International Journal of Community Medicine and Public Health | July 2022 | Vol 9 | Issue 7 Page 2942 International Journal of Community Medicine and Public Health Mondal R. Int J Community Med Public Health. 2022 Jul;9(7):2942-2944 http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040 Original Research Article Impact of monitoring and training on biomedical waste segregation practice in hospitals Ramkrishna Mondal* INTRODUCTION Bio-medical waste (BMW) management in India was revamped like anything after the revision of biomedical rule in 2016 and subsequently in 2018 recently. The importance of the proper handling of BMW had been considered by most of the hospital management. The most critical step in the BMW management is the segregation, in specific, segregation at the point of generation. 1,2 If segregation is done properly at source point, half of the work will be done. It also helps to reduce the waste quantity by around 2-5% if segregated immediately. 2-4 WHO has given the fact that only 10-20% hospital waste is hazardous. 4 Proper segregation needs proper training of the staff and a robust monitoring system. The current study was the extension work of the Mondal et al at a teaching hospital at Eastern India, using the same principle to assess how matrix method of monitoring is used for training need assessment and monitoring the segregation for improvement in waste segregation. 2 The objective of this study was to find out the impact of training and monitoring in BMW segregation practice in a teaching hospital in Eastern India. ABSTRACT Background: It is evident that only 10-20% of the entire hospital waste is hazardous. If waste segregation is done properly at point of generation and immediately, it helps to reduce the waste quantity by around 2-5%. Regular monitoring and training of the staff is of paramount importance in proper segregation of waste. The aim was to find out impact of monitoring and training in waste segregation practice of the hospital. Methods: The study was done in a 750 bedded teaching hospital at eastern India during 2018. 23 different areas were identified. Each area had equipped with total five (5) bins including one bin for general waste and a total 23 ×5=115 bins to be monitored daily for segregation deficiency. A structured training programme for all staff were made. A register used to record daily segregation deficiency. Monthly data were used for training need assessment and bio- medical waste segregation deficiency (BMWSD) index was calculated. Simple statistical test in Microsoft excel and t test used. Results: In the zero month 16 areas found with total 38 deficiencies and the mean BMWSD index was 1.10%. On the third month, only three deficiencies found in three areas with the mean BMWSD index 0.09%. On the sixth month the deficiencies were further reduced to only one area with one deficiency with a BMWSD index of 0.03%. Conclusions: Regular monitoring along with proper training of the staff improved the biomedical waste segregation practice in the hospital highly significantly over time (p<0.0001). Keywords: Monitoring, Segregation, Waste segregation, Segregation monitoring, Training impact, Training need Department of Hospital Administration, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India Received: 26 May 2022 Revised: 10 June 2022 Accepted: 13 June 2022 *Correspondence: Dr. Ramkrishna Mondal, E-mail: dr.rkmondal@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20221763