Assessment of Healthcare Waste Management practices in Primary Health Care Facilities in a Lassa Fever Endemic Local Government Area of Edo state, Nigeria.

EA Tobin, TF Ediagbonya, DA Asogun, AJ Oteri

Abstract


Background: The safe management of healthcare
waste remains a public health issue in many countries
of the world.
Objectives: To assess healthcare waste management
practices in primary health care facilities in a rural Lassa
fever endemic community in Edo State, Nigeria.
Materials and Methods: A cross sectional descriptive
study was carried out in 12 Primary healthcare centers in
Esan West local government area of Edo State. Wastes
generated over 7 days were weighed daily. A checklist was
used to record current practice, and Key informant
interviews with officers in charge of facilities assessed
Managements’ commitment to healthcare waste
management. Statistical Package for the Social sciences
(SPSS) version 15 was used for data analysis, and results
presented as tables, with continuous variables
summarized as means and standard deviations.

Results: Mean waste generation for all the facilities was
0.21/kg/bed/day. Waste re-use and segregation was
minimal , storage was in open baskets, with safety boxes
used for sharps, and final disposal was by burial or
burning. Policies on healthcare waste management
were unknown, and there was no budget for waste
management.
Conclusion: Waste management remains a public
health concern at the Primary Healthcare level in Edo
State. Addressing this problem will necessarily start
with gaining support from health managers at this level
of healthcare delivery.


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