Situational analysis of Bio-medical waste management of Tertiary care centre and Common Bio-medical Waste Treatment Facility of South Gujarat
Journal Title: International Journal Of Research In Medicine - Year 2016, Vol 5, Issue 3
Abstract
BACKGROUND INCLUDING OBJECTIVES: A legislative framework for Bio-medical waste management was generated a decade ago; but still there is a gap at local level in management. So, this study was planned to document existing resources, system capacity and practice relating to Bio-medical Waste Management (BMW) in New Civil Hospital, Surat (NCHS) and Common Bio-medical Waste Treatment Facility (CBWTF) of Surat. METHODOLOGY: Study was cross sectional survey, with direct observation of BMW management system. There were 31 items, spread over system capacity (7), resources (8) and process (16). These items were weighted by no compliance (0), partial compliance (5) and full compliance (10).Health facility was assigned into one of three categories (red, yellow, green) based on mean score. CBWTF was assessed by guidelines of Central Pollution Control Board and SWOT analysis. OBSERVATIONS & DISCUSSION: Mean score for system capacity, resources and process was 8.33, 9.84, and 7.41. So, mean score for NCHS is 8.5(green category >7.5). There is still a gap in process; the main reason for it is partial compliance for segregation, management of sharp, and non-availability of clean and labelled trolley for in house transport. SWOT analysis for CBWTF: 1) Strengths: maintain standards of incinerators and autoclaves, timely collect waste from health care facilities & transport vehicle were tracked by GPS, Water recycled from Effluent Treatment Plan was used for gardening, washing vehicles etc. 2) Weakness: it covers >150 km of area, Stack monitoring system was there but it was not working, CBWTF is in residential area. 3) Opportunity: New distribution channels 4) Threat: New Govt. regulations. CONCLUSIONS & RECOMMENDATIONS: Segregation process should be strengthened. There is requirement of another CBWTF in Surat city.
Authors and Affiliations
Mali Ankur, Damor Rahul , Kosambiya Jayeshbhai
Keywords
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