On the Evaluation of Waste Management Practices at Ward Level in a Tertiary Hospital in Lagos, Nigeria

  • G A Sodamade Department of Civil and Environmental Engineering, University of Lagos, Lagos, Nigeria
  • O Shomoye
Keywords: Hazardous, health care, Infectious, waste disposal

Abstract

The management of Health Care Waste (HCW) is highly important towards reducing the risk of infections. Attention should be focused on the cradle of the generation, which is the wards. This study assessed the management of wastes from the 22 wards and a diagnostic centre of a tertiary hospital in Lagos, Nigeria. Data on waste generation,  segregation, storage and collection practices were collected from the wards. The general observation from all the wards is that guidelines and standards of health care waste
management according to WHO were not adhered to. The average waste generated ranged from 0.14 kg bed-1 day-1 at the private ward to 1.46 kg bed-1 day-1 at the diagnosis centre. The general waste generated was about 63.4 % of the total wastes and these were mostly from the children ward. The waste generated from the private ward was the least. The female surgical and gynaecology wards have the largest amount of infectious waste, with each generating 4.94 kg day-1 and 4.02 kg day-1
respectively. Re-orientation of the hospital workers and management of waste from source could reduce the risk of HCW to the society.

References

Abah, S. O. and Ohimain, E. I. (2011). Healthcare waste management in Nigeria: A case study. Journal of Public Health and Epidemology, 3(3): 99-110.
Adegbita M. A., Nwafor, S. O., Afon, A., Abegunde A. A. and Bamise C. T. (2010). Assessment of dental waste management in a Nigerian tertiary hospital. Waste
Management Resources, 25: 83-89.
Akter N. (2000). Medical waste Management Review Environmental Engineering program January 2000. Available from: URL: http://www.engconsult.com/BEN/papers/Paper-anasima.PDF. Accessed on September 7, 2015.
Aukoh, F. J. (2008). Healthcare Waste Management in Jordan King Abdullah University Hospital case study. Journal of Science, Medicine and Engineering. 20(1): 61-77.
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. Ethiopia Journal of Health Development. 24(2): 119-126.
Da Silva C. E., Hoppe A. E., Ravanello M. M., Mello, N., (2005). Medical waste management in the south of Brazil. Waste Management, 25: 600-605. Farzadkia, M., Moradi, A. and Mohammadi, M. S. (2009). Hospital waste management status in Iran: a case study in the teaching hospitals of Iran University of Medical Sciences. Waste Management and Research, 27: 384389.
Hagen, D. L., Al-Humaidi, F., and Marthin, A (2001). Infectious waste survey in a Saudi Arabian hospital. An important quality improvement tool. American Journal of Infection Control, 29: 198-202.
Halbwachs H. (1994). Solid Waste Disposal in District Health Facilities. World Health Forum, 13(4): 363-368.
Henry, G, and Heinke, G. W., (1996). Environmental Science and Engineering, 2nd ed. Prentice-Hall, Englewood, New Jersey.
Longe, E. O. and Williams, A. (2006). A preliminary Study of Medical Waste Management in Lagos Metropolis, Nigeria. Iran Journal of Environmental Health Science Engineering, 3(2): 133139.
Manyele, S. V., Anicetus, H. and Bilia, M. H., (2003). Globalization and its effects on medical waste management in Tanzania, IET Annual Conference and General Meeting, 4th 5th December, 2003, AICC Arusha, Tanzania.
Manyele, S. V., (2004). Medical waste management in Tanzania: Current situation and the way forward. African Journal of Environmental Assessment and Management, 8(1): 7499.
Mokuolu, M. O., (2009). Improving the Management of Solid Hospital Waste in a Nigerian Tertiary Hospital. The Free Library (September, 25). http://www.thefreelibrary.com/Improving+the+Management+of+Solid+Hospital+Waste+in+A+Nigerian...-a01073990679, Accessed February 12, 2014. Monreal, J. (1991). Consideration on the Management of Hospital Wastes in Latin America. Environmental Health Program, PAHO/WHO.
Olubukola, B. O., (2009). Comparative Analysis of Health Care Waste Management Practice in Two General Hospitals in Nigeria. Available at http://.www.com/edi/index.htm. Accessed May 12, 2016.
Olukanni, D. O., Azuh, D. E., Toogun, T.O. and Okorie U. E., (2014). Medical waste management practices among selected health-care facilities in Nigeria: A case study. Academic Journals 9(10): 431-439.
Phengxay S, Okumura, J, Miyoshi, M, Sakisaka, K, Kuroiwa C, and Phengxay, M, (2005). Healthcare Waste Management in Lao PDR: A case study. Waste Management and Resources 23: 571581.
Sangodoyin, A. Y. and Coker, A. O., (2005). Journal of Applied Science, Engineering and Technology, 5(1-2): 27-32.
Slack, R. J., Gronow, J. R., and N. Voulvoulis, (2004). Hazardous components of households wastes. Critical Review in Environmental Science and Technology, 34(95): 419445.
Townend, W. K. and Cheeseman, C. R. (2005). Guidelines for the evaluation and assessment of the sustainable use of resources and of waste management at healthcare facilities. Waste Management and Research, 23: 398-408
Tudor, T. L., Nooman, C. L. and Jenkin L. E. T. (2005). Healthcare waste management: A case study from the Cornwall NHS. UK. Waste Management 25:606-615. http://dx.doi.org/10.1016/j.wasman.2004.10.004 ; PMid: 15993345. Accessed on July 24, 2014.
WHO (1999). Safe Management of Wastes from Health-care Activities. WHO, Geneva.
WH0 (2000). Wastes from Healthcare Activities. WHO Fact sheet No. 253; 2000. Available from: URL: http://www.phrusa.org/campaigns/aids/who_031303/unsafe.
html-99k.
World Health Organization (2004). Preparation of national healthcare waste management plans in sub-Saharan countries, a guidance manual Geneva:
Available from: URL: http://whqlibdoc.who.int/publications/ 2005/924154662X.pd
Published
2019-02-23
How to Cite
Sodamade, G. A., & Shomoye, O. (2019). On the Evaluation of Waste Management Practices at Ward Level in a Tertiary Hospital in Lagos, Nigeria. Journal of Engineering Research, 21(1), 1-8. Retrieved from http://jer.unilag.edu.ng/article/view/280