Proposed Solutions to Address the Challenges of Medical Waste Management in Health Facilities in Kamukunji Sub-County, Nairobi City County, Kenya

Authors

  • Caxton Mbuvi Kenya Methodist University
  • Teresia Kyulu Kenya Methodist University
  • Kimani Makobu Kenya Methodist University

DOI:

https://doi.org/10.53819/81018102t6006

Abstract

Medical waste management in Kenya has been greatly affected by the country's elevated production levels. The majority of medical facilities do not have an extensive medical waste management system, or if they do, they do not handle waste thoroughly, and therefore is detrimental to humans and the environment. This research focuses on health facilities’ management of medical waste in Kamukunji sub-county, assessing the specific problems of medical waste management in that area. This was a study focusing on healthcare workers, their working conditions and habits.  This study was an analytical cross-sectional study design. Multistage sampling methods for the selection of 10 health facilities and 141 study participants. The R square was 0.746, indicating that medical waste management was harmed by a lack of funding, insufficient logistics, a lack of disposal sites, and a lack of understanding. This demonstrated a 74.6 percent variance in healthcare waste management due to a lack of funding, insufficient logistical supply, a lack of disposal site, and a lack of awareness. The remaining 25.4% implies that there were additional issues affecting the healthcare waste management systems of the ten health facilities evaluated. By explicitly identifying a given color with a certain category and its accompanying hazard, segregation aids to make waste processing safer. During the research period, Pumwani Maternity Hospital generated the most medical waste (80Kg) and Bahati Health Center generated the least (15Kg). The study concludes that periodic updates in medical waste management are necessary, as is refresher training for healthcare professionals and waste handlers. Additionally, it is advised that each health care facility have a safe and hygienic system in place for the handling, segregation, c collection, storage, transportation, treatment, and disposal of medical waste. All health facilities in Kenya, the study states, should adhere to the National Policy on Injection Safety and Medical Waste Management (2007). The 2007 strategy aims to emphasize the need of advocating for both the support and execution necessary to adequately manage healthcare waste.

Keywords: Medical waste generation, health risks, medical waste management solutions, challenges of medical waste management, health facilities

Author Biographies

Caxton Mbuvi, Kenya Methodist University

Department of Public Health

Teresia Kyulu, Kenya Methodist University

Department of Public Health

Kimani Makobu, Kenya Methodist University

Department of Public Health

References

Abor, P. A., & Bouwer, A. (2018). Medical waste management practices in a Southern African hospital. Journal of Applied Sciences and Environmental Management, 21(4), 356–364. https://doi.org/10.1108/09526860810880153

Al-Emad, A. A. (2016). Assessment of medical waste management in the main hospitals in Yemen. Eastern Mediterranean Health Journal, 17(10), 730–737. https://doi.org/10.26719/2011.17.10.730

Al-Khatib, I. A. (2014). Problems of management of medical solid waste at primary health care centres in the Palestinian Territory and their remedial measures. Eastern Mediterranean Health Journal, 19(6), 804–811.

http://applications.emro.who.int/emhj/v19/Supp3/EMHJ_2013_19_Supp3_S152_S158.pdf?ua=1

Ali, M., & Kuroiwa, C. (2018). Status and challenges of hospital solid waste management: case studies from Thailand, Pakistan, and Mongolia. Journal of Material Cycles and Waste Management, 11(3), 251–257. https://doi.org/10.1007/s10163-009-0238-4

Awodele, O., Adewoye, A. A., & Oparah, A. C. (2016). Assessment of medical waste management in seven hospitals in Lagos, Nigeria. BMC Public Health, 16(1), 1–11. https://doi.org/10.1186/s12889-016-2916-1

Banu, A., Shamsundar, B. V, & Bharadwaj, M. S. (2015). Challenges Of Hospital Solid Waste Management; Case Study In Challenges Of Hospital Solid Waste Management; Case Study In A Tertiary Care Hospital. International Journal of Current Research, 29(25), 592–599. https://doi.org/10.1177/0734242X13479429

Emilia, A. U., Julius, N. F., & Gabriel, G. (2015). Solid medical waste management in Africa. African Journal of Environmental Science and Technology, 9(3), 244–254. https://doi.org/10.5897/ajest2014.1851

Eslami, A., Nowrouz, P., & Sheikholeslami, S. (2014). Status and Challenges of Medical Waste Management in Hospitals of Iran. Civil Engineering Journal, 3(9), 741–748. https://doi.org/10.21859/cej-030910

Gao, C., Li, J., Liu, Z., & Xu, J. (2015). Avoidance behavior and acute toxicity of Eisenia fetida under exposure to lead, cadmium and chromium in soil. Research of Environmental Sciences, 28(10), 1596–1601. https://doi.org/10.13198/j.issn.1001-6929.2015.10.14

Giacchetta, G., & Marchetti, B. (2016). Medical waste management: a case study in a small size hospital of central Italy. Medical Waste Management, 6(1), 65–84. https://doi.org/10.1108/17538291311316072

Guerrero, L. A., Maas, G., & Hogland, W. (2013). Solid waste management challenges for cities in developing countries. Waste Management, 33(1), 220–232. https://doi.org/10.1016/j.wasman.2012.09.008

Hasan, M. M., & Rahman, M. H. (2018). Assessment of Healthcare Waste Management Paradigms and Its Suitable Treatment Alternative: A Case Study. Journal of Environmental and Public Health, 75(11), 687–697. https://doi.org/10.1155/2018/6879751

Hassan, A., Tudor, T., & Vaccari, M. (2018). Healthcare Waste Management: A Case Study from Sudan. Environments, 5(8), 89. https://doi.org/10.3390/environments5080089

ICRC. (2019). Medical waste management. Journal of Environmental Management, 599(56), 1451–1475. https://doi.org/10.3399/bjgp09X421021

Khalaf, A.-S. A. (2019). Assessment of Medical Waste Management in Jenin District Hospitals. Waste Management & Research, 25(9), 271–287. https://doi.org/10.1177/0734242X13479429

Khan, B. A., Cheng, L., Khan, A. A., & Ahmed, H. (2019). Healthcare waste management in Asian developing countries: A mini review. Waste Management and Research, 37(9), 863–875. https://doi.org/10.1177/0734242X19857470

Kuchibanda, K., & Mayo, A. W. (2015). Public health risks from mismanagement of healthcare wastes in Shinyanga municipality health facilities, Tanzania. Scientific World Journal, 98(11), 756–764. https://doi.org/10.1155/2015/981756

Kumarasamy, M., & Jeevaratnam, V. (2017). Review on Management of Hospital Waste in An Efficient Manner. International Journal of Environmental and Agriculture Research, 3(8), 55–59. https://doi.org/10.25125/agriculture-journal-IJOEAR-JUL-2017-12

Lakshmi, S. & K. P. (2012). Awareness about Bio-Medical Waste Management among Health Care Personnel of Some Important Medical Centers in Agra. International Journal of Environmental Science and Development, 1(3), 251–255. https://doi.org: 10.4103/0970-9290.87055

Makori, F. (2018). Challenges Facing Implementation Of Healthcare Waste Management Projects In Kenya. Strategic Journal of Business & Change Management, 5(2), 132–139. https://doi.org/ 10.3934/strabizmanagement.2020028

Mansab, M. R. (2015). Sharps Waste Management At Kidongo - Chekundu National Mental Hospital - Zanzibar Tanzania. African Journal of Environmental Science and Technology, 29(5), 255–263. https://doi.org/12.2015/AJEST.731734

MoH. (2015). Health Care Waste Management Strategic Plan 2015-2020. Ministry of Health, Kenya, 15(3), 1–153. https://www.health.go.ke/wp-content/uploads/2016/01/HCWM-Strategic-Plan-2015-2020-.pdf

Muduli, K., & Barve, A. (2015). Challenges to Waste Management Practices in Indian Health Care Sector. Journal of BMC Public Health, 3(1), 7–11. https://doi.org/10.4236/BMC.2013.49105

Mugenda, O. ., & Mugenda, A. G. (2003). Research methods: Quantitative and Qualitative approaches. Nairobi Acts Press. Kenya. International Journal of Education and Research, 18(2), 386–396. https://doi.org/10.4236/psych.2003.115053

Mugo, L. N. (2017). Factors Influencing Waste Management In Public Hospitals In Nakuru County, Kenya. East Africa Medical Journal, 21(10), 958–1014. https://doi.org/10:1177/0734232X20914748

Mwania, M. M. (2019). Assessment of Factors Affecting Healthcare Waste management System in Machakos County, Kenya. International Journal of Medicine and Public Health, 61(9), 1925–1933. https://doi.org/10.4103/2230-8598.179755

Nagaraju, B, Padmavathi G.V, Puranik D.S, Shantharaj M.P, S. S. . (2013). Knowledge and practice on bio-medical waste management among the health care providers working in PHCs of Bagepalli Taluk. International Journal of Medicine and Biomedical Research, 2(l), 28–35. https://doi.org/10.14194/ijmbr.216

Njue, P. M., Cheboi, K. S., & Oiye, S. (2015). Adherence to Healthcare Waste Management Guidelines among Nurses and Waste Handlers in Thika Sub-county- Kenya. Ethiopian Journal of Health Sciences, 25(4), 295. https://doi.org/10.4314/ejhs.v25i4.2

Odonkor, S. T., & Mahami, T. (2020). Healthcare waste management in Ghanaian hospitals: Associated public health and environmental challenges. Waste Management & Research, 38(8), 831–839. https://doi.org/10.1177/0734242X20914748

Saat, K., Dan, I. N. I., Ke, T., Dalam, D., & Limbah, P. (2015). Current Status and Future Challenges of Healthcare Waste Management in Indonesia. Current Status and Future Challenges of Healthcare Waste Management in Indonesia, 23(2), 73–81. https://doi.org/10.22435/mpk.v23i2.3129.73-81

UNEP. (2020). Introduction to COVID-19 waste management. United Nations Environment Programme, 15(5), 32–53. https://www.unep.org/resources/factsheet/covid-19-waste-management-factsheets

WHO. (2017). Preparation of national healthcare waste management plans in Sub-Saharan countries: Guidance manual. World Health Organisation Library, 141(85), 898–969. http://www.who.int/water_sanitation_health/medicalwaste/en/guidancemanual.pdf

WHO. (2019). Safe management of wastes from health‑care activities. Geneva, 54(8), 1424–1502.

https://apps.who.int/iris/bitstream/handle/10665/259491/WHO-FWC-WSH 17.05eng.pdf;jsessionid=BE197A8BAB73EC864CA3573E15D4F0E6?sequence=1

Yawson, P. (2016). Assessment of Solid Waste Management In Healthcare Facilities In The Offinso Municipality. Journal of the Indian Society of Hospital Waste Management, 85(1), 2071–2079. https://doi.org/10.1016/j.wasman.2016.10.023

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Published

2022-03-25

How to Cite

Mbuvi, C., Kyulu, T., & Makobu, K. (2022). Proposed Solutions to Address the Challenges of Medical Waste Management in Health Facilities in Kamukunji Sub-County, Nairobi City County, Kenya. Journal of Medicine, Nursing & Public Health, 5(1), 47–67. https://doi.org/10.53819/81018102t6006

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