care wastes constitute a small stream of all waste generated by human yet
proper disposal of this waste is a great concern because of its hazardous
nature. Most developing countries have poor culture of hospital waste
management due to competing medical needs and lack of commitment by hospital
Support and Technical Assistant Resources (AIDSTAR1) a
development partner supported government of Nigeria to build capacity of health
care workers in line with World Health Organization (WHO) and national guideline
on HCWM.. It is expected that this support would yield the desired result of
improving HCWM in Nigeria. This study is to assess the level of implementation
of national guideline on HCWM in Nigeria.
cross sectional descriptive study was conducted using key informant interview
and direct observation of HCWM practices in 5 facilities selected from 3 out of
the 6 priority states supported by AIDSTAR1. The guideline on minimum package
for HCWM in Nigeria was used as a tool for assessing level of implementation at
each health facility.
was marked improvement in HCWM practices across the facilities compared to only
2.5% of facilities who met minimum standard for HCWM as described in the
baseline assessment in 2011. All the facilities had infection prevention
committee and all the various types of waste boxes were available and used in
the facilities for waste segregation. Wastes were evacuated to points of final
disposal even though there were some operational challenges with the process.
There was high awareness of the hazardous nature of hospital waste and the need
to dispose them in a sanitary manner.
of all cadres of health care workers including waste handlers, management
staffs, and provision of necessary material for HCWM has lead to improved HCWM
in Nigeria. It is hereby recommended that government should ensure that
guideline for minimum package of healthcare waste management are continuously
implemented in health facilities in line with the national policy on HCWM.
words: Healthcare waste management,
Hazardous health waste, National healthcare waste management guideline,
Healthcare waste segregation.
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