Volume No. 4 Issue No.: 4 Page No.: 1070-1076 April-June 2010

 

INFECTIOUS WASTE MANAGEMENT IN THE GOVERNMENT HOSPITALS BY PRIVATE TRANSPORT SECTOR : CASE STUDY OF HOSPITALS IN THE NORTH EAST OF THAILAND

 

Anong Hansakul*, Somsak Pitaksanurat1, Thares Srisatit2 and Phrutthinun Surit

1. Faculty of Public Health, Khon Kean University, Khon Kaen, (THAILAND)
2. Faculty of Engineering, Chulalongkorn University, Bangkok, (THAILAND)
3. Faculty of Public Health, Naresuan University, Phitsanulok, (THAILAND)

 

Received on : January 02, 2010

 

ABSTRACT

 

The hospital infectious waste tends to increase in both quantity and variety, due to a wide acceptance of single-use disposable items. This comes along with serious problems in the management of waste disposal and is of great concern due to potentially high risks for the human health and the environment. protect the environment local residents from waste disposal nuisances due to of high costs of running incinerators inside the hospitals, many of them had been shutdown continually. The increasing number of hospitals assigned other organizations from the private transport sector (PTS) to manage their waste disposal. Objective if this study is to identify problems and obstacles faced by PTS to manage infectious waste .Material and method uses a purposive sampling techniques 12 hospitals of the Ministry of Public Health (MoPH) in the northeast of Thailand were selected for the study including 3 central hospitals, 4 general hospitals and 5 community hospitals. All of them assigned PTS for managing their infectious waste disposal outside the hospital. A qualitative approach was used including observation, formal and informal conversation, focus group discussion and in-depth interviews. Medical doctors, nurses, staff responsible for infectious waste disposal, officials responsible for environmental aspects, head of PTS, and workers from PTS participated in the study. Results found that the practice of waste disposal did not follow planning and the policy stipulated for the management of waste disposal. Infectious waste was not separated from garbage while transported, vehicles used for transporting the waste were not of the required standard, know-how of workers were lacking and the need for using personal protection equipments were not recognized. The infectious waste was stored and stocked in buildings of low standard without controlling the temperature inside. The collection of the waste did not follow the agreed schedule, and the waste was found ferment and released a strong smell. The know-how of the employees of the private companies was low. The awareness about the danger of infectious waste was lacking. The training program was inadequate. the infectious waste management of MoPH

 

Keywords : Infectious Waste Management, Private Transport Sector, Hospital, MoPH, Thailand

 

 

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