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R. M. Desu et al.
1 Introduction
Efficient usage of resources focussing on the waste generated and minimization to
achieve sustainable development goals is the essence of sustainable waste management. Innovations in technology, knowledge awareness and practices by all stakeholders of health-care industry should focus for sustainability in this area of medicine
for benefitting the community and to protect the hazardous affects on the population
(Cebe et al. 2013).
Aim is to evaluate feasibility of sustainable waste management strategies within
the hospital.
Objectives: The study is planned in the hospital setting keeping in view of
sustainable waste management strategies feasibility and implementation.
1. To make audit of availability of infrastructure facilities which are essential for
implementation of biomedical waste management practices.
2. To study the knowledge and practice of waste management among various
categories of staff in the hospital setting.
3. To study and understand feasibility of 3 Rs concept in the hospital among various
categories of the hospital.
Methodology: The study was done in three parts.
1. The initial objective through the audit of availability of infrastructure facilities
in the hospital is to explore the availability of physical structures which are basic
requirements for the health-care workers to operate effectively in relation to the
waste management.
2. The second part of the study explored the knowledge and practice of waste management among a sample of doctors, nurses and housekeeping staff with a set of
questionnaires which addresses various components of biomedical waste management act, and other theory and practical aspects of disinfection, segregation,
treatment and disposal of waste.
3. The third part of the study highlighted on the 3 Rs concept and its feasibility
of in the hospital setting and opinion through questionnaire and semi-structured
interviews.
Study setting: study was conducted at a 1000+ bedded medical college teaching
hospital at Nellore, Andhra Pradesh state.
Part I: A checklist was prepared to identify and check the physical infrastructure
facility and their availability in different areas of the hospital wards, intensive care
units, emergencies, operation theaters (n = 79) on the same day by surprise check
without any intimation to the in charges of the areas. A team of post-graduate administrators and supervisors were experienced in day-to-day handling of biomedical
waste were involved in the collection of the data.
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