International Journal of Scientific Research in Knowledge, 5(1), pp. 001-010, 2017
Available online at http://www.ijsrpub.com/ijsrk
ISSN: 2322-4541; ©2017; Author(s) retain the copyright of this article
http://dx.doi.org/10.12983/ijsrk-2017-p0001-0010
1
Full Length Research Paper
Assessment of Healthcare Waste Management Practices Employed by Health
Workers in Health Facilities in Bushenyi District Western Uganda
Sambo Haruna Aliyu
1*
, Emurot Simon Peter
1
, Awatta Walter Ochan
1
, Moazzam Mohiuddin
1
, Adamu Almustapha
Aleiro
2
1
Faculty of Allied Health Sciences, Department of public health, Kampala international university western campus, Ishaka
Bushenyi, Uganda
2
Faculty of Biomedical Sciences, Department of Microbiology and immunology, Kampala international university western
campus, Ishaka Bushenyi, Uganda
*Corresponding Author E-mail: harunsambo@yahoo.com; Phone Numbers: +256754967330, +2348033609629
Received 26 October 2016; Accepted 19 January 2017
Abstract. Globally healthcare waste has been identified as a major problem that has the potential of impacting negatively on
both human health and environment for decades. The study was conducted to assess healthcare waste management practices
employed by health workers in health facilities in Bushenyi District western Uganda. The study design adapted was a
descriptive and cross sectional type and both quantitative and qualitative methods were used. Twelve out of a total of 38 health
facilities present in the district were selected. A range of methods employed for the collection of data included questionnaire
survey which targeted 340 stratified randomly selected healthcare workers, formal interviews as well as field observations. The
results depicts that majority of the respondents 263 (77.4%) agreed that healthcare waste was been segregated at their facilities
while 51 (15%) denied the existence of segregation. However observations revealed that Segregation was applied only to
sharps which was collected in special sharp boxes Furthermore 47 (13.8%) of the respondents do not use protective equipment
when handling healthcare waste while majority of the respondents 293 (86.2%) have agreed to usage of protective equipment.
The use of hands was identified as the most common mode of transportation as indicated 214 (62.9%) of the respondents while
open pit burning was identified as the commonest method of waste disposal. Based on the study findings it was revealed that
healthcare waste was improperly managed and majority of healthcare workers were not in compliance with Ugandans health
workers guide.
Keywords: Healthcare, Disposal, Practice, Management
1. INTRODUCTION
Globally concerns on the risks associated with
healthcare waste as well as its management have been
on an increase in recent times (Ananth et al., 2010).
The united states environmental protection agency
defines healthcare waste as that which contains all
waste materials generated by health care facilities,
such as hospitals, clinics, physician’s offices, dental
practices, blood banks, and veterinary
hospitals/clinics, as well as at medical research
facilities and laboratories (USEPA, 2013). On the
other hand, healthcare waste management comprises a
number of activities which includes waste generation,
segregation, transportation, storage; treatment as well
as final disposal of all types of healthcare waste all of
this aforementioned stage does require special
attention (Manyele and Lyasenga, 2010).
The evolution of a separate category of healthcare
waste within the municipal waste stream dates back to
the late 1970s, when it was observed that hazardous
waste including syringes and bandages where washed
up in the eastern US Coast (Frost and Sullivan, 2009).
There was a public outcry which led to the
formulation of the US medical waste tracking act
which finally came into force on November 1, 1988
(Holmes, 2009). In the year 1990, the European Union
established the fact that health care waste is
considered to be a priority waste due to the potential
hazards they pose on human health and the
environment (Leonardo, 2011).
In developing countries it has been documented
that healthcare waste has not received the needed
attention as hospitals in both urban and rural settings
dispose their waste in a way that poses risk of diseases
to populations (Almuneef and Memish, 2003). The
obstacles towards the success recorded in healthcare