Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka, India.
District Quality team, Department of Health and Family Welfare Services, Hassan, Karnataka, India.
Int Q Community Health Educ. 2021 Apr;41(3):349-353. doi: 10.1177/0272684X20915380. Epub 2020 Apr 15.
Inadequate biomedical waste management not only poses significant risk of infection due to pathogens such as HIV and Hepatitis B and C virus but also carries the risk of water, air, and soil pollution thereby adversely affecting the environment and community at large. Therefore, the Ministry of Health and Family Welfare commissioned implementation of an Infection Management and Environment Plan (IMEP) in health-care facilities. Hence, this study is undertaken to assess the knowledge, attitude, practice, and gaps in implementing the biomedical waste management practices at the primary health-care facilities. A cross-sectional study was conducted among the Primary Health Centers of Hassan District. Details of knowledge, attitude, and practice of biomedical waste management were collected through observation, staff interview, and record review on the predesigned questionnaire. A score of 0, 1, and 2 was given for (0), (1), and (2), respectively, based on the compliance. A scoring system was devised to evaluate the effectiveness of training as , , and . A score of >70 was considered as , 50 to 70 as , and <50 as .
The mean efficacy score was 63; knowledge was good with a score of 74, attitude was average with a score of 63, and practice was also average with a score of 54.
There is a need for retraining of all the staff and strict supportive supervision by the district health authorities to ease the implementation requirements.
生物医学废物管理不善不仅会因 HIV 和乙型肝炎、丙型肝炎病毒等病原体而带来严重的感染风险，还会造成水、空气和土壤污染，从而对环境和整个社区造成不利影响。因此，卫生部和家庭福利部委托在卫生保健设施中实施感染管理和环境计划（IMEP）。因此，本研究旨在评估初级保健设施中生物医学废物管理的知识、态度、实践和实施差距。在哈桑区的初级保健中心进行了一项横断面研究。通过观察、工作人员访谈和记录审查，收集了生物医学废物管理知识、态度和实践的详细信息，使用预先设计的问卷。根据遵守情况，分别为（0）、（1）和（2）赋予 0、1 和 2 的分数。设计了一个评分系统来评估培训的效果，分别为 、 和 。得分>70 被认为是 ，50 到 70 是 ，<50 是 。
平均功效评分为 63；知识得分良好，得分为 74，态度得分平均，得分为 63，实践得分也平均，得分为 54。
需要对所有工作人员进行再培训，并由地区卫生当局进行严格的支持性监督，以减轻实施要求。
