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Healthcare Waste Management Practices in Bangladesh: A Case Study in Dhaka City, Bangladesh
Abstract:Healthcare waste (HCW) is one of the major concerns in environmental issues due to its infectious and hazardous nature that is requires specific treatment and systematic management prior to final disposal. This study aimed to assess HCW management system in Dhaka City (DC), Bangladesh, by investigating the present practices implemented by the city. In this study, five different healthcare establishments were selected in DC. Field visits and interviews with health personnel and staff who are concerned with the waste management were conducted. The information was gathered through questionnaire focus on the different aspect of HCW management like, waste segregation and collection, storage and transport, awareness as well. The results showed that a total of 7,215 kg/day (7.2 ton/day) of waste were generated, of which 79.36% (5.6 ton/day) was non-hazardous waste and 20.6% (1.5 ton/day) was hazardous waste. The rate of waste generation in these healthcare establishments (HCEs) was 2.6 kg/bed/day. There was no appropriate and systematic management of HCWs except at few private HCEs that segregate their hazardous waste. All the surveyed HCEs dumped their HCW together with the municipal waste, and some staff members were also found to be engaged in improper handling of the generated waste. Furthermore, the used sharp instruments, saline bags, blood bags and test tubes were collected for resale or reuse. Nevertheless, the lack of awareness, appropriate policy, regulation and willingness to act, were responsible for the improper management of HCW in DC. There was lack of practical training of concerned healthcare to handle the waste properly, while the nurses and staff were found to be aware of the health impacts of HCW.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1131077Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 876
 Charlie P., C., Rosario C., G., Paolo C., C., Jonas P., C., Jerold C., A. 2014. Healthcare waste management of the government Hospitals in northern Philippines. European Scientific Journal September 10, 1857-788.
 Yong, Zhang, Gang, Xiao, Guanxing, Wang, Tao, Zhou, Dawei, Jiang, 2009. Medical waste management in China: A case study of Nanjing. Waste Management 29, 1376–1382.
 Nessa, Khairun, Quaiyum, M., A., Barkat-e-Khuda. 2001. Waste Management in Healthcare Facilities: A Review. ICDDR, B: Centre for Health and Population Research Mohakhali, Dhaka 1212, Bangladesh.
 Abdulla, Fayez, Qdais, Hani Abu, Rabi, Atallah, 2008. Site investigation on medical waste management practices in northern Jordan. Waste management 28, 450–458.
 Birpınar, Mehmet Emin, Bilgili, Mehmet Sinan, Erdogan, Tugba. 2009. Medical waste management in Turkey: A case study of Istanbul. Waste Management 29, 445–448.
 Dana, Tarannum. 2011. Hospital waste management: Bangladesh. OIDA International Journal of Sustainable Development 02:09.
 Diaz, L., F., Savage, G., M., Eggerth, L., L. 2005. Alternatives for the treatment and disposal of healthcare wastes in developing countries. Waste Management 25, 626–637.
 V. Emery David Jr., J. Wenchao, D. Mmereki, Y. John, F. Heriniaina. 2016. Health Care Waste Management Practices in Liberia: An Investigative Case Study. World Academy of Science, Engineering, and Technology; International Journal of Social, Behavioral, Educational, Economic, Business and Industrial Engineering 10:1
 Zhang, Hao-Jun, Zhang, Ying-Hua, Wang, Yan, Yang, Ya-Hong, Zhang, Jian, Wangand, Yao-Ling, Wang, Jun-Ling. 2013. Investigation of medical waste management in Gansu province, China. Waste Management & Research 31, 655–659.
 Tesfahun, Esubalew, Kumie, Abera, Legesse, Worku, Kloos, Helmut, Beyene, Abebe. 2014. Assessment of composition and generation rate of healthcare wastes in selected public and private hospitals of Ethiopia. Waste Management & Research 32, 215–220.
 Abd El-Salam, Magda Magdy. 2010. Hospital waste management in El-Beheira Governorate, Egypt. Journal of Environmental Management 91, 618–629.
 Madhukumar, Suwarna, G., Ramesh. 2012. Study about awareness and practices about health care wastes management among hospital staff in a medical college hospital, Bangalore. International Journal of basic medical Science 3;1.
 Ciplak, N., Barton, J., R. 2012. A system dynamics approach for healthcare waste management: a case study in Istanbul Metropolitan City, Turkey. Waste Management & Research 30, 576-586.
 Moreira, A., M., M., Günther, W., M., R. 2013. Assessment of medical waste management at a primary health-care center in Sao Paulo, Brazil. Waste Management 33, 162–167.
 Asante OB., Yanful E., (Prof.), Yaokumah EB. 2014. Healthcare Waste Management; Its Impact: A Case Study of the Greater Accra Region, Ghana. International Journal of Scientific & Technology Research Volume 3;3
 Sawalem, M., Selic, E., Herbell, J., D. 2009. Hospital waste management in Libya: A case study. Waste Management 29, 1370–1375.
 Hassan M., M., Ahmed S., A., Rahman K., A., Biswas, T., K. 2008. Pattern of medical waste management: existing scenario in Dhaka City, Bangladesh. BMC Public Health, 8:36.
 Semwal, R., Dharmendra. 2016. Environmental concern and threat investigation due to malpractices in biomedical waste management: a review. Proceedings of IRF International Conference, Goa, India, ISBN: 978-93-85973-54-3
 PRISM Bangladesh: 2013. Survey on Quantitative and qualitative assessment of medical waste generation and management in Dhaka North City Corporation and Dhaka South City Corporation, (Unpublished survey report), Dhaka.
 M. Farzardkia, S. Jorfia. 2016. Hospital waste management practices; A case study in Iran. World Academy of Science, Engineering, and Technology; International Journal of Environmental, Chemical, Ecological, Geological and Geophysical Engineering, 10;2
 Manga, Veronica E., Forton, Osric Tening, Mofor, Linus A., Woodard, Ryan. 2011. Health care waste management in Cameroon: A case study from the Southwestern Region. Resources, Conservation and Recycling 57, 108–116.
 DGHS Medical Waste Management Rules 2008.
 DGHS, Hospital Waste Management Pocket Book June 2010.
 Ministry of Health and Family Welfare. 2004. Environmental Assessment and Action Plan for the HNP Sector Program (2005-2010); 1-42.
 BBS (Bangladesh Bureau of Statistics), District Statistics 2011: Dhaka. Bangladesh Bureau of Statistics. Planning Division, Ministry of Planning. Peoples Republic of Bangladesh, Dhaka, Published in October; 2015.
 Survey report on hospital waste management in Dhaka city, WSP and PRISM Bangladesh, May 2005.
 Rumi, Aysha Aktha. 2014. Medical waste management system in Dhaka City Corporation: South, Bangladesh, M. phil thesis, submitted to the Department of Geography & Environment, university of Dhaka
 Abah, Stephen Obekpa, Ohimain, Elijah Ige. 2011. Healthcare waste management in Nigeria: A case study. Journal of Public Health and Epidemiology 3, 99-110.
 Askarian, Mehrdad, Vakili, Mahmood, Kabir, Gholamhosein, 2004. Results of a medical waste survey in private hospitals in Fars province, Iran. Waste Management 24, 347–352.