Medical Waste Management Practices at Healthcare Facilities in Cape Coast Metropolis

Authors

  • Nana Kusi Agyekum Department of Health, Physical Education and Recreation, College of Education Studies, University of Cape Coast, Ghana https://orcid.org/0000-0003-0934-1410
  • Edward Wilson Ansah Department of Health, Physical Education and Recreation, College of Education Studies, University of Cape Coast, Ghana https://orcid.org/0000-0001-9450-7774

DOI:

https://doi.org/10.21467/ajss.10.1.63-74

Abstract

Objectives: This study examined the level of knowledge of health hazards associated with medical waste management, among healthcare workers and management staff of healthcare facilities in the Cape Coast Metropolis.

Methods: Three hundred and twenty (320) healthcare workers were surveyed from two public hospitals in the Metropolis and 7 management staff were purposefully selected and interviewed. The participants include nurses, orderlies, administrators, and environmental health officers. Frequency, percentages and linear regression analyses were performed on the data.

Results: The results showed that 95.9% (n = 307) of health professionals recorded good knowledge about management of medical waste in their facilities. However, arrangement for managing medical waste was inadequate at the facilities (Mean = 1.47, SD = 0.221, CV = 15.03%). The finding revealed that compliance with occupational health and safety guidelines was high (Mean=3.99, SD=0.39, CV=9.82%). Moreover, regression analysis indicated that training is a strong predictor of medical waste practices (0.357) even though educational level, working experiences, and age of the workers were also predictors (-0.356; -0.103; 0.010).

Conclusion: Level of knowledge of hospital workers on medical waste health hazards is high, but arrangements for managing such waste are inadequate or weak. Compliance to Ministry of Health’s occupational health and safety guidelines is high. Meanwhile, training of healthcare workers would increase their medical waste management practices. A well-structured training with appropriate storage facility and good supervision at the point of waste generation should be prioritized to assist workers to practice safer and proper waste segregation.

Keywords:

Medical waste management practices, Healthcare Facilities, Cape Coast Metropolis

Downloads

Download data is not yet available.

References

World Health Organization. (2018). Health care waste (Key facts). Retrieved from https://www.who.int/news-room/fact-sheets/detail/health-care-waste.

Bakeri, J. J. (2018). Management of hospital waste in the Tamale Teaching Hospital. Unpublished master’s thesis, Department of Public Health, University for Development Studies.

Amfo-Otu, R. (2018). Hospital solid waste management practices in Eastern Region of Ghana. Unpublished doctoral thesis, Institute for Development Studies, University of Cape Coast.

Ministry of Health. (2006). Health care waste management in Ghana: Policy and guidelines for health institutions. Accra: Author.

Patnaik, N., & Jena, B. (2021). Impact of improper biomedical waste disposal on human health and environment during covid-19 pandemic. European Journal of Molecular & Clinical Medicine, 8(3), 4137-4143.

Tekle, T., Abegaz, T., Wondimagne, A., & Abdo, Z. A. (2021). Safety practice and associated factors among waste handlers in Governmental Hospitals in Addis Ababa, Ethiopia. European Journal of Preventive Medicine, 9(4), 107-113.

Arivarasu, L. (2020). Segregation of medical waste and disposal management-A survey. European Journal of Molecular & Clinical Medicine, 7(1), 2197-2209.

Babanyara Y. Y, Ibrahim D. B, Garba T., Bogoro A. G., Abubakar, M. Y. (2013). Poor medical waste management (MWM) practices and its risks to human health and the environment: A literature review. Int. J. Environ. Health Sci. Eng., 7(11), 780-787.

Bamfo-Tanor, M., & Owusu-Agyei, S. (2013). Healthcare waste management in Ghana: The case of Accra and Tema. India: LAP LAMBERT Academic Publishing.

Imani Centre for Policy & Education. (2016). Biomedical waste management in Ghana: The need for urgent attention and legislation. Accra: Author.

Environmental Protection Agency. (2002). Guidelines for the management healthcare and veterinary waste in Ghana. Best Practice Environmental Guidelines Series No. 2. Accra: Ghana.

Ei, M. W., Yu, M. S., Kyi, L. O., Thet, M. T., Su, M. C., Tetsuyoshi, K., Eiko, Y., & Nobuyuli, H. (2019). Healthcare waste management at primary health centres in Mon State, Myanmar: The comparisons between hospital and non-hospital type primary health centres. Negoya J. Med. Sci., 81, 81-91.

World Health Organization. (2011). Waste from healthcare activities. Geneva: Author.

Chand, S., Shastry, C. S., Hiremath, S., Joel, J. J., Bhat, C. K., & Mateti, U. V. (2020). Water, sanitation, hygiene and biomedical waste disposal in the healthcare system: A review. Biomedicine, 40(1), 14-19.

Ghanaweb. (25th January, 2012). Medical waste scandal at 37 Military Hospital. Retrieved from https://www.ghanaweb.com/GhanaHomePage/NewsArchive/Medical-waste-scandal-at-37-Hospital-228488

Ohene-Adu, R.., Gyasi, S. F., Essumang, D. K., & Bentum, K. O. (2020). Medical waste-sorting and management practices in five hospitals in Ghana. Journal of Environmental and Public Health, 1-14. Doi.org/10.1155/2 020/2934296

Bakobie, N., Sulemana, A., & Duwiejuah, A. B. (2018). Assessment of hospital liquid waste management in public and private hospitals in Tamale Metropolis, Ghana. Journal of Waste Management and Disposal, 1(1), 1-7.

Wiafe, S., Nooni I. K., Appiah B. K., Nlasia M. S., & Fianko, S. K. (2016). Clinical liquid waste management in three healthcare facilities-A case study of Sunyani Municipality. B. J. Environ. Sci., 4, 11-34.

Abor, P. A. (2013). Managing healthcare waste in Ghana: A comparative study of public and private hospitals. International Journal of Health Care Quality Assurance, 26(4), 375-86.

Nesreen, F. M., Sobhy, A. S., Abeer, E. M., Rasha, M. F., Mostafa, A. F. A., & Lamiaa, E. F. (2020). Situational analysis of the biomedical waste management in primary health care units of Ismailia District, Egypt. International Journal of Advanced Community Medicine, 3(1), 100-104.

Ghana Health Service. (2016). 2016 annual report. Accra: Author.

Cape Coast Metropolitan Assembly (CCMA). (2014). Cape Coast Metropolitan’s information. Retrieved from http://capecoast.ghanadistricts.gov.gh on 22/06/20.

Farooq, U. (2013). What is census method of data collection, advantages and disadvantages? Retrieved on February, 2020 from http://www.studylecturenotes.com/social-research-methodology/what-is-census-method-of-data-collection-advantages-disadvantages.

World Health Organization. (2014). Safe management of wastes from healthcare activities (2nd ed.). Switzerland: WHO Press.

Deress, T., Jemal, M., Girma, M., & Adane, K. (2019). Knowledge, attitude, and practice of waste handlers about medical waste management in Debre Markos town healthcare facilities, northwest Ethiopia. BMC Research Notes, 12(1), 1-7.

Alharbi, N. S., Alhaji, J. H., & Qattan, M. Y. (2021). Toward sustainable environmental management of healthcare waste: A holistic perspective. Sustainability, 13(9), 5280.

Zeeshan, M. F., Al Ibad, A., Aziz, A., Subhani, A., Shah, A., Khan, T... & Qazi, U. (2018). Practice and enforcement of national hospital waste management 2005 rules in Pakistan. Eastern Mediterranean Health Journal, 24(5), 443-450.

Ishijima, H., Miyamoto, N., Masaule, F., & John, R. (2021). Improvements to healthcare waste management at regional referral hospitals in Tanzania using the KAIZEN approach. The TQM Journal. Doi.org/10.1108/TQM-10-2020-0254.

Singh, S., Dhillon, B. S., Nityanand, Shrivastava, A. K., Kumar, B., & Bhattacharya, S. (2020). Effectiveness of a training program about bio-medical waste management on the knowledge and practices of health-care professionals at a tertiary care teaching institute of North India. Journal of Education and Health Promotion, 9, 127. Doi.org/10.4103/jehp.jehp_704_19

Gilbert, O. O., Magu, D., & Sagwe, D. N. (2020). Risks associated with compliance in medical waste practices among health workers at Kenyatta National Hospital. Journal of Health, Medicine and Nursing, 5(1), 1-9.

Morovati, P., Gholami-Borujeni, F., & Mousavi, S. F. (2020). Health-care waste management in Abadan, Iran in 2018-current status and future suggestions. Caspian Journal of Health Research, 5(3), 61-65.

Dash, K., Das, M., & Satapathy, N. K. (2020). Assessment of knowledge, attitude, and practices about biomedical waste management among nursing professionals in a tertiary care hospital, Bhubaneswar. European Journal of Molecular & Clinical Medicine, 8(3), 1127-1142.

Wafula, S. T., Musiime, J., & Oporia, F. (2019). Health care waste management among health workers and associated factors in primary health care facilities in Kampala City, Uganda: A cross-sectional study. BMC Public Health, 19(1), 1-10.

Masud, M. H., Akram, W., Ahmed, A., Ananno, A. A., Mourshed, M., Hasan, M., & Joardder, M. U. H. (2019). Towards the effective E-waste management in Bangladesh: A review. Environmental Science and Pollution Research, 26(2), 1250-1276.

Kumar, R., Somrongthong, R., Ahmed, J., & Almarabheh, A. J. (2018). Correlates of knowledge, attitude and practices about health care waste management among hospital workers of Pakistan. Journal of Liaquat University of Medical & Health Sciences, 17(01), 01-07.

Masimula, S. S., & Senekane, M. F. (2020). Health care risk waste management by private health care providers in Durban townships. Journal for New Generation Sciences, 18(2), 43-55.

Hagert, B., & Krummel, N. (2020). PPE compliance and knowledge among healthcare staff. Unpublished doctoral dissertation, Winona State University, USA.

Letho, Z., Yangdon, T., Lhamo, C., Limbu, C. B., Yoezer, S., Jamtsho, T., ... & Tshering, D. (2021). Awareness and practice of medical waste management among healthcare providers in National Referral Hospital. PloS One, 16(1), 1-10.

AL Arbash, H. A., Mahmood, S. E., & Sayyad, Y. (2021). Knowledge, attitude and practices of healthcare workers regarding bio-medical waste of Covid-19 in Aseer Region, KSA. International Journal of Pharmaceutical Research, 13(2), 1875-1883.

Maurya, M. K., Maurya, R. P., Kushwaha, R., Kumar, M., & Kumari, R. (2017). Knowledge, awareness and practices regarding sharp injuries among health care workers of pathology lab in a tertiary care hospital. J. Diagn. Pathol. Oncol., 2(2), 20-5.

Win, E. M., Saw, Y. M., Oo, K. L., Than, T. M., Cho, S. M., Kariya, T... & Hamajima, N. (2019). Healthcare waste management at primary health centres in Mon State, Myanmar: The comparisons between hospital and non-hospital type primary health centres. Nagoya Journal of Medical Science, 81(1), 81.

Hasan, M. M., & Rahman, M. H. (2018). Assessment of healthcare waste management paradigms and its suitable treatment alternative: A case study. Journal of Environmental and Public Health, 1-14. Doi.org/10.1155/2018/6879751

Kagonji, I. S., & Manyele, S. V. (2016). Analysis of health workers’ perceptions on medical waste management in Tanzanian hospitals. Engineering, 8(07), 445.

Okot, R., & Okori, M. P. L. (2018). Assessment of medical radioactive waste management in hospitals. Unpublished doctoral dissertation, Chemistry Department, Kyambogo University, Uganda.

Maina, J. W. (2018). Knowledge, attitude and practice of staff on segregation of hospital waste: A case study of a tertiary private hospital in Kenya. Eur. Sci. J., 14, 401-7.

Adogu, P., Ubajaka, C., & Nebuwa, J. (2014). Knowledge and practice of medical waste management among health workers in a Nigerian general hospital. Asian J. Sci. Technol., 5(12), 833-838.

Soyam, G. C., Hiwarkar, P. A., Kawalkar, U. G., Soyam, V. C., & Gupta, V. K. (2017). KAP study of bio-medical waste management among health care workers in Delhi. Int. J. Community Med. Public Health, 4, 3332-3337.

Hosny, G., Samir, S., & El-Sharkawy, R. (2018). An intervention significantly improves medical waste handling and management: A consequence of raising knowledge and practical skills of health care workers. International Journal of Health Sciences, 12(4), 56.

Downloads

Published

2022-04-18

Issue

Section

Survey Article

How to Cite

Agyekum, N. K., & Wilson Ansah, E. (2022). Medical Waste Management Practices at Healthcare Facilities in Cape Coast Metropolis. Advanced Journal of Social Science, 10(1), 63–74. https://doi.org/10.21467/ajss.10.1.63-74