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Biomedical waste disposal: A systems analysis
Authors:A.K. Jindal  Arun Gupta  V.S. Grewal  Ajoy Mahen
Affiliation:aProfessor, Dept of Community Medicine, AFMC, Pune-411040, India;bResident, Dept of Community Medicine, AFMC, Pune-411040, India;cJoint Director, Health O/o DGAFMS, New Delhi, India;dProfessor & HOD, Dept of Community Medicine, AFMC, Pune-411040, India
Abstract:

Background

In view of the contemporary relevance of BMW Management, a system analysis of BMW management was conducted to ascertain the views of Service hospitals/HCE''s on the current system in BMW management in-vogue; to know the composition and quantity of waste generated; to get information on equipment held & equipment required and to explore the possibility of outsourcing, its relevance and feasibility.

Methods

A qualitative study in which various stake holders in BMW management were studied using both primary (Observation, In-depth Interview of Key Personnel, Group Discussions: and user perspective survey) and secondary data.

Results

All the stake holders were of the opinion that where ever possible outsourcing should be explored as a viable method of BMW disposal. Waste generated in Colour code Yellow (Cat 1,2,3,5,6) ranged from 64.25 to 27.345 g/day/bed; in Colour code Red (Cat 7) from 19.37 to 10.97 g/day/bed and in Colour code Blue (Cat 4) from 3.295 to 3.82 g/day/bed in type 1 hospitals to type 5 hospitals respectively.

Conclusion

Outsourcing should be explored as a viable method of BMW disposal, were there are government approved local agencies. Facilities authorized by the Prescribed Authority should be continued and maintained where outsourcing is not feasible.
Keywords:Biomedical waste   Systems analysis   Qualitative study
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