Biomedical waste disposal systems of health facilities in Ethiopia

نویسندگان

  • Amenu, Kassahun Health System Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
  • Bekele, Abebe Health System Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
  • Defar, Atkure Health System Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
  • Derso, Sisay Environmental Health Research Team, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
  • Gelibo, Terefe Health System Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
  • Getachew, Theodros Health System Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
  • Taye, Girum Health System Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
  • Teklie, Habtamu Health System Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
چکیده مقاله:

Background: Biomedical waste generated from health and health-related activities can be grouped as general waste and hazardous waste. This remains true if and only if there is proper on-site handling, such as the segregation and separation of waste based on the type and nature of the source. Methods: A stratified random sampling design was used to provide representative results for Ethiopia, for various types of facility and management authorities, and for each of the 11 regions. Totally, 1327 health facilities were assessed using the World Health Organization (WHO) inventory tools. Results: Nationally, medical waste in 32.6% of the studied health facilities was stored in covered containers, and in about 27% of them it was stored in another protected environment. About 40% of health facilities stored their medical waste in unprotected areas. Twenty-eight (2.6%) and 420 (39.3%) health facilities used 2-chamber industrial incinerators and 1-chamber drum incinerators, respectively. About 58% of health facilities used unsafe waste treatment methods. The proportion of using safe medical waste disposal method was high in referral hospitals (87.9%). This shows the utilization of safe medical waste disposal methods is in decreasing order from higher to lower levels of organization in health facilities. Conclusion: The present study showed a preliminary finding on the waste disposal systems of health facilities at the national level. Dumping biomedical waste outside the health facility is common, and access to common waste facilities is limited. Therefore, a holistic approach to safe medical waste management practices, including the collection process (handling, sorting, and segregation), storage, treatment and final disposal is crucial in all types of health facilities, regardless of the level of organization, ownership, or geographic distribution.

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عنوان ژورنال

دوره 5  شماره None

صفحات  29- 37

تاریخ انتشار 2018-01

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