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2025 | 10 | 1 | 25-41

Article title

Challenges and Insights into Biomedical Waste Management in a Tertiary Care Hospital: A KAP Study

Content

Title variants

PL
Wyzwania i spostrzeżenia dotyczące gospodarki odpadami medycznymi w szpitalu trzeciego stopnia: Badanie KAP

Languages of publication

Abstracts

PL
Wprowadzenie. Z powodu ograniczonej wiedzy i niewłaściwych praktyk, nieprawidłowe zarządzanie odpadami medycznymi (BMW) pozostaje palącym problemem w krajach rozwijających się. Niniejsze badanie ocenia wiedzę, postawy i praktyki (KAP) dotyczące zarządzania odpadami medycznymi wśród personelu medycznego w szpitalu opieki trzeciorzędowej. 
Cel. Celem badania jest ocena wiedzy, postaw i praktyk personelu medycznego w zakresie zarządzania odpadami medycznymi oraz zidentyfikowanie luk w implementacji protokołów zarządzania odpadami medycznymi. 
Materiał i metody. Przebadano 296 uczestników, w tym lekarzy, pielęgniarki, techników laboratoryjnych i pracowników wielozadaniowych, przy użyciu półstrukturyzowanego, wstępnie przetestowanego kwestionariusza.
Wyniki. Wyniki wykazały, że 70% pracowników sanitarnych, 58,8% pielęgniarek i 42,9% asystentów laboratoryjnych wykazało się doskonałą wiedzą (wyniki >10). Z kolei lekarze wykazali się średnim poziomem wiedzy (wyniki między 5-10). Chociaż personel medyczny wykazywał ogólnie pozytywne nastawienie do zarządzania odpadami medycznymi, pojawiły się rozbieżności dotyczące koncepcji „bezpiecznego zarządzania jako pracy zespołowej”. Zgodnie z wymogami regionalnych przepisów, szpital nie posiadał niezbędnych urządzeń do zarządzania odpadami medycznymi, takich jak autoklawowanie, mikrofalowanie, hydroklawowanie, rozdrabnianie i dezynfekcja. Jedyną dostępną metodą utylizacji końcowej była częściowa inkineracja. 
Wnioski. Badanie podkreśla pilną potrzebę wprowadzenia ukierunkowanych programów szkoleniowych oraz ścisłego egzekwowania przepisów dotyczących zarządzania odpadami medycznymi, aby zapewnić skuteczne i zrównoważone praktyki.
EN
Introduction. Due to limited knowledge and inadequate practices, improper biomedical waste (BMW) management remains a pressing issue in developing countries. This study evaluates the knowledge, attitudes, and practices (KAP) regarding BMW management among healthcare personnel in a tertiary care hospital.
Aim. The study aims to assess the knowledge, attitudes, and practices of healthcare personnel concerning BMW management and identify gaps in the implementation of BMW management protocols.
Materials and methods. 296 participants, including doctors, nurses, laboratory technicians, and multi-purpose workers, were surveyed using a semi-structured, pre-tested questionnaire.
Results. The results revealed that 70% of sanitary, 58.8% of nursing, and 42.9% of laboratory assistants demonstrated excellent knowledge levels (scores >10). In contrast, doctors exhibited average expertise (scores between 5-10). While healthcare personnel displayed a generally positive attitude toward BMW management, disagreements emerged regarding the notion of "safe management as teamwork." As mandated by regional regulations, the hospital lacked essential BMW management facilities, such as autoclaving, microwaving, hydroclaving, shredding, and disinfection. Partial incineration was the sole method available for final disposal.
Conclusion. This study underscores the urgent need for targeted training programs and the strict enforcement of BMW management regulations to ensure effective and sustainable practices.

Year

Volume

10

Issue

1

Pages

25-41

Physical description

Dates

published
2025

Contributors

  • Punjab Engineering College, Indie
author
  • Punjab Engineering College, Indie
author
  • NIT Hamirpur, Indie
author
  • Graphic Era Hill University w Dehradun, Indie
  • Punjab Technical University, Indie
  • Jammu and Kashmir Pollution Control Committee, Indie

References

  • Thind, P. S., Sareen, A., Singh, D. D., Singh, S., John, S. Compromising situation of India’s bio-medical waste incineration units during pandemic outbreak of COVID-19: Associated environmental-health impacts and mitigation measures. Environmental Pollution. 2021;276.
  • Bhatt, P., Singh, V.K., Kumar, S. Optimizing soil health: Comparative effects of humic acid, PGPR, and RDF on soil properties and fertility. Ecological Questions. 2025;36(1):1–17. https://doi.org/10.12775/EQ.2025.001.
  • Government of India, Ministry of Environment and Forests. Bio-Medical Waste (Management and Handling) Rules. Gazette of India, Part II, Section 3. 2016.
  • World Health Organization. Healthcare waste. WHO fact sheet on types of healthcare waste. 2018.
  • Ali, O. I. A. Assessment of knowledge, attitude, and practice of biomedical waste management among health care personnel at El-Mak Nimer university hospital 2021. Journal of Health Statistics and Reports. 2022;1(3):1–10.
  • Basavaraj, T. J., Shashibhushan, B. L., Sreedevi, A. To assess the knowledge, attitude, and practices in biomedical waste management among health care workers in dedicated COVID hospital in Bangalore. Egyptian Journal of Internal Medicine. 2021;37.
  • Ostwal, K., Jadhav, A., More, S., Shah, P., Shaikh, N. Knowledge, attitude and practice assessment of biomedical waste management in tertiary care hospital: It”s high time to train ourselves. International Journal of Environmental Sciences. 2024;197:1115–1121.
  • Kumar, S., & Kumar, D. Biofiltration of volatile organic compounds using Chir pine cone nuts inoculated with Pseudomonas putida. Ecological Questions. 2023;35(2):1–16.
  • Shrestha, D., Gokhe, S. B., Dhoundiyal, A., Bothe, P. A case study to review compliance to biomedical waste management rules in a tertiary care hospital. International Journal of Community Medicine and Public Health. 2017.
  • Bopaiah, S. K., Suga, S., Myneni, S., Ravikumar, D., Sivagananam, P., Kumar, M. R. Assessment of the knowledge and attitudes regarding biomedical waste management among the health care professionals in a tertiary care teaching hospital. Journal of Critical Reviews. 2020;7:578–586.
  • Woromogo, S. H., Djeukang, G. G., Moussa, F. E. Y., Antaon, J. S. S., Kort, K. N., Tebeu, P. M. Assessing knowledge, attitudes, and practices of healthcare workers regarding biomedical waste management at Biyem-Assi District Hospital, Yaounde: A cross-sectional analytical study. Advances in Public Health. 2020.
  • Mehta, T. K., Shah, P. D., Tiwari, K. D. A knowledge, attitude and practice study of biomedical waste management and bio-safety among healthcare workers in a tertiary care government hospital in western India. National Journal of Community Medicine. 2018;9(5):327–333.
  • Deress, T., Hassen, F., Adane, K., Tsegaye, A. Assessment of knowledge, attitude, and practice about biomedical waste management and associated factors among the healthcare professionals at Debre Markos town healthcare facilities, Northwest Ethiopia. Journal of Environmental and Public Health. 2018;1–10.
  • Singh, G. P., Gupta, P., Kumari, R., Verma, S. L. Knowledge, attitude and practices regarding biomedical waste management among healthcare personnel in Lucknow, India. Indian Journal of Clinical Practice. 2014;24(9):830–833.
  • Dumka, A., Khanduri, P. KAP study on bio-medical waste management among nursing professionals in Haldwani (Nainital). International Journal of Advanced Science and Research Management. 2018;3(8):141–148.
  • Bhardwaj, A., Kumar, S., Singh, D. Tannery effluent treatment and its environmental impact: A review of current practices and emerging technologies. Water Quality Research Journal. 2023;00:1.
  • Asadullah, M., Karthik, G. K., Dharmappa, B. A study on knowledge, attitude and practices regarding biomedical waste management among nursing staff in private hospitals in Udupi City, Karnataka, India. International Journal of Geology, Earth and Environmental Sciences. 2013;3(1):118–123.
  • Kumar, S., Singh, D. Municipal solid waste incineration bottom ash: A competent raw material with new possibilities. Innovative Infrastructure Solutions. 2021;6(4). https://doi.org/10.1007/S41062-021-00567-0.
  • Haque, M. S., Fazal, K., Singh, P. K., Aslami, A. N., Kumar, R. An assessment of knowledge, attitude and practices (KAP) of bio-medical waste management during COVID-19 among health care workers in a tertiary care hospital of Bihar. International Journal of Health and Clinical Research. 2021;4(9):158–161.
  • Karmakar, N., Datta, S. S., Datta, A., Nag, K., Tripura, K., Bhattacharjee, P. A cross-sectional study on knowledge, attitude and practice of biomedical waste management by health care personnel in a tertiary care hospital of Agartala, Tripura. National Journal of Research in Community Medicine. 2016;5(3):189–195.
  • Hiremath, R. N., Basandra, S., Kunte, R., Ghodke, S., Edwards, T. S., Yadav, J. Assessment of biomedical waste management of a multispecialty hospital in the light of new BMW rules 2016: What has changed from the past. International Journal of Community Medicine and Public Health. 2017;4(9):3224–3229.
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Document Type

Publication order reference

Identifiers

Biblioteka Nauki
63350799

YADDA identifier

bwmeta1.element.ojs-doi-10_21784_IwP_2025_002
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