Assessing Healthcare Waste Management Scenario in Sylhet City: A Comparative Study of Government and Non-government Establishments

Tahmida Naher Chowdhury, Md. Abdur Rashid Sarker, A. G. Polash, Tabassum Redwana, T. Z. Arifa
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Abstract

Abstract Healthcare waste contains hazardous contaminants which may be responsible for dreadful diseases. Due to inadequate waste management practices, healthcare waste presents a high risk for the physician, nurses, technicians, sweepers, patients, and visitors. It poses serious threats to human health and our surrounding environment. For health safety, it requires specific treatment and better management from the source of generation to the final disposal. For this reason, this study was carried out to assess the present management system of hospital waste from the point of generation to the final disposal in different healthcare establishments (HCEs) of the Sylhet City Corporation (SCC) area. In addition, it was aimed to compare the rate of waste produced in different private and public HCEs. Regarding this, the study included empirical field observation and field level primary data collection by using a questionnaire survey, and formal and informal interviews. It was found that all the HCEs do not follow the environmental safety rules. There is a lack of a dedicated waste management system at all levels of the HCEs. Also, statistical analysis showed the comparison of hazardous and non-hazardous waste production in different HCEs. It was observed that private HCEs are comparatively well in the management system than in government HCEs. Finally, a better management technique was suggested for developing a hospital waste management system in all HCEs in Sylhet City Corporation.
评估锡尔赫特市医疗废物管理情景:政府和非政府机构的比较研究
医疗废物含有可能导致可怕疾病的危险污染物。由于不充分的废物管理实践,医疗保健废物对医生、护士、技术人员、清洁工、病人和访客构成了高风险。它对人类健康和周围环境构成严重威胁。为了健康安全,它需要从产生源头到最终处置的具体处理和更好的管理。为此,本研究旨在评估锡尔赫特市公司(SCC)地区不同医疗机构(HCEs)从产生到最终处置的医院废物管理系统。此外,它的目的是比较不同的私人和公共卫生中心产生废物的比率。为此,本研究采用问卷调查、正式访谈和非正式访谈相结合的方法,进行了实地实证观察和实地一级数据收集。调查发现,所有的hce都不符合环境安全规定。各级卫生保健中心都缺乏专门的废物管理系统。此外,统计分析显示了不同hce的危险废物和非危险废物产生量的比较。据观察,私营高等教育机构的管理制度较政府高等教育机构完善。最后,对锡尔赫特市公司所有医疗中心的医院废物管理系统提出了更好的管理技术建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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