An Evaluation of Staff Engagement with Infectious Healthcare Waste Management Policies: A Case Study of Tunisia

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2020 Mar 11

PMID 32150949

Citations 2

Authors

Kaouther Maaroufi

Terry Tudor

Mentore Vaccari

Afef Siala

Ezzeddine Mahmoudi

Affiliations

Soon will be listed here.

Abstract

This study evaluated the engagement of staff regarding infectious healthcare waste management, in two case-study universities in Tunisia. Using a questionnaire survey, it was found that the most significant reported factors that influenced engagement were the availability of technical sheets and posters, training and education programs, and the age range of the staff. While there was some accordance with the Tunisian Decree application ° 2008-2745 of July 28th, 2008, as well as international guidelines and best practice (e.g. the use of color coded bins, waste management teams, and infection control measures), there were also limitations in the provision of training. This limitation in training and, to a lesser extent, awareness impacted on the beliefs about infectious healthcare waste management of staff and their practices. Recommendations for addressing these issues are suggested.

Citing Articles

Impact of an educational training about healthcare waste management on practices skills of healthcare workers: a prexperimental study in a tertiary Tunisian hospital.

Bannour R, Cheikh A, Bhiri S, Ghali H, Khefacha S, Rejeb M Antimicrob Resist Infect Control. 2024; 13(1):122.

PMID: 39390611 PMC: 11465694. DOI: 10.1186/s13756-024-01446-w.

Hand hygiene and biomedical waste management among medical students: a quasi-experimental study evaluating two training methods.

Mlouki I, Ayed S, Chebbi F, Rezg N, Khouildi A, Sassi A BMC Med Educ. 2023; 23(1):634.

PMID: 37667268 PMC: 10478433. DOI: 10.1186/s12909-023-04617-2.

References

Hakim S, Mohsen A, Bakr I . Knowledge, attitudes and practices of health-care personnel towards waste disposal management at Ain Shams University Hospitals, Cairo. East Mediterr Health J. 2014; 20(5):347-54. View

Caniato M, Tudor T, Vaccari M . International governance structures for health-care waste management: a systematic review of scientific literature. J Environ Manage. 2015; 153:93-107. DOI: 10.1016/j.jenvman.2015.01.039. View

Kumar R, Samrongthong R, Shaikh B . Knowledge, attitude and practices of health staff regarding infectious waste handling of tertiary care health facilities at metropolitan city of Pakistan. J Ayub Med Coll Abbottabad. 2014; 25(1-2):109-12. View

Di Bella V, Ali M, Vaccari M . Constraints to healthcare waste treatment in low-income countries - a case study from Somaliland. Waste Manag Res. 2011; 30(6):572-5. DOI: 10.1177/0734242X11427943. View

Caniato M, Tudor T, Vaccari M . Assessment of health-care waste management in a humanitarian crisis: A case study of the Gaza Strip. Waste Manag. 2016; 58:386-396. DOI: 10.1016/j.wasman.2016.09.017. View

Haylamicheal I, Dalvie M, Yirsaw B, Hanibale Atsbeha Zegeye . Assessing the management of healthcare waste in Hawassa city, Ethiopia. Waste Manag Res. 2010; 29(8):854-62. DOI: 10.1177/0734242X10379496. View

Ibrahim N, Alwafi H, Sangoof S, Turkistani A, Alattas B . Cross-infection and infection control in dentistry: Knowledge, attitude and practice of patients attended dental clinics in King Abdulaziz University Hospital, Jeddah, Saudi Arabia. J Infect Public Health. 2016; 10(4):438-445. PMC: 7102687. DOI: 10.1016/j.jiph.2016.06.002. View

Tudor T, Noonan C, Jenkin L . Healthcare waste management: a case study from the National Health Service in Cornwall, United Kingdom. Waste Manag. 2005; 25(6):606-15. DOI: 10.1016/j.wasman.2004.10.004. View

Tudor T, Woolridge A, Phillips C, Holliday M, Laird K, Bannister S . Evaluating the link between the management of clinical waste in the National Health Service (NHS) and the risk of the spread of infections: A case study of three hospitals in England. Int J Hyg Environ Health. 2010; 213(6):432-6. DOI: 10.1016/j.ijheh.2010.08.002. View

10.

Shivalli S, Sanklapur V . Healthcare waste management: qualitative and quantitative appraisal of nurses in a tertiary care hospital of India. ScientificWorldJournal. 2014; 2014:935101. PMC: 4258326. DOI: 10.1155/2014/935101. View

11.

Saladie O, Santos-Lacueva R . The role of awareness campaigns in the improvement of separate collection rates of municipal waste among university students: A Causal Chain Approach. Waste Manag. 2015; 48:48-55. DOI: 10.1016/j.wasman.2015.11.037. View

12.

Caniato M, Vaccari M, Visvanathan C, Zurbrugg C . Using social network and stakeholder analysis to help evaluate infectious waste management: a step towards a holistic assessment. Waste Manag. 2014; 34(5):938-51. DOI: 10.1016/j.wasman.2014.02.011. View

13.

Nyirenda D, Ten Ham-Baloyi W, Williams R, Venter D . Knowledge and practices of radiographers regarding infection control in radiology departments in Malawi. Radiography (Lond). 2018; 24(3):e56-e60. DOI: 10.1016/j.radi.2018.01.002. View

14.

Oroei M, Momeni M, Palenik C, Danaei M, Askarian M . A qualitative study of the causes of improper segregation of infectious waste at Nemazee Hospital, Shiraz, Iran. J Infect Public Health. 2014; 7(3):192-8. DOI: 10.1016/j.jiph.2014.01.005. View

15.

Sapkota B, Gupta G, Mainali D . Impact of intervention on healthcare waste management practices in a tertiary care governmental hospital of Nepal. BMC Public Health. 2014; 14:1005. PMC: 4192442. DOI: 10.1186/1471-2458-14-1005. View

16.

Tabash M, Hussein R, Mahmoud A, El-Borgy M, Abu-Hamad B . Impact of an intervention programme on knowledge, attitude and practice of healthcare staff regarding pharmaceutical waste management, Gaza, Palestine. Public Health. 2016; 138:127-37. DOI: 10.1016/j.puhe.2016.04.001. View

17.

Ruoyan G, Lingzhong X, Huijuan L, Chengchao Z, Jiangjiang H, Yoshihisa S . Investigation of health care waste management in Binzhou District, China. Waste Manag. 2009; 30(2):246-50. PMC: 7125614. DOI: 10.1016/j.wasman.2008.08.023. View

18.

Botelho A . The impact of education and training on compliance behavior and waste generation in European private healthcare facilities. J Environ Manage. 2012; 98:5-10. DOI: 10.1016/j.jenvman.2011.12.003. View

19.

Nasiri A, Balouchi A, Rezaie-Keikhaie K, Bouya S, Sheyback M, Al Rawajfah O . Knowledge, attitude, practice, and clinical recommendation toward infection control and prevention standards among nurses: A systematic review. Am J Infect Control. 2019; 47(7):827-833. DOI: 10.1016/j.ajic.2018.11.022. View

20.

Caniato M, Tudor T, Vaccari M . Understanding the perceptions, roles and interactions of stakeholder networks managing health-care waste: A case study of the Gaza Strip. Waste Manag. 2014; 35:255-64. DOI: 10.1016/j.wasman.2014.09.018. View