Knowledge, attitude, and practices of Bio-medical Waste Management rules, 2016; Bio-medical Waste Management (amendment) rules, 2018; and Solid Waste Rules, 2016, among health-care workers in a tertiary care setup

Annapurna Parida; Malini Rajinder Capoor; Kumar Tapas Bhowmik

doi:10.4103/JLP.JLP_88_19

Journal of Laboratory Physicians, Table of Contents

CC BY-NC-ND 4.0 · J Lab Physicians 2019; 11(04): 292-296
DOI: 10.4103/JLP.JLP_88_19

Original Article

Knowledge, attitude, and practices of Bio-medical Waste Management rules, 2016; Bio-medical Waste Management (amendment) rules, 2018; and Solid Waste Rules, 2016, among health-care workers in a tertiary care setup

Annapurna Parida

Department of Microbiology, VMMC Safdarjung Hospital, New Delhi, India

,

Malini Rajinder Capoor

Department of Microbiology, Biomedical Waste Unit, VMMC and Safdarjung Hospital, New Delhi, India

,

Kumar Tapas Bhowmik

Department of Radiotherapy, Biomedical Waste Unit, VMMC and Safdarjung Hospital, New Delhi, India

› Author Affiliations

Abstract

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Abstract

INTRODUCTION: Biomedical waste poses physical, chemical, radiological, and microbiological risks to the public and health-care workers (HCWs) for current and future generations.

AIM: The aim was to gauge the depth of understanding amongst HCWs on biomedical waste management (BMWM).

MATERIALS AND METHODS: A predesigned questionnaire on knowledge, attitude, and practices on BMWM Rules, 2016 (Principle), and 2018 (Amendment), Solid Waste Rules, 2016, and health hazards in HCW was distributed to all participants.

RESULTS: Only 68% of the participants knew that the most important step in waste management is waste segregation. Eighty-two percent of the HCWs working in this setup knew of the different color-coded bins used for segregation. However, awareness was lacking with respect to health hazards associated with improperly segregated and disposed off biomedical waste as only 49% answered the questions on the hazards of waste correctly. Laboratory waste handling was found to be the least understood area of the newer guidelines.

CONCLUSIONS: Training aspects of health-care waste management should be strengthened so that the current, existing, and future regulations are practiced diligently and uniformly. Periodic evaluation and assessment should become routine to enforce adherence to waste management.

Key words

Biomedical waste management - Bio-medical Waste Management Rules 2016 and 2018 - health-care workers - India

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References

References
1 The Gazette of India Biomedical Wastes (Management and Handling) Rules, India: Ministry of Environment and Forests, Government of India; 20 July, 1998.
2 Capoor MR, Bhowmik KT. Implementation challenges in Bio-medical Waste Management rules, 2016. Indian J Med Microbiol 2017;35:623-5.
3 Chartier Y, Emmanuel J, Pieper U, Prüss A, Rushbrook P, Stringer R. Safe Management of Wastes from Health-Care Activities. 2^nd ed. Geneva, Switzerland: WHO Blue Book; 2014.
4 Central Pollution Control Board, Waste Management Division-Bio-Medical Waste. Status on Bio-medical Waste Management scenario and recommendations for ensuring compliance to the Bio-Medical Waste Management Rules, 2016. p. 3.
5 Mathur V, Dwivedi S, Hassan M, Misra R. Knowledge, attitude, and practices about biomedical waste management among healthcare personnel: A cross-sectional study. Indian J Community Med 2011;36:143-5.
6 Patil GV, Pokhrel K. Biomedical solid waste management in an Indian hospital: A case study. Waste Manag 2005;25:592-9.
7 Ministry Of Environment. Bio-Medical Waste Management (Amendment) Rules, 2018. Forest And Climate Change Notification New Delhi; 2018.
8 Capoor MR, Bhowmik KT. Current perspectives on Bio-medical Waste Management: Rules, conventions and treatment technologies. Indian J Med Microbiol 2017;35:157-64.
9 INCLEN Program Evaluation Network (IPEN) study group, New Delhi, India. Bio-medical waste management: Situational analysis and predictors of performances in 25 districts across 20 Indian states. Indian J Med Res 2014;139:141-53.
10 Nema A, Pathak A, Bajaj P, Singh H, Kumar S. A case study: Biomedical waste management practices at city hospital in Himachal Pradesh. Waste Manag Res 2011;29:669-73.
11 Yadavannavar M, Berad AS, Jagirdar P. Biomedical waste management: A study of knowledge, attitude, and practices in a tertiary health care institution in Bijapur. Indian J Community Med 2010;35:170-1.
12 Anand P, Jain R, Dhyani A. Knowledge, attitude and practice of biomedical waste management among health care personnel in a teaching institution in Haryana, India. Int J Res Med Sci 2016;4:4246-50.
13 Sengodan V, Amruth K. Knowledge attitude and practice study on biomedical waste management among health care professionals and paramedical students in a tertiary care Government hospital in South India. Int J Environ Health Eng 2014;3:11.
14 Dudi M, Sharma R, Sharma S, Jain M. Assessment of the knowledge, attitude, and practices regarding biomedical waste management amongst paramedical staff in a tertiary level health care facility. Int J Med Sci Public Health 2016;5:615-9.
15 Bhagawati G, Nandwani S, Singhal S. Awareness and practices regarding bio-medical waste management among health care workers in a tertiary care hospital in Delhi. Indian J Med Microbiol 2015;33:580-2.
16 Soyam GC, Hiwarkar PA, Kawalkar UG, Soyam VC, Gupta VK. KAP study of bio-medical waste management among health care workers in Delhi. Int J Community Med Public Health 2017;4:3332-7.
17 Bansal M, Mishra A, Gautam P, Changulani R, Srivastava D, Gour NS. Biomedical waste Management: Awareness and practices in a district of Madhya Pradesh. Natl J Community Med 2011;2:452-6.
18 Ismail IM, Kulkarni AG, Kamble SV, Borker SA, Rekha R, Amruth M. Knowledge, attitude and practice about bio-medical waste management among personnel of a tertiary health care institute in Dakshina Kannada, Karnataka. Al Ameen J Med Sci 2013;6:376-80.
19 Joseph L, Paul H, Premkumar J, Rabindranath, Paul R, Michael JS, et al. Biomedical waste management: Study on the awareness and practice among healthcare workers in a tertiary teaching hospital. Indian J Med Microbiol 2015;33:129-31.
20 Bhattar S, Qureshi S, Seth R, Butola R, Shingare P. Awareness and practices of biomedical waste management guidelines 2016 in an upcoming super speciality hospital of east Delhi, India. International Journal Of Community Medicine And Public Health 2018;5:3289-3292.
21 Ministry of Environment. Bio-Medical Waste Management (Amendment) Rules 2019. Forest And Climate Change Notification New Delhi; 2019.