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Published on: April 6, 2019
Medical waste management practices in a Southern African hospital
Patience Aseweh Abor1, Anton Bouwer
1Department of Environmental and Occupational Health, Faculty of Applied Sciences, Cape Peninsula University of Technology, Cape Town, South Africa. patienceaseweh@yahoo.com
Purpose:
The purpose of this paper is to examine the medical waste management practices of a hospital in Southern Africa.
Design/Methodology/Approach:
A case study methodology was utilised.
Findings:
The results revealed that the hospital does not quantify medical waste. Segregation of medical waste into infectious waste and non-infectious waste is not conducted according to definite rules and standards. Separation of medical waste and municipal waste is however practiced to a satisfactory extent. Wheeled trolleys are used for on-site transportation of waste. Off-site transportation of waste is outsourced to a private firm. Incineration is used in the final disposal of infectious waste. Non-infectious waste is disposed using land disposal method. There is no policy and plan in place for managing medical waste. A number of problems were identified with respect to medical waste management.
Originality/Value:
The paper gives recommendations with the aim of improving medical waste management in hospitals.
Insights
This study found significant gaps in a Southern African hospital's medical waste management, including lack of quantification and proper segregation. Recommendations are provided to improve these critical healthcare waste practices.
Area of Science:
- Environmental Health
- Hospital Management
- Public Health
Background:
- Effective medical waste management is crucial for preventing healthcare-associated infections and environmental contamination.
- Suboptimal practices in low-resource settings pose significant public health risks.
Purpose of the Study:
- To evaluate the current medical waste management (MWM) practices in a Southern African hospital.
- To identify deficiencies and challenges in the existing MWM system.
Main Methods:
- A case study methodology was employed to conduct an in-depth examination of the hospital's MWM processes.
- Data collection likely involved observation and potentially interviews regarding waste handling procedures.
Main Results:
- The hospital does not quantify medical waste, and segregation of infectious from non-infectious waste is inadequate.
- While separation from municipal waste is satisfactory, on-site transport uses trolleys and off-site transport is outsourced.
- Infectious waste is incinerated, and non-infectious waste is landfilled; however, no formal MWM policy or plan exists.
Conclusions:
- The hospital's medical waste management system exhibits several critical shortcomings.
- There is an urgent need for policy development, improved segregation, and standardized procedures to enhance MWM practices and patient safety.
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