EFFECT OF AN EDUCATIONAL PROGRAM FOR HEALTHCARE PROVIDERS REGARDING HEALTHCARE WASTE MANAGEMENT AT MATERNAL AND CHILD HEALTH CENTERS
DOI:
https://doi.org/10.31674/mjn.2019.v11i02.007Abstract
Background: Healthcare waste represents one of the most important environmental problems in the world because of the potential environmental hazards and public health risks, and its management is an integral part of infection control programs. Aim of the study was to evaluate the effect of an educational program for healthcare providers regarding healthcare waste management at maternal and child health centers. Design: A quasi-experimental design was used. Setting: The current study was conducted in 5 maternal and child health centers following kafr-shokr city at Qalyobia Governorate. Subjects: A Convenient sample of healthcare providers (nurses and health technicians) in the previously mentioned setting was recruited. Tools of data collection: Three tools were used. I. A structured interviewing questionnaire: consisting of 3 parts to assess: 1) demographic characteristics of healthcare providers. 2) Healthcare providers' past history of exposure to health problems due to healthcare wastes. 3) healthcare providers' knowledge about healthcare waste management. II. Observational checklist to assess healthcare providers' practices regarding healthcare waste management. III. Modified Likert Scale: was used to assess healthcare providers' attitude regarding healthcare waste management. Results: This study showed that 65.3% of healthcare providers aged from 35 to <50 years old, 93.9% of them were nurses, and 46.9% of them had less than 10 years of experience. Regarding healthcare providers' knowledge; only 12.2% of healthcare providers had good total knowledge score regarding healthcare waste management which increased to 73.5% post educational program intervention. The total score of healthcare providers' practices were satisfactory for 16.3 % of the preprogram and increased to 81.6 % post educatuionaprogram. Preprogram 22.4% of healthcare providers had positive total attitude score which increased post program implementation to 81.6%. Conclusion: This study concluded that the educational program had a significant effect on the improvement of the healthcare providers' knowledge, practices and attitude. Recommendations: Further studies should be provided in other MCH centers to implement healthcare waste management educational program for all healthcare providers.
Keywords:
Educational program, Healthcare providers, Healthcare waste managementDownloads
References
Berkel, R. (2018). Training manual on bio-medical waste management for doctors, nurses and Copyright © 2018 by the United Nations Industrial Development Organization, Edition: First published in India.
Chudasama, R. , Rangoonwala, M., Sheth, A., Misra, S., Kadri, A. & Patel, U. (2013). Biomedical Waste Management: A study of knowledge, attitude and practice among health care personnel at tertiary care hospital in Rajkot. Journal of Research in Medical and Dental Science, 1(1), pp 17-22.
Crisp, J., Douglas, C., Rebeiro, G. & Waters, D. (2015). Crisp J., Potter TC., Perry's fundamentals of Nursing. 5th Edition, Elsevier Austratia.
Derso, S., Taye, G., Getachew, T., Defar, A., Teklie, H., Amenu, K., Gelibo, T. & Bekele, A. (2018). Biomedical waste disposal systems of health facilities in Ethiopia. Environmental Health Engineering and Management Journal, 5(1), pp 29–37.
El-Nour, A., Moussa, M., El-Borgy, D., Fadelella, N. & Mahmoud, A. (2015). Impacts of health education on knowledge and practice of hospital staff with regard to Healthcare waste management at White Nile State main hospitals, Sudan. International Journal of Health Sciences, Qassim University, 9(3), pp 316-331.
El-Sayed, S., Zakaria, A. & Gheith, N. (2012). Intervention program for Nurses about Health Care Waste Management. In Egypt. Research Journal of Medicine and Medical Sciences, 7(1), pp 25-37.
Hakim, S., Mohsen, A. & Bakr, I. (2014). Knowledge, attitudes and practices of health-care personnel towards waste disposal management at Ain Shams University Hospitals, Cairo. EMHJ, 20(5), pp 347-57.
Healthcare Waste Management (2017). Health Care Waste Management. [online] WHO; 2017.(Cited MAY 2018 16) Available at: https:// www.healthcare-waste.org/.
Hosny, G., Samir S. & El-Sharkawy, R. (2018). Interventions significantly improve medical waste handling and management: A consequence of raising knowledge and practical skills of health care workers. In Alexandria, Egypt. International Journal of Health Sciences, 12(4), pp 56-66.
Hussein, F. (2011). Implementation A developed Nursing Care Standards for Hemodialysis Patients in Zagazig University Hospital. PhD Thesis. Faculty of Nursing, Zagazig University, Egypt, 99, pp 53-55.
Ismail, M., Kulkarni, G., Kamble, V., Borker, A., Rekha, R. & Amruth, M. (2013). Knowledge, attitude and practice about bio-medical waste management among personnel of a tertiary health care institute in Dakshina Kannada, Karnataka. Al Ameen Journal of Medical Sciences, 6(4), pp 376-380.
Nemoto, T. & Beglar, D. (2014). Developing Likert-scale questionnaires. In N. Sonda & A. Krause (Eds.), JALT2013 Conference Proceedings. Tokyo: JALT. Retrieved from: https://jalt- publications.org/files/pdf-article/jalt2013_001.pdf.
Omer, E. & Alsubaie, A. (2017). Medical Waste Management Survey in Primary Health Care Centers, Saudi Arabia. Majmaah Journal of Health Sciences, 5(1), pp 7-22.
Rafiq, M., Ahamad, J., Ahamad, A., Jan, R. (2013). Knowledge, attitude and Practices about Biomedical Waste management among Nursing Professionals of SKIMS Medical College Hospital Bemina. Journal of Nursing and Health Science, 1(5), pp 47-48.
Rudraswamy S. (2014). Hospital Waste Management Training among the Staff of Dental Teaching Hospitals in Bangalore City: Hospital Waste Management. Anchor Academic Publishing (aap_verlag). Retrieved from: https://www.anchor-publishing.com/document/287503.
Ryan, C. & Jamie, B. (2018). Environmental conditions in health care facilities in low- and middle-income countries: Coverage and inequalities. An International Journal of Hygiene and Environmental Health, 221(3), pp 409-422.
arma, K., Nagarajan, S. & Saini S. (2011). Facilities-Waste Attitudes and Actions. Retrieved from: http://www.asianhhm.com/facilities_operations/attitudes_actions.htm.
Singh, T., Ghimire, T. & Agrawal, S. (2018). Awareness of Biomedical Waste Management in Dental Students in Different Dental Colleges in Nepal. BioMed Research International, 2018, Article ID 1742326, pages 6.
Sutha, I. (2018). An analytical study on medical waste management in selected hospitals located in Chennai city. Journal of Environmental Waste Management and Recycling, 1(1), pp 5-8.
Swathi, M., Shirisha, K., Sunder, A. & Rao, A (2018). Evaluation of Biomedical Waste Management Practices in a Tertiary Health Care Institute in Telangana, India. International Journal of Current Microbiology and Applied Sciences, 7(07), pp 3226-3230.
Win, M., Saw, M., Than, M., Cho, M., Kariya, T., Yamamoto, E. & Hamajima, N. (2019). Healthcare waste management at primary health centers in Mon State, Myanmar: comparisons between hospital and non-hospital type primary health centers. Nagoya Journal of Medical Science, 81(1), pp 81–91.
World Health Organization (WHO) (2014). Safe management of wastes from health-care activities. Edited by Yves Chartier, Jorge Emmanuel, Ute Pieper, Annette Prüss, Philip Rushbrook, Ruth Stringer, William Townend, Susan Wilburn and Raki Zghondi, 2nd Ed. Geneva, Switzerland.
Zagade, T. & Pratinidhi, A. (2014). Effectiveness of educational intervention on knowledge and practice among biomedical waste handlers. International Journal of Science and Research, 3(5), pp 285-95.
