Area of Science:

• Healthcare Management
• Environmental Health
• Organizational Studies

Background:

• African public hospitals face significant organizational challenges, especially in waste management.
• A new tertiary hospital in Niamey presents an opportunity to study innovative waste management systems.

Purpose of the Study:

• To document agent perceptions, practices, and standard development for waste management in a new Niamey hospital.
• To investigate the implementation of innovative waste management materials and protocol evolution.
• To analyze the socio-spatial dynamics influencing waste management adaptation.

Main Methods:

• Qualitative investigation using a socio-spatial approach.
• Documentation of agent representations and practices.
• Analysis of protocol and habit construction.

Main Results:

• A hospital waste management culture is developing through planned activities and professional emergence.
• Differentiated agent statuses and perceptions create instability across waste management sectors.
• Effective hospital waste management is contingent upon successful city-level waste collection.

Conclusions:

• Investing in planning, professional enhancement, and agent recognition is crucial for the Niamey referral hospital's success.
• The hospital's goal of being an exemplary facility requires robust waste management infrastructure.
• Addressing agent status and city-wide collection is key to sustainable hospital waste management.