Health Care Waste Management Practices in Liberia: An Investigative Case Study

Authors: V. Emery David Jr., J. Wenchao, D. Mmereki, Y. John, F. Heriniaina

Abstract:

Healthcare waste management continues to present an array of challenges for developing countries, and Liberia is of no exception. There is insufficient information available regarding the generation, handling, and disposal of health care waste. This face serves as an impediment to healthcare management schemes. The specific objective of this study is to present an evaluation of the current health care management practices in Liberia. It also presented procedures, techniques used, methods of handling, transportation, and disposal methods of wastes as well as the quantity and composition of health care waste. This study was conducted as an investigative case study, covering three different health care facilities; a hospital, a health center, and a clinic in Monrovia, Montserrado County. The average waste generation was found to be 0-7kg per day at the clinic and health center and 8-15kg per/day at the hospital. The composition of the waste includes hazardous and non-hazardous waste i.e. plastic, papers, sharps, and pathological elements etc. Nevertheless, the investigation showed that the healthcare waste generated by the surveyed healthcare facilities were not properly handled because of insufficient guidelines for separate collection, and classification, and adequate methods for storage and proper disposal of generated wastes. This therefore indicates that there is a need for improvement within the healthcare waste management system to improve the existing situation.

Keywords: Disposal, Healthcare waste, management, Montserrado County, Monrovia.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1338912

References:

[1] Ruoyan, G., Lingzhong, X., Huijuan, L., Chengchao, Z., Jiangjiang, H., Yoshihisa, S., Wei, T., Chushi, K., 2010. Investigation of healthcare waste management in Binzhou District, China. Waste Management 30, 246–250.
[2] Alagoz, A. Z., and Kocasoy, G. (2008). Improvement and modification of the routing system for the health-care waste collection and transportation in Istanbul. Waste Management. 28. p 1461–1471.
[3] Blenkharn J. I. (2007), Standards of clinical waste management in hospitals – Second look, Journal of Hospital Infection121, pp. 540-545.
[4] Mbongwe, B., Mmereki, B.T & Magashula, A Healthcare waste management: Current practices in selected healthcare facilities in Botswana. Waste Management and Resources. 28, pp.226–233, 2008.
[5] The Public Health Law of Liberia, 1975.
[6] Environmental protection Policy and Law, Liberia, 2003, (http://postconflict.unep.ch/liberia/index_4a.php?m=4&sm=4a).
[7] Country Situational Analysis Report, Ministry of health and social welfare, Liberia, July 2011.
[8] Demographic and Health Survey, LIGIS, 2007.
[9] United Nations Environment Programme Post-Conflict and Disaster Management Branch in collaboration with the Environmental Protection Agency of Liberia July 2007.
[10] Republic of Liberia- Investment plan for building a Resilient Health system in Liberia, 2014-2021
[11] Askarian, M., Vakili, M & Kabir, G., Results of a hospital waste survey in private hospitals in Fars province, Iran. Waste Management, 24, pp. 347–352, 2004b.
[12] Pruss A, Giroult E & Rushbrook P., Safe management of wastes from health care activities, Geneva, WHO, 1999. Available from: http://www.who.int/water_sanitation_health/Environmental_saniE/ MHCWHanbook.htm, 1999. Date accessed: 19 September 2011.
[13] F. Abdulla, H. A. Qdais and A. Rabi, “Site Investigation on Medical Waste Management Practices in Northern Jordan,” Waste Management, Vol. 28, No. 2, 2008, pp. 450- 458. doi:10.1016/j.wasman.2007.02.035
[14] Lupez Purez Traditional Medical Waste Treatments. Environmental. Chemistry.com. March 2000.
[15] WHO (1999), Safe Management of Wastes from Health Care Activities, World Health Organization.
[16] Manyele, S.V., Medical waste management in Tanzania: Current situation and the way forward. African Journal of Environmental Assessment and Management, 8(1), 74-99, 2004.
[17] National health Policy and Plan, Ministry of Health and Social Welfare, 2007.