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Volume 4 - 2019, Issue 9 - September最新文献

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Assessment of Waste Management Practice in Health Institution: A Case Study of University College Hospital Ibadan, Nigeria 卫生机构废物管理实践评估:以尼日利亚伊巴丹大学学院医院为例
Pub Date : 2019-10-03 DOI: 10.38124/ijisrt19sep1393
Odunola Olutayo Olaitan, Morenikeji Timothy Oluseye, Odunsi Oluwafemi Michael
Efficient management of medical waste is a necessity because of great risk improper/poor waste management posed to the populace. This study assessed medical waste management practice in University College Hospital Ibadan, Nigeria. Those that improper waste management can affect are identified as the sample frame, and they are health workers, waste handlers, out-patients and residents. Sample size of 5% of the 3000 staff strength of the study area was adopted which amounted to one hundred and fifty (150) respondents. A multistage sampling technique was adopted in the sample selection and the administration of the questionnaires until all copies of questionnaire assigned for each category of respondents were administered. Nine indices were developed, these were: Waste Collection Index (WCI), Waste Storing Index (WSI), Waste Treatment Index (WTI), Facility Condition Index (FCI), Medical Waste Index (MWI), Storage Factor Index (SFI), Waste Effect Index (WEI), Waste Preventive Index (WPI) and Health Workers Satisfactory Index (HSI).The study observed that punctured proof container has WCI of 4.49; lidded container has the highest WSI of 4.56, while compositing and landfill has the highest WTI of 3.67. Gloves and head cap have the highest and lowest FCI with 4.40 and 1.00 respectively. Infectious waste is the major generated waste in the study with MWI of 4.46 and offensive odour with highest WEI of 3.77 while good accessibility has the highest SFI of 4.53. A major preventive measure as perceived the respondents is enforcement of regulation with WPI of 4.16 while workers’ welfare has the highest HSI of 3.57.For proper medical waste management practice, therefore, there should be an incentive package for health workers and adequate fund should be provided to carry out this proper management from on-site to off-site disposal. Time-to-time training for waste handlers in order to keep them abreast of the recent risk involved or update about medical waste and waste management policy should be re-assessed and reviewed where necessary so as to keep it up-to date.
有效管理医疗废物是必要的,因为废物管理不当/不良给民众带来了巨大的风险。本研究评估了尼日利亚伊巴丹大学学院医院的医疗废物管理实践。不适当的废物管理可能影响的人被确定为样本框架,他们是卫生工作者、废物处理者、门诊病人和居民。采用了研究区域3000名工作人员中5%的样本量,即150名受访者。在样本选择和问卷管理中采用了多阶段抽样技术,直到每个类别的受访者分配的问卷都被管理。制定了9个指标,分别是:废物收集指数(WCI)、废物储存指数(WSI)、废物处理指数(WTI)、设施条件指数(FCI)、医疗废物指数(MWI)、储存因素指数(SFI)、废物效果指数(WEI)、废物预防指数(WPI)和卫生工作者满意度指数(HSI)。研究发现,防穿孔容器的WCI为4.49;有盖容器的WTI最高,为4.56,而堆肥和垃圾填埋场的WTI最高,为3.67。手套和帽子的FCI最高和最低,分别为4.40和1.00。本研究产生的主要垃圾为感染性垃圾,其MWI为4.46,恶臭垃圾的SFI最高,为3.77,而良好的可及性垃圾的SFI最高,为4.53。受访者认为主要的预防措施是执行监管,WPI为4.16,而工人福利的HSI最高,为3.57。因此,对于适当的医疗废物管理做法,应该对卫生工作者提供一揽子激励措施,并应提供足够的资金,以开展从现场到场外处置的适当管理。应在必要时重新评估和审查对废物处理者的定期培训,以便使他们了解最近所涉及的风险或医疗废物和废物管理政策的最新情况,以使其保持最新状态。
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Volume 4 - 2019, Issue 9 - September
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