Assessment of medical wast practices and disposal in hospitals of Mogadishu (Somalia)
Assessment of the managementand disposal practices of medical waste in the Hospitals of Mogadishu city, Somalia (2011-2012) by Ahmed Adam Mohamed Warsame M.Sc. In public and environmental health 2012
IntroductionThe safe and effective disposal of medical waste starts with thehealth care practitioners, and there is a very need to reduceboth the cost and environmental impacts arising from thegeneration and disposal of waste in the hospitals.Doing further researches in this field is very crucial to exploremore about the risks of the medical waste in Somalia,identifying the health problems due to the mismanagement ofthe medical waste in the hospitals, this even could participaterising the awareness of the people towards the great risks of themedical waste and unsafe disposal practices.
This study aims to assess the medical wastemanagement and the safe disposal in thehospitals of Mogadishu city, examining themedical waste practices in Somalia and revisingthe plans and procedures for medical wastemanagement, And insuring if there is a policiesprocedure, rules and regulations set forth by theministry of health or hospital directory to befollowed for managing medical waste in thehospitals, and discovering the obstacles andproblem for proper medical waste management.
Medical waste definitionVery broadly medical waste is defined as anysolid or liquid waste that is generated in thediagnosis, treatment or immunization of humanbeings or animals, in research pertaining thereto,or in the production or testing of biological” (BAN& HCWH, 1999)
Medical waste classificationThe World Health Organization classifies medical orhealthcare waste into communal waste or general waste andspecial waste. Communal or general waste is all solid wastenot including infectious, chemical, or radioactive waste. Thiswaste stream can include items such as packaging materials,bedding, waste water from laundries, office supplies andother substances that do not pose a special handlingproblem or hazard to human health or the environment(WHO 1999)
ObjectivesGeneral objective:The main objective of this study is to assess themedical waste management practice, safe disposalof medical waste in the hospitals of Mogadishu city.
Specific objectivesTo indicate mismanagement practices of themedical wastes at the hospitals of Mogadishucity.Investigate the problems and constrains inmanaging medical waste.Insuring the existing policies and procedures forthe medical waste management
3.1 Study designType of the study was cross-sectional retrospective hospital based
3.3. Data analysisThe analysis is essentially descriptivedata; the analysis was extracted fromquestionnaire and personal interviewcarried out by the researcher.
MethodologyIn the research it is used the descriptivemethod, aiming at collecting data from thehospital staff (doctors, medical assistantsand cleaners) by using questionnaires.Objective observations and interview alsowhere used, then analyzing the data instatistical software.
Symbol labeling of the wasteSymbol Frequency Percent % No 30 100.0
management process when dealing with broken bags and waste and then decontaminating them Process AnswerIdentification of waste type NoSeparation of non-infectious or general waste from Noinfectious waste.Transferring all waste bags on wheeled containers and N0using utility glovesPackaging. No
Registration of wasteRegistering Frequency Percent % No 30 100.0
Mismanagement acts of medical wastesThe administrators of the three hospitals haveagreed that there is mismanagement acts of medicalwaste management, and they justified that theydon’t have the disposal technologies and educatedstaff for medical waste management and safedisposal. Also the administrators indicated thatnone of the hospital provides annual education ortraining on waste management for the employees.
ConclusionMedical waste must be separated from municipal waste, but inmany parts of Africa it tends to be collected along with the rest ofthe waste stream. Poor management of medical waste has serioushealth implication to health workers, patients and the public; also,due to the toxic nature of medical waste, improper handling maylead to serious health problem, destruction of naturalenvironment and disturb the balance of the ecosystem. This studyexamined the medical waste management practices in three ofthe major hospitals in Mogadishu city Somalia, from the results ofthe study; it is obvious that medical waste management is notpracticed according to WHO,s recommended standards, wheremedical wastes are not properly managed. It is imperative forsignificant investment in the proper management of medicalwaste in order to reduce the health risk it poses. The researcherhopes that this study will create the awareness regarding theproblem of medical waste management in hospitals and willgenerate interest for systematic control efforts for effectivemedical waste management.
Recommendations .•There must be a separate unit for medical westmanagement in the hospitals•Ministry of health should set regulations formanaging medical wastes to be applied in all thehospital of the country.•The hospitals should develop clear policy and plansfor proper management of medical waste.•Ministry of health should supervise a regulartraining and education of all workers in dealing withmedical waste, from doctors to cleaners.
•It is very important to measure and quantify theamount of medical wastes generated by each unitof the hospitals to specify which department orunit generates the highest and lowest amount ofmedical wastes.•Proper segregation is needed for the generalwaste and medical wastes as well as infectiousmedical waste and non infectious medical waste.•The study recommends farther researches in thisarea of study.