Assessment of Health Care Waste Generation Rate and Evaluation of Health Care Waste Management in Debre Birhan Zonal Hospital, Amhara Region

Tesfahun, Esubalew (2007) Assessment of Health Care Waste Generation Rate and Evaluation of Health Care Waste Management in Debre Birhan Zonal Hospital, Amhara Region. Masters thesis, Addis Ababa University.

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Abstract

Background: - Hospitals provide patient care and prevent the public from health risk. On one hand they cure patients and on the other, have emerged as a source of diseases because of hazardous waste they produce. Until recent time, not enough attention has been paid for the management of hospital waste. The amount and type of waste generated from the hospital is not well established in Ethiopia .There for, assessment of waste generation rate and its management system provide important information for planning appropriate waste management system for Debre Birhan Zonal Hospital. Objective:- Assessment of health care waste generation rate and evaluate the management of solid health care waste in Debre Birhan Zonal Hospital. Method:- A cross sectional study was conducted from February 2007 to March 2007. The study included the determination of the quantity, type, and nature of health care waste generated. Waste was collected and measured by weight and volume daily from Monday to Sunday for seven consecutively days to estimate the amount of waste generated. Questionnaire and on site observation check list were employed to asses the status of current waste management system of the hospital. Data were collected using both waste collecting and measuring equipment and questionnaire. The Data was entered; compiled and analyzed using SPSS version 11.Descriptive statistics was used for analysis. The training, pre-test and daily meeting were used to improve data quality. Result:- The total waste generated was 41.358kg/day and 15095.67kg/year, and by type of waste was pathological0.076kg /bed/day, Infectious waste 0.114 kg /bed/day, pharmaceuticals 0.0076 kg/bed/day, Sharps 0.013kg /bed/day, general 0.19 kg/bed/day and Radiology waste 0.00353kg/bed/day. The proportion of health care waste generated in each section (department) by weight (kg) were gynecology 28.59%, medical 22.11%, surgical and pediatric 15.69%, OPD 9.24%, laboratory 3.22%, office 1.59%, kitchen 18.64%,and radiology 0.87%. The density of waste generated by the type of waste were pathological 754.07 kg/m3, infectious 182.27kg/m3, pharmaceuticals 475.46 kg/m3, Sharps 180.99 kg/m3, . 9 general 239.86kg/m3 and radiology 1000 kg/m3 . In the hospital there was no waste segregation practice by type of waste such as Infectious, pharmaceuticals, sharps, radiology and general waste. The wastes were disposed in open pit, Incinerators and Placentia pit. Conclusions and Recommendation: The mean health care waste generated was 0.405kg/bed/day, of which 0.190kg/bed/day was general waste and 0.214kg/bed/day was hazardous waste. When compare it with other studies health care waste generation rate was with in the range of sub-Saharan region. It was managed in way which creates health problems to health worker, waste handler and the public in addition contaminating the surrounding environment. Segregation of waste at point of source and pretreatment should be done before to dispose to the environment, Standard practices in health care waste management, training of health workers and waste handlers are advised to the hospital.

Item Type: Thesis (Masters)
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 29 Oct 2018 13:29
Last Modified: 29 Oct 2018 13:29
URI: http://thesisbank.jhia.ac.ke/id/eprint/7117

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