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Waste Management Practices of a Regional Hospital in Ghana: A Case Study

Received: 2 November 2015    Accepted: 15 December 2015    Published: 19 February 2016
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Abstract

The Ministry of Health (MOH), Ghana has provided the policy and guidelines for the management of healthcare waste in health facilities. The focus of the study was to assess the compliance of a regional hospital to the provision made and also to evaluate and rate the practices using a modified Townend and Cheeseman Guidelines. This study was undertaken as a descriptive cross sectional study at the Regional Hospital of Greater Accra in Ghana. Critical observations were made of each department and ward for documentation of practices. Questionnaires based on MOH’s Policy and Guidelines were responded by health facility workers who handled day-to-day solid hospital waste. The number of respondents were proportional to the total number of healthcare workers found in each unit. Descriptive statistics were calculated using the Statistical Package for Social Sciences (SPSS) version 16.0 software program. There were 300 respondents from the health facility. Health workers that knew about the existence of the MOH Policy and Guidelines on Healthcare waste management were 59.3%. Sixty one percent of the respondents had received training on proper management of hospital waste, and the rest, 39% were either new staff or had not received any training at all. Waste containers were available in varying shapes and colours with plastic linings. The very important persons (VIPs) ward, was the only unit that had their waste lining corresponding to the appropriate colour coded waste containers. . Waste handlers did not use complete personal protective equipment. Measured against the modified Townend and Cheeseman Guidelines checklist, from 0-4, the best achieved by the facility was 1, operating in an unsustainable manner, however there was some evidence of awareness and willingness to change. Majority of the healthcare facility workers had knowledge on appropriate ways of healthcare wastes (HCW) management but there was absence of compliance due to lack of materials and equipment and the enforcement by hospital authorities. There should be continuous education of hospital staff on the management of waste. Demonstrative programs need to be carried out for employees who handle waste directly to give an understanding of the risks and the importance of health and safety measures during handling and segregation.

Published in Central African Journal of Public Health (Volume 1, Issue 3)
DOI 10.11648/j.cajph.20150103.11
Page(s) 28-36
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Waste Management Practice, Regional Hospital, Ghana

References
[1] World Health Organisation, “Safe Management of Wastes from Health-care activities”, Second Edition 2014, www.who.int Accessed 05/ 08/ 2015.
[2] Globalization101, “Medical Waste: Challenges Faced Around the World, 2010”. www.globalization101.org Accessed 29/ 10/ 2015.
[3] A. K. Dwivedi, S Pandey and Shashi, “Fate of Hospital Waste in India”, 2009. http://www.omicsonline.com/open-access/ Accessed 17/ 10/ 2015.
[4] M. M. El-Salam, “Hospital Waste Management in El-Beheira Governorate, Egypt, 2010”, Journal of Environmental Management 91 (2010) 618-629. www.ncbi.nlm.nih.gov/pubmed/19931245 Accessed 17/10/15.
[5] S. O. Abah, and E. I. Ohimain, “Healthcare waste management in Nigeria: A case study”, Journal of Public Health and Epidemiology, 3(3), 99-110, 2011. www.academicjournals.org Accessed 17/10/2015.
[6] Stockholm Convention Treaty. www.gov.uk Accessed 01/10/ 2015.
[7] N. Ndidi, O. Nelson, P. Odumosu and J. Sunday, “Waste Management in healthcare establishments within Jos Metropolis, Nigeria”, African Journal of Environmental Science and Technology, Vol. 3 (12), pp. 459-465, December 2009. www.ajol.info/index.php/ajest/article/view/56295/44738. Accessed 17/10/2015.
[8] M. K. Debere, K. A Gelaye , A. G Alamdo and Z. M Trifa, “Assessment of Healthcare Waste Generation rates and its management system in hospitals of Addis Ababa, Ethiopia, 2011”, BMC Public Health 2013, 13: 28. www.biomedcentral.com/1471-2458/13/28/ Accessed 17/10/2015.
[9] B Nagaraju, G. V. Padmavathi, D. S. Puranik, M. P. Shantharaj and S. P. Sampulatha, “A study to access the knowledge and practice on bio-medical waste management among the healthcare providers working in PHCs of Bagepalli Taluk with the view to prepare informational booklet”, International Journal of Medicine and Biomedical Research, Volume 2, Issue 1, Michael Joanna Publications, 2013. www.ajol.info/index.php/ijmbr/article/view/91931 Accessed 17/10/15.
[10] P. A Abor, “Managing Healthcare Waste in Ghana: a comparative study of public and private hospitals”, 2012. www.emeraldinsight.com Accessed 08/ 07/ 2015.
[11] G. L Williams, “Medical Waste Disposal Practices in some Hospital and Clinical Laboratories in the Accra Metropolis”, Journal of Civil and Environmental Research, ISSN 2224-5790 Vol 3, No. 11, 2012. www.iiste.org/Journals/index.php/CER/article/view/8121/14319 Accessed 17/10/2015.
[12] Ghana Web, “Medical Waste Scandal at 37 Hospital”, Ghana News of Wednesday, 25th January 2012. www.ghanaweb.com Accessed 07/07/2015.
[13] Ministry of Health, Ghana. MOH Policy and Guidelines for Health Institutions (2006).
[14] A. Pruss, E. Giroult and P. Rushbrook, “Safe Management of wastes from healthcare activities”, World Health Organization, Geneva, Switzerland, 1999. www.who.int Accessed 17/10/2011.
[15] A. Fazili, E. Salehi, M. A. Abdoli, H. R. Jafari and M. Shaikhpoor, “Evaluation of Hospital Waste Management Process in Karaj Hospitals, Tehran- Iran”, 2009. www.sid.ir/ Accessed 07/ 02/ 2011.
[16] V. Mathur, S. Dwivedi, M. A. Hassan and R. P. Misra, “Knowledge, Attitude, and Practices about Biomedical Waste Management among Healthcare Personnel: A Cross-sectional Study”, Indian Journal Community Med, 36(2): 143–145, 2011. www.ncbi.nlm.nih.gov Accessed 17/10/2015.
[17] S Madhukumar and G. Ramesh, “Study about awareness and practices about healthcare waste management among hospital staff in a medical college hospital, Bangalore”, 2012. www.ijbms.com/community-medicine/ Accessed 14/06/2012.
[18] P. A Abor, “Medical waste management at Tygerberg hospital in the Western Cape, South Africa”, Theses & Dissertations, Paper 52, 2007. www.dk.cput.ac.za/ Accessed 13/ 05/ 2012.
[19] B. Mbongwe, B. T Mmereki and A. Magashula, “Healthcare waste management: current practices in selected healthcare facilities, Botswana”, Waste Management, 28(1), 226-233, 2008. www.ncbi.nlm.nih.gov Accessed 17/10/15.
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    Ama Twumwaa Acheampong, Mawuli Dzodzomenyo, Anthony Godi, Derick Carboo, Edith Clarke, et al. (2016). Waste Management Practices of a Regional Hospital in Ghana: A Case Study. Central African Journal of Public Health, 1(3), 28-36. https://doi.org/10.11648/j.cajph.20150103.11

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    ACS Style

    Ama Twumwaa Acheampong; Mawuli Dzodzomenyo; Anthony Godi; Derick Carboo; Edith Clarke, et al. Waste Management Practices of a Regional Hospital in Ghana: A Case Study. Cent. Afr. J. Public Health 2016, 1(3), 28-36. doi: 10.11648/j.cajph.20150103.11

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    AMA Style

    Ama Twumwaa Acheampong, Mawuli Dzodzomenyo, Anthony Godi, Derick Carboo, Edith Clarke, et al. Waste Management Practices of a Regional Hospital in Ghana: A Case Study. Cent Afr J Public Health. 2016;1(3):28-36. doi: 10.11648/j.cajph.20150103.11

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  • @article{10.11648/j.cajph.20150103.11,
      author = {Ama Twumwaa Acheampong and Mawuli Dzodzomenyo and Anthony Godi and Derick Carboo and Edith Clarke and Elvis Enowbeyang Tarkang},
      title = {Waste Management Practices of a Regional Hospital in Ghana: A Case Study},
      journal = {Central African Journal of Public Health},
      volume = {1},
      number = {3},
      pages = {28-36},
      doi = {10.11648/j.cajph.20150103.11},
      url = {https://doi.org/10.11648/j.cajph.20150103.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20150103.11},
      abstract = {The Ministry of Health (MOH), Ghana has provided the policy and guidelines for the management of healthcare waste in health facilities. The focus of the study was to assess the compliance of a regional hospital to the provision made and also to evaluate and rate the practices using a modified Townend and Cheeseman Guidelines. This study was undertaken as a descriptive cross sectional study at the Regional Hospital of Greater Accra in Ghana. Critical observations were made of each department and ward for documentation of practices. Questionnaires based on MOH’s Policy and Guidelines were responded by health facility workers who handled day-to-day solid hospital waste. The number of respondents were proportional to the total number of healthcare workers found in each unit. Descriptive statistics were calculated using the Statistical Package for Social Sciences (SPSS) version 16.0 software program. There were 300 respondents from the health facility. Health workers that knew about the existence of the MOH Policy and Guidelines on Healthcare waste management were 59.3%. Sixty one percent of the respondents had received training on proper management of hospital waste, and the rest, 39% were either new staff or had not received any training at all. Waste containers were available in varying shapes and colours with plastic linings. The very important persons (VIPs) ward, was the only unit that had their waste lining corresponding to the appropriate colour coded waste containers. . Waste handlers did not use complete personal protective equipment. Measured against the modified Townend and Cheeseman Guidelines checklist, from 0-4, the best achieved by the facility was 1, operating in an unsustainable manner, however there was some evidence of awareness and willingness to change. Majority of the healthcare facility workers had knowledge on appropriate ways of healthcare wastes (HCW) management but there was absence of compliance due to lack of materials and equipment and the enforcement by hospital authorities. There should be continuous education of hospital staff on the management of waste. Demonstrative programs need to be carried out for employees who handle waste directly to give an understanding of the risks and the importance of health and safety measures during handling and segregation.},
     year = {2016}
    }
    

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    AU  - Mawuli Dzodzomenyo
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    AB  - The Ministry of Health (MOH), Ghana has provided the policy and guidelines for the management of healthcare waste in health facilities. The focus of the study was to assess the compliance of a regional hospital to the provision made and also to evaluate and rate the practices using a modified Townend and Cheeseman Guidelines. This study was undertaken as a descriptive cross sectional study at the Regional Hospital of Greater Accra in Ghana. Critical observations were made of each department and ward for documentation of practices. Questionnaires based on MOH’s Policy and Guidelines were responded by health facility workers who handled day-to-day solid hospital waste. The number of respondents were proportional to the total number of healthcare workers found in each unit. Descriptive statistics were calculated using the Statistical Package for Social Sciences (SPSS) version 16.0 software program. There were 300 respondents from the health facility. Health workers that knew about the existence of the MOH Policy and Guidelines on Healthcare waste management were 59.3%. Sixty one percent of the respondents had received training on proper management of hospital waste, and the rest, 39% were either new staff or had not received any training at all. Waste containers were available in varying shapes and colours with plastic linings. The very important persons (VIPs) ward, was the only unit that had their waste lining corresponding to the appropriate colour coded waste containers. . Waste handlers did not use complete personal protective equipment. Measured against the modified Townend and Cheeseman Guidelines checklist, from 0-4, the best achieved by the facility was 1, operating in an unsustainable manner, however there was some evidence of awareness and willingness to change. Majority of the healthcare facility workers had knowledge on appropriate ways of healthcare wastes (HCW) management but there was absence of compliance due to lack of materials and equipment and the enforcement by hospital authorities. There should be continuous education of hospital staff on the management of waste. Demonstrative programs need to be carried out for employees who handle waste directly to give an understanding of the risks and the importance of health and safety measures during handling and segregation.
    VL  - 1
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Author Information
  • Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana

  • School of Public Health, University of Ghana, Accra, Ghana

  • School of Public Health, University of Ghana, Accra, Ghana

  • Department of Chemistry, University of Ghana, Accra, Ghana

  • Occupational Health Unit, Ministry of Health, Accra, Ghana

  • Department of Population and Behavioural Science, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana

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