2024-03-28T19:47:22Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00027349
2023-11-16T02:56:50Z
499:508:509:2359
Healthcare waste management at primary health centres in Mon State, Myanmar: the comparisons between hospital and non-hospital type primary health centres
Ei Mon Win
Yu Mon Saw
Kyi Lwin Oo
Thet Mon Than
Su Myat Cho
Kariya, Tetsuyoshi
Yamamoto, Eiko
Hamajima, Nobuyuki
open access
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
healthcare waste management
healthcare waste
medical waste
primary health centres
Mon State
Improper healthcare waste management (HCWM) poses a serious public health problem worldwide. Primary health centres (PHCs) provide public health and medical care services as the basic structural and functional units of healthcare services in Myanmar. However, no study has been conducted in Myanmar about HCWM at PHCs. This study aims to assess the practice of HCWM at PHCs in Mon State, Myanmar. A cross-sectional study was conducted in all ten townships in Mon State, Myanmar. In total, 93 PHCs (71 non-hospitals and 22 hospitals) were selected using simple random sampling. The observational checklist which was developed based on the World Health Organization’s standard guideline procedure of HCWM was used to determine the practice of HCWM at PHCs. Binary logistic regression was used for final data analysis. The burning in pits method was used as the final disposal method of healthcare waste in 78.5% of PHCs. Non-hospital type PHC were more likely not to have colour coding system for HCWM (odds ratio [OR] 7.54; 95% confidence interval [CI] 2.15–26.52), did not have equipment for accidental spillage of healthcare waste (OR 3.92; 95% CI 1.3–11.77) and did not have separate staff for HCWM (OR 8.27; 95% CI 2.77–24.64), relative to hospitals. Non-hospital type PHCs practices poorly on the colour coding for waste segregation, assigning separate staff for HCWM, and possessing equipment for accidental spillage of healthcare waste than hospital type PHCs. The Ministry of Health and Sports should issue technical guidelines of safe HCWM as a compulsory policy for both hospitals and non-hospital type PHCs.
Nagoya University Graduate School of Medicine, School of Medicine
2019-02
eng
departmental bulletin paper
VoR
https://doi.org/10.18999/nagjms.81.1.81
http://hdl.handle.net/2237/00029548
https://nagoya.repo.nii.ac.jp/records/27349
10.18999/nagjms.81.1.81
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/811.html
2186-3326
0027-7622
Nagoya Journal of Medical Science
81
1
81
91
https://nagoya.repo.nii.ac.jp/record/27349/files/07_Ei_Mon_Win.pdf
application/pdf
196.6 kB
2019-03-15