Girum Gebremeskel Kanno, B. N. Gondol, Tizalegn Tesfaye Mamo, Abriham Shiferaw Areba1, Zemachu Ashuro Lagiso, Awash Alembo Tsebe, Miheret Tesfu Legesse, Daniel Abera Dansa, M. Admasu, Dagmawit Tesfaye, G. Sisay, Negassa Eshete, Mekonnen Birhanie Aregu
{"title":"迪拉大学转诊医院医疗废物的产生、组成和管理实践:一项横断面研究","authors":"Girum Gebremeskel Kanno, B. N. Gondol, Tizalegn Tesfaye Mamo, Abriham Shiferaw Areba1, Zemachu Ashuro Lagiso, Awash Alembo Tsebe, Miheret Tesfu Legesse, Daniel Abera Dansa, M. Admasu, Dagmawit Tesfaye, G. Sisay, Negassa Eshete, Mekonnen Birhanie Aregu","doi":"10.1080/27658511.2021.1988383","DOIUrl":null,"url":null,"abstract":"ABSTRACT Improper collection, segregation, transportation, treatment, and disposal of healthcare waste pose risk to public health and the environment. This study aimed to determine healthcare waste generation rate, composition, and management practice in Dilla University Referral Hospital. Methods Institutional-based cross-sectional study was conducted in Dilla University Referral Hospital from May 2019 to June 2019. The quantitative data were collected for eight consecutive days using direct measurement of healthcare waste. The qualitative data were collected by using an observational checklist, and in-depth interview. The collected qualitative data were transcribed, and thematic content analysis was done. A total of 1212.5 kg of healthcare waste was generated in the study period with an average of 151.56 kg (±73.4). The hazardous fraction of the healthcare waste was 581.9 kg (48%) while the generation rate was 0.866 kg bed−1day−1. General waste accounted for 630.6 kg (52%) of the total healthcare waste generated in the teaching hospital, followed by infectious waste at 299.5 kg (24.7%). There was no segregation of healthcare waste by type at the point of generation and there was no pre-treatment of infectious wastes. The placenta pit was used for pathological wastes and open burning was the main disposal mechanism for the remaining wastes. The finding indicated that the proportion of the hazardous waste generated from the hospital was above the World Health Organization recommended threshold. There was a lack of appropriate waste segregation, storage, transport, and disposal practices in the referral hospital. Abbreviations: DURH- Dilla University Referral HospitalHCW- Health Care WasteICU- Intensive Care UnitNICU- Neonatal Intensive Care UnitOR- Operation RoomOPD- Out Patient DepartmentSD- Standard DeviationSDG- Sustainable Development GoalsSNNPRS- Southern Nation Nationality and People Regional StateWHO-World Health Organization","PeriodicalId":29858,"journal":{"name":"Sustainable Environment","volume":"5 1","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Healthcare waste generation, composition and management practice in Dilla university referral hospital: a cross-sectional study\",\"authors\":\"Girum Gebremeskel Kanno, B. N. Gondol, Tizalegn Tesfaye Mamo, Abriham Shiferaw Areba1, Zemachu Ashuro Lagiso, Awash Alembo Tsebe, Miheret Tesfu Legesse, Daniel Abera Dansa, M. Admasu, Dagmawit Tesfaye, G. Sisay, Negassa Eshete, Mekonnen Birhanie Aregu\",\"doi\":\"10.1080/27658511.2021.1988383\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ABSTRACT Improper collection, segregation, transportation, treatment, and disposal of healthcare waste pose risk to public health and the environment. This study aimed to determine healthcare waste generation rate, composition, and management practice in Dilla University Referral Hospital. Methods Institutional-based cross-sectional study was conducted in Dilla University Referral Hospital from May 2019 to June 2019. The quantitative data were collected for eight consecutive days using direct measurement of healthcare waste. The qualitative data were collected by using an observational checklist, and in-depth interview. The collected qualitative data were transcribed, and thematic content analysis was done. A total of 1212.5 kg of healthcare waste was generated in the study period with an average of 151.56 kg (±73.4). The hazardous fraction of the healthcare waste was 581.9 kg (48%) while the generation rate was 0.866 kg bed−1day−1. General waste accounted for 630.6 kg (52%) of the total healthcare waste generated in the teaching hospital, followed by infectious waste at 299.5 kg (24.7%). There was no segregation of healthcare waste by type at the point of generation and there was no pre-treatment of infectious wastes. The placenta pit was used for pathological wastes and open burning was the main disposal mechanism for the remaining wastes. The finding indicated that the proportion of the hazardous waste generated from the hospital was above the World Health Organization recommended threshold. There was a lack of appropriate waste segregation, storage, transport, and disposal practices in the referral hospital. Abbreviations: DURH- Dilla University Referral HospitalHCW- Health Care WasteICU- Intensive Care UnitNICU- Neonatal Intensive Care UnitOR- Operation RoomOPD- Out Patient DepartmentSD- Standard DeviationSDG- Sustainable Development GoalsSNNPRS- Southern Nation Nationality and People Regional StateWHO-World Health Organization\",\"PeriodicalId\":29858,\"journal\":{\"name\":\"Sustainable Environment\",\"volume\":\"5 1\",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2021-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sustainable Environment\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/27658511.2021.1988383\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENVIRONMENTAL SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sustainable Environment","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/27658511.2021.1988383","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
Healthcare waste generation, composition and management practice in Dilla university referral hospital: a cross-sectional study
ABSTRACT Improper collection, segregation, transportation, treatment, and disposal of healthcare waste pose risk to public health and the environment. This study aimed to determine healthcare waste generation rate, composition, and management practice in Dilla University Referral Hospital. Methods Institutional-based cross-sectional study was conducted in Dilla University Referral Hospital from May 2019 to June 2019. The quantitative data were collected for eight consecutive days using direct measurement of healthcare waste. The qualitative data were collected by using an observational checklist, and in-depth interview. The collected qualitative data were transcribed, and thematic content analysis was done. A total of 1212.5 kg of healthcare waste was generated in the study period with an average of 151.56 kg (±73.4). The hazardous fraction of the healthcare waste was 581.9 kg (48%) while the generation rate was 0.866 kg bed−1day−1. General waste accounted for 630.6 kg (52%) of the total healthcare waste generated in the teaching hospital, followed by infectious waste at 299.5 kg (24.7%). There was no segregation of healthcare waste by type at the point of generation and there was no pre-treatment of infectious wastes. The placenta pit was used for pathological wastes and open burning was the main disposal mechanism for the remaining wastes. The finding indicated that the proportion of the hazardous waste generated from the hospital was above the World Health Organization recommended threshold. There was a lack of appropriate waste segregation, storage, transport, and disposal practices in the referral hospital. Abbreviations: DURH- Dilla University Referral HospitalHCW- Health Care WasteICU- Intensive Care UnitNICU- Neonatal Intensive Care UnitOR- Operation RoomOPD- Out Patient DepartmentSD- Standard DeviationSDG- Sustainable Development GoalsSNNPRS- Southern Nation Nationality and People Regional StateWHO-World Health Organization
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