American Journal of Environmental Protection

Research Article | | Peer-Reviewed |

Current Methods and Challenges of Managing Clinical Solid Waste at Juba Teaching Hospital, South Sudan

Received: 21 August 2023    Accepted: 14 September 2023    Published: 21 February 2024
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Abstract

The amount of clinical solid waste generated at Juba Teaching Hospital has been increasing as a result of the increasing population of Juba city. Despite the increase in the amounts of clinical solid waste, few scientific studies were conducted and the studies focused only on municipal solid waste management and have not explored clinical solid waste management in Juba City. A survey study aimed to explore the current methods and challenges of clinical solid waste management (CSWM) at Juba Teaching Hospital was conducted. The data was obtained through questionnaires, observation and oral interview. Word-excel-2013 and Statistical Package for Social Sciences (SPSS) IBM – 2021 version were used to process the data. The results revealed inappropriate methods of clinical solid waste management practices such as irregular collection, mixing different types of solid wastes together, use of water bottles instead of safety boxes for segregation of sharps, manual transportation of solid wastes, unprotected storage site, irregular incineration, open burning and random dumping. Reasons such as insufficient equipment, negligence of hospital administrators and few numbers of waste collectors was attributed to the inappropriate management of clinical solid waste in the hospital. The study recommended adoption of recycling strategies, employment of more waste handlers, commensurate remuneration and motivation, provision of enough equipment, creation of staff awareness and capacity development on health implications of poor clinical solid waste management.

DOI 10.11648/j.ajep.20241301.12
Published in American Journal of Environmental Protection (Volume 13, Issue 1, February 2024)
Page(s) 10-18
Creative Commons

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

Clinical Solid Waste (CSW), Solid Waste Management, Challenges, Juba Teaching Hospital (JTH), Recycling Strategies

References
[1] Oke, I. A. (2008). Management of immunization solid wastes in Kana State, Nigeria. Waste Management, 12 (25); 12-21.
[2] Hossain, M. S, Santhanam A, Norulaini, N. A. N. and Omar, A. K. N. (2011). Clinical solid waste management practices and its impact on human health and environment: A review. Journal of Waste Management, 31, 754-766.
[3] Das, Atanu Kumar, et al. "COVID-19 pandemic and healthcare solid waste management strategy–A mini-review." Science of the Total Environment 778 (2021): 146220.
[4] Doylo, T., Alemayehu, T., & Baraki, N. (2019). Knowledge and practice of health workers about healthcare waste management in public health facilities in Eastern Ethiopia. Journal of community health, 44, 284-291.
[5] Mihai, F. C. (2020). Assessment of COVID-19 waste flows during the emergency state in Romania and related public health and environmental concerns. International Journal of Environmental Research and Public Health, 17 (15), 5439.
[6] Ghasemi, Maryam Khadem, and Rosnah Bt Yusuff. "Advantages and Disadvantages of Healthcare Waste Treatment and Disposal Alternatives: Malaysian Scenario." Polish Journal of Environmental Studies 25.1 (2016).
[7] Ma, Y., Lin, X., Wu, A., Huang, Q., Li, X., & Yan, J. (2020). Suggested guidelines for emergency treatment of medical waste during COVID-19: Chinese experience. Waste Disposal & Sustainable Energy, 1.
[8] Yazie, T. D., Tebeje, M. G., & Chufa, K. A. (2019). Healthcare waste management current status and potential challenges in Ethiopia: a systematic review. BMC research notes, 12, 1-7.
[9] Ferronato N, Torretta V (2019) Waste mismanagement in developing countries: A review of global issues. Int J Environ Res Pub Health 16: 1060. https://doi.org/10.3390/ijerph16061060
[10] Sudan, South. "South Sudan: First State of Environment and Outlook Report 2018." (2018).
[11] Chacorovski, Zoran, et al. "South Sudan vehicle workshop hazardous waste management." Journal of Traffic and Transportation Engineering 5.4 (2017): 157-169.
[12] Ziraba, Abdhalah K., Tilahun Nigatu Haregu, and Blessing Mberu. "A review and framework for understanding the potential impact of poor solid waste management on health in developing countries." Archives of Public Health 74.1 (2016): 1-11.
[13] Manya, C. M. S., Leta, S., & Khan, M. M. (2017). Assessment of municipal solid waste management practices in Juba city, South Sudan, challenges and practical considerations: A review. IOSR Journal of Environmental Science, Toxicology and Food Technology (IOSR-JESTFT), 11 (10), 13-25.
[14] Loboka, M. K., Qi, S. H., Kang, J. X., Celestino, J. L., & Lukaw, Y. S. (2014). Assessment of the municipal solid waste pollution problem in the newest country: Case study of Juba, South Sudan. Research Journal of Applied Sciences, Engineering and Technology, 7 (5), 916-924.
[15] Mindat.org, “Juba Teaching Hospital, South Sudan”. Available from: https://www.mindat.org/feature-11592908.html. [Assessed 10 June 2023].
[16] Cheng, Y. W., Sung, F. C., Yang, Y., Lo, Y. H., Chung, Y. T., and Li, K. C. (2009). Medical waste production at hospitals and associated factors. Waste Management, 29 (1), 440–44.
[17] Abdulla F, Qudais HA and Rabe A (2008). A site investigation of medical waste management practices in Northern Jordan. Journal of Waste Management, 28 (2); 450-458.
[18] Abd El-Salam, M. M. (2010). Hospital waste management in El-Beheira governorate, Egypt. Journal of environmental management, 91 (3), 618-629.
[19] Sarkar, S. K. L., Haque, M. Z., Khan, T. A. (2006). Hospital waste management in Sylhet City, Bangladesh. ARPN Journal of Engineering and Applied Sciences, 1 (2); 1-9.
[20] Azage, M. and Kumie, A. (2010). Healthcare waste generation and its management system: the case of health centers in West Gojjam Zone, Amhara Region, Ethiopia. Ethiop. J. Health Dev, 24 (2); 119-126.
[21] Wiafe, S., Nooni, I. K., Nlasia, M. S., Diaba, S. K., & Fianko, S. K. (2015). Assessing clinical solid waste management strategies in Sunyani Municipality, Ghana–Evidence from three healthcare facilities. Int J Environ Pollut Res, 3 (3), 32-52.
[22] Taghipour, H., and Mosaferi, M. (2009). Characterization of medical waste from hospitals in Tabriz, Iran. Science of the total Environment, 407 (5), 1527-1535.
[23] Abor, P. A., and Bouwer, A. (2008). Medical waste management practices in a Southern African hospital. International Journal of Health Care Quality Assurance, 21 (4), 356-364.
[24] Rahman, H. A. (2013). Incinerator in Malaysia: really needs?. vol, 1, 678-681.
[25] He, P. J., Zhang, H., Zhang, C. G., & Lee, D. J. (2004). Characteristics of air pollution control residues of MSW incineration plant in Shanghai. Journal of hazardous materials, 116 (3), 229-237.
[26] Manupati, V. K., Ramkumar, M., Baba, V., & Agarwal, A. (2021). Selection of the best healthcare waste disposal techniques during and post COVID-19 pandemic era. Journal of cleaner production, 281, 125175.
[27] Patil, A. D., Shekdar, A. V. (2001). Health-care waste management in India. Journal of Environmental Management, 63; 211-220.
[28] Muluken, A., Haimot, G., Mesafint, M., (2013). Healthcare waste management practices among healthcare workers in health care facilities of Gondar town, Northwest Ethopia. Health Science Journal. 7 (3): 315-326.
[29] Cowing MJ (2013) Health and Safety Guidelines for Waste Pickers in South Sudan. South Sudan: United Nations Environment Programme: South Sudan. 1st edition. http://unep.org/SouthSudan/ Accessed 10 November 2020.
Cite This Article
  • APA Style

    Woni, M. O. M., Giet, W. B. Y., Morris, D. N., Manya, C. M. S., Jubek, P. L. D. (2024). Current Methods and Challenges of Managing Clinical Solid Waste at Juba Teaching Hospital, South Sudan. American Journal of Environmental Protection, 13(1), 10-18. https://doi.org/10.11648/j.ajep.20241301.12

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    ACS Style

    Woni, M. O. M.; Giet, W. B. Y.; Morris, D. N.; Manya, C. M. S.; Jubek, P. L. D. Current Methods and Challenges of Managing Clinical Solid Waste at Juba Teaching Hospital, South Sudan. Am. J. Environ. Prot. 2024, 13(1), 10-18. doi: 10.11648/j.ajep.20241301.12

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    AMA Style

    Woni MOM, Giet WBY, Morris DN, Manya CMS, Jubek PLD. Current Methods and Challenges of Managing Clinical Solid Waste at Juba Teaching Hospital, South Sudan. Am J Environ Prot. 2024;13(1):10-18. doi: 10.11648/j.ajep.20241301.12

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  • @article{10.11648/j.ajep.20241301.12,
      author = {Moses Osman Mathew Woni and William Bol Yaak Giet and David Nasir Morris and Charles Mahmoud Sebit Manya and Paul Lado Demetry Jubek},
      title = {Current Methods and Challenges of Managing Clinical Solid Waste at Juba Teaching Hospital, South Sudan},
      journal = {American Journal of Environmental Protection},
      volume = {13},
      number = {1},
      pages = {10-18},
      doi = {10.11648/j.ajep.20241301.12},
      url = {https://doi.org/10.11648/j.ajep.20241301.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajep.20241301.12},
      abstract = {The amount of clinical solid waste generated at Juba Teaching Hospital has been increasing as a result of the increasing population of Juba city. Despite the increase in the amounts of clinical solid waste, few scientific studies were conducted and the studies focused only on municipal solid waste management and have not explored clinical solid waste management in Juba City. A survey study aimed to explore the current methods and challenges of clinical solid waste management (CSWM) at Juba Teaching Hospital was conducted. The data was obtained through questionnaires, observation and oral interview. Word-excel-2013 and Statistical Package for Social Sciences (SPSS) IBM – 2021 version were used to process the data. The results revealed inappropriate methods of clinical solid waste management practices such as irregular collection, mixing different types of solid wastes together, use of water bottles instead of safety boxes for segregation of sharps, manual transportation of solid wastes, unprotected storage site, irregular incineration, open burning and random dumping. Reasons such as insufficient equipment, negligence of hospital administrators and few numbers of waste collectors was attributed to the inappropriate management of clinical solid waste in the hospital. The study recommended adoption of recycling strategies, employment of more waste handlers, commensurate remuneration and motivation, provision of enough equipment, creation of staff awareness and capacity development on health implications of poor clinical solid waste management.
    },
     year = {2024}
    }
    

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    T1  - Current Methods and Challenges of Managing Clinical Solid Waste at Juba Teaching Hospital, South Sudan
    AU  - Moses Osman Mathew Woni
    AU  - William Bol Yaak Giet
    AU  - David Nasir Morris
    AU  - Charles Mahmoud Sebit Manya
    AU  - Paul Lado Demetry Jubek
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    T2  - American Journal of Environmental Protection
    JF  - American Journal of Environmental Protection
    JO  - American Journal of Environmental Protection
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    PB  - Science Publishing Group
    SN  - 2328-5699
    UR  - https://doi.org/10.11648/j.ajep.20241301.12
    AB  - The amount of clinical solid waste generated at Juba Teaching Hospital has been increasing as a result of the increasing population of Juba city. Despite the increase in the amounts of clinical solid waste, few scientific studies were conducted and the studies focused only on municipal solid waste management and have not explored clinical solid waste management in Juba City. A survey study aimed to explore the current methods and challenges of clinical solid waste management (CSWM) at Juba Teaching Hospital was conducted. The data was obtained through questionnaires, observation and oral interview. Word-excel-2013 and Statistical Package for Social Sciences (SPSS) IBM – 2021 version were used to process the data. The results revealed inappropriate methods of clinical solid waste management practices such as irregular collection, mixing different types of solid wastes together, use of water bottles instead of safety boxes for segregation of sharps, manual transportation of solid wastes, unprotected storage site, irregular incineration, open burning and random dumping. Reasons such as insufficient equipment, negligence of hospital administrators and few numbers of waste collectors was attributed to the inappropriate management of clinical solid waste in the hospital. The study recommended adoption of recycling strategies, employment of more waste handlers, commensurate remuneration and motivation, provision of enough equipment, creation of staff awareness and capacity development on health implications of poor clinical solid waste management.
    
    VL  - 13
    IS  - 1
    ER  - 

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Author Information
  • Department of Environmental Studies, College of Natural Resources and Environmental Studies, University of Juba, Juba, South Sudan

  • Department of Environmental Studies, College of Natural Resources and Environmental Studies, University of Juba, Juba, South Sudan

  • Department of Environmental Studies, College of Natural Resources and Environmental Studies, University of Juba, Juba, South Sudan

  • Department of Environmental Studies, College of Natural Resources and Environmental Studies, University of Juba, Juba, South Sudan

  • Department of Environmental Studies, College of Natural Resources and Environmental Studies, University of Juba, Juba, South Sudan

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