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Hospital waste management system - a case study of a south Indian city
1Health Studies Area, Administrative Staff College of India, Bella Vista, Khairatabad, Hyderabad, India. drphrao@asci.org.in
Abstract:
It is more than 5 years since the prescribed deadline, 30 December 2002, for all categories of towns covered by the Biomedical Waste Management (BMW) Rules 1998 elapsed. Various reports indicate that the implementation of the BMW Rules is not satisfactory even in the large towns and cities in India. Few studies have looked at the ;macro system' of the biomedical waste management in India. In this context the present study describes the role of the important stakeholders who comprise the 'macrosystem' namely the pollution control board, common waste management facilities, municipal corporation, state government (Directorate of Medical Education and Health Systems Development Project), professional agencies such as the India Medical Association and non-governmental organizations, in the implementation of BMW rules in a capital city of a state in south India. Brief descriptions of the ;micro-system' (i.e. biomedical waste management practices within a hospital) of six hospitals of different types in the study city are also presented.
Insights
Biomedical waste management in India faces challenges, with implementation of rules remaining unsatisfactory. This study examines key stakeholder roles in biomedical waste management (BMW) implementation within a South Indian capital city.
Area of Science:
- Environmental Science
- Public Health
- Healthcare Management
Background:
- The deadline for Biomedical Waste Management (BMW) Rules 1998 implementation has passed, yet compliance remains unsatisfactory in India.
- Limited research exists on the broader 'macrosystem' of biomedical waste management in India.
- Effective BMW is crucial for public health and environmental protection.
Purpose of the Study:
- To describe the roles of key stakeholders in implementing BMW rules in a South Indian capital city.
- To analyze the 'macrosystem' of BMW, including government bodies, private facilities, and NGOs.
- To briefly present the 'microsystem' of BMW practices within six diverse hospitals.
Main Methods:
- Qualitative analysis of stakeholder roles within the BMW 'macrosystem'.
- Case study approach examining a capital city in South India.
- Inclusion of descriptions of BMW practices in six different hospital types.
Main Results:
- Identified key stakeholders: pollution control board, common waste management facilities, municipal corporation, state government, professional associations (IMA), and NGOs.
- Highlighted the complex interplay of these stakeholders in BMW rule implementation.
- Provided insights into hospital-level (microsystem) BMW practices.
Conclusions:
- Successful implementation of BMW rules requires coordinated efforts from all identified stakeholders.
- Addressing challenges in the 'macrosystem' is essential for improving overall BMW in India.
- Further research into hospital-specific practices can inform targeted interventions.
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