to DSH. Doctors of IDH demonstrated better knowledge regarding the responsible person for waste management and a better attitude regarding the statement that it was a teamwork (p-value < 0.05). Similarly, nurses and cleaners of IDH showed superior level of knowledge of waste handling as well as safer practices, including consistent use of personal protective equipment. Workers of DSH reported higher incidence of errors and sharp injuries also. From the observation, it was found that IDH authority was more likely to follow the waste management guideline. Poor knowledge and attitude were the major barriers for proper waste management in IDH while lack of funds, human resource and logistics were the major barriers in DSH. Conclusions Both hospitals, particularly DSH, demonstrated significant deficiencies in knowledge, attitude, and practice of proper solid medical waste management. Despite limitations, IDH, exhibited more efficient waste management procedures.
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spelling doaj-art-dbd2cd8a9e7f48c5be5a28d75c33447e2025-02-09T12:42:55ZengBMCJournal of Health, Population and Nutrition2072-13152025-02-014411810.1186/s41043-025-00748-yKnowledge, attitude and practice of health care workers on solid medical waste management in two urban hospitals of Bangladesh: a mixed-method studyMd Tauhidul Islam0Md Abdur Rafi1Mohammad Jahid Hasan2Tropical Disease and Health Research CenterTropical Disease and Health Research CenterTropical Disease and Health Research CenterAbstract Background Proper management of solid medical waste is a crucial component of an efficient healthcare system. The objective of the present study was to assess the knowledge, attitude, and practices of medical waste management among the healthcare workers of two selected hospitals of Dhaka city of Bangladesh. Methods This cross-sectional, mixed-method study was conducted in two tertiary care hospitals of Dhaka, Bangladesh–icddr, b Dhaka hospital (Private) and Dhaka Shishu hospital (Public) during November, 2011. A number of 138 healthcare professionals (29 doctors, 80 nurses and 29 cleaners) participated in the study. The study had three parts of data collection: (i) survey with health care workers to determine their knowledge, attitudes, and practices about medical waste management; (ii) in-depth interviews with health officials of infection control committee; and (iii) observation using a facility checklist to determine the current practice of medical waste management. Results Overall, participants from IDH had better knowledge, and practice regarding solid medical waste management compared to DSH. Doctors of IDH demonstrated better knowledge regarding the responsible person for waste management and a better attitude regarding the statement that it was a teamwork (p-value < 0.05). Similarly, nurses and cleaners of IDH showed superior level of knowledge of waste handling as well as safer practices, including consistent use of personal protective equipment. Workers of DSH reported higher incidence of errors and sharp injuries also. From the observation, it was found that IDH authority was more likely to follow the waste management guideline. Poor knowledge and attitude were the major barriers for proper waste management in IDH while lack of funds, human resource and logistics were the major barriers in DSH. Conclusions Both hospitals, particularly DSH, demonstrated significant deficiencies in knowledge, attitude, and practice of proper solid medical waste management. Despite limitations, IDH, exhibited more efficient waste management procedures.https://doi.org/10.1186/s41043-025-00748-yMedical wasteKnowledgeAttitudePracticeBangladesh
spellingShingle Md Tauhidul Islam
Md Abdur Rafi
Mohammad Jahid Hasan
Knowledge, attitude and practice of health care workers on solid medical waste management in two urban hospitals of Bangladesh: a mixed-method study
Journal of Health, Population and Nutrition
Medical waste
Knowledge
Attitude
Practice
Bangladesh
title Knowledge, attitude and practice of health care workers on solid medical waste management in two urban hospitals of Bangladesh: a mixed-method study
title_full Knowledge, attitude and practice of health care workers on solid medical waste management in two urban hospitals of Bangladesh: a mixed-method study
title_fullStr Knowledge, attitude and practice of health care workers on solid medical waste management in two urban hospitals of Bangladesh: a mixed-method study
title_full_unstemmed Knowledge, attitude and practice of health care workers on solid medical waste management in two urban hospitals of Bangladesh: a mixed-method study
title_short Knowledge, attitude and practice of health care workers on solid medical waste management in two urban hospitals of Bangladesh: a mixed-method study
title_sort knowledge attitude and practice of health care workers on solid medical waste management in two urban hospitals of bangladesh a mixed method study
topic Medical waste
Knowledge
Attitude
Practice
Bangladesh
url https://doi.org/10.1186/s41043-025-00748-y
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AT mohammadjahidhasan knowledgeattitudeandpracticeofhealthcareworkersonsolidmedicalwastemanagementintwourbanhospitalsofbangladeshamixedmethodstudy