title: Biomedical waste disposal: A systems analysis.
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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Professor, Dept of Community Medicine, AFMC, Pune-411040, India.
authors.forename: A K
authors.initials: AK
authors.lastname: Jindal
authors.affiliation: Resident, Dept of Community Medicine, AFMC, Pune-411040, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Joint Director, Health O/o DGAFMS, New Delhi, India.
authors.forename: V S
authors.initials: VS
authors.lastname: Grewal
authors.affiliation: Professor & HOD, Dept of Community Medicine, AFMC, Pune-411040, India.
authors.forename: Ajoy
authors.initials: A
authors.lastname: Mahen
keywords: Biomedical waste; Qualitative study; Systems analysis